ArticlePloS one2017
Perceived risk of diabetes seriously underestimates actual diabetes risk: The KORA FF4 study.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 7 of them syntheses that pooled it.
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The trial behind it
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Who cites it
43 citing papers in PubMed, 7 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Barriers and facilitators of cervical cancer screening among female healthcare professionals: a systematic review.BMC public health · 2026Pooled it
- Epigenome-wide association study of dietary fatty acid intake.Clinical epigenetics · 2024Pooled it
- A systematic review on the level of risk perception of diabetes mellitus: The role of environmental factor.PloS one · 2024Pooled it
- Dietary and supplemental intake of vitamins C and E is associated with altered DNA methylation in an epigenome-wide association study meta-analysis.Epigenetics · 2023Pooled it
- Measurement of Perceived Risk of Developing Diabetes Mellitus: A Systematic Literature Review.Journal of general internal medicine · 2023Pooled it
- Pooled analysis of epigenome-wide association studies of food consumption in KORA, TwinsUK and LLS.European journal of nutrition · 2023Pooled it
- Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors.PloS one · 2023Pooled it
- Diabetes Prevention: Knowledge and Perception of Risk among Italian Population.BioMed research international · 2019Trial
- Differential associations of resting heart rate and heart rate variability indices with cardiovascular and coronary heart disease mortality risk: the prospective KORA study.Scientific reports · 2026Article
- Beyond Glucose-Rethinking Prediabetes for Precision Prevention.Diabetes care · 2026Review
- Association of Inflammatory and Cardiovascular Proteomics Biomarkers With Indices of Heart Rate Variability in the General Population: KORA S4/FF4 Study.Journal of the American Heart Association · 2025Article
- Nutrition Knowledge Varies by Food Group and Nutrient Among Adults.Foods (Basel, Switzerland) · 2025Article
- Diabetes mellitus risk in post-myocardial infarction patients: FINDRISC versus self-assessment-a cross sectional study.Cardiovascular diabetology · 2025Article
- Perceived risk of type 2 diabetes mellitus: predictors of perceived susceptibility among young adults in Jordan.Frontiers in public health · 2025Article
- Cross-cultural insights into non-communicable disease perceptions: a five-nation survey.BMJ public health · 2025Article
- Starting the Conversation: Patient Perceptions of Self-Assessed Type-2 Diabetes Risk.PRiMER (Leawood, Kan.) · 2025Article
- Innovative approaches in discussions of diabetes among healthcare sector actors in Germany.Journal of public health policy · 2024Article
- Health Belief Model Predicts Likelihood of Eating Nutrient-Rich Foods among U.S. Adults.Nutrients · 2024Article
- Inconsistencies in self-reported diabetes in a large panel study: the Survey of Health, Ageing and Retirement in Europe (SHARE).BMC medical research methodology · 2024Article
- Metabolomic biomarkers of habitual B vitamin intakes unveil novel differentially methylated positions in the human epigenome.Clinical epigenetics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEarly detection of diabetes and prediabetic states is beneficial for patients, but may be delayed by patients´ being overly optimistic about their own health. Therefore, we assessed how persons without known diabetes perceive their risk of having or developing diabetes, and we identified factors associated with perception of diabetes risk. RESEARCH DESIGN AND
methods1,953 participants without previously known diabetes from the population-based, German KORA FF4 Study (59.1 years, 47.8% men) had an oral glucose tolerance test. They estimated their probability of having undiagnosed diabetes mellitus (UDM) on a six category scale, and assessed whether they were at risk of developing diabetes in the future. We cross-tabulated glycemic status with risk perception, and fitted robust Poisson regression models to identify determinants of diabetes risk perception.
results74% (95% CI: 65-82) of persons with UDM believed that their probability of having undetected diabetes was low or very low. 72% (95% CI: 69-75) of persons with prediabetes believed that they were not at risk of developing diabetes. In people with prediabetes, seeing oneself at risk of diabetes was associated with self-rated poor general health (prevalence ratio (PR) = 3.1 (95% CI: 1.4-6.8), parental diabetes (PR = 2.6, 1.9-3.4), high educational level (PR = 1.9 (1.4-2.5)), lower age (PR = 0.7, 0.6-0.8, per 1 standard deviation increase), female sex (PR = 1.2, 0.9-1.5) and obesity (PR = 1.5, 1.2-2.0).
conclusionsPeople with undiagnosed diabetes or prediabetes considerably underestimate their probability of having or developing diabetes. Contrary to associations with actual diabetes risk, perceived diabetes risk was lower in men, lower educated and older persons.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.