Depressive and anxiety symptoms and following of the dutch dietary guidelines 2015 in adults with diabetes: Results from Diabetes MILES-The Netherlands

Y.D. Vogtschmidt*, G.M. Nefs, J. Speight, M. Bot, Frans Pouwer, S.S. Soedamah-Muthu

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
This study aims to examine the associations between following of the Dutch dietary guidelines 2015 and elevated depressive and anxiety symptoms in adults with diabetes.

Methods
Cross-sectional data of 3174 people (47% men, mean age 55 ± 14 years) with type 1 diabetes (n = 1369) and type 2 diabetes (n = 1805) participating in Diabetes MILES-The Netherlands were analysed. Following of the Dutch dietary guidelines 2015 was quantified using the Dutch Healthy Diet 2015 (DHD15)-index (12 food components; total score range 0-120 points), calculated from a 32-item food frequency questionnaire. Cases with elevated depressive and anxiety symptoms (cutoff ≥ 10) were measured using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Cox regression models were used to estimate the prevalence ratios (PRs) adjusted for demographical, lifestyle related, clinical and biomedical factors.

Results
Elevated depressive and anxiety symptoms were present in 167 (12%) and 89 (7%) of participants with type 1 diabetes and 215 (12%) and 97 (5%) of those with type 2 diabetes, respectively. In the total sample (n = 3174), a DHD15-index score in the highest quartile was associated with lower prevalence of elevated depressive symptoms, compared to the lowest quartile with an adjusted PR [95% CI] of 0.73 [0.55-0.98]. The inverse association was more pronounced among participants with type 2 diabetes and among non-smokers. There was no association with elevated anxiety symptoms (adjusted PR [95% CI]: 1.03 [0.68-1.55]).

Conclusion
Closer following of the Dutch dietary guidelines 2015 was associated with a lower likelihood of elevated depressive symptoms in adults with type 2 diabetes.
Original languageEnglish
Article number110160
Number of pages8
JournalJournal of Psychosomatic Research
Volume135
DOIs
Publication statusE-pub ahead of print - 2020

Keywords

  • Anxiety
  • Depression
  • Diabetes MILES-The Netherlands
  • Diabetes mellitus
  • Dutch dietary guidelines 2015
  • Healthy diet

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