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Current Rheumatology Reviews

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Review Article

Diet and Lifestyle Modifications for Fibromyalgia

Author(s): Caroline Metyas, Tun Tun Aung, Jennifer Cheung, Marina Joseph, Andrew M. Ballester and Samy Metyas*

Volume 20, Issue 4, 2024

Published on: 24 January, 2024

Page: [405 - 413] Pages: 9

DOI: 10.2174/0115733971274700231226075717

open access plus

Abstract

Fibromyalgia (FM) is a complex, widespread pain disorder characterized by symptoms such as fatigue, sleep deprivation, mental fog, mood swings, and headaches. Currently, there are only three FDA-approved medications for FM patients: duloxetine, milnacipran, and pregabalin, with outcomes frequently being inadequate.

This research team aims to investigate the effects of diet and lifestyle modifications on FM, with emphasis on anti-inflammatory diet, antioxidants, and gluten-free diets, as well as supplementation with Magnesium, CQ10, and Vitamin D, microbiome, sleep, exercise, and cognitive behavioral therapy. We reviewed the pathophysiology of certain foods that can be proinflammatory with the release of cytokines leading to activation of pain, fatigue and aggravation of the majority of Fibromyalgia symptoms. A literature review was performed by identifying FM articles published between 1994 and 2022 via PubMed and EMBASE databases, with particular emphasis on randomized controlled trials, meta-analysis, and evidence-based treatment guidelines. This review article was completed by a comprehensive narrative review process, in which our team systematically examined relevant scientific literature to provide a comprehensive overview of the significant role that diet and other lifestyle modifications play in mediating symptoms of Fibromyalgia.

We propose that diet modifications and lifestyle changes, such as sleep, exercise, and weight loss, can be important steps in managing FM.

Keywords: Fibromyalgia, anti-inflammatory diet, lifestyle modification, anti-oxidant diet, gluten-free diet, vitamin D.

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