Trends in the Prevalence of Lean Diabetes Among U.S. Adults, 2015–2020
Main finding · Diabetes prevalence among lean adults (BMI <25 kg/m²)Result — go to the resultOdds ratio 1.21 95% CI 1.12–1.31Authors' conclusion
The prevalence of lean diabetes among the U.S. adult population is increasing, with larger increases among women and populations of color.
Study context
- Population
- US adults aged ≥18 years responding to the Behavioral Risk Factor Surveillance System (BRFSS), 2015–2020unweighted
- Participants
- 2,630,463 adults
- Exposure
- Diabetes prevalence among lean adults, 2020 vs 2015
- Outcome
- Prevalence and trends of diabetes among lean adults (BMI <25 kg/m²)
- Follow-up
- 2015 to 2020
Methodological detailsexploratory, repeated cross-sectional survey (BRFSS 2015–2020)
- Exploratory
- Repeated cross-sectional survey (BRFSS 2015–2020)
Main finding
As reported in the abstract
Diabetes prevalence among lean adults (BMI <25 kg/m²)
Odds ratio
1.21
95% CI 1.12–1.31
By group
2020vs 2015
OR 1.21 (95% CI 1.12–1.31)
Observational data: associations, not effects.
Further findings
Diabetes prevalence among overweight/obese adults · 2015 to 2020
- No significant change among overweight/obese adults
Lean diabetes increase by subgroup · 2015 to 2020
- Increases varied by subgroup; largest growth in Black, Hispanic and female populations
Original publication
Trends in the Prevalence of Lean Diabetes Among U.S. Adults, 2015–2020. Diabetes Care. Published 10 February 2023. doi:10.
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