ArticlePreventive medicine reports2026
Sex-specific differences in diabetes prevalence between normal-weight obesity and obesity among middle-aged adults in South Korea: a propensity score-matched study.
Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To examine sex differences in type 2 diabetes mellitus (T2DM) prevalence between individuals with normal-weight obesity (NWO) and individuals with obesity among middle-aged Korean adults using nationally representative data. Methods: This cross-sectional study used Korea National Health and Nutrition Examination Survey data from 2019 to 2021. NWO was defined as a body mass index (BMI) of 18.5-24.9 kg/m Results: A total of 684 participants were included after matching. Among men, T2DM prevalence was lower in the NWO group than in the obesity group (20.00% vs. 31.03%), with lower odds of T2DM (adjusted OR = 0.54; 95% CI 0.29, 0.93). Among women, no significant differences were observed between NWO and obesity groups (11.70% vs. 13.20%, Conclusions: NWO showed sex-specific differences in association with T2DM prevalence; causal relationships cannot be inferred. Body composition assessment beyond BMI may identify metabolic risks, particularly in Asian populations.
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