Keren Papier (BPH Nutrition Hons l) is a PhD candidate at the National Centre for Epidemiology and Population Health and is a visiting student at the QIMR Berghofer Medical Research Institute. She is a public health nutritionist whose research interests include assessing the effect of diet on human health and international public health. Keren is currently focusing on the role of dietary change in the development of type 2 diabetes mellitus in Thailand.
The global prevalence of type 2 diabetes mellitus (T2DM) is reaching epidemic proportions and it is expected to keep rising, particularly in developing countries undergoing rapid economic growth. Thailand is a developing middle-income country that has recently undergone substantial
economic growth. Alongside this growth, Thailand experienced major demographic and dietary shifts (a nutrition transition), that have been
accompanied by a rise in non-communicable diseases like T2DM.
Although evidence indicates that the burden of T2DM is rising in Thailand and that a nutrition transition has occurred in parallel, little longitudinal
research has been undertaken to investigate this issue. This PhD aims to address this gap by assessing: the incidence of T2DM and its characteristics, the accuracy of self-reported T2DM diagnosis, the nutrition transition, and the long term effect of the nutrition transition on T2DM risk among Thai adults involved in the ongoing Thai cohort study (TCS) using eight year longitudinal TCS data.