Elma Ömer, Yilmaz Sevilay Tümkaya, Deliens Tom, Coppieters Iris, Clarys Peter, Nijs Jo, Malfliet Anneleen
Pain in motion international research group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, 1090 Brussels, Belgium.
Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, 1090 Brussels, Belgium.
J Clin Med. 2020 Mar 5;9(3):702. doi: 10.3390/jcm9030702.
Dietary patterns may play an important role in musculoskeletal well-being. However, the link between dietary patterns, the components of patients' diet, and chronic musculoskeletal pain remains unclear. Therefore, the purpose of this review was to systematically review the literature on the link between dietary patterns, the components of patients' diet and chronic musculoskeletal pain. This review was conducted following the "Preferred Reporting Items for Systematic reviews and Meta-Analyses" (PRISMA) guidelines and was registered in PROSPERO with the registration number CRD42018110782. PubMed, Web of Science, and Embase online databases were searched. After screening titles and abstracts of 20,316 articles and full texts of 347 articles, 12 eligible articles were included in this review, consisting of nine experimental and three observational studies. Seven out of nine experimental studies reported a pain-relieving effect of dietary changes. Additionally, protein, fat, and sugar intake were found to be associated with pain intensity and pain threshold. In conclusion, plant-based diets might have pain relieving effects on chronic musculoskeletal pain. Patients with chronic rheumatoid arthritis pain can show inadequate intake of calcium, folate, zinc, magnesium, and vitamin B6, whilst patients with fibromyalgia can show a lower intake of carbohydrates, proteins, lipids, vitamin A-E-K, folate, selenium, and zinc. Chronic pain severity also shows a positive relation with fat and sugar intake in osteoarthritis, and pain threshold shows a positive association with protein intake in fibromyalgia.
饮食模式可能在肌肉骨骼健康方面发挥重要作用。然而，饮食模式、患者饮食成分与慢性肌肉骨骼疼痛之间的联系仍不明确。因此，本综述的目的是系统回顾关于饮食模式、患者饮食成分与慢性肌肉骨骼疼痛之间联系的文献。本综述按照“系统评价和Meta分析的首选报告项目”（PRISMA）指南进行，并在PROSPERO中注册，注册号为CRD42018110782。检索了PubMed、科学网和Embase在线数据库。在筛选了20316篇文章的标题和摘要以及347篇文章的全文后，本综述纳入了12篇符合条件的文章，包括9项实验研究和3项观察性研究。9项实验研究中有7项报告了饮食改变的止痛效果。此外，发现蛋白质、脂肪和糖的摄入量与疼痛强度和疼痛阈值有关。总之，植物性饮食可能对慢性肌肉骨骼疼痛有止痛作用。患有慢性类风湿性关节炎疼痛的患者可能钙、叶酸、锌、镁和维生素B6摄入不足，而患有纤维肌痛的患者可能碳水化合物、蛋白质、脂质、维生素A - E - K、叶酸、硒和锌的摄入量较低。骨关节炎中慢性疼痛严重程度也与脂肪和糖的摄入量呈正相关，纤维肌痛中疼痛阈值与蛋白质摄入量呈正相关。
