Women's Health Issues with Fibromyalgia Syndrome

Shaver, Joan; Wilbur, JoEllen; Robinson, Fredie; Wang, Edward; Buntin, Mary

doi:10.1089/jwh.2006.15.1035

Cited by 89 publications

(91 citation statements)

References 27 publications

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“…In the study of Adın et al, dyspareunia was reported to be a quite common complaint in patients with FMS (22). Similarly, presence of vaginal tenderness and increased pain during sexual intercourse and relationship of them with sexual dysfunction were shown in another study (23). In our study, dyspareunia was found to significantly increase in FMS patients.…”

Section: Discussionsupporting

confidence: 79%

Fibromiyalji Sendromu Olan Hastalarda Seksüel Disfonksiyonun Değerlendirilmesi

Ülker¹,

Çakır²,

Yalcinkaya³

et al. 2013

tod

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ÖzetAmaç: Çalışmamızın amacı çeşitli semptom birlikteliği bulunan fibromiyalji hastalarında cinsel işlev bozukluğunun varlığını, niteliğini belirlemek ve normal popülasyonla karşılaştırmaktır. Gereç ve Yöntem: Çalışmamıza Antalya Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran, 1990 ve 2010 American Collage of Rheumatology (ACR) kriterlerine göre fibromiyalji sendromu tanısı konan 55, cinsel aktif, kadın hasta dahil edilmiştir. Hastaların klinik değerlendirmesinde kullanılan parametreleri karşılaştırabilmek ve fibromiyalji sendrom (FMS)'lu kadın hastaların normal popülasyondan farklı olup olmadığını belirlemek için polikliniğimize değişik kas iskelet sistemi yakınmaları ile başvuran, cinsel olarak aktif, 50 hastadan oluşan kontrol grubu çalışmaya dahil edildi. Çalışmaya dahil olma kriterlerini tamamlayan onamları alınan hasta ve kontrol olgularına cinsel işlevi değerlendirmeye yönelik Kadın Cinsel Fonksiyon İndeksi (KCFİ) (female sexual function index; FSFI) sorgulandı. Rosen ve arkadaşları tarafından 2000 yılında geliştirilmiş, 19 sorudan oluşan, cinsel istek, uyarılma, kayganlaşma, orgazm, cinsel doyum ve ağrıyı içeren altı farklı boyutu sorgulayan bir testtir. Türk Androloji Derneği tarafından 2003 yılında Türkçe validasyonu yapılan formun puanlamasında, sorular belli bir katsayı ile çarpılarak her bölüm 6 puan üzerinden değerlendirilmektedir. En az 2,4 en çok 36 puan alınan form, kolay uygulanabilmesi ile Türkiye'de kadın cinsel fonksiyon bozukluğu değerlendirilmesinde standardizasyon için kullanıma sunulmuştur. Bulgular: Fibromiyalji Sendromlu hastaların kadın cinsel fonksiyon indeksi alt ölçek ve toplam skorlarının tamamı kontrol grubu hastalarının skorlarına göre istatistiksel olarak anlamlı derecede düşük saptandı (p<0,05 Objectives: The aim of our study is to determine the presence, quality of sexual dysfunction in patients with fibromyalgia syndrome and to compare with normal population. Material and Methods: A total of 55 sexually active women who were admitted to Department of Physical Therapy and Rehabilitation of Antalya Research and Training Hospital and diagnosed with fibromyalgia syndrome according to 1990 and 2010 American College of Rheumatology (ACR) criteria. A control group composed of 50 sexually active women who were admitted to our clinic with various musculoskeletal system complaints were also included in the study in order to compare the parameters used for clinical assessment of patients and to determine whether the patients differ from normal population. Patients and controls who met inclusion criteria were applied Female Sexual Function Index (FSFI) for assessment of sexual function. This test was developed by Rosen and colleagues in 2000, it is composed of 19 questions and inquires six different dimensions including desire, arousal, lubrication, orgasm, sexual satisfaction and pain. Turkish validation test was done by Turkish Society Of Andrology in 2003, answers are multiplied with a coefficient and each section is evaluated on six scores. Mini...

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Section: Discussionsupporting

confidence: 79%

Fibromiyalji Sendromu Olan Hastalarda Seksüel Disfonksiyonun Değerlendirilmesi

Ülker¹,

Çakır²,

Yalcinkaya³

et al. 2013

tod

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“…Fibromyalgia syndrome can affect the quality of life via induction of functional impairment [14]. Its prevalence is estimated to range between 2% and 4% [15][16][17][18]. It is observed in 3.4%-4.9% of females and 0.5%-1.6% of male patients with a female/male ratio of 6-9/1 [15,19].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with AHI of ≥5 events/h were diagnosed with OSAS. Based on their AHI scores, the patients were categorized into mild (AHI, 5-15), moderate (AHI, [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30], and severe OSAS (AHI, >30) groups according to the AASM Task Force criteria [11]. Oxygen desaturation index (ODI) was defined as the total number of measurements of oxyhemoglobin desaturation of ≥4% within ≥10 s-<3 min from the baseline divided by the total sleep time.…”

Section: Psg Evaluationmentioning

confidence: 99%

Is There a Link Between Obstructive Sleep Apnea Syndrome and Fibromyalgia Syndrome?

