Relationship of the adherence to the Mediterranean diet with health-related quality of life and treatment satisfaction in patients with type 2 diabetes mellitus: a post-hoc analysis of a cross-sectional study

Health and Quality of Life Outcomes

Short Report

Joan Valls¹  Montserrat Martinez-Alonso¹  Jesus Vioque²  Eva Maria Navarrete-Muñoz²  Nuria Alcubierre³  Maria Dolores Martínez-González³  Minerva Granado-Casas³  Marta Hernández⁴  Alicia Traveset⁵  Carmen Jurjo⁵  Esther Rubinat⁶  Didac Mauricio⁷ 

[1] Biostatistics Unit, Institut de Recerca Biomèdica de Lleida, University of Lleida, 25198, Lleida, Spain;Consortium for Biomedical Research in Epidemilogy and Public Health (CIBER en Epidemiología y Salud Pública CIBERESP), 28029, Madrid, Spain;Public Health Department, Miguel Hernandez University, Alicante, Spain;Institut de Recerca Biomèdica de Lleida, University of Lleida, 25198, Lleida, Spain;Institut de Recerca Biomèdica de Lleida, University of Lleida, 25198, Lleida, Spain;Department of Endocrinology and Nutrition, University Hospital Arnau de Vilanova, 25198, Lleida, Spain;Institut de Recerca Biomèdica de Lleida, University of Lleida, 25198, Lleida, Spain;Department of Ophthalmology, University Hospital Arnau de Vilanova, 25198, Lleida, Spain;Unitat de Suport a la Recerca de Barcelona, Institut Universitari d’Investigació en Atenció. Primària Jordi Gol (IDIAP Jordi Gol), CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), 08007, Barcelona, Spain;Unitat de Suport a la Recerca de Barcelona, Institut Universitari d’Investigació en Atenció. Primària Jordi Gol (IDIAP Jordi Gol), CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), 08007, Barcelona, Spain;Department of Endocrinology and Nutrition, University Hospital and Health Sciences Research Institute Germans Trias Pujol, CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), 08916, Badalona, Spain;

关键词: Type 2 diabetes mellitus;    Relative Mediterranean Diet score;    Quality of life;    Treatment satisfaction;    Mediterranean diet;   

DOI  :  10.1186/s12955-016-0473-z

 received in 2016-02-10, accepted in 2016-04-24,  发布年份 2016

来源: Springer

【 摘 要 】

ObjectiveThe main aim of this study was to assess the association between adherence to the traditional Mediterranean diet (MedDiet) and health-related quality of life (HRQoL) and treatment satisfaction in patients with type 2 diabetes mellitus (T2DM).MethodsThis cross-sectional study included 294 patients with T2DM (146 with diabetic retinopathy and 148 without retinopathy). HRQoL and treatment satisfaction were assessed with the Audit Diabetes-Dependent Quality of Life and Diabetes Treatment Satisfaction Questionnaires, respectively. Adherence to the MedDiet was evaluated with the relative Mediterranean Diet Score (rMED). The rMED was added to multivariate linear regression models to assess its relative contribution as a quantitative as well as a qualitative variable after recoding to maximize each of the model’s coefficients of determination to explain quality of life as well as treatment satisfaction dimensions.ResultsThe adherence to the Mediterranean diet showed no significant association with the overall quality of life score. However, rMED was associated with some HRQoL dimensions: travels, self-confidence and freedom to eat and drink (p = 0.020, p = 0.015, p = 0.037 and p = 0.015, respectively). Concerning treatment satisfaction, rMED was positively associated with its overall score (p = 0.046), and especially with the understanding of diabetes (p = 0.0004) and treatment recommendation (p = 0.036), as well as with the perceived frequency of hyperglycaemias (p = 0.039).ConclusionAdherence to the Mediterranean diet was associated with greater treatment satisfaction in patients with T2DM. Although we found no association with overall HRQoL, adherence to this dietary pattern was associated with some quality of life dimensions.

【 授权许可】

CC BY   
© Alcubierre et al. 2016