PhilSPEN Online Journal of Parenteral and Enteral Nutrition

(Article 62 | POJ_0057.php) Issue

Thesis Abstract

Validation of Diabetes Risk Assessment Form (adapted from FIND RISC) for Undiagnosed Type2 DM Adult Residents at Barangay 212 Zone 19, District II, Manila (April-May 2014): A Cross-Sectional Analytical Study

Introduction | Methodology | Results | Conclusion | PDF () |Back to Articles Page

Submitted: May 2014

AUTHOR: Cindy G. Chua, MSc, RND

INSTITUTION WHERE STUDY WAS DONE: Philippine Women's Univeristy, Metro-Manila, Philippines

KEYWORDS:

INTRODUCTION | Back

Purpose of the Study
The purpose of this study was to validate the usefulness of Diabetes Risk Assessment Form (adapted from FINDRISC) for identification of individuals with Type 2 DM (Diabetes Mellitus) among i.residents at Baran gay 212 Zone 19, District II in the City of Manila during April 20 to May 12, 2014 and to identify the sensitivity, specificity, and accuracy of Diabetes Risk Assessment Form (adapted from FlNDRISC) in predicting Type 2 DM among residents in Manila.

METHODOLOGY | Back

The cross sectional analytical study design was used in this research wherein there were 121 pre-enrolled participants, 105 successfully finished the study and 16 drop outs from the study. Purposive sampling was performed through the process of selecting residents from coordinating barangay. With sample size n =101, this was based on the previous study conducted by Greece study (Makrilakis et al. 2008) and DOH DM report 2009, with allowable precision of 10% and 95% confidence level. This study used the following assessment tools: anthropometric assessment and Diabetes Risk Assessment Form (adapted FINDRISC), and OGTT (Oral Glucose Tolerance Test). The data was summarized wherein the mean and standard deviation for the numerical data. Ratio and proportions were used for categorical data. Logistic Regression with odds ratio, sensitivity, specificity, accuracy, positive predictive value, negative predictive value and likelihood ratios were computed to determine the accuracy of risk total score against the OGTT. All institutions, such as Barangay 212 Zone 19, District II and the Philippine Women's University Ethics Review Board, involved in the study approved the study protocol.

RESULTS | Back

With a total number of 105 participants, these were the following reported age distribution: 16.19% young adult (19-39 years old), 51.43% middle age (40-59 years old), and 32.38% elderly group 􀁜60 years old) with mean of 52.98. There were ¬∑more female than male who joined the study (70.48% female; 29.52% male). For waist-hip ratio, 31.43% met the normal cut off for men (:::1) and women (S.8); while 68.57% were above the cut off with mean of 0.91 . BMI reported were 60.95% lower than 25kg/m2, 30.48% 25-30kg/m2, an 8.57% higher than 30kg/m2 with mean of 24.02.

While using Oral Glucose Tolerance Test (OGTT), there were 74.29% no diabetes and pre-diabetes; and 25.71 % participants were found to be Type2DM. Ba􀁴ed on the Diabetes Risk Assessment Form (adapted from FINDRISC), the study shows that 86.67% participants were found to be low to moderate risk; while 13.33% participants were reported DM high risk cut off (2:15).

This study also showed that daily physical activity and diet showed no significant association With Total Type2 DM risk score; while age, BMI, waist circumference, presence of hypertension, history of DM, and Family with DM showed significant association with Total Type2 DM Risk Score.

There is 3.2 times more likely participants have DM when they are classified as cut off (>/=) 9 than when participants are classified as cut off <9; maybe high as 8 times higher (OR 3.16, p=0.020 <0.05, 95% CI 1.20 - 8.34).

CONCLUSION: | Back

  • This study was able to reveal a 74.07% Sensitivity, 52.56% Specificity and 58.10% accuracy (AUC: 0.63; 95%CI: 0.53 to 0.73) that shows moderate diagnostic accuracy.
  • There was a significant relationship between high risk scores and Type2 DM status (OR 3.16, p=0.020 <0.05, 95% CI 1.20 - 8.34).
  • Negative Predictive Value is 85.42%.
  • Positive Predictive Value is 35.09%.
  • Thus, this study validates the Diabetes Risk Assessment Form (adapted from FINDRISC) is considered as a non-invasive screening tool adjunct to laboratory screening for Type 2 DM among adults undiagnosed residents at Barangay 212 Zone 19, Qjstrict II in the City of Manila.

Introduction | Methodology | Results | Conclusion | Back to Articles Page