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International Journal of Horticulture, Agriculture and Food Science (IJHAF)
ISSN: 2456-8635
[Vol-7, Issue-2, Mar-Apr, 2023]
Issue DOI: https://dx.doi.org/10.22161/ijhaf.7.2
Peer-Reviewed Journal
Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.)
https://aipublications.com/ijhaf/ Page | 7
Consumption of Junk Foods and Risk of Type 2 Diabetes:
A Review
Shubhi Mishra
Research Scholar, Department of Food Science and Nutrition, Banasthali Vidyapith, Jaipur, Rajasthan, India. 304022.
Received: 25 Feb 2023; Received in revised form: 16 Mar 2023; Accepted: 23 Mar 2023; Available online: 06 Apr 2023
©2023 The Author(s). Published by AI Publications. This is an open access article under the CC BY license
(https://creativecommons.org/licenses/by/4.0/)
Abstract
According to the estimation of International Diabetes Federation (IDF) 2021, there are 537 million diabetics
worldwide. The purpose of the current review is to explore the relationship between consumption of junk food and
type 2 diabetes. Junk food is defined as being easily accessible, typically inexpensive, and having low nutritive value.
These foods have lesser amounts of iron, calcium, and dietary fiber and are higher in calories, salt, and saturated fat.
Unhealthy diet is one of the important lifestyle factors responsible for several health conditions. Junk foods includes
deep fried, processed or ultra-processed foods (UPFs) and high sugar containing foodstuffs and beverages such as
Sugar Sweetened Beverages (SSBs) are directly linked with higher body mass index (BMI), adiposity and increased
insulin resistance (IR). For pertinent databases IDF Atlas reports, PubMed, Springer, Elsevier, Web of Science and
BMJ were searched for original and meta-analysis studies published up to March, 2023. In recent decades,
consumption of these foods has significantly increased worldwide. The primary risk factor for type 2 diabetes is
obesity and consuming junk foods is strongly associated with being obese. Junk food consequences include an
increase in type 2 diabetes cases especially among youths and adult women compared to men. Obesity or high BMI
indicate a positive energy balance due to junk food intake. As a result, the recurrent consumption of junk food
increases the likelihood of developing the type 2 diabetes.
Keywords— BMI, IDF, IR, obesity, SSBs, UPFs
I. INTRODUCTION
India is currently witnessing one of the speedily growing
modern epidemics which have a significant role in
confining the eminence of life and plummeting life
expectancy. The burden diabetes is steadily increasing on a
worldwide scale each passing day. Former names for type 2
diabetes include maturity-onset diabetes and non-insulin-
dependent mellitus (NIDDM). It originates when beta-cells
fail produce enough insulin to accommodate demand,
typically in the context of progressive insulin resistance.
Somehow, the beta cells have been unable to react to insulin
resistance. Typically, adults over the age of 30 are affected.
These days, young people and children are routinely
diagnosed with it [1]. In India, the prevalence of type 2
diabetes and obesity has considerably grown during the past
ten years. The present review's goal is to examine the
connection between type 2 diabetes and an unhealthy diet,
namely the intake of junk food.
II. TYPE 2 DIABETES
There are 537 million diabetics worldwide, according to the
International Diabetes Federation's (IDF) 2021 estimate [2].
The findings of the International Diabetes Federation (IDF)
report, which is published almost every two years since
2000, showed that the incidence of diabetes was 6.6% in the
year 2010 and it was risen to 8.3% in the year 2013. In the
year 2015 and 2017 it was increased up to 8.8% [3,4].
Prevalence was estimated 9.3% and 10.5 in the year 2019
and 2021 respectively. IDF projections from 2010 indicated
that the incidence will be 7.8% in 2030, however the
prevalence reportedly surpassed that number in 2013 [5].
