The Validity of the American Diabetes Association’s Diabetes Risk Test in a Saudi Arabian Population

Aldayel, Faisal A; Belal, Malak A; Alsheikh, Abdulrahman M

doi:10.7759/cureus.18018

Cited by 9 publications

(14 citation statements)

References 16 publications

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“…The current investigation unveiled a strong correlation between gestational diabetes and an elevated susceptibility to DM. This is consistent with the findings of Aldayel et al (13) who demonstrated that women with a previous history of gestational diabetes are at a greater risk of acquiring type 2 diabetes compared to those without such a history, particularly if they don't make beneficial changes to their diet & lifestyle.…”

Section: Discussionsupporting

confidence: 92%

The Validity of the American Diabetes Association’s Diabetes Risk Test in A Sample of Egyptian Population

2024

The Egyptian Journal of Hospital Medicine

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Background: In order to identify community members at high risk for developing diabetes and to bring attention to the importance of good lifestyle choices and reducing risk factors. The American Diabetes Association created the diabetes risk test.Objectives: This study aimed to determine whether the American Diabetes Association (ADA) risk test is accurate in predicting who among Egyptian population would develop pre-diabetes or diabetes & how sensitive & specific it is in doing it. Patients and Methods: This cross-sectional study performed on 580 cases aged 18 years or older attending different hospitals in Benha City, Egypt, According toADA risk test subjects of score <4have no risk to develop prediabetes or type2DM,those of score=4 risky to develop prediabetes and those of score>=5 are risky to be diabetic . T ns in this study are divided into 2 groups:euglycemic and diabetic group that complete the score he perso . Results: . T his study found that in the euglycemic group, 184 people (51.1%) had no risk of developing either prediabetes or diabetes, 44 people (12.2%) had a risk of developing prediabetes, and 132 people (36.7%) had a potential for progressing type 2 DM. Between our studied population, ADA ≥ 4 was found in 93.6% of DM subjects, and ADA ≥ 5 was found in 88.2% of DM subjects, suggesting significant agreement of the ADA score to predict DM. Older age > 50 years, obesity, gestational diabetes mellitus (GDM), hypertension, and poor physical activity were significantly correlated with an enhanced probability of DM. at scores ≥ 4, ADA had 93.6% sensitivity and 63.3% specificity to detect DM. At scores ≥ 5, ADA had 88.2% sensitivity and 62.3% specificity to detect DM. Conclusion: Screening for prediabetes & type 2 DM risk factors in Egyptian population sample using the American Diabetes Association's prediabetic risk assessment test was valid, reliable, & authentic.

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Section: Discussionsupporting

confidence: 92%

The Validity of the American Diabetes Association’s Diabetes Risk Test in A Sample of Egyptian Population

2024

The Egyptian Journal of Hospital Medicine

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“…Twenty‐four diagnostic trials were assessed for risk of bias and suitability according to the QUADAS‐2 evaluation form. Thirteen 24,26,28,31,35–40,43,45,48 (54.2%) of the 24 studies were judged to be at unclear risk of bias, six 25,29,34,44,46,47 (25%) at high risk of bias, and five 27,30,41,42,49 (20.8%) at low risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen 24,26,28,31,[35][36][37][38][39][40]43,45,48 (54.2%) of the 24 studies were judged to be at unclear risk of bias, six 25,29,34,44,46,47 (25%) at high risk of bias, and five 27,30,41,42,49 The study population as a family practice population.…”

Section: Risk Of Bias and Assessment Of Applicabilitymentioning

confidence: 99%

A meta‐analysis of diabetes risk prediction models applied to prediabetes screening

