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Background <p>Prediabetes represents a transitional state with elevated risk for type 2 diabetes mellitus (T2DM). Early identification is critical in high-burden countries like India.</p> Objective <p>This study aimed to determine the prevalence of prediabetes and distribution of T2DM risk factors among adult patients visiting a tertiary care hospital.</p> Methods <p>A cross-sectional study of 315 adults was conducted at a tertiary care hospital. Participants were assessed using the ADA/CDC risk tool. Laboratory parameters (FPG, HbA1c) were measured. A score ≥ 5 was defined as high risk. Associations were tested using chi-square and t-tests.</p> Results <p>Data were gathered from 315 participants; 171 (54.3%) were classified as high risk for developing T2DM. Risk was significantly higher in men than women (69.0% vs. 44.4%, <i>p</i> = 0.003), and it rose steadily with age, with all individuals over 60&#xa0;years identified as high risk. Hypertension was the strongest predictor, with 89.1% (95% CI: 82.3%–93.8%) of hypertensive participants at risk, followed by obesity, where nearly seven in ten (69.6%, 95% CI: 57.2%–80.1%) were at risk. These findings indicate that male gender, older age, hypertension, and obesity were the major contributors to T2DM risk in this population, highlighting the need for early and targeted preventive measures.</p> Conclusion <p>The ADA/CDC tool effectively identified high T2DM risk in this Indian hospital-based population. Hypertension, obesity, and older age were the strongest predictors. Findings underscore the need for community-based validation and preventive interventions.</p>

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Prevalence of prediabetes and type-2 diabetes risk factors using the ADA risk tool: A cross-sectional study in an indian tertiary care setting

  • 期刊论文

  • 发表日期：

    2025年11月14日

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  • Balakrishna Vuyyala,
  • Sarad Pawar Naik Bukke,
  • Shaik Harun Rasheed,
  • Ezeonwumelu Joseph Obiezu Chukwujekw,
  • Ungo-kore Hussain Yahaya,
  • Varshitha Legala,
  • Tadikonda Ambica,
  • Dapynjanai Nongkynrih,
  • Ibashanhun Nongrem,
  • Tadele Mekuriya Yadesa

摘要

Background

Prediabetes represents a transitional state with elevated risk for type 2 diabetes mellitus (T2DM). Early identification is critical in high-burden countries like India.

Objective

This study aimed to determine the prevalence of prediabetes and distribution of T2DM risk factors among adult patients visiting a tertiary care hospital.

Methods

A cross-sectional study of 315 adults was conducted at a tertiary care hospital. Participants were assessed using the ADA/CDC risk tool. Laboratory parameters (FPG, HbA1c) were measured. A score ≥ 5 was defined as high risk. Associations were tested using chi-square and t-tests.

Results

Data were gathered from 315 participants; 171 (54.3%) were classified as high risk for developing T2DM. Risk was significantly higher in men than women (69.0% vs. 44.4%, p = 0.003), and it rose steadily with age, with all individuals over 60 years identified as high risk. Hypertension was the strongest predictor, with 89.1% (95% CI: 82.3%–93.8%) of hypertensive participants at risk, followed by obesity, where nearly seven in ten (69.6%, 95% CI: 57.2%–80.1%) were at risk. These findings indicate that male gender, older age, hypertension, and obesity were the major contributors to T2DM risk in this population, highlighting the need for early and targeted preventive measures.

Conclusion

The ADA/CDC tool effectively identified high T2DM risk in this Indian hospital-based population. Hypertension, obesity, and older age were the strongest predictors. Findings underscore the need for community-based validation and preventive interventions.