Flourishing mental health and lifestyle behaviours in adults with type 1 and type 2 diabetes mellitus: Results from the diabetes miles – the netherlands study

C.M.M. Polhuis, E. van Bennekom, M. Bot, G. Nefs, L. Vaandrager, M. Habibovic, J.M. Geleijnse, F. Pouwer, S.S. Soedamah-Muthu

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Abstract

Objective
To examine the associations between mental health and lifestyle in adults with type 1 and type 2 diabetes mellitus (T1DM and T2DM).

Methods
Online survey data from the cross-sectional Diabetes MILES – The Netherlands Study was analysed, including 270 adults with T1DM and 325 with T2DM. Mental health status (flourishing, moderate and languishing) in relation to diet, physical activity, alcohol consumption and smoking was analysed with ANCOVA and logistic regressions (adjusted for confounders).

Results
47% of T1DM-, and 55% of T2DM participants reported flourishing mental health. Due to an insufficient number, participants with languishing mental health were excluded. In T2DM, participants with flourishing mental health had more optimal diet quality (mean ± SEM: 70 ± 1 vs 68 ± 1 diet quality score, p = 0.015), and physical activity levels (mean ± SEM: 3484 ± 269 vs 2404 ± 273 MET minutes/week, p = 0.001) than those with moderate mental health, but did not differ with respect to alcohol consumption and smoking. In T1DM, no significant associations were found.

Conclusion
Only in T2DM, people with flourishing mental health had more optimal lifestyle behaviours compared to people with moderate mental health. Further research is needed to determine if mental health is more important for specific lifestyle behaviours, and if the mental health effect differs across diabetes types.
Original languageEnglish
Article number110950
Number of pages8
JournalJournal of Psychosomatic Research
Volume160
DOIs
Publication statusPublished - 2022

Keywords

  • Diabetes
  • Lifestyle
  • Mental health
  • Positive psychology
  • Salutogenesis

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