TY - JOUR
T1 - Decreased physical activity attributable to higher body mass index influences fibromyalgia symptoms
AU - Vincent, Ann
AU - Clauw, Daniel
AU - Oh, Terry H.
AU - hipple, Mary O.
AU - Toussaint, Loren L.
N1 - Funding Information:
This study was supported in part by the Center for Translational Science Activities (CTSA) at Mayo Clinic. This center is funded in part by a grant from the National Center for Research Resources (NCRR) , a component of NIH( RR024150 ). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the CTSA, NCRR, or NIH.
Publisher Copyright:
© 2014 American Academy of Physical Medicine and Rehabilitation.
PY - 2014/9/1
Y1 - 2014/9/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.pmrj.2014.02.007
DO - 10.1016/j.pmrj.2014.02.007
M3 - Article
C2 - 24534101
AN - SCOPUS:84907991293
SN - 1934-1482
VL - 6
SP - 802
EP - 807
JO - PM and R
JF - PM and R
IS - 9
ER -