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Lean diabetes: 20-year trends in its prevalence and clinical features among Korean adults
Background: We investigated the prevalence and clinical characteristics of type 2 diabetes mellitus in lean Korean adults.
Methods: We analyzed data from the Korea National Health and Nutrition Examination Survey 2001–2021 among adults aged ≥ 19 years. Trend analyses between 2001 and 2019–2021 (n = 89,720) and comparative analyses of multiple clinical characteristics between patients with type 2 diabetes with and without overweight/obesity were conducted (n = 2,284).
Results: Between 2001 and 2019–2021, the estimated prevalence of lean type 2 diabetes (body mass index [BMI] < 23 kg/m2) increased from 6.6 to 8.8%, representing a 33.3% increase. This was a similar extent of increase of type 2 diabetes associated with being overweight or obese (12.1–16.3%, + 34.7%). The increase in the prevalence of lean type 2 diabetes was more pronounced among females, while the increase among those who were ove rweight or obese was more pronounced among males than their counterparts. Although the overweight/obese type 2 diabetes group (T2DM group) showed more risk factors for cardiovascular disease, the lean T2DM group had lower insulin levels and reduced muscle mass and strength. Conclusions: The prevalence of lean type 2 diabetes among Korean adults is increasing, at a rate similar to type 2 diabetes in overweight/obese individuals. Patients with lean type 2 diabetes showed decreased beta-cell function and sarcopenia. These findings emphasize the need for tailored management strategies for lean type 2 diabetes given its characteristics and rising prevalence. © The Author(s) 2024.
Authors : Kim J.M.; Joung K.H.; Kim H.J.; Ku B.J.; Jung S.; Lee J.H.
Source : BioMed Central Ltd
Article Information
| Year | 2024 |
| Type | Article |
| DOI | 10.1186/s12889-024-21034-2 |
| ISSN | 14712458 |
| Volume | 24 |
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