Peachtree Orthopedics, Atlanta, Georgia.
Pain Physician. 2023 Nov;26(7):527-534.
In the medical setting, clinicians frequently attend to patients with chronic musculoskeletal pain. Recent literature demonstrates diet may play a role in inflammation and musculoskeletal pain.
The purpose of this narrative review is to present the most current literature on the effect of common diet regimes, additions, and eliminations on chronic musculoskeletal pain.
This is a narrative review of the literature on the effect of 1) Mediterranean diets; 2) vegetarian and vegan diets; 3) oils, seafood, and omega-3 fatty acids; 4) fruits; 5) spices and herbal teas; and 6) elimination diets on patient-reported musculoskeletal pain scores.
In January 2023, the Google Scholar and PubMed databases were reviewed to identify research on the effect of common diet regimes and additions on self-reported pain outcomes in patients with chronic musculoskeletal pain.
A total of 32 original research articles and a systematic review were included and used to develop grades of recommendation. There is fair evidence that diverse, plant-based Mediterranean, vegetarian, and vegan diets may reduce musculoskeletal pain. Other dietary considerations, including adding marine oils, seafood, omega-3 fatty acids, antioxidant-rich fruits, and turmeric may also benefit patients with chronic musculoskeletal pain. There is poor-quality or insufficient evidence to support adding olive oil, ginger, or herbal teas to reduce pain. While eliminating aspartame and monosodium glutamate may reduce inflammation, there is poor-quality evidence that it reduces musculoskeletal pain.
This narrative review is not systematic in nature; instead, it aims to provide a current update on the effect of various diet regimes, additions, and eliminations on chronic musculoskeletal pain. The studies in this review are limited in sample size, study period, and robust comparisons to controls. This review is limited to studies on patients with either rheumatoid arthritis, osteoarthritis, or fibromyalgia due to the lack of relevant literature on other musculoskeletal pain conditions.
Clinicians can play a role in the well-being of patients with chronic musculoskeletal pain through holistic interventions such as a dietary emphasis on plant-based regimes. Further research is necessary to elucidate the relationship between diet, inflammatory markers, and disease states, as well as the safety and contraindications of these dietary changes.
在医疗环境中，临床医生经常照顾患有慢性肌肉骨骼疼痛的患者。最近的文献表明，饮食可能在炎症和肌肉骨骼疼痛中发挥作用。
本叙述性综述的目的是介绍目前关于常见饮食模式、添加物和排除物对慢性肌肉骨骼疼痛影响的最新文献。
这是对以下方面的文献进行的叙述性综述：1）地中海饮食；2）素食和纯素饮食；3）油、海鲜和欧米伽-3 脂肪酸；4）水果；5）香料和草药茶；以及 6）消除饮食对患者报告的肌肉骨骼疼痛评分的影响。
在 2023 年 1 月，检索了 Google Scholar 和 PubMed 数据库，以确定关于常见饮食模式和添加物对慢性肌肉骨骼疼痛患者自我报告疼痛结果影响的研究。
共纳入了 32 项原始研究文章和一项系统评价，并用于制定推荐等级。有充分证据表明，多样化的、以植物为基础的地中海、素食和纯素饮食可能会减轻肌肉骨骼疼痛。其他饮食考虑因素，包括添加海洋油、海鲜、欧米伽-3 脂肪酸、富含抗氧化剂的水果和姜黄，也可能对患有慢性肌肉骨骼疼痛的患者有益。没有高质量或足够的证据支持添加橄榄油、姜或草药茶来减轻疼痛。虽然消除阿斯巴甜和味精可能会减少炎症，但有低质量的证据表明它会减轻肌肉骨骼疼痛。
本叙述性综述本质上不是系统性的，而是旨在提供关于各种饮食模式、添加物和排除物对慢性肌肉骨骼疼痛影响的最新信息。本综述中的研究在样本量、研究期和与对照组的稳健比较方面均受到限制。由于缺乏其他肌肉骨骼疼痛疾病相关的相关文献，本综述仅限于类风湿关节炎、骨关节炎或纤维肌痛患者的研究。
临床医生可以通过强调植物性饮食等整体干预措施，在慢性肌肉骨骼疼痛患者的健康中发挥作用。需要进一步的研究来阐明饮食、炎症标志物和疾病状态之间的关系，以及这些饮食变化的安全性和禁忌症。
