Department of Clinical Speech & Language Studies, School of Linguistic, Speech & Communication Sciences, Trinity College Dublin, Room 102, 7-9 South Leinster Street, Dublin, Ireland.
University of Kansas Medical Center, 10710 Nall Ave, Overland Park, KS, 66211, USA.
Dysphagia. 2024 Feb;39(1):92-108. doi: 10.1007/s00455-023-10597-8. Epub 2023 Jun 22.
Fibromyalgia is a complex chronic pain condition characterized by widespread pain, fatigue, cognitive dysfunction, and sleep disturbances. People with fibromyalgia can experience both autonomic and somatic disturbances, cognitive and mental health symptoms, and hypersensitivity to external stimuli. Fibromyalgia often co-occurs with a range of well-researched comorbidities (e.g., temporomandibular disorders, migraine, and irritable bowel syndrome). However, emerging research suggests that individuals with fibromyalgia also often experience eating, drinking, and swallowing problems (e.g., odynophagia, glossodynia, etc.). However, there is very little known about these issues, their psychosocial impact, or the best means of managing them clinically. As such, the aim of this research was to examine the epidemiology, prevalence and nature of eating and swallowing problems in adults with fibromyalgia as reported within previous research. A systematic search of electronic databases, selected conference proceedings, and reference lists was completed in March 2021, with no date or language restrictions. Studies reporting the presence and nature of eating and drinking problems in this cohort were included. Eligibility was assessed by two independent reviewers who also critically appraised the included studies using the Joanna Briggs Tool. This literature search yielded a total of 38 potentially eligible studies, with 6 studies included in analysis. Studies were highly heterogeneous in methodology and design, with meta-analysis showing that dysphagia and GERD are prevalent in fibromyalgia patients (51.9% and 25.9%, respectively), among other issues. From review of existing literature, eating and swallowing problems appear to be common among adults with fibromyalgia, with potential additional repercussions for activity, participation, and quality of life. Further research is required to prospectively investigate these issues, with patient and public involvement necessary to guide impactful research planning.
纤维肌痛是一种复杂的慢性疼痛疾病，其特征是广泛的疼痛、疲劳、认知功能障碍和睡眠障碍。纤维肌痛患者会经历自主和躯体紊乱、认知和心理健康症状以及对外界刺激的过度敏感。纤维肌痛常伴有一系列研究充分的合并症（例如颞下颌关节紊乱、偏头痛和肠易激综合征）。然而，新兴研究表明，纤维肌痛患者也经常出现饮食、饮水和吞咽问题（例如吞咽困难、舌痛等）。然而，对于这些问题、它们的心理社会影响或临床管理的最佳方法，人们知之甚少。因此，这项研究的目的是检查之前研究中报告的成人纤维肌痛患者的饮食和吞咽问题的流行病学、患病率和性质。2021 年 3 月完成了对电子数据库、选定的会议记录和参考文献的系统搜索，没有日期或语言限制。纳入了报告该队列中饮食和饮水问题存在和性质的研究。两名独立评审员评估了纳入研究的资格，并使用 Joanna Briggs 工具对这些研究进行了批判性评价。这项文献检索共产生了 38 项潜在的合格研究，其中 6 项研究纳入分析。这些研究在方法和设计上高度异质，荟萃分析显示，吞咽困难和 GERD 在纤维肌痛患者中较为普遍（分别为 51.9%和 25.9%），还有其他问题。从现有文献综述来看，饮食和吞咽问题在纤维肌痛成年人中似乎很常见，这可能会对他们的活动、参与和生活质量产生额外的影响。需要进一步的前瞻性研究来调查这些问题，患者和公众的参与对于指导有影响力的研究规划是必要的。
