Evaluation of the Finnish Diabetes Risk Score as a screening tool for impaired fasting glucose, impaired glucose tolerance and undetected diabetes
Abstract
Aim To evaluate the performance of FINDRISC as a screening tool for prediabetes - impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) and undetected diabetes (UDD) in subjects at risk of developing diabetes. Subjects and methods 2169 subjects with at least one risk factor for diabetes completed the FINDRISC questionnaire and underwent an oral glucose tolerance test. FINDRISC performance was assessed using the area under the receiver operating characteristic curve (AUC-ROC). Results 56.6% of subjects demonstrated normal glucose tolerance (NGT), 14.5% - IFG, 11.4% - IGT and 17.5% - UDD. NGT group demonstrated mean FINDRISC 10.1±3.4, IFG group - 13.8±4.3 (p Conclusions FINDRISC is a feasible, non-invasive and useful tool for identifying subjects at risk for undetected diabetes and prediabetes. Laboratory screening should be performed in subjects with FINDRISC higher than 10.
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FINDRISC is the most commonly evaluated diabetes risk score worldwide and has been recommended as the best available risk assessment tool for clinical practice by a systematic review.
“Moreover, FINDRISC is the most commonly evaluated diabetes risk score worldwide [17,18,19,20,21,22,23,24,25] and has been recommended as the best available risk assessment tool for use in the clinical practice by a systematic review [11].”
From A Novel Testing Model for Opportunistic Screening of Pre-Diabetes and Diabetes among U.S. Adults (2015) · cites this paper as [24]
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Andreeva-Gateva, P., Konsulova, P., Orbetzova, M., Georgieva-Nikolova, R., Tafradjiiska-Hadjiolova, R., Angelova, V., Voynikov, Y., Nikolova, I., & Simova, I. (2016) · Postgraduate medicine · doi:10.1080/00325481.2016.1240590 · Cited by 2 · see citing works
Hyperglycemia screening based on survey data: an international instrument based on WHO STEPs dataset
Moradifar, P., Amini, H., & Amiri, M. (2022) · BMC Endocrine Disorders · doi:10.1186/s12902-022-01222-0 · Cited by 1 · see citing works
“In several studies based on the Finnish Diabetes Risk Score, the sensitivity of the proposed LR models, using various combinations of variables, in the diagnosis of prediabetes was reported in the range 60–84%, whereas their specificity was reported in the range 53–61% [33, 34].”
MethodKondakis, K., Grammatikaki, E., Kondakis, M., Molnár, D., Gómez-Martínez, S., González-Gross, M., Kafatos, A., Manios, Y., Pavón, D. J., Gottrand, F., et al. (2022) · Journal of Pediatric Endocrinology & Metabolism (JPEM) · doi:10.1515/jpem-2022-0265 · Cited by 1 · see citing works
Katoh, S., Peltonen, M., Zeniya, M., Sakamoto, Y., Utsunomiya, K., Nishimura, R., & Tuomilehto, J. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103161 · Cited by 1 · see citing works
“Third, we did not test other diabetes risk scores [34,35]; we decided to use the FINDRISC because it has been widely used and confirmed in many studies [5,36,37].”
MethodAbdallah, M., Sharbaji, S., Sharbaji, M., Daher, Z., Faour, T., Mansour, Z., & Hneino, M. (2020) · doi:10.21203/rs.3.rs-46875/v1 · Cited by 1
Predicting Risk of Type 2 Diabetes Mellitus: A Population-Based Study
Kılıç, M., Cetinkaya, F., & Kiliç, A. (2016) · The Annals of Clinical and Analytical Medicine · doi:10.4328/jcam.3887 · Cited by 1
Montoya, P. A., Múñoz, Ó., Cardozo, D. M. G., García, O. M., Fernandez-Ávila, D. G., Casas, L. Á., Bohórquez, L. F., Toro, C. M. A., Carvajal, L., de Peña, D. R., et al. (2016) · Colombia medica · doi:10.25100/cm.v47i2.2207 · Cited by 60 · see citing works
Azzouz, M., Yuergui, L., Guerchani, M., Meftah, A., Mimouni, S., & Boudiba, A. (2014) · doi:10.1016/j.ando.2014.07.447 · Cited by 1
A Preliminary Report of Type 2 Diabetes Risk and Related Factors
Büyüksoy, G. D., & Öz, H. (2020) · SN Comprehensive Clinical Medicine · doi:10.1007/s42399-020-00567-8
“In several studies, scale scores of women are higher than that of men, and being a woman increases the risk of diabetes [9, 21, 24, 25].”