According to IDF reports, the expected prevalence
projections for the year 2045 range between 10.1% and
10.4%. However, it has already outperformed the IDF's
predicted prevalence [5]. Several modifiable risk factors
such as sedentary lifestyle or lack of exercise, obesity,
unhealthy diet, stress and inadequate sleep are associated
Mishra International Journal of Horticulture, Agriculture and Food Science (IJHAF)
7(2)-2023
Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.)
https://aipublications.com/ijhaf/ Page | 8
with type 2 diabetes. Genetic predisposition, family history
of diabetes, age, race and ethnicity are non-modifiable risk
factors for type 2 diabetes. Unhealthy diet is the modifiable
risk factor for type-2 diabetes; hence it can be altered to
reduce the diabetic burden [1].
III. OBESITY
Due to the intake of an unhealthy diet, obesity is the primary
cause of type 2 diabetes, and its worldwide burden is
increasing every single day. Between 1998 and 2015, the
prevalence of obesity among women in India increased
from 2.2% to 5.1%. According to the Global Obesity Atlas,
Indian adult women (7.88%) have a greater prevalence of
obesity than males (4.48%) [6]. Type 2 diabetes and obesity
directly relate to one another. These both relate to insulin
resistance. The energy imbalance between calories
expended and ingested is the root of the issue [7, 1, 8].
Slight imbalances in energy intake and expenditure that
compounded over time led to the worldwide obesity
pandemic. The inability of existing strategies to effectively
prevent obesity might be attributed to a lack of
understanding of the physiologic mechanisms underpinning
energy balance. Positive energy balance leads to insulin
resistance and pathogenesis of development of diabetes is
also associated with impaired glucose control [9]. In low-
and middle-income nations, there have been significant
dietary changes: In India, this embrace a significant rise in
fat intake, which is combined with already high
carbohydrate intake, a minor increase in total calories and
protein, and a decrease in the consumption of coarse grains,
pulses, fruits, and vegetables [10].
IV. JUNK FOODS AND TYPE 2 DIABETES
Junk food is defined as being easily accessible, typically
inexpensive, and having low nutritive value. These foods
have lesser amounts of iron, calcium, and dietary fiber and
are higher in calories, salt, and saturated fat. Unhealthy diet
is one of the important lifestyle factors responsible for
several health conditions [8]. Junk foods includes deep
fried, processed or ultra-processed foods (UPFs) and high
sugar containing foodstuffs and beverages such as sugar
sweetened beverages (SSBs) are directly linked with higher
body mass index (BMI), adiposity and increased insulin
resistance (IR). The primary risk factor for type 2 diabetes
is obesity and consuming junk foods is strongly associated
with being obese [11]. Obesity or high BMI indicate a
positive energy balance due to junk food intake. As a result,
the recurrent consumption of junk food increases the
likelihood of developing the type 2 diabetes. Junk food
consequences include an increase in type 2 diabetes cases
especially among youths and adult women compared to
men [12;13]. Positive energy balance is the consequence of
either higher energy intake from high calorie intake, lower
energy expenditure through inactivity, or a combination of
both of these [7]. A study found a correlation between
increased intake of junk food, such as red/processed meats
and sugar-sweetened drinks, and an increased chance of
developing diabetes [14]. The risk of type 2 diabetes is
dramatically reduced with higher adherence to vegetable-
grain patterns and lower adherence to junk diet patterns
[15]. Children and young people must be made urgently
aware of these negative consequences of junk food and the
fact that they should not be used as a substitute for a
balanced diet. There has never been a better opportunity
than today to create a loving atmosphere that promotes
young people's participation in society and also ensuring
their health [13].
V. MECHANISM LINKING OBESITY AND TYPE 2
DIABETES
Chronic diseases like diabetes and obesity are becoming
more prevalent globally. Body mass index and diabetes and
insulin resistance are closely related. It is pretty apparent
that being overweight or obese raises the likelihood of
getting type 2 diabetes, especially when it comes to carrying
extra weight around the stomach (abdomen). The body's
responsiveness to the insulin it makes can be decreased by
the production of "pro-inflammatory" substances by fat
cells as a result of belly obesity by interfering with the
function of insulin-responsive cells and their ability to
respond to insulin. Insulin resistance is a substantial risk
factor for type 2 diabetes. [16].
