Women with Fibromyalgia: Association of Body Mass Index with Socioeconomic Status, Disease Severity, Functional Disability and Quality of Life | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 6, Volume 35, Issue 3, July 2017, Page 55-68 PDF (524.54 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2017.4099 | ||||
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| Abstract | ||||
| Fibromyalgia syndrome (FMS) may cause functional disability, severe pain and fatigue and affect quality of life (QoL)which interfere with daily activities of patients. Aim: To determine the association between body mass index (BMI) and symptom severity, QoL and functional capacity in patients with fibromyalgia. Participants and Methods: Fifty women (50) with fibromyalgia and thirty (30) age matched healthy women control group were assessed for BMI, socio-economic (SES) status assessment and clinical signs of fibromyalgia by FMS-related measurements, visual analogue scale (VAS), number of tender points (NTP) Fibromyalgia Impact Questionnaire (FIQ) and Myalgia score. The short form health survey - 36, Functional capacity was conducted by six minute walk test. Results: The majority of patients were obese (74%): 48% class 1, 20% class 2, and 6 % class 3. Greater fibromyalgia-related symptoms and functional impairment were found in the higher BMI group with statistically significant differences regarding SES total score; education and culture total domain, NTP and myalgic score, 6 minutes’ walk test, some domains of SF36 and leptin concentration. Severe FM showed higher VAS, NTP, Myalgic score, disease duration, BMI and leptin concentration but lower age and SES than other grades with statistically significant differences regarding disease duration VAS, myalgic score, leptin concentration and all SF36 domains except general health perception. Conclusion and Recommendation: The findings support that excess weight is negatively related to QOL, functional capacity , SES but positively related to disease severity (clinical and lab) in women with FMS. A fibromyalgia treatment program needs to incorporate medical and behavioral weight loss programs for obese patients | ||||
| Keywords | ||||
| Fibromyalgia; BMI; Women; QOL | ||||
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