Fibromyalgia and Nutrition: An Updated Review

Tomaino, Laura; Serra‐Majem, Lluís; Martini, Stefania; Ingenito, Maria Rosaria; Rossi, Paola; Vecchia, Carlo La; Bamonti, Fabrizia; Vigna, Luisella

doi:10.1080/07315724.2020.1813059

Cited by 19 publications

(10 citation statements)

References 42 publications

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“…Patients could benefit from personal dietary advice to reduce disease impact and symptoms, and focus should be given to increase fruit and vegetable intake and decrease intake of sweets and chocolate. In light of this study, and findings by Pagliai et al [35] and Tomaino et al [38], consideration should be given to educating clients about the benefits of anti-inflammatory diets such as the Mediterranean Diet.…”

Section: Recommendations For Nutritional Therapy Practitionersmentioning

confidence: 85%

Untitled

2022

OAJCAM

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Introduction: There are currently no disease modifying treatments for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) or fibromyalgia, and multidisciplinary therapy (MDT) is of interest. The purpose of this study was to evaluate the effectiveness of a three-month Internet MDT in the patients' homes on dietary and lifestyle behaviors, disease impact and symptoms. Methods: This was a pilot study conducted between November 2020 and March 2021, and 26 participants were recruited via advertising on UK social media. 18 participants completed the study in non-individualized Internet programme (N=12) and individualized Internet programme and video consultation (N = 6) intervention groups. The Internet programme included modules on nutrition, endocrinology, mental health, lifestyle, relationships and exercise and the individualized group received video consultations with Nutritional Therapists or Peer Counsellors in addition. Outcome measures included the Revised Fibromyalgia Impact Questionnaire (FIQR), Hospital Anxiety and Depression -Anxiety Subscale (HADS-A), the short Food Frequency Questionnaire (FFQ) and a lifestyle questionnaire.Results: After three months there were statistically significant improvements in dietary quality (p-value <0.0005), FIQR (p-value <0.014), symptom subscale (p-value < 0.006) and HADS-A (p-value < 0.041). The individualized group saw greater improvements in dietary quality (p-value > 0.04) and HADS-A (p value> 0.01) than the non-individualized group.Conclusions: This pilot study shows improvements in dietary quality, disease impact, symptoms and anxiety in CFS/ME and fibromyalgia might be found through an Internet based MDT; however possible bias exists and randomized controlled trials with a larger sample are required.

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Section: Recommendations For Nutritional Therapy Practitionersmentioning

confidence: 85%

Untitled

2022

OAJCAM

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“…Hence, it is important to evaluate nutrition interventions in FM. 128 Both physical exercise and a change in diet involve long-term behavioral changes and one should not underestimate the difficulties of making such changes when one has generalized pain along with frequent comorbidities, indeed several psychological factors could act as facilitators (eg, pain acceptance) or barriers (eg, pain catastrophizing), 42 thus a multidisciplinary treatment is recommended.…”

Section: Discussionmentioning

confidence: 99%

Fibromyalgia: Associations Between Fat Infiltration, Physical Capacity, and Clinical Variables

Gerdle¹,

Leinhard²,

Lund³

et al. 2022

JPR

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Background Obesity is a risk factor for the development of fibromyalgia (FM) and generally most studies report increased Body Mass Index (BMI) in FM. Obesity in FM is associated with a worse clinical presentation. FM patients have low physical conditioning and obesity further exacerbates these aspects. Hitherto studies of FM have focused upon a surrogate for overall measure of fat content, ie, BMI. This study is motivated by that ectopic fat and adipose tissues are rarely investigated in FM including their relationships to physical capacity variables. Moreover, their relationships to clinical variables including are not known. Aims were to 1) compare body composition between FM and healthy controls and 2) investigate if significant associations exist between body composition and physical capacity aspects and important clinical variables. Methods FM patients (n = 32) and healthy controls (CON; n = 30) underwent a clinical examination that included pressure pain thresholds and physical tests. They completed a health questionnaire and participated in whole-body magnetic resonance imaging (MRI) to determine body composition aspects. Results Abdominal adipose tissues, muscle fat, and BMI were significantly higher in FM, whereas muscle volumes of quadriceps were smaller. Physical capacity variables correlated negatively with body composition variables in FM. Both body composition and physical capacity variables were significant regressors of group belonging; the physical capacity variables alone showed stronger relationships with group membership. A mix of body composition variables and physical capacity variables were significant regressors of pain intensity and impact in FM. Body composition variables were the strongest regressors of blood pressures, which were increased in FM. Conclusion Obesity has a negative influence on FM symptomatology and increases the risk for other serious conditions. Hence, obesity, dietary habits, and physical activity should be considered when developing clinical management plans for patients with FM.

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“…Bununla birlikte, beslenmenin FM semptomlarını iyileştirebileceği yönünde hala bazı endişeler mevcuttur. Hedefe yönelik besin takviyeleri kullanımının hastalık prognozunda çok önemli bir değişikliğe yol açacağı yönündeki kanıtlar zayıf kalmaktadır (18). Multidisipliner tedavi yöntemi ile hastalarda oluşan hüsran, yetersizlik hissi ve öfke gibi duyguların yerini öz yeterlilik ile cevap alma gibi olumlu fikirlere bırakması amaçlanmaktadır.…”

Section: Fi̇bromi̇yalji̇ Sendromunda Beslenme Tedavi̇si̇unclassified

Fi̇bromi̇yalji̇de Güncel Beslenme Yaklaşimlari

Bircan¹,

Elagöz²,

ÖNEY³

et al. 2022

atljm

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Fibromyalji % 2- 8 oranında görülen önemli bir sağlık sorunudur. Halk sağlığı açısından önemli bir konu olduğu gibi yaşam aktivitelerini etkilemesi nedeniyle üretkenlik iş ve güç kaybı meydana getirmektedir. Hastaların, kaliteli uyku, fiziksel-duygusal ve zihinsel işlevlerde düzelme sağlamaya yönelik tedavileri önemli harcamalar oluşturmaktadır. Tedavi süreçleri, hastalık karekteristikleri ile ilgili eğitimin önemli bir etkisi olduğu gözlemlenmiştir. Multidisipline yaklaşımın önemli olduğu görülmektedir. Doğru beslenme stratejileri oluşturmak tedavi planında önemlidir. Bu yazıda güncel beslenme yaklaşımlarının fibromiyalji tedavisindeki yeri değerlendirilmiştir.

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Fibromyalgia and Nutrition: An Updated Review

Cited by 19 publications

References 42 publications

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Fibromyalgia: Associations Between Fat Infiltration, Physical Capacity, and Clinical Variables

Fi̇bromi̇yalji̇de Güncel Beslenme Yaklaşimlari

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