To maintain normal glucose tolerance, pancreatic beta-cells
of the islet of Langerhans normally release enough insulin
to counteract drops in insulin levels. Many obese
individuals do not have hyperglycaemia but have insulin
resistance. Non-esterified fatty acids (NEFA), glycerol,
hormones, cytokines, proinflammatory agents, and some
other compounds that contribute to the expansion or
development of insulin resistance are all existing in grander
quantities in people suffering from obesity. Diabetes is
caused by insulin resistance coupled with a decline in -cell
function [17]. The key contributing causes include a
transition to a highly evolved sedentary lifestyle,
consuming meals rich in calories or fat, and not engaging in
sufficient physical activity [18]. There is a need for
combination treatment approaches for obesity and type 2
diabetes, according to several research [19].
Mishra International Journal of Horticulture, Agriculture and Food Science (IJHAF)
7(2)-2023
Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.)
https://aipublications.com/ijhaf/ Page | 9
VI. CONCLUSION
Consuming junk food contributes to an energy imbalance
and is directly linked to type 2 diabetes. A minor change in
eating habits can help prevent it. The risk of developing
diabetes has been shown to be reduced with diets rich in
cereals (whole grains), pulses (legumes) fruits, vegetables,
nuts and alcohol consumption in moderation. These diets
also tend to be lower in junk food, such as red and processed
meats, and sugar-sweetened drinks. The general people
have to be enlightened on the idea of energy balance and
given the cognitive tools necessary to combat their
propensity for overeating and sitting down too much. A
growing inactive population and the obesity pandemic may
both be addressed by the idea of regulated and uncontrolled
zones of energy balance. The stakeholders should
encourage people to comprehend the significance of
adopting a healthy lifestyle which may be conducive
towards reducing the modern epidemic.
VII. REFERENCES
[1] R. Pradeepa, and V. Mohan. “Epidemiology of type 2
diabetes in India”. Indian J Ophthalmol. Vol. 69, pp: 2932-
2938, 2021.
[2] “International Diabetes Federation”, Diabetes Atlas: Tenth
Edition, 2021.
[3] “International Diabetes Federation”, Diabetes Atlas: Eight
Edition, 2015.
[4] “International Diabetes Federation”, Diabetes Atlas: Eight
Edition, 2017.
[5] S. Mishra and N. Pareek. “Worldwide escalating prevalence
and future projections for type 2 diabetes: A review”.
International Journal of Research and Analytical Reviews.
Vol. 9(4), pp: 666-669, 2022.
[6] “World Obesity”. World Obesity Atlas. Vol. 2022, pp: 161-
62, 2022.
[7] W. Sami, T. Ansari, N.S. Butt and M. R. A. Hamid. “Effect
of diet on type 2 diabetes mellitus: A review”. Int J Health
Sci (Qassim). Vol. 11(2), pp. 65-71, 2017.
[8] S. S. Bohara, K. Thapa, L. D. Bhatt and S. S. Dhami.
“Determinants of junk foods consumption among adolescents
in Pokhara Valley, Nepal”. Frontiers in Nutrition. Vol. 8, pp:
644-650, 2021.
[9] O. J. Hill, R. W. Holly and C. P. John. “The importance of
energy balance”. European Endrocinology. Vol. 9(20), pp:
111-121, 2018.
[10] N. G. Forouhi, A. Mishra, V. Mohan, R. Taylor and W.
Yancy. “Dietary and nutritional approaches for prevention
and management of type 2 diabetes”. BMJ. doi:
10.1136/bmj.k2234. PMID: 29898883; PMCID:
PMC5998736, 2018.
[11] V. B. Heidelberg. “Consumption of sweet beverages and type
2 diabetes incidence in European adults: results from EPIC-
InterAct”. Diabetologia. Vol. 56, pp: 1520–1530, 2013.
