Aekplakorn et al reported a risk score for diabetes in Thai adults. The authors are from Mahidol University, University of Sydney and Prince of Songkla University.
Patient selection: Thai adult from 34 to 55 years
Parameters:
(1) age in years
(2) sex
(3) body mass index in kg per square meter
(4) waist circumference in cm
(5) hypertension
(6) history of diabetes in parent or sibling
Parameter |
Finding |
Points |
age in years |
34 to 44 years |
0 |
|
45 to 49 years |
1 |
|
>= 50 years |
2 |
sex |
female |
0 |
|
male |
2 |
BMI |
< 23 |
0 |
|
23 to 27.49 |
3 |
|
>= 27.5 |
5 |
waist circumference |
male and < 90 cm |
0 |
|
male and >= 90 cm |
2 |
|
female and < 80 cm |
0 |
|
female and >= 80 cm |
2 |
hypertension |
no |
0 |
|
yes |
2 |
family history |
no |
0 |
|
yes |
4 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 17
• A score >= 6 is associated with an increased risk of diabetes.
Performance:
• The area under the ROC curve is 0.74.
• The sensitivity at the cutoff is 0.77 with a specificity of 0.60.
Specialty: Endocrinology