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Flourishing mental health and lifestyle behaviours in adults with type 1 and type 2 diabetes mellitus: Results from the diabetes miles – the netherlands study
Polhuis,C.M.M. van Bennekom,E. Bot,M. Nefs,G. Vaandrager,L. Habibovic,M. Geleijnse,J.M. Pouwer,F. Soedamah-Muthu,S.S.
Polhuis,C.M.M.
van Bennekom,E.
Bot,M.
Nefs,G.
Vaandrager,L.
Habibovic,M.
Geleijnse,J.M.
Pouwer,F.
Soedamah-Muthu,S.S.
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.
Description
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.
Date
2022
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Keywords
Diabetes, Lifestyle, Mental health, Positive psychology, Salutogenesis, SDG 3 - Good Health and Well-being
Citation
Polhuis, C M M, van Bennekom, E, Bot, M, Nefs, G, Vaandrager, L, Habibovic, M, Geleijnse, J M, Pouwer, F & Soedamah-Muthu, S S 2022, 'Flourishing mental health and lifestyle behaviours in adults with type 1 and type 2 diabetes mellitus : Results from the diabetes miles – the netherlands study', Journal of Psychosomatic Research, vol. 160, 110950. https://doi.org/10.1016/j.jpsychores.2022.110950