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微量营养素在纤维肌痛症状中的作用:文献综述及意大利女性样本分析。

Role of micronutrients in the symptoms of fibromyalgia: a review of the literature and analysis of an Italian female sample.

机构信息

Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2024 Jul;28(14):4038-4045. doi: 10.26355/eurrev_202407_36579.

Abstract

OBJECTIVE

Fibromyalgia (FM) is a multifactorial disease characterized principally by chronic, widespread pain impairing a patient's quality of life. The management of FM requires a multidisciplinary approach that combines pharmacological and non-pharmacological strategies. Growing evidence suggests a potential beneficial role of micronutrients such as minerals and vitamins. Overall, the role of these supplements remains controversial, but clinical trials on vitamin D, vitamin B12, magnesium, and iron supplementation seem to provide promising results. The aim of this study was to investigate their role in an Italian female sample.

SUBJECTS AND METHODS

An exploratory cross-sectional study was done to assess the association of selected micronutrients with symptoms of FM by using the Fibromyalgia Impact Questionnaire (FIQ) in twenty consecutive female patients with FM. A literature review was also conducted.

RESULTS

FIQ results revealed that vitamin D and magnesium deficiency appear to play a role in FM symptoms, mainly in physical function and stiffness. From the literature review, only two studies investigating the role of micronutrients in FM were retrieved.

CONCLUSIONS

Screening for micronutrient deficiencies in FM patients and supplementing them when levels are low might help counteract FM symptoms.

摘要

目的

纤维肌痛(FM)是一种多因素疾病,主要表现为慢性、广泛的疼痛,影响患者的生活质量。FM 的管理需要多学科的方法,结合药物和非药物策略。越来越多的证据表明,矿物质和维生素等微量营养素可能具有潜在的益处。总的来说,这些补充剂的作用仍存在争议,但关于维生素 D、维生素 B12、镁和铁补充剂的临床试验似乎提供了有希望的结果。本研究的目的是在意大利女性样本中研究它们的作用。

受试者和方法

进行了一项探索性横断面研究,以评估 20 名连续的 FM 女性患者使用纤维肌痛影响问卷(FIQ)评估所选微量营养素与 FM 症状之间的关联。还进行了文献复习。

结果

FIQ 结果表明,维生素 D 和镁缺乏似乎在 FM 症状中起作用,主要在身体功能和僵硬方面。从文献回顾中,仅检索到两项关于微量营养素在 FM 中的作用的研究。

结论

在 FM 患者中筛查微量营养素缺乏症,并在水平较低时补充这些营养素,可能有助于对抗 FM 症状。

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