Department of Endocrinology and Nutrition, Health Sciences Research Institute & University Hospital Germans Trias i Pujol, 08916 Badalona, Spain.
Biomedical Research Institute of Lleida (IRBLleida) & University of Lleida, 25198 Lleida, Spain.
Nutrients. 2020 Jan 2;12(1):131. doi: 10.3390/nu12010131.
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; = 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; = 0.042 and β = 0.04; 95% CI = 0.01; 0.06; = 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; = 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.
这项研究旨在评估饮食模式（即地中海饮食和健康饮食）与 1 型糖尿病（T1D）患者报告的生活质量（QoL）和治疗满意度（TS）之间的潜在关联。通过个人访谈向 258 名 T1D 患者发放了食物频率问卷、糖尿病依赖生活质量评估（ADDQoL-19）和糖尿病治疗满意度问卷-现状版（DTSQ-s）。多变量分析显示，中等到高度遵循地中海饮食与更大的糖尿病特异性 QoL 相关（β=0.32，95%CI=0.03；0.61；=0.029）。没有任何饮食质量指数（即替代地中海饮食评分[aMED]和替代健康饮食指数[aHEI]）与整体 TS 相关。然而，aHEI 与 TS 的具体项目“便利性”和“灵活性”呈正相关（β=0.03，95%CI=0.00；0.06；=0.042 和β=0.04；95%CI=0.01；0.06；=0.011，分别）。另一方面，aHEI 与维度“推荐给他人”呈负相关（β=-0.5，95%CI=-0.99；-0.02；=0.042）。总之，中等和高度遵循地中海饮食与更高的 QoL 相关。虽然 aMED 和 aHEI 都与整体 TS 无关，但一些特定项目与 aHEI 呈正相关（即“便利性”、“灵活性”）或负相关（“推荐给他人”）。需要进一步研究如何改善医学营养疗法及其对 T1D 患者报告结果的影响。
