Evaluation of diabetes risk among Turkish nurses: The role of insulin resistance and life style on diabetes risk

Authors

  • Sultan Yurtsever
  • Birsen Yürügen
  • Tülin Saraç
  • Bennur Esen
  • Ahmet Engin Atay
  • Dede Şit

DOI:

https://doi.org/10.1179/2057331615Z.0000000001

Keywords:

Diabetes risk, HOMA-IR, insulin resistance, nurse

Abstract

Abstract

Aims: The aim of this study was to investigate diabetes risk in healthy young nurses in a Training and Research Hospital in Turkey.

Methods: The study was conducted in 338 nurses. Entire participants underwent laboratory examination including biochemical analysis and homoeostasis model assessment of insulin resistance. Risk of developing diabetes questionnaire (FINDRISK) was performed by interviewing with nurses. Pearson's simple linear regression analysis, Student's t-test, chi-square and Fisher's exact test were used for statistical analysis.

Results: Insulin resistance (IR) and impaired fasting glucose were observed in 41.1% (n = 139) and 21.6% (n = 73), respectively. Only 42.6% of participants had normal body mass index whereas 34.6% were overweight and 22.8% were obese. The percentage of nurses under the age of 45 years was 83.4%, of this population, only 17.8% of them had a lower diabetes risk.

Conclusions: Individuals with low diabetes risk may exhibit IR; however, IR is more frequent in individuals with high diabetes risk. Preventive measures and public awareness about these measures play a crucial role against diabetes risk.

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References

David S, Bell H, James H, Okeefe JR, George L, Bakris MD. Diabet genel bakiş. In: Karpuz H, editor. Diyabetik hipertansiyon el kitabi. İstanbul: Mavi İletişim Danişmanlik; 2007. p. 3–7.

International Diabetes Federation. Diabetes atlas. 4th ed. Brussels: World Diabetes Foundation; 2007.

Scobie N & Samaras K. Fast facts: diabetes mellitus. 3rd ed. In: Uğurel Ş, editor. Egemen Matbaacilik; 2010. p. 5–30.

Zimmet P, Williams J, Courten M. Diagnosis and classification of diabetes mellitus. In: Wass JAM, Shalet SM, Gale E, Amiel S, editors. Oxford textbook of endocrinology and diabetes. Oxford, New York: Oxford University Press; 2001. p. 1635–1646.

İmamoğlu Ş. Diabetes mellitus. Multidisciplinary approachment to diagnosis, treatment and follow-up. [Diabetes mellitus multidisipliner yaklaşimla tani, tedavi ve izlem]. İstanbul: Deomed Medikal Yayincilik; 2009. p. 54–73.

Scobie LN, Katherine Samaras K, Fast facts diabetes mellitus. Baski Egemen Matbaacilik; 2010. p. 26–29.

Çetinkalp Ş, Yilmaz C. Informations that should be given to patients by diabetes education nurse. In: Yilmaz C, editor. Diyabet hemşiresinin eğitim programinda hastaya vermesi gereken bilgiler. Diyabet hemşiresi el kitabi. İzmir: Asya tip yayincilik; 2002. p. 55–73.

Metabolic syndrome. Metabolik sendrom klavuzu. Ankara: Bayt Bilimsel Araştirmalar Basin Yayin ve Tanitim Ltd. Şti, Ankara; 2009. p. 8–9.

Type II diabetes. In: Goldstein B, Wieland D, editors. 2. İstanbul: Deomed yayincilik; 2004.

Lindstrom J, Tuomilehto J. The diabetes risk score: a practical tool to predict type 2 diabetes risk. Diabetes Care 2003;26:725–31.

Turkish diabetes yearbook [Türk Diyabet Yilliği 2008–2009]. In: Bağriaçik N, editor. Türk Diyabet Cemiyeti ve Türkiye Diyabet Vakfi; 2009. p. 7–33.

Kern PA, Subramanian R, Chunling LI, Linda W, Gouri R.. Adipose tissue tumor necrosis factor and interlleukin-6 expression in human obesity and insulin resistance. Physiol Endocrinol Metab. 2001;281(3):745–55.

Koyuer EY. The relation of insulin resistance with IL-6, CRP and fibrinogen level in patients with type II diabetes. [Obez tip 2 diyabetli hastalarda insülin direnci ile IL-6, CRP ve fibrinojen ilisşkisi]. Uz. Dr. Nezaket Eren, Danışman. İstanbul: S.B. Şişli Etfal Eğitim ve Arasştirma Hastanesi Uzmanlik Tezi 2005.

