Development and validation of a diabetes risk score among two populations.

The purpose of this study was to assess the validity of a practical diabetes risk score amongst two heterogenous populations, a working population and a non-working population. Study population 1 (n = 2,089) participated in a large-scale screening program offered to retired workers to discover previ...

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Main Authors: Natalie V Schwatka, Derek E Smith, Ashley Golden, Molly Tran, Lee S Newman, Donna Cragle
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0245716
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author Natalie V Schwatka
Derek E Smith
Ashley Golden
Molly Tran
Lee S Newman
Donna Cragle
author_facet Natalie V Schwatka
Derek E Smith
Ashley Golden
Molly Tran
Lee S Newman
Donna Cragle
author_sort Natalie V Schwatka
collection DOAJ
description The purpose of this study was to assess the validity of a practical diabetes risk score amongst two heterogenous populations, a working population and a non-working population. Study population 1 (n = 2,089) participated in a large-scale screening program offered to retired workers to discover previously undetected/incipient chronic illness. Study population 2 (n = 3,293) was part of a Colorado worksite wellness program health risk assessment. We assessed the relationship between a continuous diabetes risk score at baseline and development of diabetes in the future using logistic regression. Receiver operating curves and sensitivity/specificity of the models were calculated. Across both study populations, we observed that participants with diabetes at follow-up had higher diabetes risk scores at baseline than participants who did not have diabetes at follow-up. On average, the odds ratio of developing diabetes in the future was 1.38 (95% CI: 1.26-1.50, p < 0.0001) for study population 1 and 1.68 (95% CI: 1.45-1.95, p-value < 0.0001) for study population 2. These findings indicate that the diabetes risk score may be generalizable to diverse individuals, and thus potentially a population level diabetes screening tool. Minimally-invasive diabetes risk scores can aid in the identification of sub-populations of individuals at risk for diabetes.
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spelling doaj.art-220a2583e8b14255ac15d631daad3b9f2022-12-21T23:31:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01161e024571610.1371/journal.pone.0245716Development and validation of a diabetes risk score among two populations.Natalie V SchwatkaDerek E SmithAshley GoldenMolly TranLee S NewmanDonna CragleThe purpose of this study was to assess the validity of a practical diabetes risk score amongst two heterogenous populations, a working population and a non-working population. Study population 1 (n = 2,089) participated in a large-scale screening program offered to retired workers to discover previously undetected/incipient chronic illness. Study population 2 (n = 3,293) was part of a Colorado worksite wellness program health risk assessment. We assessed the relationship between a continuous diabetes risk score at baseline and development of diabetes in the future using logistic regression. Receiver operating curves and sensitivity/specificity of the models were calculated. Across both study populations, we observed that participants with diabetes at follow-up had higher diabetes risk scores at baseline than participants who did not have diabetes at follow-up. On average, the odds ratio of developing diabetes in the future was 1.38 (95% CI: 1.26-1.50, p < 0.0001) for study population 1 and 1.68 (95% CI: 1.45-1.95, p-value < 0.0001) for study population 2. These findings indicate that the diabetes risk score may be generalizable to diverse individuals, and thus potentially a population level diabetes screening tool. Minimally-invasive diabetes risk scores can aid in the identification of sub-populations of individuals at risk for diabetes.https://doi.org/10.1371/journal.pone.0245716
spellingShingle Natalie V Schwatka
Derek E Smith
Ashley Golden
Molly Tran
Lee S Newman
Donna Cragle
Development and validation of a diabetes risk score among two populations.
PLoS ONE
title Development and validation of a diabetes risk score among two populations.
title_full Development and validation of a diabetes risk score among two populations.
title_fullStr Development and validation of a diabetes risk score among two populations.
title_full_unstemmed Development and validation of a diabetes risk score among two populations.
title_short Development and validation of a diabetes risk score among two populations.
title_sort development and validation of a diabetes risk score among two populations
url https://doi.org/10.1371/journal.pone.0245716
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