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Decreased physical activity attributable to higher body mass index influences fibromyalgia symptoms

VINCENT A; CLAUW D; OH TH; WHIPPLE MO; TOUSSAINT LL
PM & R , 2014, vol. 6, n° 9, p. 802-807
Doc n°: 173697
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2014.02.007
Descripteurs : DA526 - FIBROMYALGIE

Although previous studies report associations between increased body
mass index (BMI) and fibromyalgia symptoms, there is uncertainty as to whether
this relationship is driven by physical factors, psychological factors, or both.
OBJECTIVE: To assess these relationships in a clinical sample of patients with
fibromyalgia. DESIGN:
Cross-sectional study.
SETTING: Tertiary care facility.
PATIENTS: A total of 686 patients from an existing national fibromyalgia
registry. METHODS: Patients completed a demographic form and self-report
questionnaires including the Fibromyalgia Impact Questionnaire-Revised (FIQ-R),
the Medical Outcomes Study Short Form-36 (SF-36), the Brief Pain Inventory (BPI),
and the 30-item Profile of Mood States (30-item POMS). MAIN OUTCOME MEASUREMENTS:
FIQ-R overall impact subscale. RESULTS: BMI was significantly correlated with
fibromyalgia impact (P < .001). The relationship between BMI and fibromyalgia
impact was almost fully accounted for by physical factors and not by
psychological factors. CONCLUSIONS: Despite patient report that pain hinders
physical activity, clinicians who encounter patients with fibromyalgia,
particularly patients with increased BMI, should be cognizant of the need to
invest time and resources to counsel patients on physical factors (ie, physical
activity) that could improve the patients' symptom experience.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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