{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:50:07Z","timestamp":1753861807870,"version":"3.41.2"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T00:00:00Z","timestamp":1674604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008968","name":"National Research Council Sri Lanka","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008968","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Hum Biol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Dietary intake plays an important role in determining body mass index (BMI) and glycemic profile in patients with type 2 diabetes mellitus (T2DM). Our aim was to describe habitual dietary intake and its associations with BMI and glycemic profile in a cohort of patients with newly diagnosed T2DM in Sri Lanka.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was carried out among 158 patients with newly diagnosed T2DM in Galle, Sri Lanka. Data on demographic, lifestyle, and family history of diabetes mellitus, and clinical measures were collected. The dietary information was collected using a 24\u2010h dietary recall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the total number of study subjects, only 12.0%, 5.7% and 1.3% met the recommended daily consumption value of protein, fat, and fiber, respectively, whereas 99.4% of subjects had taken carbohydrates that exceeded the recommended consumption. There was a positive association between carbohydrate intake and BMI (0.004, [0.002], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.048) and carbohydrate intake and glycated hemoglobin (HbA<jats:sub>1C<\/jats:sub>) (0.001, [0.000], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.049). Fat intake showed positive associations with BMI (0.029, [0.011], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.006) and HbA<jats:sub>1C<\/jats:sub> (0.005, [0.002], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.050). Protein intake showed a positive association with HbA<jats:sub>1C<\/jats:sub> (0.006, [0.003], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.023). The aforementioned associations were observed after adjusting for demographic, lifestyle, and history of diabetes among the first\u2010degree family members. The carbohydrate intake was positively associated with BMI (0.010, [0.003], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.003) and HbA<jats:sub>1C<\/jats:sub> (0.001, [0.000], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.050) with further adjustment in nutrient intake (except when used as an independent variable). Furthermore, the fat intake was associated with BMI (0.031, [0.011], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.004) and HbA<jats:sub>1C<\/jats:sub> (0.005 [0.002], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.050) with additional adjustments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The diet of the majority of newly diagnosed T2DM patients in this cohort consisted of a higher carbohydrate intake than the recommended level. However, they did not meet the recommended daily intake of protein, fat, and fiber. Both carbohydrate and fat intake were significantly and positively associated with BMI and HbA<jats:sub>1C<\/jats:sub> in patients with newly diagnosed T2DM.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajhb.23870","type":"journal-article","created":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T12:19:56Z","timestamp":1674649196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of dietary intake with body mass index and glycemic profile among newly diagnosed patients with type 2 diabetes mellitus"],"prefix":"10.1002","volume":"35","author":[{"given":"Keddagoda Gamage Piyumi","family":"Wasana","sequence":"first","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna  Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4365-7956","authenticated-orcid":false,"given":"Anoja Priyadarshani","family":"Attanayake","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna  Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thilak Priyantha","family":"Weerarathna","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine University of Ruhuna  Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devpura Arachchige Bandumalee Nimalshanthi","family":"Amarasekera","sequence":"additional","affiliation":[{"name":"Department of Crop Science, Faculty of Agriculture University of Ruhuna  Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamani Ayoma Perera Wijewardana","family":"Jayatilaka","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna  Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,25]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1","article-title":"Standard of medical care in diabetes \u2013 2020","volume":"44","author":"American Diabetes Association [ADA]","year":"2020","journal-title":"Diabetes Care"},{"volume-title":"Molecular biology of the cell","year":"2002","author":"Alberts B.","key":"e_1_2_10_3_1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/87.3.627"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.8.2261"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1651"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1467-789X.2002.00065.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1467-789X.2002.00069.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801353"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2003-031205"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114513002055"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/138.9.1699"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4038\/jccp.v50i2.7873"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0052182"},{"key":"e_1_2_10_15_1","first-page":"299","article-title":"Limited value of the homeostasis model assessment to predict insulin resistance in older men with impaired glucose tolerance","volume":"2","author":"Ferrara C. 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