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Diabetes Risk Assessment in Latinas: Effectiveness of a Brief Diabetes Risk Questionnaire for Detecting Prediabetes

Adam B Scanlan1, Catarina M Maia1, Alberly Perez1

  • 1Center for Obesity Research and Education, Temple University College of Public Health, Philadelphia, PA.

Diabetes Spectrum : a Publication of the American Diabetes Association
|February 20, 2018
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Summary

The American Diabetes Association (ADA) risk questionnaire shows moderate effectiveness in identifying prediabetes among Latinas in community settings. Further research is needed for diverse populations and tailored risk assessment tools.

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Area of Science:

  • Endocrinology
  • Public Health
  • Epidemiology

Background:

  • Validated questionnaires often use self-reported data to assess diabetes risk.
  • Previous evaluations predominantly utilized national data, limiting clinical and community applicability.
  • The American Diabetes Association (ADA) risk questionnaire is a widely used tool for diabetes risk assessment.

Purpose of the Study:

  • To evaluate the effectiveness of the ADA risk questionnaire in identifying prediabetes within a community-based sample of Latinas.
  • To assess the performance characteristics of the ADA risk questionnaire in a specific, underrepresented demographic group.

Main Methods:

  • Data collected via the ADA risk questionnaire and A1C measurements from 204 participants without diabetes.
  • Examined associations between participant characteristics and glycemic status (prediabetes).
  • Calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) using A1C as the gold standard.

Main Results:

  • Participants were exclusively women of Hispanic/Latino ethnicity.
  • Latinas with prediabetes were older, had higher hypertension rates, and a higher mean ADA risk score (5.6 ± 1.6).
  • At a threshold score of ≥5, the questionnaire demonstrated 77.8% sensitivity, 41.7% specificity, 76.2% PPV, and 43.9% NPV for detecting prediabetes.

Conclusions:

  • The ADA risk questionnaire exhibits reasonable performance for identifying prediabetes in community-based Latinas.
  • Findings can inform the use of this tool in similar populations.
  • Future research should explore its utility in recruiting diverse groups for diabetes prevention and consider developing tailored risk assessment tools.