Fibromyalgia (FM) is a multifactorial syndrome of unknown aetiology, characterised by widespread chronic pain and various somatic and psychological manifestations. The management of FM requires a multidisciplinary approach combining both pharmacological and non-pharmacological strategies. Among non-pharmacological strategies, growing evidence suggests a potential beneficial role for nutrition. This review summarizes the possible relationship between FM and nutrition, exploring the available evidence on the effect of dietary supplements and dietary interventions in these patients. Analysis of the literature has shown that the role of dietary supplements remains controversial, although clinical trials with vitamin D, magnesium, iron and probiotics’ supplementation show promising results. With regard to dietary interventions, the administration of olive oil, the replacement diet with ancient grains, low-calorie diets, the low FODMAPs diet, the gluten-free diet, the monosodium glutamate and aspartame-free diet, vegetarian diets as well as the Mediterranean diet all appear to be effective in reducing the FM symptoms. These results may suggest that weight loss, together with the psychosomatic component of the disease, should be taken into account. Therefore, although dietary aspects appear to be a promising complementary approach to the treatment of FM, further research is needed to provide the most effective strategies for the management of FM.

Nutritional Interventions in the Management of Fibromyalgia Syndrome / Pagliai, Giuditta; Giangrandi, Ilaria; Dinu, Monica; Sofi, Francesco; Colombini, Barbara. - In: NUTRIENTS. - ISSN 2072-6643. - STAMPA. - 12:(2020), pp. 2525-2544. [10.3390/nu12092525]

Nutritional Interventions in the Management of Fibromyalgia Syndrome

Pagliai, Giuditta
Writing – Original Draft Preparation
;
Giangrandi, Ilaria
Formal Analysis
;
Dinu, Monica
Investigation
;
Sofi, Francesco
Writing – Review & Editing
;
Colombini, Barbara
Writing – Review & Editing
2020

Abstract

Fibromyalgia (FM) is a multifactorial syndrome of unknown aetiology, characterised by widespread chronic pain and various somatic and psychological manifestations. The management of FM requires a multidisciplinary approach combining both pharmacological and non-pharmacological strategies. Among non-pharmacological strategies, growing evidence suggests a potential beneficial role for nutrition. This review summarizes the possible relationship between FM and nutrition, exploring the available evidence on the effect of dietary supplements and dietary interventions in these patients. Analysis of the literature has shown that the role of dietary supplements remains controversial, although clinical trials with vitamin D, magnesium, iron and probiotics’ supplementation show promising results. With regard to dietary interventions, the administration of olive oil, the replacement diet with ancient grains, low-calorie diets, the low FODMAPs diet, the gluten-free diet, the monosodium glutamate and aspartame-free diet, vegetarian diets as well as the Mediterranean diet all appear to be effective in reducing the FM symptoms. These results may suggest that weight loss, together with the psychosomatic component of the disease, should be taken into account. Therefore, although dietary aspects appear to be a promising complementary approach to the treatment of FM, further research is needed to provide the most effective strategies for the management of FM.
2020
12
2525
2544
Goal 3: Good health and well-being for people
Pagliai, Giuditta; Giangrandi, Ilaria; Dinu, Monica; Sofi, Francesco; Colombini, Barbara
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1203408
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