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The graphs tell the whole story, I'm not going to copy over the abstract.
Full paper: https://doi.org/10.1016/S0140-6736(24)02317-1
Remember something like 6% of US adults have optimal metabolic health... that is 94% with some level of metabolic dysregulation.
- India is the world leader - 212 million 26%
- China is a distant second - 148 million 18%
- USA is lagging behind at third - 42 million 5%
If you dig into the paper, the untreated diabetes rate is heartbreaking. This is why metabolic diseases are the number 1 burden and cost of healthcare globally. Almost a billion people have diabetes globally. 1/8 : 12.5%
Why do India and China have such huge rates of diabetes? Remember that obesity and diabetes are different, people can be diabetic but not look very obese.