BackgroundBalogh, D. M., Osgyán, K., Békeffy, M., Kempler, M., Balaton, G., Rizzo, M., Horváth, V., Kempler, P., & Menyhárt, A. (2026) · Medicina · doi:10.3390/medicina62081539
“Importantly, individuals with high FINDRISC scores may exhibit completely normal glucose levels, whereas individuals with prediabetes may have low clinical risk scores [16,17].”
Evaluating the performance of TAG-IT for prediabetes detection in Indonesian population
Jeem, Y., Yuantari, R., Widiatninda, H. A., Andriani, R. N., & Makkiyyah, S. S. (2026) · International Journal of Public Health Science (IJPHS) · doi:10.11591/ijphs.v15i1.26887
Riesgo cardiovascular en pacientes con FINDRISC-C mayor o igual a 12
Santana, K. L. C., Cantillo, H. J. M., Romero, D. F. O., Restrepo, H. K. C., Fernández, E. A. T., & Caballero, H. G. Y. (2023) · Revista Repertorio de Medicina y Cirugía · doi:10.31260/repertmedcir.01217372.1028
Mugume, I. B., Wafula, S. T., Kadengye, D., & van Olmen, J. V. (2021) · Research Square · doi:10.21203/rs.3.rs-414395/v1
Diabetes Risk Profile for an Argeş County Adult Sample – Findrisc Score Characteristics
Roşescu, R., Cînpeanu, O. C., Teodorescu, C., & Tarcea, M. (2020) · Acta Medica Transilvanica · doi:10.2478/amtsb-2020-0040
“In order to assess the risk for diabetes mellitus type 2 the FINDRISC score was calculated, validated and used like variable in many independent cohort studies.(24-30) Our questionnaire consisted of 15 questions and tracked personal data, anthropometric measurements, blood sugar and blood pressure levels, along with a…”
MethodExercise Patterns and Perceptions among South Asian Adults in the United States: The SHAPE Study
Frediani, J., Shaikh, N. I., & Weber, M. (2020) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000123
“In-person or phone-based prescreening (n = 117) included a brief screening questionnaire with demographic questions, the Finnish Diabetes Risk Score (FINDRISC) screening tool (10), at in-person assessments, and anthropometric measures.”
MethodA Novel Rule Pruning Ensemble Learning Approach to Recognize the Risk of Impaired Glucose Tolerance
Suganya, K., & Sankari, L. (2017) · IJARCCE · doi:10.17148/ijarcce.2017.6421
“TsvetalinaTankova et al (2011) [8] evaluated the performance of Finnish Diabetes Risk Score (FINDRISC) on screening the impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) and undetected diabetes (UDD) to find the risk level of diabetes.”
Gonçalves, D. J., Garcia, A. D. J., Silva, C. A. D. S., Neta, E. M. D. Q. S., Azevedo, J. J. P., de Jesus, N. C. S., & Fernandes, A. C. (2020) · Enfermagem: Inovação, Tecnologia e Educação em Saúde · doi:10.37885/200901399
- Authors
- Tankova, T., Chakarova, N., Atanassova, I., & Dakovska, L.
- Affiliations
- Medical University of Sofia (BG)
- Corresponding author
- Tankova, Tsvetalina
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 92
- Issue
- 1
- Pages
- 46-52
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W2061253431
- Cited by
- 101
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 8 · 2022: 7 · 2021: 7 · 2020: 10 · 2019: 6 · 2018: 10 · 2017: 5 · 2016: 15 · 2015: 9 · 2014: 6 · 2013: 10 · 2012: 3
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Education, Youth and Science
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- FINDRISC, diabetes risk score, prediabetes, impaired fasting glucose, impaired glucose tolerance, diabetes screening, risk factor questionnaire, oral glucose tolerance test, screening sensitivity and specificity
- MeSH terms
- Adult, Blood Glucose, Diabetes Mellitus, Fasting, Female, Humans, Male, Middle Aged, Glucose Intolerance
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