Effectiveness and validation of Modified Indian Diabetic Risk Score tool. : A cross sectional study

ABSTRACT

Introduction: India is diabetic capital of world, with maximum number of diabetic patients. There is large burden of undetected diabetic cases in community. There is increasing risk of diabetes in urban as well as rural areas, because of illiteracy, lack of awareness, low socioeconomic status and unhealthy life style. We have developed Modified Indian Diabetes Risk Score (MIDRS) to detect high risk individuals likely to be benefited by lifestyle interventions in preventing or delaying Type 2 diabetes. Screening for diabetes was carried out from urban and rural community ofMethods: Unjha Taluka district Mehsana Gujarat state. The sample size was 989. MIDRS (Modified Indian Diabetes Risk Score) tool comprising of five modifiable (BMI, waist circumference, physical activity, calorie intake and personal habits) and three non-modifiable risk factors (age, family history and h/o hypertension) for diabetes was used to assess the risk of diabetes. Anthropometry data was obtained. Conformation of diabetes was done using blood sugar levels on fasting and post prandial 2 hours venous sample. Mean and SD for age of study subjects were 42.6 + 15.4years, BMI 25.9 +Results: 3.9 kg/m2, waist hip ratio (females) 0.87 + 0.07 cm, waist hip ratio (males) 0.87 + 0.07 cm, waist circumference (females) 87.6 + 9.8 cm, waist circumference (males) 88.9 + 10.1cm, SBP 134.6 + 20.5 mm Hg and DBP 83.6 + 12.1 mm Hg. MIDRS predicted the risk of diabetes mellitus with sensitivity of 90% and specificity of 71.6% in individuals with score >60. Mean MIDRS score is 52.9. MIDRS can be used as an effective tool for detect high risk individuals likely toConclusion: be benefited by lifestyle interventions in preventing or delaying Type 2 diabetes.