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001-es BibID:BIBFORM084099
Első szerző:Manios, Yannis
Cím:Two-stage, school and community-based population screening successfully identifies individuals and families at high-risk for type 2 diabetes : the Feel4Diabetes-study / Yannis Manios, Christina Mavrogianni, Christina-Paulina Lambrinou, Greet Cardon, Jaana Lindström, Violeta Iotova, Tsvetalina Tankova, Fernando Civeira, Jemina Kivelä, Zoltán Jancsó, Samyah Shadid, Kaloyan Tsochev, Rocío Mateo-Gallego, Sándorné Radó, George Dafoulas, Konstantinos Makrilakis, Odysseas Androutsos, Kolozsvári László, Feel4Diabetes-study group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Abstract Background: The implementation of population screening and early prevention strategies targeting individuals at high-risk for type 2 diabetes (T2D) seems to be a public health priority. The current work aimed to describe the screening procedure applied in the Feel4Diabetes-study and examine its effectiveness in identifying individuals and families at high risk, primarily for T2D and secondarily for hypertension, among vulnerable populations in low to middle-income countries (LMICs) and high-income countries (HICs) across Europe. Methods: A two-stage screening procedure, using primary schools as the entry-point to the community, was applied in low socioeconomic status (SES) regions in LMICs (Bulgaria-Hungary), HICs (Belgium-Finland) and HICs under austerity measures (Greece-Spain). During the first-stage screening via the school-setting, a total of 20,501 parents (mothers and/or fathers) of schoolchildren from 11,396 families completed the Finnish Diabetes Risk Score (FINDRISC) questionnaire, while their children underwent anthropometric measurements in the school setting. Parents from the identified "high-risk families" (n = 4484) were invited to participate in the second-stage screening, including the measurement of fasting plasma glucose (FPG) and blood pressure (BP). In total, 3153 parents participated in the second-stage screening (mean age 41.1 ? 5.6 years, 65.8% females). Results: Among parents who attended the second-stage screening, the prevalence of prediabetes (as defined by impaired fasting glucose; FPG 100-125 mg/dl) and T2D (FPG > 126 mg/dl) was 23.2 and 3.0% respectively, and it was found to be higher in the higher FINDRISC categories. The percentage of undiagnosed T2D among the participants identified with T2D was 53.5%. The prevalence of high normal BP (systolic BP 130-139mmHg and/ or diastolic BP 85- 89mmHg) and hypertension (systolic BP ? 140mmHg and/ or diastolic BP ? 90mmHg) was 14 and 18.6% respectively, which was also higher in the higher FINDRISC categories. The percentage of cases not receiving antihypertensive treatment among the participants identified with hypertension was 80.3%.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hypertension
School-based
Screening
Type 2 diabetes
Vulnerable groups
Megjelenés:BMC Endocrine Disorders. - 20 : S1 (2020), p. 1-12. -
További szerzők:Mavrogianni, Christina Lambrinou, Christina-Paulina Cardon, Greet Lindström, Jaana Iotova, Violeta Tankova, Tsvetalina Civeira, Fernando Kivelä, Jemina Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Shadid, Samyah Tsochev, Kaloyan Mateo-Gallego, Rocío Radó Sándor Istvánné (1976-) (diplomás ápoló) Dafoulas, George Makrilakis, Konstantinos Androutsos, Odysseas Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
Pályázati támogatás:The Feel4Diabetes-intervention is registered at https://clinicaltrials.gov/ (NCT02393872; date of trial registration: March 20, 2015).
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2.

001-es BibID:BIBFORM085540
Első szerző:Virtanen, Eeva
Cím:Feel4Diabetes healthy diet score : development and evaluation of clinical validity / Virtanen Eeva, Kivelä Jemina, Wikström Katja, Lambrinou Christina-Paulina, De Miguel-Etayo Pilar, Huys Nele, Vraukó-Tóth Katalin, Moreno Luis A., Usheva Natalya, Chakarova Nevena, Rado Sándorné A., Iotova Violeta, Makrilakis Konstantinos, Cardon Greet, Liatis Stavros, Manios Yannis, Lindström Jaana, Feel4Diabetes research group
Dátum:2020
ISSN:1472-6823
Megjegyzések:Background: The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. Methods: Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson's correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson's correlations were studied between baseline and 1 year score, within the control group only. Results: The mean total score was 52.8 ? 12.8 among women and 46.6 ? 12.8 among men (p < 0.001). The total score and its components differed between countries. The change in the Healthy Diet Score was significantly correlated with changes in BMI, waist circumference, and total and LDL cholesterol. The Healthy Diet Score as well as its components at baseline were significantly correlated with the values at year 1, in the control group participants. (Continued from previous page) Conclusion: The Feel4Diabetes Healthy Diet Score is a reproducible method to capture the dietary information collected with the Feel4Diabetes questionnaire and measure the level of and changes in the adherence to the dietary goals of the intervention. It gives a simple parameter that associates with clinical risk factors in a meaningful manner.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Diet
Diet score
Evaluation
Intervention
Risk factors
Type 2 diabetes
Validity
Megjelenés:BMC Endocrine Disorders. - 20 : Suppl. 2 (2020), p. 1-10. -
További szerzők:Kivelä, Jemina Wikström, Katja Lambrinou, Christina-Paulina De Miguel-Etayo, Pilar Huys, Nele Tóth-Vraukó Katalin Moreno, Luis A. Usheva, Natalya Chakarova, Nevena Radó Sándor Istvánné (1976-) (diplomás ápoló) Iotova, Violeta Makrilakis, Konstantinos Cardon, Greet Liatis, Stavros Manios, Yannis Lindström, Jaana Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
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