[12] K. Papier, C. D. Este, C. Banwell, S. Seubsman, A. Sleigh
and S. Jordan. “Consumption of sugar-sweetened beverages
and type 2 diabetes incidence in Thai adults: results from an
8-year prospective study”. Nutrition & Diabetes. Vol. 7, pp:
238-240, 2017.
[13] S. A. Singh, D. Dhanasekaran, N. L. P. Ganamurali and S.
Sabarathinam. “Junk food-induced obesity- a growing threat
to youngsters during the pandemic”. Obes Med. doi:
10.1016/j.obmed.2021.100364. Epub 2021 Aug 12. PMID:
34580647; PMCID: PMC8459649, 2021.
[14] S. H. Ley, O. Hamdy, V. Mohan and B. H. Frank.
“Prevention and management of type 2 diabetes: dietary
components and nutritional strategies”. Lancet. Vol.
383(9933), 2014.
[15] Y. Wang, L. Xu, N. Wang, L. Zhu, Z. Fouxi, K. Xu, T. Liu
and C. Fu. “Association of dietary patterns and incident type
2 diabetes in a community populations cohort from south
west China”. Frontiers in Public Health. Vol. 10, pp: 7731-
7772, 2022.
[16] M. Y. Parmar, “Obesity and Type 2 Diabetes”. Integr Obesity
Diabetes, Vol. 4(4). doi:10.15761/IOD.1000217, 2018.
[17] A. S A. I. Goblin, M. A. A. I. Alfi and M. Z. Khan.
“Mechanism linking diabetes mellitus and obesity”. Diabetes
Metabolic Syndrome & Obesity: Targets & Therapy. Vol. 7,
pp: 587-591, 2014.
[18] V. Yumuk, C. Tsigos, M. Fried, K. Schindler, L. Busetto, D.
Micic and H. Toplak. “European guidelines for obesity
management in adults”. Obes Facts. 8:402–424, 2015.
[19] D. R. Leitner, G. Fruhbeck, V. Yumuk, K. Schindler, D.
Micic, E. Woodward and H. Toplak. “Obesity and Type 2
Diabetes: two diseases with a need for combined treatment
strategies - EASO Can lead the way”. Obes Facts. Vol. 10(5),
pp: 483-492, 2017.

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Consumption of Junk Foods and Risk of Type 2 Diabetes: A Review

  • 1. International Journal of Horticulture, Agriculture and Food Science (IJHAF) ISSN: 2456-8635 [Vol-7, Issue-2, Mar-Apr, 2023] Issue DOI: https://dx.doi.org/10.22161/ijhaf.7.2 Peer-Reviewed Journal Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.) https://aipublications.com/ijhaf/ Page | 7 Consumption of Junk Foods and Risk of Type 2 Diabetes: A Review Shubhi Mishra Research Scholar, Department of Food Science and Nutrition, Banasthali Vidyapith, Jaipur, Rajasthan, India. 304022. Received: 25 Feb 2023; Received in revised form: 16 Mar 2023; Accepted: 23 Mar 2023; Available online: 06 Apr 2023 ©2023 The Author(s). Published by AI Publications. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/) Abstract According to the estimation of International Diabetes Federation (IDF) 2021, there are 537 million diabetics worldwide. The purpose of the current review is to explore the relationship between consumption of junk food and type 2 diabetes. Junk food is defined as being easily accessible, typically inexpensive, and having low nutritive value. These foods have lesser amounts of iron, calcium, and dietary fiber and are higher in calories, salt, and saturated fat. Unhealthy diet is one of the important lifestyle factors responsible for several health conditions. Junk foods includes deep fried, processed or ultra-processed foods (UPFs) and high sugar containing foodstuffs and beverages such as Sugar Sweetened Beverages (SSBs) are directly linked with higher body mass index (BMI), adiposity and increased insulin resistance (IR). For pertinent databases IDF Atlas reports, PubMed, Springer, Elsevier, Web of Science and BMJ were searched for original and meta-analysis studies published up to March, 2023. In recent decades, consumption of these foods has significantly increased worldwide. The primary risk factor for type 2 diabetes is obesity and consuming junk foods is strongly associated with being obese. Junk food consequences include an increase in type 2 diabetes cases especially among youths and adult women compared to men. Obesity or high BMI indicate a positive energy balance due to junk food intake. As a