PMID- 33820646
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20211124
IS  - 1879-1360 (Electronic)
IS  - 0022-3999 (Linking)
VI  - 145
DP  - 2021 Jun
TI  - Association between the level of adherence to dietary guidelines and depression 
      among Korean patients with type 2 diabetes mellitus.
PG  - 110463
LID - S0022-3999(21)00108-2 [pii]
LID - 10.1016/j.jpsychores.2021.110463 [doi]
AB  - OBJECTIVE: This study aimed to examine the cross-sectional association between 
      adherence to dietary guidelines for type 2 diabetes mellitus (T2DM) and 
      depression. METHODS: A total of 3457 patients with T2DM were included. Dietary 
      information was obtained using 24-h recall, and adherence to dietary guidelines 
      was estimated using the Korean Diabetes Association-Korean Ministry of Health and 
      Welfare index. Depression was evaluated using a questionnaire. Participants who 
      had responded "yes" to any of the three questions related to diagnosis, current 
      condition, and treatment were defined as depression. Multivariable logistic 
      regression analysis was used to examine the association between adherence to 
      dietary guidelines and depression. RESULTS: T2DM patients with a lower score on 
      adherence to dietary guidelines were more likely to report depression than those 
      with a higher score (Odds ratios (OR): 0.51, 95% Confidence Interval (CI): 
      0.30-0.87). Patients with poor adherence to moderate calorie consumption (OR: 
      1.65, 95% CI: 1.07-2.52) and regular meal patterns (OR: 1.69, 95% CI: 1.15-2.50) 
      were more likely to report depression. However, patients with poor adherence to 
      low sodium intake were less likely to report depression (OR: 0.60, 95% CI: 
      0.40-0.88), and no association was observed between moderate carbohydrate 
      consumption, sufficient vegetable/seaweed consumption, and moderate alcohol 
      consumption and depression. CONCLUSION: Good adherence to dietary guidelines was 
      closely associated with a lower prevalence of depression among individuals with 
      type 2 diabetes, but the specific guidelines were inconsistent. Systematic and 
      continuous nutrition education for individuals with T2DM is necessary to improve 
      their mental health outcomes.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Park, Seonghee
AU  - Park S
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-ro, Gyeongsan, 
      Gyeongbuk 38541, Republic of Korea.
FAU - Park, Kyong
AU  - Park K
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-ro, Gyeongsan, 
      Gyeongbuk 38541, Republic of Korea. Electronic address: kypark@ynu.ac.kr.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210325
PL  - England
TA  - J Psychosom Res
JT  - Journal of psychosomatic research
JID - 0376333
SB  - IM
MH  - Cross-Sectional Studies
MH  - Depression/epidemiology
MH  - *Diabetes Mellitus, Type 2/complications/epidemiology
MH  - Humans
MH  - Nutrition Policy
MH  - Republic of Korea
OTO - NOTNLM
OT  - Depression
OT  - Diabetes mellitus
OT  - Diet therapy
OT  - Korean
OT  - Patient compliance
OT  - Type 2 diabetes
COIS- Declaration of competing interest The authors have no competing interests to 
      report.
EDAT- 2021/04/07 06:00
MHDA- 2021/11/25 06:00
CRDT- 2021/04/06 05:28
PHST- 2020/10/17 00:00 [received]
PHST- 2021/03/22 00:00 [revised]
PHST- 2021/03/23 00:00 [accepted]
PHST- 2021/04/07 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2021/04/06 05:28 [entrez]
AID - S0022-3999(21)00108-2 [pii]
AID - 10.1016/j.jpsychores.2021.110463 [doi]
PST - ppublish
SO  - J Psychosom Res. 2021 Jun;145:110463. doi: 10.1016/j.jpsychores.2021.110463. Epub 
      2021 Mar 25.