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Dietary aspects in fibromyalgia patients: results of a survey on food awareness, allergies, and nutritional supplementation

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Abstract

Fibromyalgia (FM) is a common disease that results in poor quality of life, causing widespread musculoskeletal pain and stiffness, fatigue, sleep disorders, and cognitive impairment among other symptoms. The lack of an effective treatment makes necessary a multidimensional management. FM patients usually seek, from different sources, information about possible benefits from foods, nutrients, or diets. Our objective was to investigate the dietary awareness, food allergies and/or intolerances (FAIs), and nutritional supplement (NS) consumption of FM patients. A questionnaire was prepared with six questions regarding dietary habits, FAIs, and NS use. The questionnaire was filled out by patients recruited in local fibromyalgia associations. One hundred and one women were suffering from FM, diagnosed for more than 6 months, mean age of 53.88 ± 7.78 years; 30% of them changed their diet because of their disease, trying to improve it, and most of them were also using some NS; 7% of women in this group had FAIs, a figure slightly higher than the FAI prevalence in the general population (2–5%) and positively associated with consumption of supplements. Among NS users, some differences were observed; past NS users currently consume a wider range of products, more than new NS users. Magnesium was one of the supplements most recommended specifically for FM. Seventy-four percentage of these patients used NS following advice from health professionals. Once patients are diagnosed, they change their dietary habits and nutritional supplement intake, seeking nutritional strategies to improve their symptoms. Health professionals’ advice plays a relevant role.

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References

  1. Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W (2009) Health-related quality of life in fibromyalgia patients: a comparison with rheumatoid arthritis patients and the general population using the SF-36 health survey. Clin Exp Rheumatol 27(5 Suppl 56):S67–74

    Google Scholar 

  2. Rehm SE, Koroschetz J, Gockel U, Brosz M, Freynhagen R, Tölle TR, Baron R (2010) A cross-sectional survey of 3,035 patients with fibromyalgia: subgroups of patients with typical comorbidities and sensory symptom profiles. Rheumatol (Oxford) 49(6):1146–1152

    Article  Google Scholar 

  3. Calande EP, García-Carrillo J, García-Leiva JM, Rico-Villademoros F, Molina-Barea R, Rodríguez-López CM (2010) Subgrouping patients with fibromyalgia according to the results of the fibromyalgia impact questionnaire: a replication study. Rheumatol Int. doi:10.1007/s00296-010-1521-3

  4. Verra ML, Angst F, Brioschi R, Lehmann S, Keefe FJ, Staal JB, de Bie RA, Aeschlimann A (2009) Does classification of persons with fibromyalgia into multidimensional pain inventory subgroups detect differences in outcome after a standard chronic pain management program? Pain Res Manag 14(6):445–453

    PubMed  CAS  Google Scholar 

  5. Wilson HD, Starz TW, Robinson JP, Turk DC (2009) Heterogeneity within the fibromyalgia population: theoretical implications of variable tender point severity ratings. J Rheumatol 36(12):2795–2801

    Article  PubMed  Google Scholar 

  6. Carville S, Arendt-Nielsen S, Bliddal H et al (2008) EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis 67(4):536

    Article  PubMed  CAS  Google Scholar 

  7. Arranz LI, Canela MA, Rafecas M (2010) Fibromyalgia and nutrition, what do we know? Rheumatol Int 30(11):1417–1427

    Article  PubMed  Google Scholar 

  8. Yunus MB, Arslan S, Aldag JC (2002) Relationship between body mass index and fibromyalgia features. Scand J Rheumatol 31(1):27–31

    Article  PubMed  Google Scholar 

  9. Neumann L, Lerner E, Glazer Y, Bolotin A, Shefer A, Buskila D (2008) A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients. Clin Rheumatol 27(12):1543–1547

    Article  PubMed  Google Scholar 

  10. Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L (2007) An internet survey of 2, 596 people with fibromyalgia. BMC Musculoskelet Disord 8:27

    Article  PubMed  Google Scholar 

  11. Okifuji A, Bradshaw DH, Olson C (2009) Evaluating obesity in fibromyalgia: neuroendocrine biomarkers, symptoms, and functions. Clin Rheumatol 28(4):475–478

