The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes
Granado-Casas, Minerva (Institut de Recerca Biomèdica de Lleida)
Martín, Mariona (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Martinez-Alonso, Montserrat (Institut de Recerca Biomèdica de Lleida)
Alcubierre, Nuria (Institut de Recerca Biomèdica de Lleida)
Hernández, Marta (Institut de Recerca Biomèdica de Lleida)
Alonso Pedrol, Núria (Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas)
Castelblanco, Esmeralda (Institut d'Investigació Biomèdica Sant Pau)
Mauricio Puente, Dídac (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	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 (β = 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" (β = 0. 03, 95% CI = 0. 00; 0. 06; p = 0. 042 and β = 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" (β = -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.
Grants:	Instituto de Salud Carlos III PI12/0183 Instituto de Salud Carlos III PI15/0625 Instituto de Salud Carlos III PT17/0015/0045 Instituto de Salud Carlos III PT17/0015/0027 Ministerio de Educación, Cultura y Deporte FPU15/03005
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Mediterranean Diet ; Quality of life ; Treatment satisfaction ; Type 1 diabetes ; Dietary pattern ; Patient-reported outcomes ; Nutrient intake
Published in:	Nutrients, Vol. 12 (january 2020) , ISSN 2072-6643

DOI: 10.3390/nu12010131
PMID: 31906543

10 p, 278.0 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles