title: Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in occupational health care.
abstract: OBJECTIVE
  The objective of the study was to investigate the prevalence of undiagnosed dysglycaemia and the risk for type 2 diabetes using the Finnish Diabetes Risk Score (FINDRISC) in the working population of Belgium. Moreover, it was to evaluate performance and applicability of FINDRISC as a screening tool during occupational health surveillance.
  
  
  METHODS
  A cross-sectional analysis was carried out over the years 2010-2011 among 275 healthy employees who underwent a health check including fasting plasma glucose and the FINDRISC questionnaire. The sensitivity, specificity and predictive value of different FINDRISC cut-off values to detect dysglycaemia was revised in the literature and then calculated.
  
  
  RESULTS
  The prevalence of unknown dysglycaemia was 1.8%. Twelve percent of the employees had a FINDRISC score of 12 to 14 corresponding to a moderate risk of 17% to develop diabetes within the next 10 years, and 5.5% had a score of 15 or more corresponding to a high - very high risk of 33% to 50%. All dysglycaemic individuals had a FINDRISC score of 12 or higher. The sensitivity and specificity for detecting dysglycaemia was respectively 100% and 84.1% for a FINDRISC cut-off value ≥ 12; and 80% and 95.9% for a cut-off value ≥ 15.
  
  
  CONCLUSIONS
  A considerable number of workers had dysglycaemia or was at risk for developing type 2 diabetes. The questionnaire is a reliable, valuable and easy to use screening tool in occupational health surveillance.
authors.affiliation: Groep IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium. lieve.vandersmissen@idewe.be.
authors.forename: Godelieve Johanna Maurice
authors.initials: GJ
authors.lastname: Vandersmissen
authors.affiliation: Groep IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium.
authors.forename: Lode
authors.initials: L
authors.lastname: Godderis
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology*; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D016272:Occupational Health; D009786:Occupational Health Services / Q000458:organization & administration*; D015995:Prevalence; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose
keywords: cross-sectional studies; diabetes mellitus; occupational health; questionnaires