Evidence map›Paper›PMID 40859203›Full record

ArticleBMC public health2025

Vitamin intake and its association with type 2 diabetes mellitus (T2DM) among Malaysian adults.

Zaleha Md Isa, Rosnah Ismail, Mohd Hasni Ja'afar, Noor Hassim Ismail, Azmi Mohd Tamil, Nafiza Mat Nasir, Noorhida Baharudin, Nurul Hafiza Ab Razak, Najihah Zainol Abidin, Victoria Miller and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zaleha Md IsaFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Rosnah IsmailFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. drrose@ukm.edu.my.
Mohd Hasni Ja'afarFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Noor Hassim IsmailFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Azmi Mohd TamilFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Nafiza Mat NasirFaculty of Medicine, Department of Primary Care Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia.
Noorhida BaharudinFaculty of Medicine, Department of Primary Care Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia.
Nurul Hafiza Ab RazakFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Najihah Zainol AbidinFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Victoria MillerPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada.
Khairul Hazdi YusofFaculty of Medicine, Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin deficiency could increase the prevalence of type 2 diabetes mellitus (T2DM). Thus, this study aimed to determine the association between dietary vitamin intake and the prevalence of T2DM among the Malaysian adult population.

methodsThis cross-sectional study involved 9,314 participants from Prospective Urban and Rural Epidemiology Study (PURE) conducted in Malaysia. The participants comprised of 43% (4003) males and 57% (5311) females with mean age of 51.2 ± 9.4 years old. Participants were classified into the T2DM group if they reported having been diagnosed with T2DM or had a glucose level of ≥ 7 mmol/L (fasting blood glucose) or ≥ 11.1 mmol/L (non-fasting blood glucose). A validated food frequency questionnaire was used to measure the participants' usual dietary intake. The intake of dietary vitamins A, B6, B9, B12, C, E, and K was calculated based on nutrient databases.

resultsThe T2DM prevalence was 16.9% among Malaysian adult population. The prevalences of inadequate dietary vitamin intake were elevated for vitamins A (22.8%) and C (28.8%), and notably high for vitamins B6 (98.3%), B9 (100.0%), B12 (80.5%), E (91.3%), and K (82.2%). The intake of dietary vitamins B6, B9, B12, C, E, and K was significantly lower among T2DM patients compared to those without T2DM (p-value < 0.05) when adjusted for covariates. Additionally, higher intake of dietary vitamins A, B6, B9, B12, C, E, and K was significantly associated with a reduced prevalence of T2DM (p-value < 0.05) when adjusted for covariates.

conclusionThis study found an alarming deficiency of vitamins A, B6, B9, B12, C, E, and K in the dietary intake among the Malaysian adult population regardless of T2DM status. The dietary vitamin deficiency (vitamins B6, B9, B12, E, and K) was more susceptible among those with T2DM compared to non-T2DM. This study indicated that higher dietary vitamin intake (vitamins A, B6, B9, B12, C, E, and K) could benefit by reducing the prevalence of T2DM. Therefore, an adequate intake of dietary vitamins is crucial for this study population to reduce the prevalence of T2DM.

Indexed as

Diabetes Mellitus, Type 2DietVitaminsAdultAgedCross-Sectional StudiesFemaleHumansMalaysiaMaleMiddle AgedPrevalenceProspective StudiesVitaminsAdultDietary intakeMalaysiaT2DMVitamins

Identifiers

PMID40859203
PMCPMC12379398

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.