AUTHOR=Jin Xueshan , Liu Jiajun , Cao Qiuyu , Lin Jiehua , Wu Guangfu , Liu Longhui , Jiang Shan , Zhou Xin , Li Zhiqiang , Yang Aicheng 

TITLE=Normal-weight central obesity: implications for diabetes mellitus

JOURNAL=Frontiers in Nutrition

VOLUME=10

YEAR=2023

URL=https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2023.1239493

DOI=10.3389/fnut.2023.1239493

ISSN=2296-861X

ABSTRACT=<sec id="sec1"><title>Background</title><p>Current guidelines for obesity prevention and control focus on body mass index (BMI) and rarely address central obesity. Few studies have been conducted on the association between normal-weight central obesity and the risk of diabetes mellitus (DM).</p></sec><sec id="sec2"><title>Methods</title><p>26,825 participants from the National Health and Nutrition Examination Survey (NHANES) were included in our study. A weighted multivariate logistic regression model was used to analyze the relationship between different obesity patterns and the risk of DM.</p></sec><sec id="sec3"><title>Results</title><p>Our results suggest that normal-weight central obesity is associated with an increased risk of DM (OR: 2.37, 95% CI: 1.75–3.23) compared with normal-weight participants without central obesity. When stratified by sex, men with normal-weight central obesity, obesity and central obesity were found to have a similar risk of DM (OR: 3.83, 95% CI: 2.10–5.97; OR: 4.20, 95% CI: 3.48–5.08, respectively) and a higher risk than all other types of obesity, including men who were overweight with no central obesity (OR: 1.21, 95% CI: 0.96–1.51) and obese with no central obesity (OR: 0.53, 95% CI: 0.30–0.91).</p></sec><sec id="sec4"><title>Conclusion</title><p>Our results highlight the need for more attention in people with central obesity, even if they have a normal BMI.</p></sec>