result, the recurrent consumption of junk food increases the likelihood of developing the type 2 diabetes. Keywords— BMI, IDF, IR, obesity, SSBs, UPFs I. INTRODUCTION India is currently witnessing one of the speedily growing modern epidemics which have a significant role in confining the eminence of life and plummeting life expectancy. The burden diabetes is steadily increasing on a worldwide scale each passing day. Former names for type 2 diabetes include maturity-onset diabetes and non-insulin- dependent mellitus (NIDDM). It originates when beta-cells fail produce enough insulin to accommodate demand, typically in the context of progressive insulin resistance. Somehow, the beta cells have been unable to react to insulin resistance. Typically, adults over the age of 30 are affected. These days, young people and children are routinely diagnosed with it [1]. In India, the prevalence of type 2 diabetes and obesity has considerably grown during the past ten years. The present review's goal is to examine the connection between type 2 diabetes and an unhealthy diet, namely the intake of junk food. II. TYPE 2 DIABETES There are 537 million diabetics worldwide, according to the International Diabetes Federation's (IDF) 2021 estimate [2]. The findings of the International Diabetes Federation (IDF) report, which is published almost every two years since 2000, showed that the incidence of diabetes was 6.6% in the year 2010 and it was risen to 8.3% in the year 2013. In the year 2015 and 2017 it was increased up to 8.8% [3,4]. Prevalence was estimated 9.3% and 10.5 in the year 2019 and 2021 respectively. IDF projections from 2010 indicated that the incidence will be 7.8% in 2030, however the prevalence reportedly surpassed that number in 2013 [5]. According to IDF reports, the expected prevalence projections for the year 2045 range between 10.1% and 10.4%. However, it has already outperformed the IDF's predicted prevalence [5]. Several modifiable risk factors such as sedentary lifestyle or lack of exercise, obesity, unhealthy diet, stress and inadequate sleep are associated
  • 2. Mishra International Journal of Horticulture, Agriculture and Food Science (IJHAF) 7(2)-2023 Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.) https://aipublications.com/ijhaf/ Page | 8 with type 2 diabetes. Genetic predisposition, family history of diabetes, age, race and ethnicity are non-modifiable risk factors for type 2 diabetes. Unhealthy diet is the modifiable risk factor for type-2 diabetes; hence it can be altered to reduce the diabetic burden [1]. III. OBESITY Due to the intake of an unhealthy diet, obesity is the primary cause of type 2 diabetes, and its worldwide burden is increasing every single day. Between 1998 and 2015, the prevalence of obesity among women in India increased from 2.2% to 5.1%. According to the Global Obesity Atlas, Indian adult women (7.88%) have a greater prevalence of obesity than males (4.48%) [6]. Type 2 diabetes and obesity directly relate to one another. These both relate to insulin resistance. The energy imbalance between calories expended and ingested is the root of the issue [7, 1, 8]. Slight imbalances in energy intake and expenditure that compounded over time led to the worldwide obesity pandemic. The inability of existing strategies to effectively prevent obesity might be attributed to a lack of understanding of the physiologic mechanisms underpinning energy balance. Positive energy balance leads to insulin resistance and pathogenesis of development of diabetes is also associated with impaired glucose control [9]. In low- and middle-income nations, there have been significant dietary changes: In India, this embrace a significant rise in fat intake, which is combined with already high carbohydrate intake, a minor increase in total calories and protein, and a decrease in the consumption of coarse grains, pulses, fruits, and vegetables [10]. IV. JUNK FOODS AND TYPE 