The Finnish Diabetes Risk Score (FINDRISC) and incident diabetes and low-grade inflammation

Autor: Raul D. Santos, Aep Pesaro, Márcio Sommer Bittencourt, Jose A.M. Carvalho, Marcelo Franken, D.J.B Silva
Rok vydání: 2020
Předmět:
Zdroj: European Heart Journal. 41
ISSN: 1522-9645
0195-668X
Popis: Background The Finnish Diabetes Risk Score (FINDRISC) (FR) was developed in Europe to predict type 2 diabetes mellitus (T2DM) risk without need of laboratory tests. Since T2DM is associated with low-grade inflammation, we evaluated the ability of FR to predict either T2DM or elevation in high sensitivity C- reactive protein (CRP), a biomarker of higher cardiovascular risk. Methods We included 41,880 subjects (age 41.9±9.7 years; 31% female) who underwent health evaluation between 2008 and 2016 in a single centre in Brazil. The cross-sectional association of FR with T2DM and hs-CRP ≥2.0 mg/L was tested in multivariate models. During a follow-up of 5±3 years, the predictive value of FR for incident T2DM and elevated CRP was tested, respectively, in 10,559 non-diabetic individuals and a subset of 2,816 subjects with baseline low CRP, using logistic regression. Models were adjusted for confounders such as sex, use of medications for dyslipidemia, smoking, and baseline plasma levels of glucose, creatinine and lipids. A receiver operating characteristic (ROC) curve was used to evaluate the discriminative and predictive values of FR for T2DM and CRP ≥2.0 mg/L. Results In the cross-sectional analysis, 1,146 (2.7%) individuals had T2DM. In a subgroup of 26,667 individuals in which CRP was measured, 9,229 (34.6%) had CRP ≥2.0 mg / L. During follow-up, there were 364 cases (3.5%) of incidental T2DM, and in the subgroup in which CRP was reassessed (n=2,816 individuals), there were 520 individuals (18.5%) with CRP ≥2.0 mg/L. FR was associated with either T2DM or elevated CRP in cross sectional analysis (respectively, OR 1.24, 95% CI: 1.23–1.26, P Conclusion FR was associated with the presence and onset of DMT2 and low-grade inflammation, but it predicted better T2DM risk than low-grade inflammation. Therefore, this inexpensive score can be useful for screening and prediction of T2DM. In addition, elevated serum inflammation in individuals with higher FR, may help explain the increased cardiovascular risk in this subset of patients. Funding Acknowledgement Type of funding source: None
Databáze: OpenAIRE
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