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Health status in fibromyalgia--a followup study.
1Center for Rheumatic Diseases, the National Hospital, Oslo, Norway. a.m.mengshoel@helsefag.uio.no
The Journal of Rheumatology
|September 12, 2001
Summary
Long-term fibromyalgia (FM) patients showed no symptom worsening and maintained physical activity. Despite increased weight, coping strategies suggest a generally positive outlook for managing chronic pain.
Area of Science:
- Rheumatology
- Clinical Medicine
- Longitudinal Studies
Background:
- Fibromyalgia (FM) is a chronic pain condition impacting physical function and quality of life.
- Long-term outcomes and management strategies for fibromyalgia require further investigation.
Purpose of the Study:
- To assess long-term (6-8 years) changes in symptoms, physical function, and nutritional status in women with fibromyalgia.
- To evaluate the impact of exercise and patient education programs on fibromyalgia management over time.
Main Methods:
- A longitudinal study involving 33 women with fibromyalgia, initially part of exercise and patient education programs.
- Assessment of symptoms (visual analog scales), cardiovascular capacity, daily activity impact (Fibromyalgia Impact Questionnaire), employment, coping strategies, and nutritional status (anthropometrics, dietary intake).
Main Results:
- Significant reductions in tender points (exercise group) and fatigue/pain (patient education group) were observed.
- Despite regular physical activity and healthy diet focus, participants showed increased weight and body fat, with 24% becoming obese.
- Coping strategies included adjustment and distraction; employment status remained unchanged.
Conclusions:
- Fibromyalgia patients in this cohort experienced a benign long-term outcome with no symptom worsening.
- Frequent participation in physical activities and effective coping mechanisms contribute to a stable long-term prognosis for fibromyalgia.