Title:Diet and Lifestyle Modifications for Fibromyalgia
Volume: 20
Issue: 4
Author(s): Caroline Metyas, Tun Tun Aung, Jennifer Cheung, Marina Joseph, Andrew M. Ballester and Samy Metyas*
Affiliation:
- Department of Rheumatology, Covina Arthritis Clinic, 500 West San Bernadino Rd, Suite A, United States
Keywords:
Fibromyalgia, anti-inflammatory diet, lifestyle modification, anti-oxidant diet, gluten-free diet, vitamin D.
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.