Liu,

Yu,

Feng

et al. 2024

Diabetes Obesity Metabolism

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AimTo provide a systematic overview of diabetes risk prediction models used for prediabetes screening to promote primary prevention of diabetes.MethodsThe Cochrane, PubMed, Embase, Web of Science and China National Knowledge Infrastructure (CNKI) databases were searched for a comprehensive search period of 30 August 30, 2023, and studies involving diabetes prediction models for screening prediabetes risk were included in the search. The Quality Assessment Checklist for Diagnostic Studies (QUADAS‐2) tool was used for risk of bias assessment and Stata and R software were used to pool model effect sizes.ResultsA total of 29 375 articles were screened, and finally 20 models from 24 studies were included in the systematic review. The most common predictors were age, body mass index, family history of diabetes, history of hypertension, and physical activity. Regarding the indicators of model prediction performance, discrimination and calibration were only reported in 79.2% and 4.2% of studies, respectively, resulting in significant heterogeneity in model prediction results, which may be related to differences between model predictor combinations and lack of important methodological information.ConclusionsNumerous models are used to predict diabetes, and as there is an association between prediabetes and diabetes, researchers have also used such models for screening the prediabetic population. Although it is a new clinical practice to explore, differences in glycaemic metabolic profiles, potential complications, and methods of intervention between the two populations cannot be ignored, and such differences have led to poor validity and accuracy of the models. Therefore, there is no recommended optimal model, and it is not recommended to use existing models for risk identification in alternative populations; future studies should focus on improving the clinical relevance and predictive performance of existing models.

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“…9 Another study in Saudi Arabia showed that the results of this screening indicated that these individuals had a high risk of developing DM. 7 A history of pregnancy with diabetes mellitus has a prevalence ratio of 1.12. These results are in line with previous research which stated that gestational diabetes mellitus increases the risk of developing DMT2 compared to other variables.…”

Section: Discussionmentioning

confidence: 99%

Risk Assessment of Type 2 Diabetes Mellitus Using the American Diabetes Association (ADA) Diabetes Risk Test in Residents of Bah Bolon Village, Simalungun District

2023

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Background: The prevalence of DM Type 2 is expected to increase to 7079 per 100,000 individuals in 2030 and 7862 in 2040.Meanwhile, based on Riskesdas data, Indonesia has a prevalence of DM of 2.1% in 2013. The highest prevalence was in Deli Serdang (2.9%) and followed by Medan (2.7%), Pematang Siantar (2.2%), Asahan (2.1%), Gunungsitoli (2,1%), Simalungun (1.57%) and Mandailing Natal (0.3%). The ADA Diabetes Risk Test is a simple strategy that used for screening prediabetes and diabetes in asymptomatic adults. Simalungun Regency is one of the 10 districts with a high prevalence of DM after Medan, Pematang Siantar and Asahan.Bah Bolon Village is one of the villages located in Dolog Masagal District.Bah bolon village is a remote village and far from the city and health facilities covering 342 heads of families. Aim of study is to know about how much risk factor of DM type 2 in Simalungun Distric using ADA Diabetes Risk Test. Methods: This study is analytical with a cross-sectional retrospective design.Data were analyzed after distribution test, then mean difference and correlation test was using the SPPS program where p <0.05 was considered statistically significant. Result: This study showed that the prevalence ratio of the ADA Diabetes Risk Test was 3.04 which indicates that there is an increased risk of DM 3 times compared to individuals who have a low risk ADA Diabetes Risk Test score. The highest prevalence ratio is a history of hypertension. A history of hypertension increases the risk of developing T2DM sixfold. A history of hypertension has a 95% CI value of 2.19-17.84 which indicates that people with hypertension have a 2.19 to 17.84 times higher risk of developing T2DM. Conclusions: The significant association DM about 3 times in ADA Diabetes Risk Test between high score and low score, significant association between hypertension history with hyperglycemia. Keywords: DM Type 2, Risk Factors, ADA Diabetes Risk Test, Screening DM

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The Validity of the American Diabetes Association’s Diabetes Risk Test in a Saudi Arabian Population

Cited by 9 publications

References 16 publications

The Validity of the American Diabetes Association’s Diabetes Risk Test in A Sample of Egyptian Population

The Validity of the American Diabetes Association’s Diabetes Risk Test in A Sample of Egyptian Population

A meta‐analysis of diabetes risk prediction models applied to prediabetes screening

Risk Assessment of Type 2 Diabetes Mellitus Using the American Diabetes Association (ADA) Diabetes Risk Test in Residents of Bah Bolon Village, Simalungun District

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