The role of nutrition in patients with fibromyalgia: Is there an impact on disease parameters?
Gulhane Medical Journal, cilt.62, sa.3, ss.186-192, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 62 Sayı: 3
- Basım Tarihi: 2020
- Doi Numarası: 10.4274/gulhane.galenos.2020.1077
- Dergi Adı: Gulhane Medical Journal
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.186-192
- Anahtar Kelimeler: Biochemical parameters, Fibromyalgia, Nutrition
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aims: The aim of our study is to assess the associations between dietary intake and biochemical parameters, clinical assessments of pain, sleep quality and current health status of patients who were diagnosed with fibromyalgia. Methods: This is a prospective study on patients with fibromyalgia. In patients' routine controls, data were recorded about their nutrition by using food consumption recording form. Also, the biochemical parameters were recorded. Clinical symptoms were evaluated by using Short form of MacGill Pain Questionnaire (SFMPQ), Fibromyalgia Impact Questionnaire (FIQ) and Pittsburg Sleep Quality Index (PSQI). Results: Eighty-one patients with a disease duration of minimum 12 months were included. The mean age was 48.9 years and 90.1% of patients were female. The correlation analysis between serum vitamin B12 and clinical symptoms showed a weak negative correlation with FIQ (r=-0.257, p=0.021), sleep duration (r=-0.317, p=0.004), sleep disturbance (r=-0.279, p=0.012), sleep quality (r=-0.235, p=0.035), and PSQI total score (r=-0.316, p=0.004). Percentage of energy from dietary carbohydrate showed a moderate positive correlation with FIQ (r=0.383, p<0.001). Dietary fat showed a moderate negative correlation with FIQ (r=-0.29, p=0.007). While dietary saturated fat showed a moderate positive correlation with FIQ (r=0.361, p<0.001), dietary unsaturated fat displayed a weak negative correlation with FIQ (r=-0.228, p=0.041). Dietary fiber had a moderate negative correlation with FIQ (r=-0.357, p<0.001), SFMPQ-present pain intensity (r=-0.357, p<0.001), and SFMPQ-visual analogue scale (r=-0.419, p<0.001) subscores. Conclusions: The current study results suggest that a healthy diet habit consisting of low saturated fat, carbohydrates and higher fiber, vitamins and minerals may provide improvement in fibromyalgia symptoms. Dietary assessment and intervention should be a part of the management of patients with fibromyalgia. Copyright 2020 by the University of Health Sciences Turkey, Gulhane Faculty of Medicine / Gulhane Medical Journal published by Galenos Publishing House.