PMID- 33242513 OWN - NLM STAT- MEDLINE DCOM- 20210315 LR - 20210315 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 171 DP - 2021 Jan TI - The Finnish Diabetes Risk Score (FINDRISC), incident diabetes and low-grade inflammation. PG - 108558 LID - S0168-8227(20)30815-9 [pii] LID - 10.1016/j.diabres.2020.108558 [doi] AB - AIMS: The FINDRISC was created to predict the development of type 2 diabetes mellitus (T2DM). Since T2DM associates with inflammation we evaluated if the FINDRISC could predict either current or incident T2DM, and elevated high sensitivity C-reactive protein (hs-CRP). METHODS: 41,880 people (age 41.9 +/- 9.7 years; 31% female) evaluated between 2008 and 2016 were included. First, the cross-sectional association between the FINDRISC with presence of either T2DM or hs-CRP >/= 2.0 mg/L was tested. After a 5 +/- 3 years follow-up we tested the score predictive value for incident T2DM and inflammation in respectively 10,559 individuals without diabetes and in a subset of 2,816 individuals having no elevated hs-CRP at baseline. RESULTS: In the cross sectional analysis the FINDRISC was associated with both T2DM (OR 1.24, 95% CI: 1.23-1.26, P < 0.001) and inflammation (OR 1.10, 95% CI: 1.09-1.11, P < 0.001) per FINDRISC unit, as well as in longitudinal analyses (OR 1.17, 95% CI: 1.14-1.20, P < 0.001; and OR 1.04, 95% CI: 1.02-1.07, P < 0.001; respectively, per FINDRISC unit). The C-statistic for incident T2DM and inflammation was 0.79 (95% CI 0.77-0.82) and 0.55 (95% CI 0.53-0.58), respectively. CONCLUSION: The FINDRISC shows good discrimination for incident T2DM but less for inflammation. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Pesaro, Antonio E AU - Pesaro AE AD - Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil. Electronic address: antonioepp@einstein.br. FAU - Bittencourt, Marcio Sommer AU - Bittencourt MS AD - Hospital Universitario, University of Sao Paulo Medical School, Sao Paulo, Brazil. FAU - Franken, Marcelo AU - Franken M AD - Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil. FAU - Carvalho, Jose A M AU - Carvalho JAM AD - Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil. FAU - Bernardes, Daniel AU - Bernardes D AD - Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil. FAU - Tuomilehto, Jaakko AU - Tuomilehto J AD - Finnish Institute for Health and Welfare, Helsinki, Finland; Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia. FAU - Santos, Raul D AU - Santos RD AD - Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil; Heart Institute (InCor) University of Sao Paulo Medical School Hospital, Sao Paulo, Brazil. LA - eng PT - Journal Article DEP - 20201123 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology MH - Female MH - Finland MH - Humans MH - Incidence MH - Inflammation/*complications MH - Male MH - Risk Factors OTO - NOTNLM OT - Cardiovascular disease OT - Diabetes OT - FINDRISC OT - Inflammation OT - Risk prediction EDAT- 2020/11/27 06:00 MHDA- 2021/03/16 06:00 CRDT- 2020/11/26 20:08 PHST- 2020/09/25 00:00 [received] PHST- 2020/11/02 00:00 [revised] PHST- 2020/11/11 00:00 [accepted] PHST- 2020/11/27 06:00 [pubmed] PHST- 2021/03/16 06:00 [medline] PHST- 2020/11/26 20:08 [entrez] AID - S0168-8227(20)30815-9 [pii] AID - 10.1016/j.diabres.2020.108558 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2021 Jan;171:108558. doi: 10.1016/j.diabres.2020.108558. Epub 2020 Nov 23.