Risk prediction of diabetes in Chinese adults

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MA Ai-juan(Department of Social Medicine and Health Education, School of Public health,Peking University Health Science Center, Beijing100191, China)
LIU Ai-ping(Department of Social Medicine and Health Education, School of Public health,Peking University Health Science Center, Beijing100191, China)
WANG Pei-yu(Department of Social Medicine and Health Education, School of Public health,Peking University Health Science Center, Beijing100191, China)
LI Er-man()
WANG Shi-xin()
LI Ming()
Journal Title:
Chinese Journal of Health Management
Volume 06, Issue 04, 2012
Key Word:
Diabetes mellitus;Adult;Mass screening;Risk prediction

Abstract: Objective To evaluate the use and effectiveness of Human-Computer Interaction (HC1) -based risk prediction of diabetes among Chinese adults.Methods HCI-based risk prediction of diabetes was performed in 639 non-diabetics aged 23 to 61years old.Risk prediction results,main risk factors of diabetes and helpful suggestions were reported and used for self-management.After l-year follow-up,the participants received another assessment to find the changes of disease risk and risk factors.Non-parametric or Chi-square test was used for comparison of continuous or categorical variables,respectively.Receiver Operating Characteristic (ROC) curve was used to calculate the sensitivity and specificity of HCI.Results After1-year follow-up,the incidence of diabetes per year was1.4%,and all newly diagnosed diabetes was found in high-risk individuals.The proportion of high-risk individuals was 56.8% and 57.9%before and after follow-up ( x2 =0.36,P > 0.05 ).In comparison with baseline,average risk score of high-risk individuals was significantly declined ( 2.25 vs 2.91,Z =- 4.32,P < 0.05 ).Oversized waist circumstance,higher total cholesterol (TC) and lower high-density lipoprotein cholesterol (HDL-C) was identified in 76.2%,36.2% and 3.8% of high risk individuals at1year,lower than those of baseline ( 87.3%,42.2% and12.4%,respectively ; x2 values were 30.56,6.05 and 22.26,respectively; all P <0.05) ; although the prevalence of hypertension was higher (23.5% vs18.1%,x2 =11.11,P<0.05).Conclusions HCI and effective control of risk factors could prevent the development of diabetes in high risk individuals.

  • [1]王陇德.中国居民营养与健康状况调查报告之一2002综合报告.北京:人民卫生出版社,2005:1-59.
  • [2]Tuomilehto J,Lindstr(o)m J,Eriksson JG,et al.Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.N Engl J Med,2001,344:1343-1350.
  • [3] Knowler WC,Barrett-Connor E,Fowler SE,et al.Reduction in the incidence of type 2 diabetes with lifestyle intervention or mefformin.N Engl J Med,2002,346:393-403.
  • [4] American Diabetes Association.Screening for type 2 diabetes.Diabetes Care,2003,26 Suppl1:S21-24.
  • [5]李明,关志强.健康风险评估和风险管理∥陈君石,黄建始.健康管理师.北京:中国协和医科大学出版社,2007:33-50.
  • [6]马爱娟,刘爱萍.糖尿病风险评估研究进展.中国糖尿病杂志,2010,18:36-38.
  • [7] Schulze MB,Hoffmann K,Boeing H,et al.An accurate risk score based on anthropometric,diatary,and lifestyle factors to predict the development of type 2 diabetes.Diabetes Care,2007,30:510-515.
  • [8] Al-Lawati JA,Tuomilehto J.Diabetes risk score in Oman:A tool to identify prevalent type 2 diabetes amnng Arabs of the Middle East.Diabetes Res Clin Prac,2007,77:438-444.
  • [9] Lindstrom J,Tuomilehto J.The diabetes risk score:a practical tool to predict type 2 diabetes risk.Diabetes care,2003,26:725-731.
  • [10] Aekplakom W,Bunnag P,Woodward M,et aL A risk score for predicting incident diabetes in the Thai population.Diabetes care,2006,29:1872-1877.
  • [11]吴海云,潘平,何耀,等.我国成年人糖尿病发病风险评估方法.中华健康管理学杂志,2007,1:95-98.
  • [12]马爱娟,刘爱萍,王培玉,等.糖尿病风险评估不同方法应用比较.中国公共卫生,2010,26:570-572.
  • [13]程莹,潘长玉.糖尿病和中间高血糖的定义和诊断(WHO/IDF评议报告).中华内分泌代谢杂志,2006,22:16-17.
  • [14]Grundy SM,Cleeman Jl,Daniels SR,et al.Diagnosis and management of the metabolic syndrome: an American Heart Association/national heart,lung,and blood Institute scientific statement:executive summary.Crit Pathw Cardiol,2005,4:198-203.
  • [15] Hanley JA,McNeil BJ.A method of comparing the areas under receiver operating characteristic curves derived from the same cases.Radiology,1983,148:839-843.
  • [16]卫生部心血管病防治研究中心.中国心血管病报告2007.北京:中国大百科全书出版社,2009:39-50.
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