Next Article in Journal
Gastroesophageal Reflux Disease and Probiotics: A Systematic Review
Previous Article in Journal
Health-Promoting Properties of Proanthocyanidins for Intestinal Dysfunction
Previous Article in Special Issue
Somatotropic Axis and Obesity: Is There Any Role for the Mediterranean Diet?
Open AccessArticle

The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes

1
Department of Endocrinology and Nutrition, Health Sciences Research Institute & University Hospital Germans Trias i Pujol, 08916 Badalona, Spain
2
Biomedical Research Institute of Lleida (IRBLleida) & University of Lleida, 25198 Lleida, Spain
3
Systems Biology and Statistical Methods for Biomedical Research, Biomedical Research Institute of Lleida (IRBLleida), University of Lleida, 25198 Lleida, Spain
4
Department of Endocrinology and Nutrition, Biomedical Research Institute of Lleida (IRBLleida) & University Hospital Arnau de Vilanova, 25198 Lleida, Spain
5
Centre for Biomedical Research on Diabetes and Associated Metabolic Diseases (CIBERDEM), Instituto de Salud Carlos III, 08041 Barcelona, Spain
6
Department of Endocrinology and Nutrition, University Hospital de la Santa Creu i Sant Pau & Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Autonomous University of Barcelona, 08041 Barcelona, Spain
*
Authors to whom correspondence should be addressed.
Nutrients 2020, 12(1), 131; https://doi.org/10.3390/nu12010131
Received: 13 October 2019 / Revised: 30 November 2019 / Accepted: 12 December 2019 / Published: 2 January 2020
(This article belongs to the Special Issue Impact of adherence to the Mediterranean diet on health)
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. View Full-Text
Keywords: Mediterranean Diet; quality of life; treatment satisfaction; type 1 diabetes; dietary pattern; patient-reported outcomes; nutrient intake Mediterranean Diet; quality of life; treatment satisfaction; type 1 diabetes; dietary pattern; patient-reported outcomes; nutrient intake
MDPI and ACS Style

Granado-Casas, M.; Martin, M.; Martínez-Alonso, M.; Alcubierre, N.; Hernández, M.; Alonso, N.; Castelblanco, E.; Mauricio, D. The Mediterranean Diet is Associated with an Improved Quality of Life in Adults with Type 1 Diabetes. Nutrients 2020, 12, 131.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop