World Health Organization. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: Report of a WHO/IDF consultation. Geneva: World Health Organization; 2006.

Lorenzo C, Wagenknecht LE, D’Agostino RB Jr, Rewers, Karter MJ, Haffner AJ. SM. Insulin resistance, beta-cell dysfunction, and conversion to type 2 diabetes in a multiethnic population: the Insulin Resistance Atherosclerosis Study. Diabetes Care. 2010;33:67–72.

Article  CAS  PubMed  Google Scholar 

Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119.

Article  PubMed  Google Scholar 

Ogurtsova K, da Rocha Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40–50.

Article  CAS  PubMed  Google Scholar 

IDF. IDF Diabetes Atlas, 10th ed. Brussels, Belgium: IDF; 2021.

Assah FK, Ekelund U, Brage S, Mbanya JC, Wareham NJ. Urbanization, physical activity, and metabolic health in sub-Saharan Africa. Diabetes Care. 2011;34:491–6.

Article  PubMed  PubMed Central  Google Scholar 

Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, et al. Non-communicable diseases in sub-Saharan Africa: What we know now. Int J Epidemiol. 2011;40:885–901.

Article  PubMed  Google Scholar 

Atun R, Davies JI, Gale EAM, Barnighausen T, Beran D, Kengne AP, et al. Diabetes in sub-Saharan Africa: from clinical care to health policy. Lancet Diabetes Endocrinol. 2017;5:622–67.

Article  PubMed  Google Scholar 

Kitilya B, Peck R, Changalucha J, Jeremiah K, Kavishe BB, Friis H, et al. The association of physical activity and cardiorespiratory fitness with beta-cell dysfunction, insulin resistance, and diabetes among adults in north-western Tanzania: A cross-sectional study. Front Endocrinol. 2022;13:885988.

Article  Google Scholar 

Frank LK, Kroger J, Schulze MB, Bedu-Addo G, Mockenhaupt FP, Danquah I. Dietary patterns in urban Ghana and risk of type 2 diabetes. Br J Nutr. 2014;112:89–98.

Article  CAS  PubMed  Google Scholar 

Angeles-Agdeppa I, Sun Y, Tanda KV. Dietary pattern and nutrient intakes in association with non-communicable disease risk factors among Filipino adults: a cross-sectional study. Nutr J. 2020;19:79.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Beigrezaei S, Ghiasvand R, Feizi A, Iraj B. Relationship between Dietary Patterns and Incidence of Type 2 Diabetes. Int J Prev Med. 2019;10:122.

Article  PubMed  PubMed Central  Google Scholar 

Chen Z, Watanabe RM, Stram DO, Buchanan TA, Xiang AH. High calorie intake is associated with worsening insulin resistance and beta-cell function in Hispanic women after gestational diabetes mellitus. Diabetes Care. 2014;37:3294–300.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Kahleova H, Tura A, Hill M, Holubkov R, Barnard ND. A Plant-Based Dietary Intervention Improves Beta-Cell Function and Insulin Resistance in Overweight Adults: A 16-Week Randomized Clinical Trial. Nutrients. 2018;10:189.

Ghorbani A, Rashidi R, Shafiee-Nick R. Flavonoids for preserving pancreatic beta cell survival and function: A mechanistic review. Biomed Pharmacother. 2019;111:947–57.

Article  CAS  PubMed  Google Scholar 

Cheng CW, Villani V, Buono R, Wei M, Kumar S, Yilmaz OH, et al. Fasting-Mimicking Diet Promotes Ngn3-Driven beta-Cell Regeneration to Reverse Diabetes. Cell. 2017;168:775–88.e12.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Trico D, Moriconi D, Berta R, Baldi S, Quinones-Galvan A, Guiducci L, et al. Effects of Low-Carbohydrate versus Mediterranean Diets on Weight Loss, Glucose Metabolism, Insulin Kinetics and beta-Cell Function in Morbidly Obese Individuals. Nutrients. 2021;13:1345.

McNaughton SA, Mishra GD, Brunner EJ. Dietary patterns, insulin resistance, and incidence of type 2 diabetes in the Whitehall II Study. Diabetes Care. 2008;31:1343–8.

Article  PubMed  PubMed Central  Google Scholar 

Woolf HR, Fair M, King SB, Dunn CG, Kaczynski AT. Exploring Dietary Behavior Differences among Children by Race/Ethnicity and Socioeconomic Status. J Sch Health. 2020;90:658–64.

Article  PubMed  Google Scholar 

Malindisa E, Dika H, Rehman AM, Olsen MF, Francis F, Friis H, et al. Dietary patterns and diabetes mellitus among people living with and without HIV: a cross-sectional study in Tanzania. Front Nutr. 2023;10:1105254.

