{"doi":"10.1111/dme.14377","title":"Examining if the relationship between BMI and incident type 2 diabetes among middle–older aged adults varies by race/ethnicity: evidence from the Multi‐Ethnic Study of Atherosclerosis (MESA)","abstract":"Abstract Aims Disparities persist on the prevalence of undiagnosed type 2 diabetes in racial/ethnic minorities in the USA. This study evaluated the association between BMI and incident type 2 diabetes risk by racial/ethnic group, to determine whether BMI and presence of type 2 diabetes risk factors may help clinicians better target type 2 diabetes screening. Methods This prospective cohort analysis included 5659 adults free of type 2 diabetes at baseline from the Multi‐Ethnic Study of Atherosclerosis (MESA), a population‐based cohort (2000–2011). BMI was measured at baseline and time‐updated at subsequent visits. Incident type 2 diabetes was defined as fasting glucose ≥ 7.0 mmol/l, or use of any diabetes medications. Results The mean ( sd ) age was 62 (10) years and 42% of participants were white, 26% African American, 20% Hispanic and 12% Chinese American. During follow‐up, 696 (12%) new type 2 diabetes cases were observed. In age‐ and sex‐adjusted models, in the presence of one or more type 2 diabetes risk factors (the most common scenario), a 10% risk of incident type 2 diabetes was observed at a BMI of 21.7 kg/m 2 [95% confidence interval (CI) 20.1 to 22.8] in Chinese Americans, 23.8 kg/m 2 (22.7 to 24.9) in Hispanics, 24.7 kg/m 2 (23.7 to 25.6) in African Americans and 26.2 kg/m 2 (25.1 to 26.9) in white participants. Conclusions This study supports including BMI and presence of type 2 diabetes risk factors as action points for clinicians to prioritize which adults aged ≥ 45 years should be screened. The application of race/ethnicity‐specific BMI thresholds may reduce the disparity of undiagnosed type 2 diabetes observed in minority groups.","journal":"Diabetic Medicine","year":2020,"id":80446,"datarank":0.7313078556349115,"base_score":2.772588722239781,"endowment":2.772588722239781,"self_citation_contribution":0.41588830833596724,"citation_network_contribution":0.31541954729894434,"self_endowment_contribution":0.41588830833596724,"citer_contribution":0.31541954729894434,"corpus_percentile":null,"corpus_rank":null,"citation_count":15,"citer_count":13,"citers_with_citation_signal":12,"citers_with_endowment":12,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9622,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":294522,"name":"Patrick T. Bradshaw","orcid":"0000-0001-7761-3129","position":1,"is_corresponding":false},{"id":417286,"name":"Stephen Shiboski","orcid":"0000-0002-9257-2609","position":2,"is_corresponding":false},{"id":418854,"name":"A. Fernández","orcid":null,"position":3,"is_corresponding":false},{"id":252183,"name":"Eric Vittinghoff","orcid":"0000-0001-8535-0920","position":4,"is_corresponding":false},{"id":71313,"name":"David M. Herrington","orcid":"0000-0002-7670-6400","position":5,"is_corresponding":false},{"id":417287,"name":"Jianhua Ding","orcid":"0000-0002-0858-1941","position":6,"is_corresponding":false},{"id":245135,"name":"Alka M. Kanaya","orcid":"0000-0002-8903-1457","position":7,"is_corresponding":false},{"id":339097,"name":"Luis A. Rodríguez","orcid":"0000-0001-9694-6842","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T21:51:58.988919Z","pmid":"32750175","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}