2 DIABETES Junk food is defined as being easily accessible, typically inexpensive, and having low nutritive value. These foods have lesser amounts of iron, calcium, and dietary fiber and are higher in calories, salt, and saturated fat. Unhealthy diet is one of the important lifestyle factors responsible for several health conditions [8]. Junk foods includes deep fried, processed or ultra-processed foods (UPFs) and high sugar containing foodstuffs and beverages such as sugar sweetened beverages (SSBs) are directly linked with higher body mass index (BMI), adiposity and increased insulin resistance (IR). The primary risk factor for type 2 diabetes is obesity and consuming junk foods is strongly associated with being obese [11]. Obesity or high BMI indicate a positive energy balance due to junk food intake. As a result, the recurrent consumption of junk food increases the likelihood of developing the type 2 diabetes. Junk food consequences include an increase in type 2 diabetes cases especially among youths and adult women compared to men [12;13]. Positive energy balance is the consequence of either higher energy intake from high calorie intake, lower energy expenditure through inactivity, or a combination of both of these [7]. A study found a correlation between increased intake of junk food, such as red/processed meats and sugar-sweetened drinks, and an increased chance of developing diabetes [14]. The risk of type 2 diabetes is dramatically reduced with higher adherence to vegetable- grain patterns and lower adherence to junk diet patterns [15]. Children and young people must be made urgently aware of these negative consequences of junk food and the fact that they should not be used as a substitute for a balanced diet. There has never been a better opportunity than today to create a loving atmosphere that promotes young people's participation in society and also ensuring their health [13]. V. MECHANISM LINKING OBESITY AND TYPE 2 DIABETES Chronic diseases like diabetes and obesity are becoming more prevalent globally. Body mass index and diabetes and insulin resistance are closely related. It is pretty apparent that being overweight or obese raises the likelihood of getting type 2 diabetes, especially when it comes to carrying extra weight around the stomach (abdomen). The body's responsiveness to the insulin it makes can be decreased by the production of "pro-inflammatory" substances by fat cells as a result of belly obesity by interfering with the function of insulin-responsive cells and their ability to respond to insulin. Insulin resistance is a substantial risk factor for type 2 diabetes. [16]. To maintain normal glucose tolerance, pancreatic beta-cells of the islet of Langerhans normally release enough insulin to counteract drops in insulin levels. Many obese individuals do not have hyperglycaemia but have insulin resistance. Non-esterified fatty acids (NEFA), glycerol, hormones, cytokines, proinflammatory agents, and some other compounds that contribute to the expansion or development of insulin resistance are all existing in grander quantities in people suffering from obesity. Diabetes is caused by insulin resistance coupled with a decline in -cell function [17]. The key contributing causes include a transition to a highly evolved sedentary lifestyle, consuming meals rich in calories or fat, and not engaging in sufficient physical activity [18]. There is a need for combination treatment approaches for obesity and type 2 diabetes, according to several research [19].
