Assessment of type 2 diabetes risk using the Indian diabetes risk score and its association with selected risk factors among adults attending a rural health training centre in central India: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261790Keywords:
Indian diabetes risk score, Rural population, Risk factors, Screening, Type 2 diabetes mellitusAbstract
Background: Type 2 diabetes mellitus (T2DM) is a significant public health concern in India, with a large proportion of cases remaining undiagnosed, especially in rural populations. Early identification of individuals at risk is essential to prevent or delay disease onset. This study aimed to assess the risk of T2DM using the Indian Diabetes Risk Score (IDRS) and to examine its association with selected risk factors among adults attending a rural health training centre in Central India.
Methods: A cross-sectional study was conducted from August to October 2025 among 236 adults aged ≥30 years at the Rural Health Training Centre, Saoner. Known cases of diabetes mellitus, pregnant women and lactating women were excluded. Data were collected using a pre-designed, semi-structured proforma. Participants were classified into low, moderate and high-risk categories based on IDRS. Convenience sampling was adopted. Data analysis was performed using Jamovi statistical software (version 2.6.44). Associations between IDRS categories and selected variables were analysed using Fisher’s exact test (Freeman–Halton extension), with p<0.05 considered statistically significant.
Results: Among the participants, 64.8% were aged ≥50 years. Based on IDRS, 4.2% were at low risk, 41.5% at moderate risk and 54.3% at high risk. Age, gender, physical activity, family history of diabetes, body mass index, waist circumference and hypertension were significantly associated with higher IDRS risk categories (p<0.05).
Conclusions: A considerable proportion of adults attending a rural health training centre were found to be at high risk of developing T2DM. Routine screening at the primary care level using IDRS, along with targeted lifestyle interventions, may facilitate early detection and prevention of diabetes.
References
Nimbannavar SM, Mane VP. Assessment of risk of diabetes using Indian diabetes risk score among adults in a rural community of Koppal, Karnataka. Med Innovatica. 2023;12(1):53-8.
International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2025. Available from: https://diabetesatlas.org. Accessed 16 February 2025.
Ray AL, Sunil BN. The prevalence of diabetes and its risk using Indian Diabetes Risk Score among adults at rural health training centre of tertiary medical college, Kolar: a cross-sectional study. Int J Med Public Health. 2025;15(2):1402-6.
Mohan V, Anbalagan VP. Expanding role of the Madras Diabetes Research Foundation-Indian Diabetes Risk Score in clinical practice. Indian J Endocrinol Metab. 2013;17(1):31-6.
Maniyara K, Kodali PB. Assessing type 2 diabetes risk based on the Indian diabetes risk score among adults aged 45 years and above in India. Sci Rep. 2025;15(1):4495.
Dudeja P, Singh G, Gadekar T, Mukherji S. Performance of Indian diabetes risk score as screening tool for diabetes in an urban slum. Med J Armed Forces India. 2017;73(2):123-8.
Jain M, Kumar V, Jain M, Garg K, Shekhawat R, Gupta PK. Indian Diabetes Risk Score (IDRS) as a strong predictor of diabetes mellitus: A cross-sectional study among urban population of Jhalawar, Rajasthan. Indian J Commu Health. 2022;34(1):60-6.
Sastry N, Deshmukh J, Ekre K, Solanki M, Nitnaware V. Risk Assessment of Type 2 Diabetes Among the Adult Population Using Indian Diabetes Risk Score: A Community-Based Cross-Sectional Study in Central India. Int J Comm Med Public Health. 2024;11(12):4816-22.
Chowdhury R, Mukherjee A, Lahiri SK. A study on distribution and determinants of Indian Diabetic Risk Score (IDRS) among rural population of West Bengal. Natl J Med Res. 2012;2(3):282-6.
Sharma S, Bansal A, Singh SP, Chaudhary A, Satija M, Singla A, Kalsi H. Assessment of diabetes risk profile in a rural population of northern India using the Indian Diabetes Risk Score–A community-based study. Jo Fam Med Prim Care. 2022;11(11):7077-84.
Shashikantha SK, Sheethal MP, Chandana S. Diabetes risk assessment with Indian Diabetes Risk Score: A cross-sectional study among adults in rural Mandya, Karnataka. Asian J Med Sci. 2024;15(3):103-7.
Taksande B, Ambade M, Joshi R. External validation of Indian diabetes risk score in a rural community of central India. J Diabetes Mellit. 2012;2(2):109-113.
Namdev G, Narkhede V. A study on validity of Indian Diabetes Risk Score for screening of diabetes mellitus among rural adult population at Rural Health Training Centre, Bhouri, under Department of Community Medicine. Int J Community Med Public Health. 2018;5(12):5295-300.
Ganesan R, Mathivanan D, Jeyaseeli A, Prabagaran Jr A. Assessment of the risk of type 2 diabetes mellitus among a rural population in south India using the Indian diabetic risk score. Cureus. 2023;15(7):729.
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