Trends in obesity prevalence and cardiometabolic risk factor control in US adults with diabetes, 1999–2020
Authors' conclusion
There were increasing trends in prevalence of obesity, blood pressure control, and lipid control from 1999 to 2002 to 2015 to 2020. Participants with obesity showed worsening glycemic control and lipid control than normal-weight participants.
Study context
- Population
- US adults aged ≥20 years with physician-diagnosed DM, NHANES participants 1999–2020
- Outcome
- Trends in obesity prevalence and in control of cardiometabolic risk factors
- Follow-up
- 1999 through 2020
Methodological detailsNHANES 1999–2020
- NHANES 1999–2020
Main finding
As reported in the abstract
- Overall obesity, 1999–2002 → 2015–2020
- 46.9% → 58.1%
- Obesity class II, 1999–2002 → 2015–2020
- 14.1% → 16.6%
- Obesity class III, 1999–2002 → 2015–2020
- 10.3% → 14.8%
- Glycemic control (HbA1c <7%): 1999–2002 → 2007–2010 → 2015–2020
- 42.5% → 51.8% → 48.0%
- All three risk factor goals met: 1999–2002 → 2011–2014 → 2015–2020
- 8.3% → 21.2% → 18.5
Observational data: associations, not effects.
Further findings
Risk factor control by weight status
- Participants with obesity showed worse glycemic and lipid control than those with normal weight
Original publication
Trends in obesity prevalence and cardiometabolic risk factor control in US adults with diabetes, 1999–2020. Obesity (Silver Spring). Published 25 January 2023. doi:10.
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