Performance of Indian Diabetes Risk Score (IDRS) as screening tool for diabetes in an urban slum

Dudeja, Puja; Singh, Gurpreet; Gadekar, Tukaram; Mukherji, Sandip

doi:10.1016/j.mjafi.2016.08.007

Cited by 45 publications

(43 citation statements)

References 25 publications

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“…Indian Diabetes Risk Score (IDRS) is often used as an initial, cost effective, simple tool to assess the risk of Diabetes (T2DM) and it can also be used in combination with A1c and BMI so that preventive measures can be taken at early stages [1,4,5]. There are other scales similar to IDRS, like FIN-RISK [6] and Framingham Offspring Diabetes Risk Score, United States [7], AUSDRISK [8] and many others [9] which are used as an assessment tools in various countries for assessment of T2DM risk.…”

Section: Introductionmentioning

confidence: 99%

Distribution of glycated haemoglobin and its determinants in Indian young adults

Nagarathna

Kaur

Anand

et al. 2020

Diabetes Research and Clinical Practice

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Section: Introductionmentioning

confidence: 99%

Distribution of glycated haemoglobin and its determinants in Indian young adults

Nagarathna

Kaur

Anand

et al. 2020

Diabetes Research and Clinical Practice

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“…Along with this, Dudeja et al (2016) also reported contrary results like 95% sensitivity and 29% specificity on score above 60. 10 In our study, it was found that females have more predilection of higher risk of diabetes. It may be due to more tendency of fat accumulation among females.…”

Section: Discussionmentioning

confidence: 50%

A study on validity of Indian Diabetes Risk Score for screening of diabetes mellitus among rural adult population at Rural Health Training Centre, Bhouri, under Department of Community Medicine

Namdev¹,

Narkhede²

2018

Int J Community Med Public Health

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Background: Diabetes mellitus is a major public health problem in India and many of them remain undetected throughout years. This scenario becomes worse in rural setup where limited heath care facilities are available. So, to detect risk of diabetes earlier, Indian diabetes risk score (IDRS) is to be used. There is also various socio demographic and anthropometric factors associated with the risk of occurring diabetes. The aims and objectives of the study were to study the validity of IDRS method as a screening tool in community as well as to determine the association of IDRS with socio demographic factors and body mass index (BMI).Methods: A cross sectional study was conducted on 270 study participants at rural health training centre (RHTC) for a period of around 7 months. All of them were being measured weight, height, waist circumference and calculated BMI. Along with it, they were categorized by applying IDRS method and measured blood sugar by glucometer also.Results: Out of 270 study subjects, 29% found to have high score. By applying IDRS, at score > 60, we found 32% sensitivity and 97% specificity. A statistically significant association of IDRS with age, gender, religion, socioeconomic status (SES), education, occupation and BMI was seen.Conclusions: In present study, IDRS method proved to be a good screening tool for detecting diabetes mellitus at rural set up with minimum cost.

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“…This study however confirmed diabetes using only the fasting blood sugar testing. 18 The World Health Organization (WHO) and the International Diabetes Federation (IDF) have recommended that OGTT be used for the diagnosis of diabetes. The American Diabetes Association (ADA) however differed and suggested the use of FPG in the diagnosis of diabetes.…”

Section: Discussionmentioning

confidence: 99%

Community Based Screening for Diabetes and Prediabetes using the Indian Diabetes Risk Score among Adults in a Semi-Urban Area in Kathmandu, Nepal

et al. 2019

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Diabetes has been recognized as a “global health emergency” with an estimated 9% of adults being affected. However, about half of these adults remain undiagnosed. Conventional screening tools like fasting plasma glucose (FPG), oral glucose tolerance testing (OGTT) and glycosylated haemoglobin (HbA1c) can be inconvenient and expensive in a community-based setting. The Indian Diabetes Risk Score (IDRS) is a simple, non-invasive tool which has been validated for use in the Indian population. Age, abdominal obesity, family history of diabetes and physical activity levels have been weighted for a maximum score of 100. Persons with IDRS of <30 are categorized as low risk, 30-50 as medium risk and those with > 60 as high risk for diabetes. A community based, cross-sectional, analytical study was planned to assess the performance of IDRS among adults in a semi-urban area in Kathmandu, Nepal. A total of 256 (170 female, 86 male) persons without diabetes from 260 households were screened during the study period. A majority (46.09%) were classified as high risk, 44.53% as moderate risk and 9.38% as low risk for developing diabetes. Among them, 162 (63.28%) volunteered for definitive testing. The prevalence of undiagnosed diabetes and prediabetes was 4.32% (95% CI: 1.75% to 8.70%) and 7.14% (95% CI: 3.89% to 12.58%) respectively. IDRS predicted the combined risk of diabetes and prediabetes with sensitivity of 84.21% and specificity of 55.24% in adults with score of 60 and above. The area under the ROC curve (AUC) of IDRS for identifying diabetes and prediabetes was 0.69 as compared to the gold standard (2hour Plasma Glucose) AUC of 0.98. IDRS may be a suitable screening tool for diabetes and prediabetes in the adult Nepalese study population.

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Performance of Indian Diabetes Risk Score (IDRS) as screening tool for diabetes in an urban slum

Abstract: IDRS can be used as an effective tool for screening undiagnosed diabetes in the community.

Cited by 45 publications

References 25 publications

Distribution of glycated haemoglobin and its determinants in Indian young adults

Distribution of glycated haemoglobin and its determinants in Indian young adults

A study on validity of Indian Diabetes Risk Score for screening of diabetes mellitus among rural adult population at Rural Health Training Centre, Bhouri, under Department of Community Medicine

Community Based Screening for Diabetes and Prediabetes using the Indian Diabetes Risk Score among Adults in a Semi-Urban Area in Kathmandu, Nepal

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