دورية أكاديمية
Fibromyalgia and obesity: A comprehensive systematic review and meta-analysis.
| العنوان: | Fibromyalgia and obesity: A comprehensive systematic review and meta-analysis. |
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| المؤلفون: | D'Onghia M; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy., Ciaffi J; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy., Lisi L; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy., Mancarella L; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy., Ricci S; Dietetic Service, IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy., Stefanelli N; Dietetic Service, IRCCS Istituto Ortopedico Rizzoli (IOR), Bologna, Italy., Meliconi R; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy; Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum Università di Bologna, Bologna, Italy., Ursini F; Medicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli (IOR), Via Giulio Cesare Pupilli, 1 - Bologna, Bologna, Italy; Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum Università di Bologna, Bologna, Italy. Electronic address: francesco.ursini2@unibo.it. |
| المصدر: | Seminars in arthritis and rheumatism [Semin Arthritis Rheum] 2021 Apr; Vol. 51 (2), pp. 409-424. Date of Electronic Publication: 2021 Mar 03. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 1306053 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-866X (Electronic) Linking ISSN: 00490172 NLM ISO Abbreviation: Semin Arthritis Rheum Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia Pa : W.B. Saunders Original Publication: New York, Stratton. |
| مواضيع طبية MeSH: | Bariatric Surgery* , Fibromyalgia*/complications , Fibromyalgia*/epidemiology , Fibromyalgia*/therapy , Obesity*/complications , Obesity*/epidemiology, Humans ; Quality of Life ; Weight Loss |
| مستخلص: | Introduction: Obesity has been associated with several complications, including musculoskeletal disorders. Aim of the present systematic review was to identify all available evidence on the relationship between fibromyalgia (FM) and obesity, including epidemiological association, impact of obesity on FM severity and effect of weight loss strategies on FM symptoms. Methods: MedLine, Cochrane Central Register of Controlled Trials and Web of Science databases were searched up to September 2020 to identify eligible articles. Data from studies reporting the prevalence of obesity in FM patients were pooled using a random-effects model. Results: After removal of duplicate records, 393 studies proceeded to review. A total of 41 articles were deemed eligible for inclusion in final synthesis. Quality assessment revealed that the overall risk of bias was high. The overall prevalence of obesity in FM was 35.7% (95% CI: 31.8 - 39.9%), with higher figures reported for USA. The majority of studies included demonstrated that obesity is associated with different domains of the disorder, including composite measures of activity, pain severity, tender point count, stiffness, fatigue, physical functioning/disability, sleep, cognitive dysfunction, and quality of life; the strength of correlation was weak on average. Inconsistent data were available regarding the correlation with depression and anxiety. Only few studies addressed the effect of therapeutic weight loss in FM, either by bariatric surgery, diet/exercise combination or behavioral weight loss, providing preliminary evidence for a potential benefit of weight loss in ameliorating FM symptoms. Conclusions: Available data support a potential interplay between obesity and FM-related symptoms. Weight management should be encouraged in patients with FM. Competing Interests: Declarations of Competing Interest None (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Body mass index; Fibromyalgia; Meta-analysis; Obesity; Overweight; Systematic review |
| تواريخ الأحداث: | Date Created: 20210306 Date Completed: 20210922 Latest Revision: 20210922 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.semarthrit.2021.02.007 |
| PMID: | 33676126 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-866X |
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| DOI: | 10.1016/j.semarthrit.2021.02.007 |