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Part of the book series: Nutrition and Health ((NH))

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Summary

The pathophysiology of fibromyalgia is not known. Its prevalence is approx 3 to 5%. Females are affected more often than males.

• The most pathogenomic features are multiple bilateral tender points. The other symptoms include chronic pain, sleep disturbances, and fatigue, which may lead to psychological distress.

• Fibromyalgia symptoms and time course are individually variable.

• Gastrointestinal symptoms may also occur, and circulatory disturbances in the brain have been described.

• There is no special therapeutic diet for this disease. All patients with rheumatoid diseases may have nutritional deficiencies. Vegan diets may be helpful for pain relief and modification in fibromyalgia. Physical activity helps maintain proper food intake and rest.

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References

  1. McCance KL, Mourad LA. Alterations of musculoskeletal function. In: Huether SE, McCance KL, eds. Understanding Pathophysiology 2nd ed. Mosby, St. Louis, MO, 2000, pp. 1031–1074.

    Google Scholar 

  2. Wolfe F. The clinical syndrome fibrositis. Am J Med 1986:81(suppl 3A);7–14.

    Article  PubMed  CAS  Google Scholar 

  3. Smythe H. Tender points: evolution of concepts of the fibrositis/fibtromyalgia syndrome. Am J Med 1986:81(suppl 3A):2–6.

    Article  PubMed  CAS  Google Scholar 

  4. Goldenberg DL. Fibromyalgia, a Comprehensive Guide Based on Over 20 Years of Clinical Research. A Leading Expert’s Guide to Understanding and Getting Relief from the Pain Thanks Won’t Go Away. The Berkley Publishing Group, Penguin Putnam Inc., New York, 2002, pp. 1–244.

    Google Scholar 

  5. Goldenberg DL Fibromylagia syndrome. An emerging but controversial condition. JAMA 1987:257:2782–2787.

    Article  PubMed  CAS  Google Scholar 

  6. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990;33(2):160–172.

    Article  PubMed  CAS  Google Scholar 

  7. Rauma AL, Nenonen M, Helve T, Hänninen O. Effect of a strict vegan diet on energy and nutrient intakes by Finnish rheumatoid patients. Eur J Clin Nutr 1993:47,747–749.

    PubMed  CAS  Google Scholar 

  8. Halford JC, Cooper GD, Dovey TM. The pharmacology of human appetite expression. Curr Drug Targets 2004;5(3):221–240. Review.

    Article  PubMed  CAS  Google Scholar 

  9. Smith JD, Terpening CM, Schmidt SOF, Gums J. Relief of fibromyalgia symptoms following discontinuation of dietary excitoxins. Ann Pharmacol 2001;35:702–706.

    Article  CAS  Google Scholar 

  10. Salvati S, Attorri L, Di Benedetto R, Di Biase A, Leonardi F. Polyunsaturated fatty acids and neurological diseases. Mini Rev Med Chem 2006;6(11):1201–1211. Review.

    Article  PubMed  CAS  Google Scholar 

  11. Kwiatek R, Barnden L, Tedman R, et al. Regional cerebral blood flow in fibromyalgia: single-photon-emission computed tomography evidence of reduction in the pontine tegmentum and thalami. Arthritis Rheum 2000;43(12):2823–2833.

    Article  PubMed  CAS  Google Scholar 

  12. Field T, Diego M, Cullen C, Hernandez-Reif M, Sunshine W, Douglas S. Fibromyalgia pain and substance P decrease and sleep improves after massage therapy. J Clin Rheumatol 2002;8(2):72–76.

    Article  PubMed  Google Scholar 

  13. Schwarz MJ, Offenbaecher M, Neumeister A, et al. Evidence for an altered tryptophan metabolism in fibromyalgia. Neurobiol Dis 2002;11(3):434–442.

    Article  PubMed  CAS  Google Scholar 

  14. Singhal AB, Caviness VS, Begleiter AF, Mark EJ, Rordorf G, Koroshetz WJ. Cerebral vasoconstriction and stroke after use of serotonergic drugs. Neurology 2002;58(1):130–133.