    Article  PubMed  Google Scholar 

  12. Wallace DJ, Hallegua DS (2004) Fibromyalgia: the gastrointestinal link. Curr Pain Headache Rep 8(5):364–368

    Article  PubMed  Google Scholar 

  13. Bellanti JA, Sabra A, Castro HJ, Chavez JR, Malka-Rais J, de Inocencio JM. (2005) Are attention deficit hyperactivity disorder and chronic fatigue syndrome allergy related? What is fibromyalgia? Allergy Asthma Proc Jan-Feb;26(1):19–28

    Google Scholar 

  14. Chang L (1998) The association of functional gastrointestinal disorders and fibromyalgia. Eur J Surg 164:32–36

    Article  Google Scholar 

  15. North CS, Hong BA, Alpers DH (2007) Relationship of functional gastrointestinal disorders and psychiatric disorders: implications for treatment. World J Gastroenterol 13(14):2020

    PubMed  Google Scholar 

  16. Erdogan S, Gurer G, Afsin H, Kucukzeybek Y (2011) Evaluation of gastric emptying rate in patients with fibromyalgia: a case control study. Mod Rheumatol 21(2):174–177

    Google Scholar 

  17. Madsen C (1997) Prevalence of food allergy/intolerance in Europe. Environ Toxicol Pharmacol 4(1–2):163–167

    Article  PubMed  CAS  Google Scholar 

  18. Schäfer T, Böhler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, Filipiak B, Wichmann H (2001) Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy 56(12):1172–1179

    Article  PubMed  Google Scholar 

  19. Zuberbier T, Edenharter G, Worm M, Ehlers I, Reimann S, Hantke T, Roehr CC, Bergmann KE, Niggemann B (2004) Prevalence of adverse reactions to food in Germany–a population study. Allergy 59(3):338–345

    Article  PubMed  CAS  Google Scholar 

  20. Madsen C (2005) Prevalence of food allergy: an overview. Proc Nutr Soc 64:413–417

    Article  PubMed  Google Scholar 

  21. Zimmerman GL, Olsen CG, Bosworth MF (2000) ‘Stages of change’ approach to helping patients change behavior. Am Fam Physician 61:1409–1416

    PubMed  CAS  Google Scholar 

  22. Worsley A (2002) Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr 11(Suppl):S579–S585

    Article  PubMed  Google Scholar 

  23. Haugen M, Kjeldsen-Kragh J, Nordvåg B, Førre Ø (1991) Diet and disease symptoms in rheumatic diseases—Results of a questionnaire based survey. Clin Rheumatol 10(4):401–407

    Article  PubMed  CAS  Google Scholar 

  24. Ortolani C (1999) Controversial aspects of adverse reactions to food. Allergy 54(1):27–45

    Article  PubMed  CAS  Google Scholar 

  25. Holton KF, Kindler LL, Jones KD (2009) Potential dietary links to central sensitization in fibromyalgia: past reports and future directions. Rheum Dis Clin N Am 35(2):409–420

    Article  Google Scholar 

  26. Stata Corp (2009) Stata Users Guide Release 11. Stata Press, College Station

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Acknowledgments

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. We are very grateful to Rebecca Jeffree for her help in the linguistic revision of the text.

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There is no conflict of interests.

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Authors and Affiliations

  1. Faculty of Pharmacy, University of Barcelona, Joan XXIII, s/n, 08028, Barcelona, Spain

    Laura-Isabel Arranz & Magda Rafecas

  2. Department of Managerial Decision Sciences, IESE Business School, University of Navarra, Avda. Pearson, 21, 08034, Barcelona, Spain

    Miguel-Ángel Canela

Authors
  1. Laura-Isabel Arranz
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  2. Miguel-Ángel Canela
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  3. Magda Rafecas
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Correspondence to Laura-Isabel Arranz.

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Arranz, LI., Canela, MÁ. & Rafecas, M. Dietary aspects in fibromyalgia patients: results of a survey on food awareness, allergies, and nutritional supplementation. Rheumatol Int 32, 2615–2621 (2012). https://doi.org/10.1007/s00296-011-2010-z

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  • DOI: https://doi.org/10.1007/s00296-011-2010-z

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