Titill: | Can waist-to-height ratio and health literacy be used in primary care for prioritizing further assessment of people at T2DM risk? |
Höfundur: |
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Útgáfa: | 2023-08 |
Tungumál: | Enska |
Umfang: | 415172 |
Deild: | Centre of Doctoral Studies Faculty of Nursing |
Birtist í: | International Journal of Environmental Research and Public Health; 20(16) |
ISSN: | 1661-7827 |
DOI: | 10.3390/ijerph20166606 |
Efnisorð: | countryside/town; prediabetes; screening; type 2 diabetes; well-being; Pollution; Public Health, Environmental and Occupational Health; Health, Toxicology and Mutagenesis |
URI: | https://hdl.handle.net/20.500.11815/4673 |
Tilvitnun:Arnardóttir , E , Sigurðardóttir , Á K , Graue , M , Kolltveit , B C H & Skinner , T 2023 , ' Can waist-to-height ratio and health literacy be used in primary care for prioritizing further assessment of people at T2DM risk? ' , International Journal of Environmental Research and Public Health , vol. 20 , no. 16 , 6606 . https://doi.org/10.3390/ijerph20166606
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Útdráttur:Background: To identify people at risk of type 2 diabetes. Primary health care needs efficient and noninvasive screening tools to detect individuals in need of follow-up to promote health and well-being. Previous research has shown people with lower levels of health literacy and/or well-being scores are vulnerable but may benefit from intervention and follow-up care. Aims: This cross-sectional study, aimed to identify people at risk for type 2 diabetes by comparing the Finnish Diabetes Risk instrument with the waist-to-height ratio. Further, the difference was examined in health literacy and well-being scale scores in the countryside versus town areas, respectively. Results: In total, 220, aged 18–75 years, participated. Thereof, 13.2% displayed biomarkers at prediabetes level of HbA1c (39–47 mmol/mol); none had undiagnosed diabetes. Of the participants, 73% were overweight or obese. Waist-to-height ratio demonstrated 93.1% of the prediabetes group at moderate to high health risk and 64.4% of the normal group, with an area under the curve of 0.759, sensitivity of 93.3%, and specificity of 63.1%. Residency did not influence prediabetes prevalence, health literacy, or well-being. Conclusion: Waist-to-height ratio and the Finnish Diabetes Risk instrument may be suitable for identifying who need further tests and follow-up care for health promotion in primary care.
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Athugasemdir:Publisher Copyright: © 2023 by the authors.
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