Relationship between diabetic peripheral neuropathy and adherence to the Mediterranean diet in patients with type 2 diabetes mellitus: an observational study

• Published in: Journal of endocrinological investigation 2024-10, Vol.47 (10), p.2603-2613
• Main Authors: Zúnica-García, S., Blanquer-Gregori, J. J., Sánchez-Ortiga, R., Jiménez-Trujillo, M. I., Chicharro-Luna, E.
• Format: Article
• Language: English
• Subjects: Aged; Diabetes Mellitus, Type 2 - complications; Diabetes Mellitus, Type 2 - diet therapy; Diabetes Mellitus, Type 2 - epidemiology; Diabetic Neuropathies - diet therapy; Diabetic Neuropathies - epidemiology; Diabetic Neuropathies - etiology; Diet, Mediterranean - statistics & numerical data; Endocrinology; Female; Humans; Internal Medicine; Male; Medicine; Medicine & Public Health; Metabolic Diseases; Middle Aged; Original Article; Patient Compliance - statistics & numerical data; Pilot Projects; Surveys and Questionnaires
• ISSN: 1720-8386; 1720-8386
• DOI: 10.1007/s40618-024-02341-2

Purpose The main study goal is to assess the relationship between adherence to the mediterranean diet (MD) and the presence of diabetic peripheral neuropathy (DPN) in patients with type 2 diabetes mellitus (T2DM). Methods Observational pilot study of 174 patients diagnosed with T2DM. Sociodemographic and anthropometric variables, physical activity, smoking habits, blood biochemical parameters and comorbidities were recorded. The presence of alterations in sensitivity to pressure, pain, thermal and vibration was explored. Good MD adherence was a score  ≥  9 the 14-point MD adherence questionnaire (MEDAS-14). Results The study population consisted of 174 patients (61.5% men and 38.5% women), with a mean age of 69.56 ± 8.86 years; 19% of these patients adhered to the MD. The score obtained in the MEDAS-14 was higher in patients who did not present alterations in sensitivity to pressure ( p  = 0.047) or vibration ( p  = 0.021). The patients without diabetic peripheral neuropathy were more likely to comply with the MD and had a higher score on the MEDAS-14 ( p  = 0.047). However, multivariate analysis showed that only altered sensitivity to pressure was associated with adherence to the MD (altered sensitivity OR = 2.9; 95%CI 1.02–8.22; p  = 0.045). Conclusions Although the patients with DPN had lower scores on the MEDAS questionnaire and therefore poorer adherence to the mediterranean diet, the only parameter significantly associated with the MD was that of sensitivity to pressure (monofilament test).