Mathkhor Abdulsatar J, Ibraheem Noor Majid
Higher Diploma in Rheumatology, Rheumatology Unit in Basrah Teaching Hospital Basrah, Iraq.
J Family Med Prim Care. 2023 Jan;12(1):123-127. doi: 10.4103/jfmpc.jfmpc_2052_22. Epub 2023 Feb 15.
Fibromyalgia syndrome (FMS) is a commonly occurring and disabling chronic pain disorder of unknown etiology. It is a syndrome of widespread diffuse pain with a low pain threshold and different FMS allied symptoms. Obesity is a comorbidity that is commonly occurring with FMS and may be linked to its severity. This study aims to estimate the prevalence of overweight and obesity in FMS and their effect on pain and FMS allied symptoms.
One hundred and ten (10 male and 100 female) FMS patients diagnosed following the 1990 American College of Rheumatology (ACR) classification criteria for FMS completed a questionnaire about age, gender, and pain severity on a visual analog scale (VAS), evaluated for morning stiffness, disturbance of sleep, fatigue, anxiety, depression, and irritable bowel and the count of tender points. Weight, height, and body mass index (BMI) were calculated for all participants.
Seventy-four (67.27%) were overweight/obese; of them, 68 (61.81%) were females. All the FMS allied symptoms were more prevalent in overweight/obese FMS patients. Overweight/obese FMS patients have a high number of TP and greater pain sensitivity to TP palpation.
Overweight and obesity are commonly associated with FMS. Obesity may contribute to the severity of FMS and its allied symptoms.
纤维肌痛综合征（FMS）是一种常见的、病因不明的致残性慢性疼痛疾病。它是一种广泛弥漫性疼痛的综合征，疼痛阈值较低，并伴有不同的纤维肌痛综合征相关症状。肥胖是纤维肌痛综合征常见的合并症，可能与其严重程度有关。本研究旨在评估纤维肌痛综合征患者中超重和肥胖的患病率及其对疼痛和纤维肌痛综合征相关症状的影响。
110例（10例男性和100例女性）根据1990年美国风湿病学会（ACR）纤维肌痛综合征分类标准确诊的纤维肌痛综合征患者，完成了一份关于年龄、性别和视觉模拟量表（VAS）疼痛严重程度的问卷，评估了晨僵、睡眠障碍、疲劳、焦虑、抑郁、肠易激和压痛点计数。计算了所有参与者的体重、身高和体重指数（BMI）。
74例（67.27%）超重/肥胖；其中68例（61.81%）为女性。所有纤维肌痛综合征相关症状在超重/肥胖的纤维肌痛综合征患者中更为普遍。超重/肥胖的纤维肌痛综合征患者有较多的压痛点，对压痛点触诊的疼痛敏感性更高。
超重和肥胖与纤维肌痛综合征密切相关。肥胖可能导致纤维肌痛综合征及其相关症状的严重程度增加。
