d77c749c556733436749de939866af3b 252400.pdf 020f51e3e411e76ba504173608a7d92f15274fc5 252400.pdf a8177cb12983e72291a72c188a76a0bbd99d445cda59a6532a7870c49a4dd8e9 252400.pdf Title: The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes Subject: This study aimed to assess the potential association between dietary patterns (i.e., the Mediterranean Diet (MedDiet) and healthy eating) and patient-reported quality of life (QoL) and treatment satisfaction (TS) in adults with type 1 diabetes (T1D). A food frequency questionnaire, the Audit of Diabetes-Dependent Quality of Life (ADDQoL-19), and the Diabetes Treatment Satisfaction Questionnaire-status version (DTSQ-s) were administered via personal interviews to 258 participants with T1D. Multivariable analysis showed that a moderate or high adherence to the MedDiet was associated with greater diabetes-specific QoL ( = 0.32, 95% CI = 0.03; 0.61; p = 0.029). None of the dietary quality indexes (i.e., the alternate Mediterranean Diet Score (aMED) and the alternate Healthy Eating Index (aHEI)) were associated with the overall TS. However, the aHEI was positively associated with the specific items of TS “convenience” and “flexibility” ( = 0.03, 95% CI = 0.00; 0.06; p = 0.042 and = 0.04; 95% CI = 0.01; 0.06; p = 0.011, respectively). On the other hand, the aHEI was negatively associated with the dimension “recommend to others” ( = -0.5, 95% CI = -0.99; -0.02; p = 0.042). In conclusion, a moderate and high adherence to the MedDiet was associated with greater QoL. Although neither aMED nor aHEI were associated with the overall TS, some specific items were positively (i.e., “convenience”, “flexibility”) or negatively (“recommend to others”) related to the aHEI. Further research is needed to assess how to improve medical nutrition therapy and its impact on patient-reported outcomes in people with T1D. Keywords: Mediterranean Diet; quality of life; treatment satisfaction; type 1 diabetes; dietary pattern; patient-reported outcomes; nutrient intake Author: Minerva Granado-Casas, Mariona Martin, Montserrat Martínez-Alonso, Nuria Alcubierre, Marta Hernández, Núria Alonso, Esmeralda Castelblanco and Didac Mauricio Creator: LaTeX with hyperref package Producer: pdfTeX-1.40.18 CreationDate: Thu Jan 2 11:06:08 2020 CET ModDate: Thu Jan 2 11:06:08 2020 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 10 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 284641 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- NEVIST+URWPalladioL-Ital Type 1 Custom yes yes no 75 0 PODIZO+URWPalladioL-Bold Type 1 Custom yes yes no 76 0 JGBJTI+VnURWPalladioL-Bold Type 1 Custom yes yes no 77 0 ZGWQVJ+URWPalladioL-Roma Type 1 Custom yes yes 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