RISK ASSESSMENT OF THE DEVELOPMENT OF TYPE 2 DIABETES MELLITUS DEPENDING ON THE DEGREE OF ACTIVITY OF RHEUMATOID ARTHRITIS

Abstract

Objective: assess the risk of developing type 2 diabetes mellitus using the FINDRISC questionnaire in individuals with rheumatoid arthritis, depending on the degree of disease activity. Materials and methods: the study included 134 people, women 98 (73.1%) and 36 (26.9%) men aged 18 to 65 years with rheumatoid arthritis. The ten-year risk of diabetes was rated on the FINDRISC (Finnish Type 2 Diabetes Risk Assessment Form) scale. All respondents were divided into three groups depending on the level of activity of rheumatoid arthritis according to the Desease activity index 28-ESR scale (DAS28-ESR). Statistical processing of the material was carried out using IBM SPSS Statistiks v23 software, using the Kruskal-Wallace and Mann-Whitney indicators, the Spearman coefficient. Results and discussion: abdominal obesity (74.5%) and overweight (61.9%) prevailed in the structure of the frequency of risk factors for the development of type 2 diabetes. Significant differences between the comparison groups were found only by the criterion of eating vegetables (x2 = 7.899; p = 0.017). A correlation was found between the degree of activity of rheumatoid arthritis and the total score on the FINDRISC scale (p = 0.372; p = 0.00). Conclusion: the use of the FINDRISC questionnaire can be an effective tool for assessing the risk of type 2 diabetes in people with rheumatoid arthritis. Findings: a high degree of activity of rheumatoid arthritis increases the risk of developing type 2 diabetes in the next decade of life.