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24-May-2026
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Arch Hellen Med, 43(Supplement 1), 2026, 52-62 ORIGINAL PAPER Sex-stratified analysis of sociodemographic and lifestyle factors linked to QDiabetes score (QDScore) J. Obrador de Hevia,1 Á.A. López-González,1 J.I. Ramírez-Manent,1,2 C. Busquets-Cortes,1 P.J. Tárraga López,3 M. García Samuelsson,1 P. Riutord-Sbert1 |
OBJECTIVE To examine the association between sociodemographic, educational, and lifestyle factors, as well as QDiabetes score (QDScore) and Finnish diabetes risk score (FINRISK) estimates in a large cohort of Spanish workers.
METHOD This cross-sectional study analyzed 139,634 employed individuals (83,282 men and 56,352 women) who underwent occupational health check-ups between 2009 and 2019. Diabetes and cardiovascular risk were assessed using the QDScore and FINRISK tools, respectively. Associations with age, sex, social class, educational attainment, smoking, alcohol intake, physical activity, and adherence to the Mediterranean diet were evaluated using sex-stratified logistic regression models.
RESULTS Men had higher mean FINRISK scores (6.1 versus 4.3) and a greater proportion classified as high or very high risk (6.9% versus 4.5%). Physical inactivity, low education, and non-adherence to the Mediterranean diet were significantly associated with elevated QDScore (>3%) and FINRISK levels. Alcohol consumption demonstrated the strongest association with high cardiovascular risk in both sexes (odds ratio [OR] >6.5, p<0.001). From 2009 to 2019, the prevalence of high-risk categories increased markedly, particularly among the physically inactive and those with lower educational levels.
CONCLUSIONS Sociodemographic and lifestyle factors strongly influence diabetes and cardiovascular risk in Spanish workers. Strategies promoting physical activity, adherence to the Mediterranean diet, and alcohol reduction –particularly among socioeconomically disadvantaged groups– are essential. These findings highlight the need for integrated workplace prevention programs targeting modifiable risk factors.
Key words: Alcohol consumption, Finrisk, Lifestyle, QDscore, Sociodemographic variables.