Article  PubMed  PubMed Central  Google Scholar 

PrayGod G, Filteau S, Range N, Kitilya B, Kavishe BB, Ramaiya K, et al. beta-cell dysfunction and insulin resistance in relation to pre-diabetes and diabetes among adults in north-western Tanzania: a cross-sectional study. Trop Med Int Health. 2021;26:435–43.

Article  CAS  PubMed  Google Scholar 

Lebovitz HE. Insulin resistance: definition and consequences. Exp Clin Endocrinol Diabetes. 2001;109:135–48.

Article  Google Scholar 

Cerf ME. Beta cell dysfunction and insulin resistance. Front Endocrinol. 2013;4:37.

Article  Google Scholar 

Feng Q, Kim JH, Omiyale W, Bešević J, Conroy M, May M, et al. Raw and Cooked Vegetable Consumption and Risk of Cardiovascular Disease: A Study of 400,000 Adults in UK Biobank. Front Nutr. 2022;9:831470.

Link LBPJ. Raw versus cooked vegetables and cancer risk. Cancer Epidemiol Biomark. 2004;13:1422–35.

Article  Google Scholar 

Hendricks KM, Mwamburi DM, Newby PK, Wanke CA. Dietary patterns and health and nutrition outcomes in men living with HIV infection. Am J Clin Nutr. 2008;88:1584–92.

Article  CAS  PubMed  Google Scholar 

Jeremiah K, Filteau S, Faurholt-Jepsen D, Kitilya B, Kavishe BB, Krogh-Madsen R, et al. Diabetes prevalence by HbA1c and oral glucose tolerance test among HIV-infected and uninfected Tanzanian adults. PLoS One. 2020;15:e0230723.

Article  CAS  PubMed  PubMed Central  Google Scholar 

WHO. Waist circumference and waist–hip ratio: report of a WHO expert consultation, 8–11. Geneva: WHO; 2011.

Lee YD, Kim KW, Choi KS, Kim M, Cho YJ, Sohn C. Development of dietary pattern evaluation tool for adults and correlation with Dietary Quality Index. Nutr Res Pract. 2016;10:305–12.

Dalal S, Holmes MD, Laurence C, Bajunirwe F, Guwatudde D, Njelekela M, et al. Feasibility of a large cohort study in sub-Saharan Africa assessed through a four-country study. Glob Health Action. 2015;8:27422.

Article  PubMed  Google Scholar 

Lukmanji Z, Hertzmark E., Mlingi N, Assey V. Tanzania food composition Table 1 ed. Dar-es-salaam, Tanzania: MUHAS, TFNC, HSPH; 2008. p. 259.

Galbete C, Nicolaou M, Meeks K, Klipstein-Grobusch K, De-Graft Aikins A, Addo J, et al. Dietary patterns and type 2 diabetes among Ghanaian migrants in Europe and their compatriots in Ghana: The RODAM study. Nutr Diabetes. 2018;8:25.

Cattell RB. The Scree Test For The Number Of Factors. Multivar Behav Res. 1966;1:245–76.

Article  CAS  Google Scholar 

Wallace TM, Levy JC, Matthews DR. Use and Abuse of HOMA Modeling. Diabetes Care. 2004;27:1487–95.

Article  PubMed  Google Scholar 

Singh B. Saxena A. Surrogate markers of insulin resistance: A review. World J Diabetes. 2010;1:36–47.

Article  PubMed  PubMed Central  Google Scholar 

Park SY, Gautier J-F, Chon S. Assessment of Insulin Secretion and Insulin Resistance in Human. Diabetes Metab J. 2021;45:641–54.

Article  PubMed  PubMed Central  Google Scholar 

Liu X. Classification accuracy and cut point selection. Stat Med 2012;31:2676–86.

Article  PubMed  Google Scholar 

Dean AG, Sullivan KM, MM S. Open Source Epidemiologic Statistics for Public Health. 2013. https://www.openepi.com/SampleSize/SSCohort.htm.

Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35:121–6.

Article  PubMed  PubMed Central  Google Scholar 

Napoleão A, Fernandes L, Miranda C, Marum AP. Effects of Calorie Restriction on Health Span and Insulin Resistance: Classic Calorie Restriction Diet vs. Ketosis-Inducing Diet. Nutrients. 2021;13:1302.

Article  PubMed  PubMed Central  Google Scholar 

O’Neill BJ. Effect of low-carbohydrate diets on cardiometabolic risk, insulin resistance, and metabolic syndrome. Curr Opin Endocrinol Diabetes Obes. 2020;27:301–7.

Article  PubMed  Google Scholar 

Viswanathan Mohan RU S, Shobana M, Malavika RM, Anjana, Sudha V. Are excess carbohydrates the main link to diabetes & its complications in Asians? Indian J Med Res. 2018;148:531–8.