    Google Scholar 

  15. Bazzichi L, Giannaccini G, Betti L, et al. Peripheral benzodiazepine receptors on platelets of fibromyalgic patients. Clin Biochem 2006 Jul 13 [Epub ahead of print].

    Google Scholar 

  16. Jones KD, Deodhar P, Lorentzen A, Bennett RM, Deodhar AA. Growth hormone perturbations in fibromyalgia: a review. Semin Arthritis Rheum 2007 Jan 12 [Epub ahead of print].

    Google Scholar 

  17. Buchanan, HM, Preston SJ, Brooks PM, Buchanan WW. Is diet important in rheumatoid arthritis? Br J Rhematol 1991;30:125–134.

    Article  CAS  Google Scholar 

  18. Darlington LG, Ramsey WR. Review of dietary therapy for rheumatoid arthritis. Br J Rheumatol 1993;32;507–514.

    Google Scholar 

  19. Rauma A-L. Vegetarianism and vegan diet. vegetarianism and vegan diet, in (physiology and maintenance). In: Hänninen O, ed. Encyclopedia of Life Support Systems (EOLSS). Developed under the Auspices of the UNESCO, 2003. URL https://www.eolss.net.

    Google Scholar 

  20. Kjeldsen-Kragh J, Haugen M, Borchgrevink CF, et al. Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis. Lancet 1991;338:899–902.

    Article  PubMed  CAS  Google Scholar 

  21. Nenonen MT, Helve TA, Rauma A-L, Hänninen O. Uncooked, lactobacilli-rich, vegan food and rheumatoid arthritis. Br JRheumatol1998;37:274–281.

    Article  CAS  Google Scholar 

  22. Kaartinen K, Lammi K, Hypen M, Nenonen M, Hänninen O, Rauma A-L. Vegan diet alleviates fibromyalgia symptoms. Scand J Rheumatol 2000;29:308–313.

    Article  PubMed  CAS  Google Scholar 

  23. Donaldson MS, Speight N, Loomis S. Fibromyalgia syndrome improved using a mostly raw vegetarian diet: an observational study. BMC Complement Altern Med 2001;1:7.

    Article  PubMed  CAS  Google Scholar 

  24. Kremer JM, Jubiz W, Michalek A, et al. Fish-oil ftty acid supplementation in active rheumatoid arthritis. A double-blinded, controlled, crossover study. Ann Inter Med 1987;106:497–503.

    CAS  Google Scholar 

  25. Kremer JM. Clinical studies of omega 3 fatty acid supplementation in patients who have rheumatoid arthritis. Rheum Dis Clin North Am 1990;17(2):391–401.

    Google Scholar 

  26. Fahrer H, Hoeflin F, Lauterburg BH, Pehaim E, Levy A, Vischer TL. Diet and fatty acids: can fish substitute for fish oil? Clin Exp Rheumatol 1991;9:403–406.

    PubMed  CAS  Google Scholar 

  27. Lau CS, Morley KD, Belch JJF. Effects of fish oil supplementation on non-steroidal anti-infallamtory drug requirement in patients with mild rheumatoid arthritis–a double blind placebo controlled study. Br J Rheumatol 1993;32:982–989.

    Article  PubMed  CAS  Google Scholar 

  28. Fortin PR, Lew RA, Liang MH et al. Validation of Meta-analysis: The Effects of Fish Oil in Rheumatoid Arthritis. Jornal of Clinical Epidemiology 1995; 48;1376–1390.

    Google Scholar 

  29. Merchant RE, Carmack CA, Wise CM. Nutritional supplementation with Chlorella pyrenoidosa for patients with fibromyalgia syndrome: a pilot study. Phytotherapy Research 2000;14:167–173.

    Article  PubMed  CAS  Google Scholar 

  30. Zurier RB, Rossetti RG, Jacobson EW, et al. Gamma linolenic acid treatment of rheumatoid arthritis. A randomized, placebo controlled trial. Arthritis Rheum 1996;39(11:1808–1817.

    Google Scholar 

  31. Hänninen O, Nenonen M, Ling W-H,, Li D-S,, Sihvonen L. Effects of eating an uncooked vegetable diet for 1 week. Appetite 1992;19:243–254.

