Mediterranean Diet in Fibromyalgia – AMJ

MEDITERRANEAN eating regimen adherence was lowest in fibromyalgia and related to higher illness burden and way of life variations.

Mediterranean Diet Adherence Lowest in Fibromyalgia

Patients with fibromyalgia confirmed considerably decrease adherence to the Mediterranean eating regimen than these with rheumatoid arthritis or psoriatic arthritis, in line with findings from a monocentric cross-sectional research of 422 individuals.

The research included 165 sufferers with rheumatoid arthritis, 85 with psoriatic arthritis, and 172 with fibromyalgia. Mediterranean eating regimen adherence was assessed utilizing the 14 merchandise PREDIMED questionnaire, whereas individuals additionally reported sociodemographic traits, cardiovascular comorbidities, bowel habits, and dietary behaviors. Disease exercise and severity have been evaluated utilizing validated illness particular measures.

Adherence differed considerably throughout the three diagnostic teams, with the very best scores noticed in rheumatoid arthritis, intermediate scores in psoriatic arthritis, and the bottom adherence in fibromyalgia. The findings counsel that dietary patterns might fluctuate meaningfully throughout rheumatologic illnesses, even throughout the identical medical setting.

Fibromyalgia Burden Linked to Dietary Patterns

In the fibromyalgia group, increased Mediterranean eating regimen adherence was related to decrease illness severity and affect. High adherence was considerably linked to decrease Fibromyalgia Impact Questionnaire Revised scores, with a β worth of -16.9 and a 95% CI of -32.1 to -1.7. Higher adherence was additionally related to decrease Polysymptomatic Distress Scale scores, with a β worth of -4.34 and a 95% CI of -7.81 to -0.86.

Sensitivity analyses utilizing steady PREDIMED scores confirmed these associations, strengthening the hyperlink between Mediterranean eating regimen adherence and fibromyalgia burden. No equal illness end result associations have been highlighted as central findings in rheumatoid arthritis or psoriatic arthritis.

Lifestyle elements additionally differed throughout teams. Participants with fibromyalgia extra regularly reported meals intolerances, affecting 46.5% of the group, and have been extra more likely to observe restrictive diets. Lactose free diets have been reported by 34.9% of individuals with fibromyalgia, whereas 15.1% reported gluten free diets.

Nutritional Counseling May Support Rheumatology Care

The findings level to dietary counseling as a probably related element of multidisciplinary care in rheumatologic illness, notably for sufferers with fibromyalgia, who might already be making self-directed dietary modifications.

The outcomes don’t set up causality, and the cross-sectional design limits conclusions about whether or not Mediterranean eating regimen adherence reduces illness burden or whether or not decrease illness burden helps more healthy dietary patterns. However, the information help additional longitudinal and interventional research evaluating the Mediterranean eating regimen as a part of complete administration for fibromyalgia and different rheumatologic situations.

Reference
Iannuccelli C et al. Lower Adherence to the Mediterranean Diet in Fibromyalgia Compared with Rheumatoid and Psoriatic Arthritis and Its Association with Disease Burden and Lifestyle Factors. Nutrients. 2026;18(7):1019.

Featured Image: Kittiphan on Adobe Stock.