High Prevalence of Prediabetes Among Asian and Pacific Islander Adolescents With Overweight or Obesity in a Primary Care Population
Authors' conclusion
Asian/PI adolescents with overweight or obesity have considerably higher prediabetes prevalence than NHW adolescents, independent of BMI. Findings varied by ethnicity. Prediabetes screening is essential for the high-risk population of Asian/PI adolescents with overweight or obesity.
Study context
- Population
- Adolescents aged 10–17 years with overweight (BMI 85th to <95th percentile) or obesity (BMI ≥95th percentile) at a pediatric visit (2012–2019) with HbA1c within 1 year, Kaiser Permanente Northern California; HbA1c ≥6.5%, diabetes diagnosis or pharmacotherapy excluded
- Exposure
- Disaggregated Asian/PI adolescents vs non-Hispanic White (NHW) adolescents with overweight or obesity
- Asian/PIn = 16,508
- NHWn = 20,540reference
- Outcome
- Prediabetes prevalence (HbA1c 5.7-6.4%)
Methodological detailshealth record data, modified Poisson regression, adjusted for age, sex, BMI, neighborhood deprivation index and visit year
- Health record data
- Modified Poisson regression
- Adjusted for age, sex, BMI, neighborhood deprivation index and visit year
Main finding
As reported in the abstract
Prediabetes prevalence
Each group vs NHWAdjusted prevalence ratio (95% CI)
South Asian
2.80(2.57–3.05)
NHPI
2.44(2.23–2.67)
Filipino
2.18(2.06–2.32)
Chinese
2.18(1.99–2.39)
Vietnamese
1.68(1.38–2.04)
Observational data: associations, not effects.
Further findings
Prediabetes by sex and by overweight or obesity subgroup
- Findings similar by sex; patterns similar within overweight or obesity subgroups
Original publication
High Prevalence of Prediabetes Among Asian and Pacific Islander Adolescents With Overweight or Obesity in a Primary Care Population. Diabetes Care. Published 30 June 2025. doi:10.
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