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Polhuis KCMM, van Bennekom E, Bot M, Nefs G, Vaandrager L, Habibovic M, Geleijnse JM, Pouwer F, Soedamah-Muthu SS. Flourishing mental health and lifestyle behaviours in adults with Type 1 and Type 2 Diabetes Mellitus: results from the Diabetes MILES - The Netherlands Study. J Psychosom Res 2022; 160:110950. [PMID: 35691119 DOI: 10.1016/j.jpsychores.2022.110950] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 05/23/2022] [Accepted: 05/23/2022] [Indexed: 11/15/2022]
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.
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Affiliation(s)
- Kristel C M M Polhuis
- Health and Society, Social Sciences, Wageningen University and Research, Hollandseweg 1, P.O. Box 8130, 6707 KN Wageningen, the Netherlands.
| | - Eline van Bennekom
- Health and Society, Social Sciences, Wageningen University and Research, Hollandseweg 1, P.O. Box 8130, 6707 KN Wageningen, the Netherlands; Department of Medical and Clinical Psychology, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, the Netherlands
| | - Mariska Bot
- Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Oldenaller 1, 1081 HJ Amsterdam, the Netherlands.
| | - Giesje Nefs
- Department of Medical and Clinical Psychology, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, the Netherlands; Department of Medical Psychology, Radboud university medical center, Radboud Institute for Health Sciences, Huispost 926, PO Box 9101, 6500 HB Nijmegen, the Netherlands; Diabeter, National Treatment and Research Center for Children, Adolescents and Adults With Type 1 Diabetes, Blaak 6, 3011 TA Rotterdam, the Netherlands.
| | - Lenneke Vaandrager
- Health and Society, Social Sciences, Wageningen University and Research, Hollandseweg 1, P.O. Box 8130, 6707 KN Wageningen, the Netherlands.
| | - Mirela Habibovic
- Department of Medical and Clinical Psychology, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, the Netherlands.
| | - Johanna M Geleijnse
- Division of Human Nutrition and Health, Wageningen University and Research, Stippeneng 4, P.O. Box 176700, AA Wageningen, 6708 WE Wageningen, The Netherlands.
| | - Frans Pouwer
- Department of Psychology, University of Southern Denmark, Campusvej 55, Odense M DK-5230, Denmark; Steno Diabetes Center Odense (SDCO), Odense Universitetshospital, Kløvervænget 10, 5000 Odense C, Denmark; School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia.
| | - Sabita S Soedamah-Muthu
- Department of Medical and Clinical Psychology, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE, Tilburg, the Netherlands; Institute for Food, Nutrition and Health (IFNH), University of Reading, Whiteknights, Pepper Lane Whiteknights, RG6 6AR Reading, United Kingdom.
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Burke J, Dunne PJ. Lifestyle medicine pillars as predictors of psychological flourishing. Front Psychol 2022; 13:963806. [PMID: 35967674 PMCID: PMC9372448 DOI: 10.3389/fpsyg.2022.963806] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 07/08/2022] [Indexed: 11/30/2022] Open
Abstract
Positive Psychology Interventions (PPI) are widely applied to improving wellbeing and helping individuals flourish. At the same time, Lifestyle Medicine (LM) offers an opportunity to boost PPI and psychological research, by expanding its capacity beyond psychology, to include the body and social environment. However, little is known about the relationship between LM and positive psychology flourishing models. Flourishing is as a stage of optimal human functioning that goes beyond moderate wellbeing. The objective of this cross-sectional study was to, (1) identify which of the six LM pillars (sleep, physical exercise, eating well, alcohol intake, social engagement, stress management) best-predicted flourishing; (2) examine the relationship between the number of LM pillars used by individuals and flourishing; and (3) determine the odds of using LM pillars by flourishers. A total of 1,112 participants, mostly female professionals (73%), aged 40-59 (77%), based in Ireland, completed an online survey. Regression analysis showed that all six LM pillars predicted flourishing as measured by the PERMA Profiler (including the Physical Health component) and the Mental Health Continuum (MHC). Moreover, the chi-square and odds ratio analysis showed that those who flourished were three times more likely to use 3-6 LM pillars than those who were moderately well; and nine times more likely than languishers. The results are discussed in the context of their contribution to enhancing the population's health and wellbeing.
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Affiliation(s)
- Jolanta Burke
- Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland
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