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Testing a prediabetes screening approach for a Latin American population in Vancouver, Canada

机译：在加拿大温哥华测试拉丁美洲人群的糖尿病前筛查方法

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Testing a prediabetes screening approach for a Latin American population in Vancouver, Canada Aim. To determine whether the CANRISK Diabetes Risk Assessment tool can be a useful component of a screening programme to identify risk for developing diabetes mellitus type 2 (DM) in a Latin American immigrant population in a Canadian urban health service region. Background. Diabetes mellitus type 2 prevalence is rapidly increasing and has been identified as a population health priority. Immigrants from Latin American countries are among the higher risk ethnic groups within the diverse Canadian urban population. Method. Within a larger multi-site project to validate the Public Health Agency of Canada's CANRISK Questionnaire, we studied a convenience sample of 44 Spanish-and Portuguese-speaking Latin Americans to assess its utility as a potential component of a prediabetes risk screening approach with this population. Using a cross-sectional exploratory design, we compared CANRISK questionnaire results with values derived from controlled blood glucose testing. Data were collected from 2009-2010. Results. CANRISK assessment was readily accepted within this population when administered in study participants' native language. Laboratory testing detected abnormal fasting plasma glucose (FPG) values in 4.7% of this population, 4.5% with abnormal oral glucose tolerance test (OGTT) in 4.5% and abnormal haemoglobin Ale values in 9.1%. In contrast, the CANRISK tool identified 11.4% of the sample to be at high risk, 9.1 at moderate risk and 43.2% at slightly elevated risk for developing DM. Conclusion. CANRISK identified candidates who might benefit from risk reduction interventions in whom biological indices typically signalling the need for attention were not yet apparent. It is easily administered with this higher risk population, and may be useful to identify a significantly wider spectrum of prediabetes risk than can be detected clinically. Relevance to clinical practice. Nur...
机译：在加拿大温哥华测试拉丁美洲人群的糖尿病前筛查方法。目的。为了确定CANRISK糖尿病风险评估工具是否可以作为筛查程序的有用组成部分，以识别在加拿大城市卫生服务区的拉丁美洲移民人口中发展成2型糖尿病（DM）的风险。背景。 2型糖尿病的患病率迅速增加，已被确定为人口健康的优先领域。来自拉丁美洲国家的移民是加拿大各城市人口中较高风险的族裔之一。方法。在一个更大的多站点项目中，以验证加拿大公共卫生机构的CANRISK问卷，我们研究了44个讲西班牙语和葡萄牙语的拉丁美洲人的便民样品，以评估其在该人群中作为糖尿病前期风险筛查方法的潜在组成部分的作用。 。使用横截面探索性设计，我们将CANRISK问卷调查结果与受控血糖测试得出的值进行了比较。收集了2009-2010年的数据。结果。当以研究参与者的母语进行管理时，CANRISK评估在该人群中很容易被接受。实验室测试在该人群中检测到4.7％的空腹血浆葡萄糖（FPG）异常，在4.5％的患者中检测到4.5％的口服葡萄糖耐量试验（OGTT）异常，在9.1％的患者中检测到血红蛋白Ale异常。相比之下，CANRISK工具确定了11.4％的高风险样本，9.1的中度风险和43.2％的DM轻度发展风险。结论。 CANRISK确定了可能会从降低风险干预措施中受益的候选人，在这些干预措施中，通常并不表明通常需要引起注意的生物学指标。它可以很容易地与较高的风险人群一起使用，并且对于确定糖尿病前期风险范围比临床上可以检测到的范围要大得多可能有用。与临床实践有关。努尔...

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