The relationship of diabetes-related distress and depressive symptoms with physical activity and dietary behaviors in adults with type 2 diabetes: A cross-sectional study

Steven T. Johnson, Fatima Al Sayah, Nonsikelelo Mathe, Jeffrey A. Johnson

    Research output: Contribution to journalJournal Articlepeer-review

    16 Citations (Scopus)

    Abstract

    Aims Diabetes-related distress (DD) and depressive symptoms (DS) may influence self-management behaviors in people living with type 2 diabetes (T2D). We examined the association of DD and DS with physical activity (PA) and adherence to recommended dietary behaviors in adults with T2D. Methods Using baseline data from 2040 adults with T2D in the Alberta's Caring for Diabetes (ABCD) cohort study, DD, DS, PA and adherence to dietary behaviors were assessed. A composite variable for presence of DD and DS was computed for analyses. ANOVA and logistic regression tested independent associations of DS and DD with PA and adherence to diet. Results Participants were 64 ± 10.6 years, 45% female, 76% with annual household income ≤ $80,000, and 86% with high school education or more. Those with DD alone were 1.8 times (95% CI 1.1, 2.9) and those with DD and DS combined were 2.0 times (95% CI 1.1, 3.7) more likely not to meet PA guidelines compared to those without DD or DS. The presence of DS alone was not significantly associated with meeting PA guidelines (OR 1.4; 95% CI 0.7, 3.0). Compared to those without DD or DS, patients with DD alone (OR 1.5; 95% CI 1.4, 3.4), DS alone (OR 5.2; 95% CI 2.7, 9.7), or DD and DS combined (OR 2.5; 95% CI 1.6, 3.8) were more likely to have poor adherence to recommended dietary behaviors. Conclusions Greater distress or depressive symptoms were associated with worse self-management behaviors in adults with T2D. Attention to mental health status may improve participation in PA and adherence to diet recommendations in these patients.

    Original languageEnglish
    Pages (from-to)967-970
    Number of pages4
    JournalJournal of Diabetes and its Complications
    Volume30
    Issue number5
    DOIs
    Publication statusPublished - 1 Jul. 2016

    Keywords

    • Depressive symptoms
    • Diabetes distress
    • Diet recommendations
    • Physical activity

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