et al. 2017

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OBJECTIVES:Fibromyalgia syndrome (FMS) is characterized by complaints of chronic musculoskeletal pain, fatigue, and difficulty in falling asleep. Obstructive sleep apnea syndrome (OSAS) is associated with symptoms, such as morning fatigueness and unrefreshing sleep. We aimed to investigate the presence of OSAS and objectively demonstrate changes in sleep pattern in patients with FMS. MATERIAL AND METHODS:Polysomnographic investigations were performed on 24 patients with FMS. Patients were divided into two groups: patients with and without OSAS (Group 1 and Group 2, respectively). A total of 40 patients without FMS who presented to the sleep disorders polyclinic with an initial diagnosis of OSAS were included in Group 3. Based on their apnea hypopnea index (AHI), OSAS in the patients were categorized as mild (AHI,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), moderate (30), or severe (>30). RESULTS:OSAS was detected in 50% of patients with FMS. The most prominent clinical findings were morning fatigue and sleep disorder, which were similar in three groups. In polysomnography (PSG) evaluation, patients with FMS had mild (33%), moderate (25%), and severe (42%) OSAS. In correlation analyses, negative correlations were observed between fibromyalgia impact questionnaire (FIQ) and mean oxygen saturation, visual analogue scale (VAS), and minimum oxygen saturation, whereas a positive correlation was found between FIQ and desaturation times in patients with FMS. CONCLUSION:Detection of OSAS in 50% of the patients with FMS, and similar rates of complaints of sleep disorder and morning fatigue of OSAS and FMS cases are important results. Detection of correlation between the severity of hypoxemia and FIQ and VAS scores are significant because it signifies the contribution of increased tissue hypoxemia to the deterioration of clinical status. Diagnosis and treatment of OSAS associated with FMS are important because of their favorable contributions to the improvement of the clinical picture of FMS. KEYWORDS:Obstructive sleep apnea syndrome, fibromyalgia syndrome, polysomnography, sleep disorders, apnea hypopnea index, hypoxemia INTRODUCTIONFibromyalgia syndrome (FMS) is a chronic health problem that presents with pain all over the body, with other symptoms, such as tenderness of the affected joints, muscles fatigue, sleep problems (waking up unrefreshed and excessive daytime sleepiness), and cognitive impairment [1]. Since its etiology is not fully known, its treatment is symptomatic. Patients with FMS are usually treated with various combinations of physiotherapy, psychotherapy, psychotrophic drugs, and analgesics. Treatment effectiveness in FMS is limited, and these patients frequently lead their lives with symptoms of chronic insomnia, sleep problems, fatigue, and pain [2].Obstructive sleep apnea syndrome (OSAS) is a pathology with systemic effects that are characterized by associated symptoms of recurrent episodes of upper respiratory tract obstruction, hypoxemia, arousals during sleep, morning fatigue because of impaired sleep ...

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“…The high prevalence of overweight and obesity was showed also in a health telephonic survey made only on female participants, with and without FM. However, up to now, it does not seem possible from available current data to determine if weight gain, experimented in these persons, especially in women with FM, is due to the disease and its accompanying low activity levels, or if those women are more prone to premorbid obesity than healthy ones [53]. Nevertheless, sound research has offered us results on the improvement for multiple musculoskeletal complaints and function, usually measured as quality of life by a health questionnaire like SF-36, through weight loss in obese people [54].…”

Section: Fibromyalgia and Nutritional Statusmentioning

confidence: 99%

Fibromyalgia and nutrition, what do we know?

Arranz

Canela²,

Rafecas

2010

Rheumatol Int

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Objective: Many people suffer from fibromyalgia (FM) without an effective treatment. They do not have a good quality of life and cannot maintain normal daily activity. Among the different hypotheses for its ethiopathophysiology, oxidative stress is one of the possibilities. Non-scientific information addressed to patients regarding the benefits of nutrition is widely available, and they are used to trying non-evidenced strategies. The aim of this paper is to find out what we know right now from scientific studies regarding fibromyalgia disease and nutritional status, diets and food supplements. Design: A systematic search has been performed on Medline with a wide range of terms about these nutritional issues. Setting: the search has been made during 2009, for articles published between 1998 and 2008. Subjects: people suffering from FM. Results: Vegetarian diets could have some beneficial effects probably due to the increase in antioxidant intake. There is a high prevalence of obesity and overweight in patients, and weight control seems to be an effective tool to improve the symptoms. Some nutritional deficiencies have been described, it is not clear whether they are directly related to this disease or not. About the usefulness of some food supplements we found very little data, and it seems that more studies are needed to prove which ones could be of help. Conclusions: Dietary advice is necessary to these patients to improve their diets and maintain normal weight. It would be interesting to investigate more in the field of nutrition and FM to reveal any possible relationships.

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Women's Health Issues with Fibromyalgia Syndrome

Cited by 89 publications

References 27 publications

Fibromiyalji Sendromu Olan Hastalarda Seksüel Disfonksiyonun Değerlendirilmesi

Fibromiyalji Sendromu Olan Hastalarda Seksüel Disfonksiyonun Değerlendirilmesi

Is There a Link Between Obstructive Sleep Apnea Syndrome and Fibromyalgia Syndrome?

Fibromyalgia and nutrition, what do we know?

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