Journal of Diabetology

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 9  |  Issue : 3  |  Page : 95--101

Diabetes risk score for identifying cardiometabolic risk factors in adult Bangladeshi population


Bishwajit Bhowmik1, Tasnima Siddiquee3, Anindita Mujumder2, Tofail Ahmed3, Hajera Mahtab4, Abul Kalam Azad Khan6, Akhtar Hussain5, Gerd Holmboe-Ottesen6, Tone Kristin Omsland6 
1 Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka, Bangladesh
2 Department of Pathology, Ibrahim Medical College, Diabetic Association of Bangladesh, Dhaka, Bangladesh
3 Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh
4 Department of Medicine, Bangladesh Institutes of Health Sciences, Diabetic Association of Bangladesh, Dhaka, Bangladesh
5 Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka, Bangladesh; Faculty of Health Science, Nord University, Bodo, Norway; Department of Endocrinology, University of Cera, Fortaleza, Brazil
6 Department of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway

Correspondence Address:
Dr. Bishwajit Bhowmik
Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo
Bangladesh

Context: Simple non-invasive tools to identify high-risk individuals would facilitate screening of cardiometabolic diseases as well as diabetes. Aims: (1) To estimate variations in Bangladesh diabetes risk score (BDRS) according to stages of glucose intolerance, (2) to examine the usefulness of BDRS for identifying metabolic syndrome (MS), dyslipidaemia and 10-year risk of coronary artery disease (CAD) in people with normal glucose tolerance (NGT). Subjects and Methods: Data were taken from a randomised cross-sectional study of 2293 patients in a rural community of Bangladesh in 2009, based on questionnaire interviews, anthropometric measurements, fasting blood samples and oral glucose tolerance test. The BDRS includes age, sex, body mass index, waist-hip ratio and hypertension (HTN). Spearman correlation and logistic regression were done to assess the relationship between BDRS and cardiometabolic risk factors. Results: The mean BDRS increased significantly with higher glucose intolerance (P for trend < 0.001). Among NGT group, the prevalence of cardiometabolic risk factors increased progressively from low-to-medium-to-high-risk score groups; HTN: 7.8%, 12.3% and 19.8% (P for trend: <0.001), dyslipidaemia: 16.3%, 25.3% and 27.4% (P for trend: <0.001), MS: 10.2%, 22.4% and 30.9% (P for trend: <0.001) and CAD risk: 3.6%, 9.0% and 13.8% (P for trend: <0.001), respectively. BDRS was significantly associated with MS (odds ratio [OR]: 1.92, P < 0.001); dyslipidaemia (OR: 1.30, P = 0.018); and CAD risk (OR: 1.93, P < 0.001). Conclusions: BDRS can be used for identifying MS, dyslipidaemia and CAD risk even among people with NGT.


How to cite this article:
Bhowmik B, Siddiquee T, Mujumder A, Ahmed T, Mahtab H, Azad Khan AK, Hussain A, Holmboe-Ottesen G, Omsland TK. Diabetes risk score for identifying cardiometabolic risk factors in adult Bangladeshi population.J Diabetol 2018;9:95-101


How to cite this URL:
Bhowmik B, Siddiquee T, Mujumder A, Ahmed T, Mahtab H, Azad Khan AK, Hussain A, Holmboe-Ottesen G, Omsland TK. Diabetes risk score for identifying cardiometabolic risk factors in adult Bangladeshi population. J Diabetol [serial online] 2018 [cited 2021 May 13 ];9:95-101
Available from: https://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2018;volume=9;issue=3;spage=95;epage=101;aulast=Bhowmik;type=0