title: Non-Obese Diabetes and Its Associated Factors in an Underdeveloped Area of South China, Guangxi.
abstract: Little research has been conducted on the prevalence of diabetes mellitus in underdeveloped areas in China, especially stratified into obesity and non-obese diabetes. The aim of the present study was to investigate the prevalence and associated factors of non-obese diabetes in an underdeveloped area in South China, Guangxi.
  
  
  
  Data derived from the Chinese Health and Nutrition Survey 2010-2012 involved a sample of 3874 adults from Guangxi. Questionnaires and oral glucose-tolerance tests were conducted, and fasting and 2-h glucose levels and serum lipids were measured. Logistic regression analysis was performed to assess associated factors for non-obese diabetes.
  
  
  
  68.2% and 62.2% of instances of newly detected diabetes were those of non-obese diabetes based on BMI (NODB) and based on WC (NODW), respectively. The male sex, an age older than 50 years, lower education, hypertension, and hypertriglyceridemia were significantly associated with a higher risk of both NODB and NODW, while some associated factors for NODB were found different from those associated with NODW, and an interaction effect was found to increase the risk of NODW.
  
  
  
  Our study indicated that non-obese diabetes was highly prevalent in an underdeveloped area of South China. Non-obese diabetes should be considered for increased public attention in these areas.
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. tangzhzh@163.com.
authors.forename: Zhenzhu
authors.initials: Z
authors.lastname: Tang
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. fangzhif80@126.com.
authors.forename: Zhifeng
authors.initials: Z
authors.lastname: Fang
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. hww_1989@sina.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Huang
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. hzliu326@sina.com.
authors.forename: Zhanhua
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. chenyz129@126.com.
authors.forename: Yuzhu
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. Lzy3030@126.com.
authors.forename: Zhongyou
authors.initials: Z
authors.lastname: Li
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. ju20121225@163.com.
authors.forename: Ting
authors.initials: T
authors.lastname: Zhu
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. wqchgxcdc@163.com.
authors.forename: Qichun
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Menzies Institute for Medical Research, University of Tasmania, Hobart 7001, Australia. steve.simpson@utas.edu.au.|Turning Point, Monash University, Fitzroy 3065, Australia. steve.simpson@utas.edu.au.
authors.forename: Steve
authors.initials: S
authors.lastname: Simpson
authors.affiliation: Menzies Institute for Medical Research, University of Tasmania, Hobart 7001, Australia. bruce.taylor@utas.edu.au.
authors.forename: Bruce V
authors.initials: BV
authors.lastname: Taylor
authors.affiliation: Guangxi Center for Disease Prevention and Control, 18 Jinzhou Road, Nanning 530028, China. linruicdc@126.com.
authors.forename: Rui
authors.initials: R
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: associated factors; diabetes; non-obese; prevalence; underdeveloped area