Pain in Motion International Research Group, Brussel, Belgium.
Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.
PM R. 2020 Dec;12(12):1268-1278. doi: 10.1002/pmrj.12346. Epub 2020 Mar 20.
Nutrition is one of the most important lifestyle factors related to chronic diseases such as cancer, diabetes, and cardiovascular diseases. Additionally, poor diet is also considered a predicting, perpetuating, or underlying factor in chronic musculoskeletal pain. This narrative review provides an overview of current knowledge on the relationship between nutrition and chronic musculoskeletal pain (ie, inflammation, obesity, homeostatic balance, and central sensitization as underlying mechanisms). This review also identifies how dietary intake assessments and nutritional behavior interventions for chronic musculoskeletal pain can be used in clinical practice and identifies areas in need of additional research. Based on the available literature, dietary behavior and quality could have an impact on chronic musculoskeletal pain conditions, but the direction of this impact is unclear. There is a need for additional human nutrition studies that focus on specific musculoskeletal pain conditions and underlying pathologies.
营养是与癌症、糖尿病和心血管疾病等慢性疾病相关的最重要的生活方式因素之一。此外，不良的饮食也被认为是慢性肌肉骨骼疼痛的预测、持续或潜在因素。本综述概述了营养与慢性肌肉骨骼疼痛（即炎症、肥胖、体内平衡和中枢敏化作为潜在机制）之间关系的现有知识。本综述还确定了如何在临床实践中使用慢性肌肉骨骼疼痛的饮食摄入评估和营养行为干预措施，并确定了需要进一步研究的领域。基于现有文献，饮食行为和质量可能对慢性肌肉骨骼疼痛状况有影响，但这种影响的方向尚不清楚。需要进行更多关注特定肌肉骨骼疼痛状况和潜在病理的人类营养研究。
