使用不同的人体测量方法研究非肥胖型2型糖尿病患者负担的种族差异。

Q2 Medicine

Obesity Medicine Pub Date : 2025-01-01 DOI:10.1016/j.obmed.2024.100573

Junyu Sui , Bei Wu , Yaguang Zheng , Zhiyue Mo , Qianyu Dong , Lan N. Ðoàn , Stella S. Yi , Xiang Qi

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引用次数: 0

摘要

目的：比较非肥胖型2型糖尿病（T2D）患病率的种族差异和T2D患者中非肥胖个体的比例。方法：横断面研究采用ICD-9/10编码确定T2D。参与者按BMI分为非肥胖(正常体重为2；关键结果：在276,736名参与者（平均年龄51.7岁，女性61.2%）中，非肥胖型T2D患病率变化：6.85% (BMI), 4.17%（腰围），3.63%（腰臀比）。亚洲参与者的正常体重T2D患病率最高（白人为2.70%，白人为1.92%,OR 1.44, 95% CI: 1.22-1.69），非肥胖T2D的腰围患病率最高（8.04%，白人为3.36%,OR 2.61, 95% CI: 2.35-2.89）。黑人受试者腰臀比最高（5.37% vs. 2.91%, OR 1.91, 95% CI: 1.80-2.03）。结论：亚裔美国人BMI和腰围的非肥胖型T2D患病率高于黑人，腰臀比的非肥胖型T2D患病率高于黑人，说明不同的脂肪分布模式。

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Racial and ethnic disparities in the burden of non-obese type 2 diabetes using different anthropometric measurements

Aims

Compare racial/ethnic disparities in the prevalence of non-obese type 2 diabetes (T2D) and the proportion of non-obese individuals among T2D patients.

Methods

This cross-sectional study used ICD-9/10 codes to ascertain T2D. Participants were classified as non-obese by BMI (<25 kg/m² for normal weight; <23 kg/m² for Asian Americans), waist circumference (<102 cm for males, <88 cm for females), and waist-to-hip ratio (<0.9 for males, <0.85 for females). The statistical analysis used marginal standardization of predicted probabilities from multivariable logistic regression to calculate the prevalence.

Key results

Among 276,736 participants (mean age 51.7, 61.2% female), non-obese T2D prevalence varied: 6.85% (BMI), 4.17% (waist circumference), 3.63% (waist-to-hip ratio). Asian participants had the highest prevalence of normal-weight T2D (2.70% vs. 1.92% in White, OR 1.44, 95% CI: 1.22–1.69) and non-obese T2D by waist circumference (8.04% vs. 3.36%, OR 2.61, 95% CI: 2.35–2.89). Black participants had the highest prevalence using waist-to-hip ratio (5.37% vs. 2.91%, OR 1.91, 95% CI: 1.80–2.03).

Conclusion

Asian Americans showed higher non-obese T2D prevalence by BMI and waist circumference, while Black adults had higher prevalence by waist-to-hip ratio, suggesting different fat distribution patterns.

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来源期刊

Obesity Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.50

自引率

0.00%

发文量

审稿时长

40 days

期刊介绍： The official journal of the Shanghai Diabetes Institute Obesity is a disease of increasing global prevalence with serious effects on both the individual and society. Obesity Medicine focusses on health and disease, relating to the very broad spectrum of research in and impacting on humans. It is an interdisciplinary journal that addresses mechanisms of disease, epidemiology and co-morbidities. Obesity Medicine encompasses medical, societal, socioeconomic as well as preventive aspects of obesity and is aimed at researchers, practitioners and educators alike.