ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health and Nutrition
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1662519
Factors influencing type 2 diabetes in adults: A cross-sectional study
Provisionally accepted
- Zhejiang Center for Disease Control and Prevention (Zhejiang CDC), Hangzhou, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Objectives: The aim of this study was to explore the factors influencing type 2 diabetes mellitus (T2DM) among adults in Zhejiang Province. Methods: A stratified cluster sampling technique was employed, and adults without known diabetes were included in the analysis. Food consumption was assessed using three consecutive days of 24-hour dietary recall. Blood samples were collected to measure fasting blood glucose (FBG), blood lipids (total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), 25-(OH)D (vitamin D (VD)), and vitamin A (VA). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were also measured. Ordinal regression was used to explore factors influencing T2DM. Results: The analysis included a total of 5804 adults. The prevalence rates of T2DM and prediabetes were 5.5% and 5.8%, respectively. Significant differences were observed in age, sex, nutritional status, hypertension, and blood lipid levels among adults with normal fasting blood glucose, prediabetes, and T2DM (p<0.05). Adults aged 55 years and above, those who were overweight or obese, those with hypertension, and those with higher TG levels had a greater risk of developing diabetes (p<0.05). Conclusions: This study revealed that adults aged 55 years and above, those who are overweight or obese, those with hypertension, and those with higher TG levels have a greater risk of developing diabetes. These findings underscore the need for targeted interventions to manage these risk factors in the prevention and management of T2DM.
Keywords: Diabetes Mellitus, Nutritional Status, adults, China, Obesity
Received: 09 Jul 2025; Accepted: 22 Sep 2025.
Copyright: © 2025 Zou, Huang, He, Han, Su, Xu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ronghua Zhang, yingyang901@yeah.net
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.