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. 2025 Apr 18;18:1195–1206. doi: 10.2147/DMSO.S491681

Table 3.

Multivariable Adjusted Association of BMI Category with Mortality in Younger- and Older-Onset Diabetes, Stratified by Race

Young-Onset Older-Onset
African Americans Whites African Americans Whites
HR (95% CI) HR (95% CI) HR (95% CI)
BMI category, kg/m2
 <25 Ref Ref Ref Ref
 25–29.9 0.73 (0.54–1.00) 0.55 (0.34–0.90) 0.70 (0.63–0.77) 0.86 (0.73–1.02)
 30–34.9 0.82 (0.60–1.15) 0.62 (0.37–1.06) 0.65 (0.58–0.72) 0.99 (0.84–1.17)
 35–39.9 0.67 (0.47–0.96) 0.51 (0.28–0.92) 0.76 (0.68–0.85) 1.04 (0.87–1.24)
 ≥40 0.78 (0.55–1.11) 0.98 (0.58–1.67) 0.95 (0.85–1.07) 1.45 (1.22–1.73)
Sex, female 0.62 (0.50–0.77) 0.60 (0.42–0.85) 0.60 (0.56–0.65) 0.69 (0.63–0.76)
Diabetes duration 0.94 (0.93–0.95) 0.95 (0.93–0.96) 1.00 (1.00–1.00) 1.00 (1.00–1.01)
Hypercholesterolemia
 No Ref Ref Ref Ref
 Treated 0.99 (0.79–1.23) 1.07 (0.74–1.56) 0.82 (0.77–0.88) 0.69 (0.62–0.77)
 Not treated 0.98 (0.75–1.28) 1.08 (0.65–1.80) 0.95 (0.86–1.04) 0.85 (0.73–0.98)
Hypertension 1.11 (0.88–1.41) 1.63 (1.07–2.47) 1.05 (0.96–1.15) 0.99 (0.88–1.12)
Hx of CHD 1.34 (1.05–1.72) 1.56 (1.08–2.26) 1.38 (1.26–1.50) 1.32 (1.18–1.47)
Hx of TIA/stroke 1.30 (1.01–1.67) 1.03 (0.68–1.57) 1.30 (1.19–1.42) 1.22 (1.07–1.39)
Hx of smoking 1.15 (0.94–1.41) 2.17 (1.47–3.21) 1.48 (1.39–1.59) 1.61 (1.45–1.79)
<high school graduate 0.97 (0.72–1.31) 1.49 (0.91–2.44) 0.73 (0.66–0.80) 0.93 (0.81–1.07)
Household income <$15,000/yr 1.48 (1.18–1.84) 1.21 (0.84–1.75) 1.40 (1.30–1.50) 1.62 (1.46–1.79)
Health insurance 1.18 (0.95–1.46) 0.82 (0.57–1.18) 0.78 (0.72–0.83) 0.64 (0.57–0.71)
BMI by race p-interaction = 0.24 BMI by race p-interaction = 0.0001