Evidence map›Paper›PMID 41416467›Full record

SynthesisDiabetes & vascular disease research

Risk factors of early-onset type 2 diabetes: A systematic review and meta-analysis.

Shengying Hu, Yizhu Zhang, Angela C Y Poon, Yan Ji, Botian Hou, Chenye Zhang, Hongyu Sun, Yumei Sun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Diabetes & vascular disease research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shengying HuSchool of Nursing, Peking University, Beijing, China.ORCID 0009-0001-5081-290X
Yizhu ZhangSchool of Nursing, Peking University, Beijing, China.
Angela C Y PoonPeking University Health Center, Macao Polytechnic University, Macau, China.
Yan JiSchool of Nursing, Nanjing Medical University, Nanjing, China.
Botian HouSchool of Nursing, Peking University, Beijing, China.
Chenye ZhangSchool of Nursing, Peking University, Beijing, China.
Hongyu SunSchool of Nursing, Peking University, Beijing, China.
Yumei SunSchool of Nursing, Peking University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundEarly-onset type 2 diabetes (T2DM), diagnosed before age 40, progresses rapidly and has a higher risk of complications compared to late-onset T2DM. Its global prevalence is rising, but the underlying risk factors are insufficiently understood.ObjectiveThis systematic review and meta-analysis aimed to evaluate risk factors associated with early-onset T2DM to support clinical decision-making and inform preventive strategies.Methods37 studies (cohort, case-control, cross-sectional) were identified from PubMed, Web of Science, and Embase up to October 31, 2024. Data were analyzed using STATA 17.0, and pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Subgroup analyses were performed by region, study type, and sample size.ResultsCompared with normoglycemic individuals, early-onset T2DM was strongly associated with family history of diabetes (OR = 4.54, 95%CI: 2.31-8.90), high BMI (OR = 2.87, 95%CI: 2.22-3.80), maternal gestational diabetes (OR = 3.01, 95%CI: 2.44-3.72), and elevated fasting glucose (OR = 8.73, 95%CI: 4.91-16.92). Subgroup and sensitivity analyses confirmed the robustness of these findings despite persistent heterogeneity. In comparisons with late-onset T2DM, family history (OR = 2.90), male sex (OR = 1.57), and BMI (OR = 1.12 per unit) remained significant risk factors.ConclusionEarly-onset T2DM is shaped by familial, metabolic, and lifestyle determinants. Incorporating these factors into early screening and intervention programs, particularly lifestyle modification in young high-risk populations, is essential to reduce disease burden and delay progression.

Indexed as

Diabetes Mellitus, Type 2AdultAge of OnsetBiomarkersBlood GlucoseFemaleHumansMaleMiddle AgedPregnancyPrevalencePrognosisRisk AssessmentRisk FactorsBiomarkersBlood Glucoseearly-onsetmeta-analysisrisk factorssystematic reviewtype 2 diabetes

Identifiers

PMID41416467
PMCPMC12717410

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.