  • 3. Mishra International Journal of Horticulture, Agriculture and Food Science (IJHAF) 7(2)-2023 Article DOI: https://dx.doi.org/10.22161/ijhaf.7.2.2 (Int. j. hortic. agric. food sci.) https://aipublications.com/ijhaf/ Page | 9 VI. CONCLUSION Consuming junk food contributes to an energy imbalance and is directly linked to type 2 diabetes. A minor change in eating habits can help prevent it. The risk of developing diabetes has been shown to be reduced with diets rich in cereals (whole grains), pulses (legumes) fruits, vegetables, nuts and alcohol consumption in moderation. These diets also tend to be lower in junk food, such as red and processed meats, and sugar-sweetened drinks. The general people have to be enlightened on the idea of energy balance and given the cognitive tools necessary to combat their propensity for overeating and sitting down too much. A growing inactive population and the obesity pandemic may both be addressed by the idea of regulated and uncontrolled zones of energy balance. The stakeholders should encourage people to comprehend the significance of adopting a healthy lifestyle which may be conducive towards reducing the modern epidemic. VII. REFERENCES [1] R. Pradeepa, and V. Mohan. “Epidemiology of type 2 diabetes in India”. Indian J Ophthalmol. Vol. 69, pp: 2932- 2938, 2021. [2] “International Diabetes Federation”, Diabetes Atlas: Tenth Edition, 2021. [3] “International Diabetes Federation”, Diabetes Atlas: Eight Edition, 2015. [4] “International Diabetes Federation”, Diabetes Atlas: Eight Edition, 2017. [5] S. Mishra and N. Pareek. “Worldwide escalating prevalence and future projections for type 2 diabetes: A review”. International Journal of Research and Analytical Reviews. Vol. 9(4), pp: 666-669, 2022. [6] “World Obesity”. World Obesity Atlas. Vol. 2022, pp: 161- 62, 2022. [7] W. Sami, T. Ansari, N.S. Butt and M. R. A. Hamid. “Effect of diet on type 2 diabetes mellitus: A review”. Int J Health Sci (Qassim). Vol. 11(2), pp. 65-71, 2017. [8] S. S. Bohara, K. Thapa, L. D. Bhatt and S. S. Dhami. “Determinants of junk foods consumption among adolescents in Pokhara Valley, Nepal”. Frontiers in Nutrition. Vol. 8, pp: 644-650, 2021. [9] O. J. Hill, R. W. Holly and C. P. John. “The importance of energy balance”. European Endrocinology. Vol. 9(20), pp: 111-121, 2018. [10] N. G. Forouhi, A. Mishra, V. Mohan, R. Taylor and W. Yancy. “Dietary and nutritional approaches for prevention and management of type 2 diabetes”. BMJ. doi: 10.1136/bmj.k2234. PMID: 29898883; PMCID: PMC5998736, 2018. [11] V. B. Heidelberg. “Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC- InterAct”. Diabetologia. Vol. 56, pp: 1520–1530, 2013. [12] K. Papier, C. D. Este, C. Banwell, S. Seubsman, A. Sleigh and S. Jordan. “Consumption of sugar-sweetened beverages and type 2 diabetes incidence in Thai adults: results from an 8-year prospective study”. Nutrition & Diabetes. Vol. 7, pp: 238-240, 2017. [13] S. A. Singh, D. Dhanasekaran, N. L. P. Ganamurali and S. Sabarathinam. “Junk food-induced obesity- a growing threat to youngsters during the pandemic”. Obes Med. doi: 10.1016/j.obmed.2021.100364. Epub 2021 Aug 12. PMID: 34580647; PMCID: PMC8459649, 2021. [14] S. H. Ley, O. Hamdy, V. Mohan and B. H. Frank. “Prevention and management of type 2 diabetes: dietary components and nutritional strategies”. Lancet. Vol. 383(9933), 2014. [15] Y. Wang, L. Xu, N. Wang, L. Zhu, Z. Fouxi, K. Xu, T. Liu and C. Fu. “Association of dietary patterns and incident type 2 diabetes in a community populations cohort from south west China”. Frontiers in Public Health. Vol. 10, pp: 7731- 7772, 2022. [16] M. Y. Parmar, “Obesity and Type 2 Diabetes”. Integr Obesity Diabetes, Vol. 4(4). doi:10.15761/IOD.1000217, 2018. [17] A. S A. I. Goblin, M. A. A. I. Alfi and M. Z. Khan. “Mechanism linking diabetes mellitus and obesity”. Diabetes Metabolic Syndrome & Obesity: Targets & Therapy. Vol. 7, pp: 587-591, 2014. [18] V. Yumuk, C. Tsigos, M. Fried, K. Schindler, L. Busetto, D. Micic and H. Toplak. “European guidelines for obesity management in adults”. Obes Facts. 8:402–424, 2015. [19] D. R. Leitner, G. Fruhbeck, V. Yumuk, K. Schindler, D. Micic, E. Woodward and H. Toplak. “Obesity and Type 2 Diabetes: two diseases with a need for combined treatment strategies - EASO Can lead the way”. Obes Facts. Vol. 10(5), pp: 483-492, 2017.