Satman İ, İmamoğlu Ş, Yilmaz C. TEMD diabetes mellitus çalişma grubu. TEMD guideline of Turkish endocrine and metabolism association on diagnosis, treatment and follow-up of diabetes mellitus and its complications. Diabetes Mellitus ve Komplikasyonlarinin Tani, Tedavi ve İzlem Klavuzu. 4. Baski. Ankara: Bayt Bilimsel Araştirmalar Basin Yayin Tanitim Ltd. Şti. Ankara; 2009.

Diabetes Book. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Ankara; 2011.

İçli A, Gök H, Altunkeser BB, Özdemir K, Gürbilek M, Gederet YT, Sökmen G. Evaluation of “admission index of insulin resistance (AIRI)” as an early stage risk predictor in nondiabetic acute coronary syndromes. Anadolu Kardiyol Derg 2002;2(3):194–201.

Uludağ HY. Evaluation cardiovascular risk factors in nondiabetic individuals with or without relatives with type II diabetes. [Birinci derece akrabalarinda tip 2 diyabet bulunan ve bulunmayan nondiyabetik bireylerin kardiyovasküler hastalik risk faktörleri yönünden karşilaştirilmasi]. Yrd. Doç. Dr. Kurtuluş Öngel, Danişman. Süleyman Demirel Üniversitesi, Tipta Uzmanlik Tezi; Isparta, Turkey: Graduation thesis; 2009.

Kahn C, Weir C, King G. Joslin's diabetes mellitus. In: Yumuk V. editor. İstanbul: İstanbul Medical Publishing; 2008.

Aydin FK. Prevention of clinical diabetes by life style modification in prediabetic individuals: predictive role of inflammatory parameters. [Prediyabetik bireylerde yaşam tarzi değişimi ile klinik diyabetin önlenmesi: inflamatuar belirteçlerin prediktif değeri ve önemi]. İstanbul: İstanbul Üniversitesi Tip Fakültesi, İç Hastaliklari Anabilimdali Uzmanlik Tezi; Graduation thesis. 2009.

Bonora E, Kiechl S, Willeit J, Oberhollenzer F, Egger G, Targher G, Alberiche M, Bonadonna RC, Muggeo M. Prevalence of insulin resistance in metabolic disorders: the Bruneck study, Diabetes 1998;47(10):1643–9.

Anna MG, Cali and sonia caprio. gençlerde prediyabet ve Tip 2 diyabet: ortaya çikan bir epidemik hastalik? Endocrinol Diabetes Obes. 2008;15:123–7.

Hirjaba M1, Häggman-Laitila A, Pietilä AM, Kangasniemi M. Patients have unwritten duties: experiences of patients with type 1 diabetes in health care. Health Expect. 2014;Dec 5. doi: 10.1111/hex.12317. [Epub ahead of print]

Pennafort VP, Silva AN, Queiroz MV. The perception of nurses regarding educational practices for children with diabetesin hospital care. Rev Gaucha Enferm. 2014;35(3):130–6.

Van der Wees PJ, Friedberg MW, Guzman E, Ayanian JZ, Rodriguez HP. Comparing the implementation of team approaches for improving diabetes care in community health centers. BMC Health Serv Res. 2014;14(1):608–990.

Ku GM, Kegels G. Integrating chronic care with primary care activities: enriching healthcare staff knowledge and skills and improving glycemic control of a cohort of people with diabetes through the First Line Diabetes Care Project in the Philippines. Glob Health Action 2014;7:252–86.

Coşansu G. Erişkinlerde diyabet risk faktörlerinin belirlenmesi. Yükseklisans tezi. İstanbul: İstanbul Üniversitesi/Sağlik Bilimleri Enstitüsü; 2001.

Demir D. Metabolic syndrome. Comparison of sociodemographic, antropometric and biochemical properties of individuals with type II diabetes. [Metabolik Sendrom, Tip 2 Diyabetes Mellitus ve Sağlikli Bireylerin Sosyodemografik, Antropometrik ve Biyokimyasal Özelliklerin Karşilaştirilmasi]. Danişman: Yrd. Doç. Dr. P. Gamze Erten Bucaktepe. Diyarbakir: Dicle Üniversitesi Tip Fakültesi Uzmanlik Tezi; Graduation thesis. 2009.

Seidell JC, Deurenberg P. Obesity and fat distribution, in relatin to health. Current insights and recommendations. World Rev Nutr Diet 1987;50:57–97.

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Published

2015-04-01

How to Cite

Yurtsever, S., Yürügen, B., Saraç, T., Esen, B., Atay, A. E., & Şit, D. (2015). Evaluation of diabetes risk among Turkish nurses: The role of insulin resistance and life style on diabetes risk. International Diabetes Nursing, 12(1), 34–38. https://doi.org/10.1179/2057331615Z.0000000001

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Section

Research Article