FIBROMYALGIA AND NUTRITION

Author / Approver : Simay Karadeniz

What is Fibromyalgia?

Fibromyalgia is a widespread and chronic pain syndrome. Fibromyalgia is a complex and multifaceted condition characterized by pain, which can affect each individual differently. It can be characterized by joint stiffness in multiple areas, chronic and widespread pain, as well as symptoms such as fatigue, cognitive impairment, mood disorders, and insomnia.

This disease, which can also present with symptoms such as severe headaches, depression, dysmenorrhea, and irritable bowel syndrome, is generally more common in women than in men.

Although the cause of fibromyalgia syndrome is not precisely known, it is generally thought to arise from the interaction of neurological, biological, and psychological factors. There is no standard treatment protocol. Current evidence suggests that treatment should be tailored to the individual and organized using a multidisciplinary approach, taking into account the patient's clinical condition.

In our article prepared by Specialist Dietitian Simay Karadeniz, from our Nutrition and Diet department, you can find detailed information about fibromyalgia and nutrition.

What Should Fibromyalgia Patients Pay Attention to?

There are some important points that fibromyalgia patients should pay attention to. First and foremost, regular and balanced nutrition is extremely important for patients' overall health. Consuming foods with anti-inflammatory properties can reduce pain and inflammation. These foods include fish, green leafy vegetables, fruits, nuts, and olive oil, which have antioxidant properties. Some fibromyalgia patients may have low vitamin or mineral levels. It would be beneficial to consult a specialist physician and address any deficiencies based on your blood test results.

Dehydration can worsen fibromyalgia symptoms, so it is important to drink enough water. Drinks that can cause dehydration, such as caffeine and alcohol, should be avoided.

Studies show that regular, light exercise can reduce the symptoms of fibromyalgia. However, excessive exercise or strenuous activities can increase pain and fatigue in fibromyalgia patients. Exercise programs must be planned with the guidance of a specialist.

In addition to exercise, quality and sufficient sleep can help patients cope with pain and fatigue. To establish a sleep routine, it may be helpful to set regular bedtimes, organize the sleep environment, and practice relaxation techniques before bed.

At the same time, stress can worsen fibromyalgia symptoms, negatively impacting people's quality of life. Regularly practicing stress-reducing techniques such as yoga, meditation, and deep breathing exercises can help patients manage their stress.

How Should Fibromyalgia Patients Eat?

It is important for fibromyalgia patients to adopt a balanced diet. Daily meals should be healthy and balanced, and a diet plan rich in protein, healthy fats, complex carbohydrates, fiber, and antioxidants should be preferred. The diet plan should be followed in a way that supports the immune system and keeps energy levels balanced, with anti-inflammatory properties. Consuming foods with anti-inflammatory properties can reduce pain and inflammation. These foods include fish, green leafy vegetables, fruits, nuts, and olive oil, which have antioxidant properties. Consuming food groups containing triggers such as additives, preservatives, and colorings may increase attacks. Protein is also essential for muscle and tissue repair, so consuming sufficient amounts is important. Drinking enough water also ensures proper functioning of the body, helps eliminate toxins, and supports muscle and joint health.

Studies have shown that low-calorie diets, low FODMAP diets, gluten-free diets, vegetarian diets, and Mediterranean diets alleviate pain symptoms in fibromyalgia patients and lead to improvements in sleep patterns and depression. Based on this information, it is essential to determine the individual's needs and create a personalized nutrition plan.

What Are the Recommended Foods For Fibromyalgia Patients?

  • Omega-3 fatty acids: They reduce inflammation thanks to their anti-inflammatory effects. Salmon, sardines, flaxseed, chia seeds, and walnuts are foods rich in omega-3.
  • Colorful vegetables: They are rich in antioxidants and strengthen the immune system. Vegetables such as spinach, broccoli, carrots, red peppers, and sweet potatoes should be included in the daily diet.
  • Fruits: They should be consumed as they are rich in antioxidants and vitamins. Dark-colored fruits such as strawberries, blackberries, raspberries, and blueberries have anti-inflammatory properties.
  • Grains: Rich in fiber to support digestive health. They also keep energy levels balanced. Taking personal symptoms into account, gluten-free options for grains may be preferred.
  • Plant-based proteins: Rich in fiber and protein, they can be preferred when animal-based protein intake needs to be reduced. Plant-based protein sources such as beans, lentils, and chickpeas support the immune system and can reduce inflammation.
  • Yogurt and probiotics: Foods rich in probiotics, such as yogurt, support digestive health and strengthen the immune system. They may also help manage some fibromyalgia symptoms.
  • Water: Drinking enough water helps eliminate toxins from the body, regulates digestion, and has positive effects on overall health. Dehydration can worsen fibromyalgia symptoms.
Fibromyalgia patients can support their overall health and manage their symptoms by regularly consuming these foods. However, individual needs and tolerances may vary, so it is important to work with a nutritionist or dietitian.

What Are the Foods That Should Be Avoided by Fibromyalgia Patients?

  • Processed foods: Processed foods typically contain refined sugars, saturated fats, and additives. Consuming these types of foods can increase inflammation and have negative effects on overall health.
  • Refined sugars: Foods high in sugar can cause sudden spikes in blood sugar and lead to fluctuations in energy levels. They can also increase inflammation.
  • Caffeine: Caffeinated beverages can cause insomnia, irritability, and anxiety. Fibromyalgia patients often experience sleep problems, and caffeine consumption can worsen these problems.
  • Alcohol: Alcohol consumption can impair sleep quality and increase pain. Additionally, alcohol can increase inflammation in the body and have adverse effects on the digestive system.
  • Excessive salt: Excessive salt consumption can cause water retention and bloating in the body. It can also increase inflammation and raise blood pressure.
  • High-fat and fried foods: Foods that are high in fat and fried can increase inflammation and negatively impact digestive health.
  • Gluten-containing grains: Some fibromyalgia patients have reported that gluten worsens their symptoms. For this reason, avoiding gluten-containing grains such as wheat, barley, and rye may be beneficial for some people.
Because every fibromyalgia patient is different, determining which foods worsen symptoms can vary from person to person. However, the foods mentioned above are generally foods that can worsen fibromyalgia symptoms.

Sample Nutrition Program For Fibromyalgia Patients:

Breakfast:
  • On 1 slice of buckwheat bread;
  • Avocado spread and poached egg
  • Olive salad with walnut, tomato, and ground flaxseed
  • Seasonal salad with grated carrot, red pepper, arugula, and lettuce
 
Lunch-Dinner:
  • Grilled chicken and vegetable salad (Lettuce, arugula, basil, grilled zucchini, eggplant, carrot)
  • Add to yogurt: 3 tablespoons of sprouted green lentils + cucumber + purslane
  • Buckwheat pilaf with vegetables
or
  • Oven-baked salmon with bay leaves and sweet potatoes
  • Steamed broccoli and cauliflower with olive oil and lemon
  • 4-color salad with quinoa
 
Snacks:
Add to homemade yogurt;
  • Blueberries or raspberries + A handful of raw almonds or walnuts
or
  • Fruit salad with arugula, walnuts, and sprouted crunchy lentils
  • Green tea with lemon