    Article  PubMed  Google Scholar 

  32. Peltonen R, Ling W-H, Hänninen O, Eerola E. An uncooked vegan diet on human fecal microflora: computerized analysis of direct stool sample gas-liquid chromatography on bacterial cellular fatty acids. Appl Environ Microbiol 1992;58:3660–3666.

    PubMed  CAS  Google Scholar 

  33. Rauma A-L. Nutrition and biotransformation in strict vegans (eaters of “living food”). PhD dissertation. Kuopio University Publications D. Med Sci 1996;102:114..

    Google Scholar 

  34. Nenonen MT. Vegan diet rich in lactobacilli (“living food”): metabolic and subjective responses in healthy subjects and in patients with rheumatoid arthritis. PhD dissertation. Kuopio University Publications D. Med Sci 1995;76:155.

    Google Scholar 

  35. Rauma A-L, Törmälä M-L, Nenonen M, Hänninen O. Iodine status in vegans consuming a living food diet. Nutr Res 1994;14:1789–1795.

    Article  CAS  Google Scholar 

  36. Rauma A-L, Törrönen R, Hänninen O, Mykkänen H. Vitamin B-12 status of long-term adherents of a strict uncooked vegan diet (“Living food diet”) is compromised. J Nutr 1995;125:2511–2515.

    PubMed  CAS  Google Scholar 

  37. Agren JJ, Törmälä M-L, Nenonen MT, Hänninen OO. Fatty acid composition of erythrocyte, platelet, and serum lipids in strict vegans. Lipids 1995;30:365–369.

    Article  PubMed  CAS  Google Scholar 

  38. Rauma A-L, Törrönen R, Hänninen O,Verhagen H, Mykkänen H. Antioxidant status in long-term adherents to a strict uncooked vegan diet. Am J Clin Nutr 1995:62;221–227.

    Google Scholar 

  39. Hänninen O, Kaartinen K, Rauma A-L, et al. Antioxidants in vegan diet and rheumatic disorders. Toxicology 2000;155:45–53.

    Article  PubMed  Google Scholar 

  40. Rauma A-L, Lammi K, Kaartinen Kati, Nenonen M, Hänninen O. Food and nutrient intake of fibromyalgic females on a vegetarian regimen. Eur Cong Nutr, Lillehammer 1999;6:17–20.

    Google Scholar 

  41. Ling W-H, Laitinen M, Hänninen O. Shifting from conventional diet to an uncooked vegan diet reversibly alters serum lipid and apolipoprotein levels. Nutrition Res. 1992;12:1431–1440.

    Article  Google Scholar 

  42. Peltonen R, Nenonen M, Helve T, Hänninen O, Toivanen P, Eerola E. Faecal microbial flora and disease activity in rheumatoid arthritis during a vegan diet. Brit J Rheumatol 1997:36:64–68.

    Article  CAS  Google Scholar 

  43. Rauma A-L, Mykkänen HM. Antioxidant Status in Vegetarians Versus Omnivores. Nutrition 2000;16:111–119.

    Article  PubMed  CAS  Google Scholar 

  44. Hänninen O, Nenonen M, Rauma A-L, etal. Health effects of uncooked vegan diet, rich in Lactobacilli. In: Mälkki Y, Cummings JH, eds. Dietary Fibre and Fermentation in the Colon, Proceedings of COST Action 92 Workshop, Espoo, Finland. European Commission, Directorate-General XII, Science, Research and Development, B-1049, Brussels, 1996, pp. 254–262.

    Google Scholar 

  45. Slavin J, Jacobs D, Marquart L. Whole-grain consumption and chronic disease: protective mechanisms. Nutr Cancer 1997;27(1):14–21. Review

    Article  PubMed  CAS  Google Scholar 

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© 2008 Humana Press, Totowa, NJ

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Hänninen, O., Rauma, AL. (2008). Fibromyalgia and Diet. In: Coleman, L.A. (eds) Nutrition and Rheumatic Disease. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-59745-403-2_11

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  • DOI: https://doi.org/10.1007/978-1-59745-403-2_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-976-5

  • Online ISBN: 978-1-59745-403-2

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