1786-P: Trends in Diagnosed Diabetes Prevalence across Anthropometric Measurements in the United States, 2001–2023

Introduction and Objective: To assess trends in prevalence of diagnosed diabetes during 2001-2023 across categories of three anthropometric measures: BMI, waist circumference (WC), and waist-to-height ratio (WHtR). Methods: Data were from the National Health and Nutrition Examination Survey from 2001-2023 for 53,450 participants aged ≥ 20 years. Diagnosed diabetes (DM) was defined based on self-reported physician diagnosis. Age-standardized prevalence of DM and annual percentage change (APC) were estimated by anthropometric categories. Results: Between 2001-2004 and 2021-2023, the age-standardized prevalence of DM increased from 5.7% to 7.9% among those with BMI 25 - 29.9 kg/m² (APC: 2.2%, P < 0.05) and from 12.1% to 14.8% in those with BMI ≥30 kg/m² (APC: 1.1%, P < 0.05), with no significant changes for BMI <25 kg/m². DM prevalence increased from 9.3% to 13.0% in the high WC (≥102cm for men and ≥88cm for women) group (APC: 1.6%, P < 0.05) and from 11.7% to 15.2% in the high WHtR (≥0.6) group (APC: 1.3%, P < 0.05). Changes in DM over time for moderate WC and WHtR were not significant. Conclusion: Prevalence estimates for DM were higher after 2017-2020 than in 2001-2004 for all anthropometric categories. The growing prevalence of DM in individuals with higher BMI, WC, and WHtR highlights the significant role of adiposity in diabetes risk in the U.S. Disclosure D. Choi: None. S.J. Onufrak: None. I. Zaganjor: None. J.M. Lawrence: None. S. Han: None. K.M. Bullard: None. L. Kompaniyets: None. M.E. Pavkov: None.