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Study Finds Waist-to-Height Ratio Outperforms BMI for Flagging Diabetes Risk in U.S. Youth

An analysis of 2021–2023 CDC survey data estimates nearly one-third of adolescents have prediabetic blood sugar levels.

Overview

  • University of Chicago researcher Eric Peprah Osei analyzed nearly 2,000 participants ages 10–19 from NHANES 2021–2023 and found 30.8% were in the prediabetes range.
  • Children with a waist-to-height ratio of 0.5 or higher had dramatically higher odds of prediabetes or type 2 diabetes, reported as roughly 146-fold compared with peers below that threshold.
  • The study reports that waist-to-height ratio was a stronger predictor than BMI and that self-reported lifestyle and diet measures did not remain independent predictors after adjustment.
  • Recent prevalence contrasts with earlier NHANES findings from 1999–2002, when about 9% of adolescents were prediabetic or had diabetes.
  • The findings are being discussed alongside U.S. efforts to widen access to GLP-1 weight-loss drugs through agreements with Eli Lilly and Novo Nordisk, which HHS Secretary Robert F. Kennedy Jr. praised.