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To investigate the prevalence of metabolic conditions by body mass index (BMI) in U.S.adults, with metabolic conditions including type 2 diabetes (T2D), hypertension and dyslipidemia for overalland undiagnosed conditions.Methods: Adult participants were from the U.S. CDC 2013-2014 National Health and NutritionExamination Survey. BMI categories were: under/normal weight (BMI &lt; 25kg/m2), overweight (25≤BMI&lt;30 kg/m2) and obese (BMI ≥30 kg/m2). The weighted prevalence and its 95% confidence interval byBMI were calculated. The proportional test identified if a significant difference in the prevalence ofmetabolic conditions existed using under/normal as the reference.Results: The overall weighted prevalence of diabetes, hypertension, high cholesterol and overall abnormalcardiometabolic conditions were 16.1%, 60.3%, 57.5% and 76.3%, respectively, and 8.8%, 11.3%, 16.8%and 30.2%, respectively for the undiagnosed conditions. The prevalence of each metabolic conditionincreased with increasing BMI. However, among black participants, individuals with under/normal weighthad a significant higher prevalence of undiagnosed T2D compared to their obese peers (12.1% vs. 7.5%).Discussion: This study showed a notable fraction of U.S adults were suffering undiagnosedmetabolic conditions, BMI remains a useful tool for identifying those at high risk for cardiometabolicconditions, however, racial differences in diseases by BMI existed.

Prevalence of Metabolic Conditions Differentiated by BMI in U.S. Adults