The Finnish Diabetes Risk Score (FINDRISC) and increased body weight
AbstractIntroduction. The Finnish Diabetes Risk Score (FINDRISC) assesses the 10-year type 2 diabetes risk in adults by identifying individuals with overweight or obesity, inadequate physical activity, poor nutrition, or a family or personal history of hyperglycaemia.Aim. The objective of the study was to analyse the effect of FINDRISC components, particularly overweight/obesity, on the total FINDRISC score of randomly selected individuals.Material and methods. The study was conducted in 2015 on 91 individuals – 45 women and 46 men. We determined FINDRISC score and measured blood pressure twice. The results were analysed in STATISTICA 10 at p < 0.05.Results. Thirty subjects (32.97%) were overweight (BMI 25–29.9 kg/m2) and 12 (13.19%) were obese (BMI >= 30 kg/m2); 25 (27.47%) had high waist circumference (M: 94–102 cm; F: 80–88 cm) and 24 (26.37%) abdominal obesity (M: > 102 cm; F: > 88 cm). Individuals with overweight/obesity, high waist circumference or abdominal obesity had significantly higher FINDRISC scores than those with normal body weight and waist circumference. Obese individuals showed a strong tendency (p = 0.06) towards higher FINDRISC scores than overweight individuals, but no similar difference was noted between high waist circumference and abdominal obesity. Overweight and obese subjects had significantly higher blood pressure, but with no difference between them. Individuals with abdominal obesity, but not those with high waist circumference, had significantly higher blood pressure.Conclusions. Diabetes risk is increased by high waist circumference, but does not continue to increase with waist circumference, whereas in the case of BMI the risk gradually increases. BMI influences blood pressure more than waist circumference does.
International Diabetes Federation. IDF Diabetes Atlas, 7th edition. 2015. International Diabetes Federation. 2015 [cited 17.02.2016]. Available at: http://www.idf.org/diabetesatlas.
Główny Urząd Statystyczny. Stan zdrowia ludności Polski w 2009 r. Zakład Wydawnictw Statystycznych, Warszawa 2011; 166–171 [cited 17.02.2016]. Available at: http://
Leszczyk M. Skala oceny ryzyka wystąpienia zachorowania na cukrzycę typu 2 – FINDRIS. Kardiologia na co Dzień. 2009;4(3–4):103–104.
Lindstrom J, Tuomilehto J. The diabetes risk score: a practical tool to predict type 2 diabetes risk. Diabetes Care. 2003;26:725–731.
Rydén L, Standl E, Bartnik M, Van den Berghe G, Betteridge J, de Boer MJ, et al. Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary. The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD). Eur Heart J. 2007;28(1):88–136.
Vincent HK, Lamb KM, Day TI, Tillman SM, Vincent KR, George SZ. Morbid obesity is associated with fear of movement and lower quality of life in patients with knee pain-related diagnoses. PM R. 2010 Aug;2(8):713–722.
Hearon BA, Quatromoni PA, Mascoop JL, Otto MW. The role of anxiety sensitivity in daily physical activity and eating behavior. Eat Behav. 2014 Apr;15(2):255–8.
Malterud K, Ulriksen K. Norwegians fear fatness more than anything else – a qualitative study of normative newspaper messages on obesity and health. Patient Educ Couns. 2010;81(1):47–52.
Pietrzykowska M, Nowicka-Sauer K, Cwaliński T et al. Mental disorders among persons with obesity. Fam Med Prim Care Rev. 2014;16(2):146–147.
Kurpas D, Kern JB, Jacquet JP, Randall-Smith J, Mroczek B. Programs of health promotion and disease prevention – examples from Europe and the US. Fam Med Prim Care Rev. 2015;17(2):152–156.
Mandal A. Study of prevalence of type 2 diabetes mellitus and hypertension in overweight and obese people. J Family Med Prim Care. 2014;3(1):25–28.
Freedman DS, Ford ES. Are the recent secular increases in the waist circumference of adults independent of changes in BMI? Am J Clin Nutr. 2015;101(3):425–431.
Zeng Q, He Y, Dong S, Zhao X, Chen Z, Song Z et al. Optimal cut-off values of BMI, waist circumference and waist: height ratio for defining obesity in Chinese adults. Br J Nutr. 2014;112(10):1735–1744.
Lee WS. Body fatness charts based on BMI and waist circumference. Obesity (Silver Spring). 2016;24(1):245–249.