TY - JOUR
T1 - Flourishing mental health and lifestyle behaviours in adults with Type 1 and Type 2 Diabetes Mellitus
T2 - results from the Diabetes MILES – The Netherlands Study
AU - Polhuis, Kristel C. M. M.
AU - van Bennekom, Eline
AU - Bot, Mariska
AU - Nefs, Giesje
AU - Vaandrager, Lenneke
AU - Habibovic, Mirela
AU - Geleijnse, Johanna M.
AU - Pouwer, Frans
AU - Soedamah-Muthu, Sabita S.
N1 - Funding Information: The Diabetes MILES-NL study was supported by the Prof. dr. J. Terpstra Young Investigator Award 2010 from the Dutch Association for Diabetes Research (Nederlandse Vereniging voor Diabetes Onderzoek)/Lilly Diabetes to GN. The funding source had no role in the design, data collection, analysis or interpretation of the study, or in the decision to submit the manuscript for publication. Funding Information: We would like to thank all participants who participated in Diabetes MILES-NL study. We also thank Professor Jane Speight (affiliated with the Deakin University, and The Australian Centre for Behavioural Research in Diabetes) for her central role in the international Diabetes MILES collaborative, and her advice for setting up the Diabetes MILES study in the Netherlands. We thank the Dutch Association for Diabetes Research for the grant for the Diabetes MILES study. Finally, we thank the Dutch Diabetes Association and the Dutch Diabetes Research Foundation for their kind and very valuable assistance in the recruitment of participants. Publisher Copyright: © 2022
PY - 2022/9/1
Y1 - 2022/9/1
N2 - 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.
AB - 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.
KW - Diabetes
KW - Lifestyle
KW - Mental health
KW - Positive psychology
KW - Salutogenesis
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85131680905&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/35691119
UR - http://www.scopus.com/inward/record.url?scp=85131680905&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jpsychores.2022.110950
DO - https://doi.org/10.1016/j.jpsychores.2022.110950
M3 - Article
C2 - 35691119
SN - 0022-3999
VL - 160
JO - Journal of psychosomatic research
JF - Journal of psychosomatic research
M1 - 110950
ER -