LB079 - DIFFERENCES IN FOOD AND NUTRIENT INTAKE IN INDIVIDUALS WITH FIBROMYALGIA: OPTIMIZING THE SYNCHRONIZE + INTERVENTION DESIGN

LB079

DIFFERENCES IN FOOD AND NUTRIENT INTAKE IN INDIVIDUALS WITH FIBROMYALGIA: OPTIMIZING THE SYNCHRONIZE + INTERVENTION DESIGN

L. Cabricano-Canga^1,2,*, N. Bueno Hernández¹, S. Carreres Rey^1,3, L. Pla Pagà^1,3, C. Martín Borras^1,3, M. Mauri Gómez^1,3, E. Mascarell Ramos^1,3, B. Ribot Serra⁴, A. Vila-Martí⁴, M. Dearos Sanchís³, J. Fernández-Sáez^1,5, M. Pozo Ariza¹, A. Queiroga Gonçalves^1,6, C. Aguilar Martín^1,7, N. Carrasco-Querol¹

¹Unitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), Tortosa, ²EAP-Dreta Eixample, Barcelona, ³Institut Català de la Salut (ICS), Tortosa, ⁴Universitat de Vic (UVIC), Vic, ⁵Departament d’Infermeria, Facultat d’Infermeria Campus Terres de l’Ebre, Universitat Rovira i Virgili (URV), Tortosa, ⁶Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Barcelona, ⁷Unitat d’Avaluació i Recerca, Direcció d’Atenció Primària Terres de l’Ebre i Gerència Territorial Terres de l’Ebre, Institut Català de la Salut (ICS), Tortosa, Spain

Rationale: Fibromyalgia is a syndrome of complex management. The health benefits of the SYNCHRONIZE + intervention are being studied.  A key step was to identify intake differences between persons with fibromyalgia (FM) and healthy controls (HC), as well as correlations of diet components with pain and fatigue, in order to improve the intervention.

Methods: A cross-sectional study was carried out to evaluate food intake differences between FM and healthy groups, as well as correlations of diet components with pain and fatigue. Participants were from south Catalonia (n=200; 93% women; mean age 49, SD 8,2). Differences in Mediterranean diet (MedDiet) adherence measured by the er-MEDAS 17-items score, and macro- and micronutrients intake (24-h recall; ODIMET), were studied on 154 FM and 46 HC. VAS pain and MFI-R questionaries were used for pain and fatigue. Results were statistically analyzed by Mann–Whitney U test, Chi-square test, Z test and Pearson and Spearman correlation coefficients were calculated.

Results: Overall adherence to the Mediterranean diet did not differ significantly between groups, but low-to-moderate adherence was more frequent in fibromyalgia (FM), while high adherence prevailed among HC. HC had high adherence across most items, except for legumes. HC consumed significantly more fermented foods (p 0.044), energy (p 0.046), protein (p 0.022), and fat (0.026). Nocturnal eating was reported in 17.5% of FM participants (p 0.06). Micronutrient intakes of DHA (p 0.021), iron (p 0.025), vitamin B12 (p 0.029) and vitamin E (p <0.001) were significantly higher in HC. Mediterranean diet adherence positively correlated with omega-3 fatty acids, iron, folate, vitamin C, vitamin E, magnesium, and fiber intake. Higher energy, protein, and fat intakes were associated with lower pain (p= -.189, -.211, -.203; p 0.05). In FM, weak inverse correlations were observed between pain and protein, fat, iron, folate, vitamin C, vitamin E (p= -.183, -.196, -.192, -.205; p 0.05), and stronger with magnesium and zinc (p= -.168, -.168, -.0256, -.247; p 0.01). Fat and zinc intake also correlated with reduced general fatigue in FM (p= -.192, -.193; p 0.05) 

Conclusion: Food intake of people with FM differs from HC. Caloric and protein, lipids, and several key micronutrients intake, are lower in people with FM. Improving MedDiet adherence and intake of identified key nutrients is an objective of the SYNCHRONIZE + intervention, which has interesting potential in FM and chronic diseases management and prevention.

Disclosure of Interest: None declared