Table 1. Simulated health check strategies and control.
Eligibility criteria for risk assessments, for individuals offered a health check | |||
Strategy | Diabetes risk assessment* | Lipid risk assessment | Lifestyle Interventions† |
Control – No health checks offered | None | None | None |
Health check – base-case | All | All | All |
Health check without lifestyle interventions | All | All | None |
Health check with gated HbA1c test | BMI ≥ 30 or BP ≥ 140/90 | All | All |
Pre-screening scenarios targeting patients meeting the following additional criteria | |||
Age 50 years or greater | All | All | All |
BMI 30 kg/m2 or greater | All | All | All |
Above median of diabetes and CVD risk | All | All | All |
Top quartile of diabetes and CVD risk | All | All | All |
In all cases, individuals had to be aged 40–75 and not have a previous diagnosis of diabetes, myocardial infarction, stroke, or serious chronic kidney disease to be eligible for a health check. In the pre-screening strategies, individuals also had to meet the additional criteria listed in the table. Eligible individuals received the health check at a 5 year interval in all strategies considered.
Eligible individuals were given an HbA1c test.
Diet and exercise for individuals with 6.0% ≤ HbA1c <6.0%, and smoking cessation interventions for smokers.