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Table 4 Previous investigation on the external validation of prediction models for undiagnosed/ incident type 2 diabetes using Tehran Lipid and glucose study data

From: External validation of the American prediction model for incident type 2 diabetes in the Iranian population

Prediction model

Population/year

Validation Data

Risk predictors in the final model

Statistical models

C-index/AUC

Calibration

San Antonio heart study diabetes prediction model [22]

Mexican Americans and Hispanic white/2010

TLGS cohort / the 6.3-year incidence of T2DM

age, sex, ethnicity, SBP, HDL-C, BMI, FH-DM, FPG

Logistic regression

0.83

Acceptable after recalibrated

The Saint Antonio Diabetes Prediction Model (SA) [23]

Mexican Americans and Hispanic white/2021

TLGS cohort / The 5-year incidence of T2DM

age, sex, ethnicity, SBP, HDL-C, BMI, FH-DM, FPG

Logistic regression

0.81

Acceptable after recalibrated

Atherosclerosis Risk in Communities Study (ARIC) [24]

American population/2013

TLGS cohort / The 6-year incidence of T2DM

Age, FH-DM, hypertension, WC, height TG, HDL-C, FPG, race

Cox regression

Men 0.790 Women 0.829

Acceptable after recalibrated

Atherosclerosis Risk in Communities Study (ARIC) [23]

American population/2021

TLGS cohort / The 5-year incidence of T2DM

Age, FH-DM, hypertension, WC, height TG, HDL-C, FPG, race

Logistic regression

0.83

Acceptable after recalibrated

Finnish Diabetes Risk Score (FINDRISC) (4)

Finish population/2019

TLGS cohort / For undiagnosed T2DM

age, BMI, WC, physical activity, daily consumption of fruits, berries, or vegetables, and the history of antihypertensive drug treatment and history of high blood glucose to predict drug-treated diabetes

Logistic regression

0.75

Acceptable after recalibrated

Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) (4)

Australian population/2019

TLGS cohort / For undiagnosed T2DM

Non-invasive model: age, sex, ethnicity, FH-DM, history of high blood glucose level, use of antihypertensive medications, smoking, physical inactivity, and WC

Logistic regression

0.77

Acceptable calibration

Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) for undiagnosed diabetes [23]

Australian population/2021

TLGS cohort / The 5-year incidence of T2DM

Invasive model: age, race, FH-DM, FPG, SBP, WC, height, HDL-C, and TG

Logistic regression

0.77

Acceptable after recalibrated

American Diabetes Association Risk Score (ADA) [4]

American population/2019

TLGS cohort/ For undiagnosed T2DM

Age, sex, FH-DM, history of hypertension, obesity, and physical activity

Logistic regression

0.73

Acceptable after recalibrated

risk assessment tool for cardiovascular disease, type 2 diabetes, and chronic kidney disease [25]

Dutch population/2020

TLGS cohort / For undiagnosed T2DM

Sex stratified analysis: age, BMI, WC, use of antihypertensive medications, current smoking, parent and/or sibling with MI or stroke (age < 65 years), FH-DM

Logistic regression

Men 0.65

Women 0.69

Not acceptable

American Diabetes Association screening tool [21]

American population/2020

national survey of risk factors for non-communicable diseases / For undiagnosed T2DM

Age, sex, FH-DM, history of hypertension, obesity, and physical activity

Logistic regression

0.737

Not reported

The Framingham Offspring Study (FOS) risk score [23]

American population/2021

TLGS cohort / The 5-year incidence of T2DM

age, gender, FPG, BMI, WC, HDL-C, SBP, FH-DM

Logistic regression

0.82

Acceptable after recalibrated

REasons for Geographic And Racial Differences in Stroke (REGARDS) / Current study

American population

TLGS cohort / The 10-year incidence of T2DM

Age, sex, BMI, SBP, DBP, HDL-C, TG, FPG, and race

Baysian logistic regression

0.79

Acceptable calibration

  1. T2DM: type 2 diabetes; SBP: systolic blood pressure; HDL-C: high density lipoprotein cholesterol; TG: triglycerides; BMI: body mass index; WC: waist circumference; FH-DM: family history diabetes; FPG: fasting plasma glucose; MI: myocardial infarction.