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A low fermentable oligo-di-mono-saccharides and polyols (FODMAP) diet is a balanced therapy for fibromyalgia with nutritional and symptomatic benefits

2017-06Journal article Open access
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dc.contributor.authorMarum, Ana Paula
dc.contributor.authorMoreira, Cátia
dc.contributor.authorTomas-Carus, Pablo
dc.contributor.authorSaraiva, Fernando
dc.contributor.authorGuerreiro, Catarina Sousa
dc.date.accessioned2017-08-21T16:05:33Z
dc.date.available2017-08-21T16:05:33Z
dc.date.issued2017-06
dc.description.abstractIntroduction: Fibromyalgia is a chronic rheumatic disease producing widespread pain, associated to a major comorbidity -irritable bowel syndrome. Low FODMAPS diet (low fermentable oligo-di-mono-saccharides and polyols diet) has been effective in controlling irritable bowel syndrome symptoms. Overweight is an aggravating factor for fibromyalgia. We studied effects of low fermentable oligo-di-mono-saccharides and polyols diets on fibromyalgia symptoms and weight status. Methods: A longitudinal study was performed on 38 fibromyalgia patients using a four-week, repeated assessment as follow: M1 = first assessments/presentation of individual low fermentable oligo-di-mono-saccharides and polyols diet; M2 = second assessments/reintroduction of FODMAPs; M3 = final assessments/nutritional counseling. The assessment instruments applied were: Fibromyalgia Survey Questionnaire (FSQ); Severity Score System (IBS-SSS); visual analogic scale (VAS). Body mass-index/composition and waist circumference (WC) were also measured. Daily macro-micronutrients and FODMAP intake were quantified at each moment of the study. Results: The studied cohort was 37% overweight, 34% obese (average body-mass-index 27.4 ± 4.6; excess fat mass 39.4 ± 7%). Weight, body-mass-index and waist circumference decreased significantly (p < 0.01) with low fermentable oligo-di-mono-saccharides and polyols diet, but no significant effect on body composition was observed. All fibromyalgia symptoms, including somatic pain, declined significantly post-LFD (p < 0.01); as well for severity of fibromyalgia [Fibromyalgia survey questionnaire: M1 = 21.8; M2 = 16.9; M3 = 17.0 (p < 0.01)]. The intake of essential nutrients (fiber, calcium, magnesium and vitamin D) showed no significant difference. The significant reduction in FODMAP intake (M1 = 24.4 g; M2 = 2.6g; p < 0.01) reflected the "Diet adherence" (85%). "Satisfaction with improvement of symptoms" (76%), showed correlating with "diet adherence" (r = 0.65; p < 0.01). Conclusions: Results are highly encouraging, showing low fermentable oligo-di-mono-saccharides and polyols diets as a nutritionally balanced approach, contributing to weight loss and reducing the severity of FM fibromyalgia symptoms.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMarum AP, Moreira C, Tomas-Carus P, Saraiva F, Guerreiro CS. A low fermentable oligo-di-mono-saccharides and polyols (FODMAP) diet is a balanced therapy for fibromyalgia with nutritional and symptomatic benefits. Nutr Hosp. 2017;34(3):667-74.pt_PT
dc.identifier.doi10.20960/nh.703pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/7341
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSENPEpt_PT
dc.relation.publisherversionhttp://revista.nutricionhospitalaria.net/index.php/nh/article/view/703pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectFODMAPpt_PT
dc.subjectFibromyalgiapt_PT
dc.subjectIrritable bowel syndromept_PT
dc.subjectPainpt_PT
dc.subjectDietpt_PT
dc.subjectShortchainpt_PT
dc.subjectCarbohydratespt_PT
dc.titleA low fermentable oligo-di-mono-saccharides and polyols (FODMAP) diet is a balanced therapy for fibromyalgia with nutritional and symptomatic benefitspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage674pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage667pt_PT
oaire.citation.titleNutricion Hospitalariapt_PT
oaire.citation.volume34pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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