Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study

IF 1 Q4 ENDOCRINOLOGY & METABOLISM

Diabetes epidemiology and management Pub Date : 2025-06-04 DOI:10.1016/j.deman.2025.100269

Sajedeh sadat moghaddam , Fateme Cheshmi , Narges Shahnazi , Poorya Basafa-Roodi , Mohammad Hasan Sohouli , Marzie Zilaee

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Abstract

Background

psychiatric problems such as depression, anxiety, and stress are common among patients with type 2 diabetes. Dietary patterns are more likely to have an essential role in the control of diabetes and its complications.

Objective

This study was conducted to assess the associations between dietary patterns with psychological parameters, and fasting blood sugar in patients with type 2 diabetes mellitus.

Methods

This cross-sectional study involved 419 men and women with type 2 diabetes aged between 25–50 years old from five health centers in Arak City, Iran. Anthropometric indices and fasting blood sugar were measured and a 168-item food frequency questionnaire (FFQ) was collected for the extraction of main dietary patterns.

Result

We found that adhering to a healthy dietary pattern was associated with a lower risk to stress (odds ratio: 0.31, 95% confidence interval: 0.13-0.72 P-trend= 0.002) while adhering to a western dietary pattern linked to higher fasting blood glucose (odds ratio: 2.25, 95% confidence interval: 1.00-5.06 P-trend= 0.039) after taking into account for confounding factors by ANCOVA. We found no significant correlation between the dietary patterns and both anxiety and depression.

Conclusion

It seems that in patients with type 2 diabetes, following a healthy dietary pattern is more likely to inversely associated with the risk of stress and hyperglycemia.

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2型糖尿病患者饮食模式与焦虑、抑郁和压力的关系：一项横断面研究

精神问题，如抑郁、焦虑和压力在2型糖尿病患者中很常见。饮食模式更有可能在控制糖尿病及其并发症方面发挥重要作用。目的探讨2型糖尿病患者饮食模式与心理参数及空腹血糖的关系。方法：这项横断面研究涉及来自伊朗阿拉克市5个健康中心的419名年龄在25-50岁之间的2型糖尿病男性和女性。测定人体测量指标和空腹血糖，并收集168项食物频率问卷（FFQ），提取主要膳食模式。结果经方差分析发现，坚持健康饮食模式与较低的应激风险相关（优势比：0.31,95%可信区间：0.13-0.72 p趋势= 0.002），而坚持西方饮食模式与较高的空腹血糖相关（优势比：2.25,95%可信区间：1.00-5.06 p趋势= 0.039）。我们发现饮食模式与焦虑和抑郁之间没有显著的相关性。结论在2型糖尿病患者中，遵循健康的饮食模式更可能与应激和高血糖的风险呈负相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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