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Can Waist-to-Height Ratio and Health Literacy Be Used in Primary Care for Prioritizing Further Assessment of People at T2DM Risk?

Author

Listed:
  • Elín Arnardóttir

    (School of Health, Business and Natural Sciences, University of Akureyri, 600 Akureyri, Iceland
    Health Care Institution of North Iceland, 580 Siglufjordur, Iceland)

  • Árún K. Sigurðardóttir

    (School of Health, Business and Natural Sciences, University of Akureyri, 600 Akureyri, Iceland
    Akureyri Hospital, 600 Akureyri, Iceland)

  • Marit Graue

    (Department of Health and Caring Sciences, Western Norway University of Applied Sciences, 5063 Bergen, Norway)

  • Beate-Christin Hope Kolltveit

    (Department of Health and Caring Sciences, Western Norway University of Applied Sciences, 5063 Bergen, Norway)

  • Timothy Skinner

    (Institute of Psychology, University of Copenhagen, 1017 Copenhagen K, Denmark
    Australian Centre for Behavioral Research in Diabetes, Melbourne, VIC 3053, Australia)

Abstract

Background: To identify people at risk of type 2 diabetes. Primary health care needs efficient and noninvasive screening tools to detect individuals in need of follow-up to promote health and well-being. Previous research has shown people with lower levels of health literacy and/or well-being scores are vulnerable but may benefit from intervention and follow-up care. Aims: This cross-sectional study, aimed to identify people at risk for type 2 diabetes by comparing the Finnish Diabetes Risk instrument with the waist-to-height ratio. Further, the difference was examined in health literacy and well-being scale scores in the countryside versus town areas, respectively. Results: In total, 220, aged 18–75 years, participated. Thereof, 13.2% displayed biomarkers at prediabetes level of HbA1c (39–47 mmol/mol); none had undiagnosed diabetes. Of the participants, 73% were overweight or obese. Waist-to-height ratio demonstrated 93.1% of the prediabetes group at moderate to high health risk and 64.4% of the normal group, with an area under the curve of 0.759, sensitivity of 93.3%, and specificity of 63.1%. Residency did not influence prediabetes prevalence, health literacy, or well-being. Conclusion: Waist-to-height ratio and the Finnish Diabetes Risk instrument may be suitable for identifying who need further tests and follow-up care for health promotion in primary care.

Suggested Citation

  • Elín Arnardóttir & Árún K. Sigurðardóttir & Marit Graue & Beate-Christin Hope Kolltveit & Timothy Skinner, 2023. "Can Waist-to-Height Ratio and Health Literacy Be Used in Primary Care for Prioritizing Further Assessment of People at T2DM Risk?," IJERPH, MDPI, vol. 20(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:16:p:6606-:d:1220368
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    References listed on IDEAS

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    1. Anna T. Ehmann & Oliver Groene & Monika A. Rieger & Achim Siegel, 2020. "The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany," IJERPH, MDPI, vol. 17(5), pages 1-12, March.
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