Effectiveness of a Type 2 Diabetes Screening Intervention in the Canadian Workplace

Tarride, Jean‐Éric; Smofsky, Allan; Nykoliation, Priscilla; Allain, Stephen; Lewis-Daly, Linda; Satok, David; Schwartz, Jeremy I.; Pollack, Joshua Hart; Guertin, Jason R.; McIntyre, Roger S.

doi:10.1016/j.jcjd.2017.12.008

Cited by 7 publications

(4 citation statements)

References 24 publications

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“… 36 Shockey and colleagues 37 observed that the prevalence of diabetes is 6.4% among employed adults in the United States, which differed by occupation. A study of type 2 diabetes screening interventions in Canadian workplaces 38 showed that the prevalence of diabetes in the occupational population was 8% and that interventions with educational programs were effective in reducing the level of diabetes risk among employees. In the present occupational cohort, the prevalence of diabetes and hypertension was 7.1% and 39.3% in male workers.…”

Section: Discussionmentioning

confidence: 99%

Smoking causes the disorder of glucose metabolism under different levels of blood pressure in male occupational population

Wang

Qiang²,

Xu³

et al. 2022

J of Clinical Hypertension

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Smoking is an important modifiable factor in the risk of type 2 diabetes. Type 2 diabetes and hypertension overlap in the population. The present study investigated effects of smoking on glucose metabolism under different blood pressure (BP) levels in occupational population. A smoking survey among occupational groups was conducted in 2018. The general linear model was used to analyze the differences of glucose metabolism indexes and BP indexes influenced by different smoking intensity (never 0, mild <10, moderate <20, heavy ≥20 pack-years). Odds ratios of developing diabetes and β-cell deficiency were analyzed by using logistic regression model. BP was further taken into account in the relationship between smoking and glucose metabolism.As a result, 1730 male workers aged 21 to 60 years were included in the analysis finally. Compared to never smokers, heavy smokers had significantly increased fasting plasma glucose. Moderate and above smokers had significantly increased glycosylated hemoglobin, decreased fasting plasma insulin and β-cell function, after adjustment for covariates. Further, smoking intensity was found to have a dose-dependent relationship with impaired β-cell function and diabetes. In conclusion, smoking has a positive dose-dependent relationship with β-cell deficiency and diabetes. Male smoking workers, especially the moderate or higher smoking, with high-normal and high BP levels are at high risk of abnormal glucose metabolism.

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Section: Discussionmentioning

confidence: 99%

Smoking causes the disorder of glucose metabolism under different levels of blood pressure in male occupational population

Wang

Qiang²,

Xu³

et al. 2022

J of Clinical Hypertension

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“…The location of screening may affect uptake. Screening can be provided without physician referral at dental clinics (Hadlaq et al 2017), malls (rasooldeen 2016), laboratories (Gronowski andbudelier 2020), pharmacies (lancaster et al 2018;Willis et al 2014Willis et al ), workplaces (bali et al 2018Neumann et al 2015;Padwal et al 2017;Tarride et al 2018;Wang et al 2019), and mosques (Davachi, Flynn, and edwards 2005). A mosque in Qatar hosted a diabetes event in which 3,150 worshippers underwent screening.…”

Section: Supply-side Interventionsmentioning

confidence: 99%

Noncommunicable Diseases in Saudi Arabia: Toward Effective Interventions for Prevention

Alqunaibet¹,

Herbst²,

Saharty³

et al. 2021

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Some rights reserved 1 2 3 4 24 23 22 21 Books in this series are published to communicate the results of World Bank research, analysis, and operational experience with the least possible delay. The extent of language editing varies from book to book.This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy, completeness, or currency of the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use of or failure to use the information, methods, processes, or conclusions set forth. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

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“…Altogether, these methods may have resulted in a nonrepresentative and biased sample that does not parallel the overall Canadian population. Still, the CANRISK score has displayed a high sensitivity for both young (<40 years of age; 83%) and older adult (!40 years of age; 93%) women with a history of gestational diabetes (45), has been strongly associated with daily steps taken (46) in older adults (!55 years of age) and has been successfully used in a workplace health intervention that resulted in a significant reduction in glycated hemoglobin in those with dysglycemia (47). These studies may, therefore, justify its use and generalizability to other Canadian samples and to young and older adults alike.…”

Section: Limitationsmentioning

confidence: 99%

Assessing Dysglycemia Risk Among Younger Adults: A Validation of the Canadian Diabetes Risk Questionnaire

Srugo

Morrison

Villeneuve

et al. 2020

Canadian Journal of Diabetes

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Key MessagesThe Canadian Diabetes Risk Questionnaire (CANRISK) has not been validated for use among younger adults (<40 years of age). We created a new, young adult-specific model to compare with the original CANRISK in this age group. Both performed comparably; therefore, CANRISK is the most practical tool because it performs well both in younger and older adult populations.Keywords: CANRISK prediabetes risk assessment screening type 2 diabetes young adult a b s t r a c t Objectives: The Canadian prevalence and incidence of diabetes has increased by the greatest extent in young adulthood. The original Canadian Diabetes Risk Questionnaire (CANRISK) was created to assess dysglycemia risk among adults !40 years of age, but it has not been validated among younger adults. Furthermore, it is unclear whether a young adult-specific risk score would better identify dysglycemia in this age group. Methods: Analyses were done on participants who completed the self-administered CANRISK and underwent anthropometric and blood glucose measurements, were 18 to 39 years of age, were not pregnant and had no previous diabetes diagnosis. A risk model was generated from a lenient stepwise function fit with predictors identified through univariate analyses. Risk scores were produced from adjusted odds ratios. Model performance was internally validated using bootstrap methods and compared with the original CANRISK prognostic tool. Results: Of the 3,334 participants included in the study, 194 (5.8%) and 51 (1.5%) were living with prediabetes or undiagnosed diabetes, respectively. The model displayed an area under the curve of 73.0%, adjusted to 72.9% after bootstrapping; however, using the original CANRISK model resulted in similar results (area under the curve, 71.4%). Sensitivity and specificity of the new and original models were also comparable (78.8% vs 77.1% and 54.0% vs 55.0%, respectively). Conclusions: The original CANRISK score performed well among young adults, even when compared with a young adult-specific model. We suggest that the cut point be lowered for young adults and the tool be permitted for use in this age group. Crown

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Effectiveness of a Type 2 Diabetes Screening Intervention in the Canadian Workplace

Abstract: This study provides a framework for future diabetes interventions in the workplace and demonstrates that workplace interventions may reduce employees' diabetes risk levels and are valued by employees.

Cited by 7 publications

References 24 publications

Smoking causes the disorder of glucose metabolism under different levels of blood pressure in male occupational population

Smoking causes the disorder of glucose metabolism under different levels of blood pressure in male occupational population

Noncommunicable Diseases in Saudi Arabia: Toward Effective Interventions for Prevention

Assessing Dysglycemia Risk Among Younger Adults: A Validation of the Canadian Diabetes Risk Questionnaire

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