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Int. J. Environ. Res. Public Health 2016, 13(10), 976;

Non-Obese Diabetes and Its Associated Factors in an Underdeveloped Area of South China, Guangxi

Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China
Menzies Institute for Medical Research, University of Tasmania, Hobart 7001, Australia
Turning Point, Monash University, Fitzroy 3065, Australia
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Academic Editor: Omorogieva Ojo
Received: 27 July 2016 / Revised: 6 September 2016 / Accepted: 20 September 2016 / Published: 30 September 2016
(This article belongs to the Collection Health Care and Diabetes)
Full-Text   |   PDF [627 KB, uploaded 30 September 2016]   |  


Background: Little research has been conducted on the prevalence of diabetes mellitus in underdeveloped areas in China, especially stratified into obesity and non-obese diabetes. The aim of the present study was to investigate the prevalence and associated factors of non-obese diabetes in an underdeveloped area in South China, Guangxi. Methods: Data derived from the Chinese Health and Nutrition Survey 2010–2012 involved a sample of 3874 adults from Guangxi. Questionnaires and oral glucose-tolerance tests were conducted, and fasting and 2-h glucose levels and serum lipids were measured. Logistic regression analysis was performed to assess associated factors for non-obese diabetes. Results: 68.2% and 62.2% of instances of newly detected diabetes were those of non-obese diabetes based on BMI (NODB) and based on WC (NODW), respectively. The male sex, an age older than 50 years, lower education, hypertension, and hypertriglyceridemia were significantly associated with a higher risk of both NODB and NODW, while some associated factors for NODB were found different from those associated with NODW, and an interaction effect was found to increase the risk of NODW. Conclusions: Our study indicated that non-obese diabetes was highly prevalent in an underdeveloped area of South China. Non-obese diabetes should be considered for increased public attention in these areas. View Full-Text
Keywords: diabetes; non-obese; prevalence; associated factors; underdeveloped area diabetes; non-obese; prevalence; associated factors; underdeveloped area

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Tang, Z.; Fang, Z.; Huang, W.; Liu, Z.; Chen, Y.; Li, Z.; Zhu, T.; Wang, Q.; Simpson, S.; Taylor, B.V.; Lin, R. Non-Obese Diabetes and Its Associated Factors in an Underdeveloped Area of South China, Guangxi. Int. J. Environ. Res. Public Health 2016, 13, 976.

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