Objective: To explore the relationship between obesity, body fat percentage (BF%), blood lipid levels, and prediabetes. Methods: A total of 91 patients with prediabetes who visited the hospital from February 2024 to February 2025 were included in the observation group, and 90 healthy individuals with normal blood glucose levels during the same period were included in the control group. Physical examination, body fat percentage, and biochemical indicators were checked, and the relationship between these indicators and prediabetes was analyzed. Results: The observation group had higher body weight (BW), waist circumference (WC), body mass index (BMI), fat mass (FM), total cholesterol (TC), low-density lipoprotein (LDL), triglycerides (TG), fasting blood glucose (FBG), and 2-hour postprandial blood glucose (2hPG) compared to the control group, with P < 0.05. The detection rates of obesity, abnormal WC, abnormal body fat percentage (BF%), abnormal TC, abnormal TG, and abnormal LDL were higher in the observation group than in the control group, with P < 0.05. Multivariate logistic regression analysis showed that WC, TC, TG, BF%, and BMI were independent high-risk factors for prediabetes, with P < 0.05. Conclusion: Obesity and dyslipidemia are high-risk factors for prediabetes. Scientific dietary planning and weight management should be implemented to reduce the incidence of diabetes.
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