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

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...

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Main Authors: Sajedeh sadat moghaddam, Fateme Cheshmi, Narges Shahnazi, Poorya Basafa-Roodi, Mohammad Hasan Sohouli, Marzie Zilaee
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Diabetes Epidemiology and Management
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666970625000174
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author Sajedeh sadat moghaddam
Fateme Cheshmi
Narges Shahnazi
Poorya Basafa-Roodi
Mohammad Hasan Sohouli
Marzie Zilaee
author_facet Sajedeh sadat moghaddam
Fateme Cheshmi
Narges Shahnazi
Poorya Basafa-Roodi
Mohammad Hasan Sohouli
Marzie Zilaee
author_sort Sajedeh sadat moghaddam
collection DOAJ
description 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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spelling doaj-art-90a3b794a13d410894e468f36abdcd152025-08-20T02:07:34ZengElsevierDiabetes Epidemiology and Management2666-97062025-07-011910026910.1016/j.deman.2025.100269Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional studySajedeh sadat moghaddam0Fateme Cheshmi1Narges Shahnazi2Poorya Basafa-Roodi3Mohammad Hasan Sohouli4Marzie Zilaee5Student Research Committee, Ahvaz Jundishapur University of medical Sciences, Ahvaz, IranDepartment of Nutrition, School of Health and Nutrition, Lorestan University of Medical Sciences, Lorestan, IranDepartment of Nutrition, School of Health and Nutrition, Kermanshah University of Medical Sciences, Kermanshah, IranDepartment of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Corresponding author.Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackground: 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.http://www.sciencedirect.com/science/article/pii/S2666970625000174Dietary patternAnxietyType 2 diabetes mellitusDepressionStress
spellingShingle Sajedeh sadat moghaddam
Fateme Cheshmi
Narges Shahnazi
Poorya Basafa-Roodi
Mohammad Hasan Sohouli
Marzie Zilaee
Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
Diabetes Epidemiology and Management
Dietary pattern
Anxiety
Type 2 diabetes mellitus
Depression
Stress
title Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
title_full Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
title_fullStr Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
title_full_unstemmed Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
title_short Association of dietary patterns with anxiety, depression, and stress in patients with type 2 diabetes: a cross-sectional study
title_sort association of dietary patterns with anxiety depression and stress in patients with type 2 diabetes a cross sectional study
topic Dietary pattern
Anxiety
Type 2 diabetes mellitus
Depression
Stress
url http://www.sciencedirect.com/science/article/pii/S2666970625000174
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