Dysglycemia risk score in Saudi Arabia: A tool to identify people at high future risk of developing type 2 diabetes

Suhad Bahijri, Rajaa Al-Raddadi (Coresponding Author), Ghada Ajabnoor, Hanan Jambi, Jawaher Al Ahmadi, Anwar Borai, Noël C. Barengo, Jaakko Tuomilehto

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Aims/Introduction: To develop a non-invasive risk score to identify Saudis having prediabetes or undiagnosed type 2 diabetes. Methods: Adult Saudis without diabetes were recruited randomly using a stratified two-stage cluster sampling method. Demographic, dietary, lifestyle variables, personal and family medical history were collected using a questionnaire. Blood pressure and anthropometric measurements were taken. Body mass index was calculated. The 1-h oral glucose tolerance test was carried out. Glycated hemoglobin, fasting and 1-h plasma glucose were measured, and obtained values were used to define prediabetes and type 2 diabetes (dysglycemia). Logistic regression models were used for assessing the association between various factors and dysglycemia, and Hosmer–Lemeshow summary statistics were used to assess the goodness-of-fit. Results: A total of 791 men and 612 women were included, of whom 69 were found to have diabetes, and 259 had prediabetes. The prevalence of dysglycemia was 23%, increasing with age, reaching 71% in adults aged ≥65 years. In univariate analysis age, body mass index, waist circumference, use of antihypertensive medication, history of hyperglycemia, low physical activity, short sleep and family history of diabetes were statistically significant. The final model for the Saudi Diabetes Risk Score constituted sex, age, waist circumference, history of hyperglycemia and family history of diabetes, with the score ranging from 0 to 15. Its fit based on assessment using the receiver operating characteristic curve was good, with an area under the curve of 0.76 (95% confidence interval 0.73–0.79). The proposed cut-point for dysglycemia is 5 or 6, with sensitivity and specificity being approximately 0.7. Conclusion: The Saudi Diabetes Risk Score is a simple tool that can effectively distinguish Saudis at high risk of dysglycemia.

Original languageEnglish
Pages (from-to)844-855
Number of pages12
JournalJournal of Diabetes Investigation
Volume11
Issue number4
DOIs
Publication statusPublished - 1 Jul 2020
Externally publishedYes

Keywords

  • Diabetes risk score
  • Dysglycemia
  • Saudi population

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

Fingerprint

Dive into the research topics of 'Dysglycemia risk score in Saudi Arabia: A tool to identify people at high future risk of developing type 2 diabetes'. Together they form a unique fingerprint.

Cite this