Journal Information
Vol. 7. Issue 1.
Pages 7-12 (January - February 2011)
Share
Share
Download PDF
More article options
Vol. 7. Issue 1.
Pages 7-12 (January - February 2011)
Original article
Full text access
Analysis of the body composition of Spanish women with fibromyalgia
Análisis de la composición corporal en mujeres con fibromialgia
Visits
5270
Virginia A. Aparicioa,b,c,
Corresponding author
virginiaparicio@ugr.es

Corresponding author.
, Francisco B. Ortegad, José M. Herediaa, Ana Carbonell-Baezaa,b, Manuel Delgado-Fernándeza
a Facultad de Ciencias de la Actividad Física y del Deporte, Departamento de Educación Física y Deportiva, Universidad de Granada, Granada, Spain
b Unit for Preventive Nutrition, Departament of Bioscience and Nutrition, Karolinska Institutet, Sweden
c Facultad de Farmacia, Departamento de Fisiología, Universidad de Granada, Granada, Spain
d Facultad de Medicina, Departamento de Fisiología, Universidad de Granada, Granada, Spain
This item has received
Article information
Abstract
Objectives

To describe the anthropometric profile and body composition of women from Southern Spain diagnosed with fibromyalgia (FM) and to compare the observed values with values from other studies conducted on FM patients and with national reference values.

Materials and methods

The body composition of 104 women diagnosed with FM was assessed using an eight-electrode impedance meter. The reliability of the body composition measurement was tested in a randomly selected sub-sample (n=28). The reliability study showed a test-retest systematic error close to zero in most of the parameters studied.

Results

The women with FM who were studied had a mean weight of 71.3±13.4kg, height of 158±6cm, body mass index of 28.6±5.1kg/m2, body fat mass of 38.6±7.6%, total body water of 31.6±3.8 L and muscle mass of 23.4±3.0kg. In general, there were no substantial differences in weight and body mass index between women with FM and those analyzed in other Spanish and European studies involving FM patients, nor when they were compared with regional or national reference values. However, the prevalence of obesity in the women with FM under study was 33.7%, a higher figure than that from the national reference data for obesity in similarly aged women (i.e. 26.4%).

Conclusions

The results suggest that obesity is a common condition in women diagnosed with FM, its prevalence in this population being higher than the national reference values. This study provides detailed information about the body composition characteristics of women with FM.

Keywords:
Fibromyalgia
Body composition
Bioimpedance
Obesity
Resumen
Objetivos

Caracterizar el perfil antropométrico y de composición corporal de mujeres con fibromialgia (FM) del sur de España y compararlo con otros estudios nacionales e internacionales de similares características, así como con valores normativos de mujeres españolas.

Materiales y métodos

Se ha analizado la composición corporal de 104 mujeres diagnosticadas de FM mediante un bioimpedianciómetro de 8 electrodos. La fiabilidad de la medida fue estudiada en una submuestra seleccionada aleatoriamente (n=28). El estudio de fiabilidad mostró un error sistemático test vs. re-test cercano a cero en la mayoría de los parámetros estudiados.

Resultados

Las mujeres con FM estudiadas tuvieron un peso promedio de 71,3±13,4kg, 158,1±6cm de altura, 28,6±5,1kg/m2 de índice de masa corporal, 38,6±7,6% de porcentaje graso, 31,6±3,8 l de agua corporal total y 23,4±3,0kg de masa muscular. En general, no se observan diferencias importantes en peso e índice de masa corporal, tanto entre las mujeres con FM estudiadas y enfermas procedentes de otros estudios nacionales o europeos como en comparación con los valores de referencia andaluces o nacionales. Sin embargo, la prevalencia de obesidad en el grupo de mujeres con FM fue del 33,7%, un valor superior a la prevalencia de obesidad nacional en mujeres de igual rango de edad (i.e. 26,4%).

Conclusiones

Los resultados sugieren que la obesidad es una condición frecuente entre mujeres con FM, siendo su prevalencia sustancialmente superior a los valores normativos nacionales. Este estudio presenta información detallada sobre la composición corporal de mujeres con FM.

Palabras clave:
Fibromialgia
Composición corporal
Bioimpedancia
Obesidad
Full text is only aviable in PDF
References
[1.]
P. Sarzi-Puttini, D. Buskila, M. Carrabba, A. Doria, F. Atzeni.
Treatment strategy in fibromyalgia syndrome: where are we now?.
Semin Arthritis Rheum, 37 (2008), pp. 353-365
[2.]
F. Wolfe, H.A. Smythe, M.B. Yunus, R.M. Bennett, C. Bombardier, D.L. Goldenberg, et al.
The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee.
Arthritis Rheum, 33 (1990), pp. 160-172
[3.]
A.M. Abeles, M.H. Pillinger, B.M. Solitar, M. Abeles.
Narrative review: the pathophysiology of fibromyalgia.
Ann Intern Med, 146 (2007), pp. 726-734
[4.]
A.J. Mas, L. Carmona, M. Valverde, B. Ribas.
Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population: results from a nationwide study in Spain.
Clin Exp Rheumatol, 26 (2008), pp. 519-526
[5.]
A. Sicras-Mainar, J. Rejas, R. Navarro, M. Blanca, A. Morcillo, R. Larios, et al.
Treating patients with fibromyalgia in primary care settings under routine medical practice: a claim database cost and burden of illness study.
Arthritis Res Ther, 11 (2009), pp. R54
[6.]
C.J. Ley, B. Lees, J.C. Stevenson.
Sex- and menopause-associated changes in body-fat distribution.
Am J Clin Nutr, 55 (1992), pp. 950-954
[7.]
T. Douchi, Y. Yonehara, Y. Kawamura, A. Kuwahata, T. Kuwahata, I. Iwamoto.
Difference in segmental lean and fat mass components between pre- and postmenopausalwomen.
Menopause, 14 (2007), pp. 875-878
[8.]
A.R. Folsom, L.H. Kushi, K.E. Anderson, P.J. Mink, J.E. Olson, C.P. Hong, et al.
Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women's Health Study.
Arch Intern Med, 160 (2000), pp. 2117-2128
[9.]
M.B. Yunus, S. Arslan, J.C. Aldag.
Relationship between body mass index and fibromyalgia features.
Scand J Rheumatol, 31 (2002), pp. 27-31
[10.]
L. Neumann, E. Lerner, Y. Glazer, A. Bolotin, A. Shefer, D. Buskila.
A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients.
Clin Rheumatol, 27 (2008), pp. 1543-1547
[11.]
A. Okifuji, D.H. Bradshaw, C. Olson.
Evaluating obesity in fibromyalgia: neuroendocrine biomarkers, symptoms, and functions.
Clin Rheumatol, 28 (2009), pp. 475-478
[12.]
B.G.D. Sañudo.
Relación entre capacidad cardiorrespiratoria y fibromialgia en mujeres.
Reumatol Clin, 4 (2008), pp. 8-12
[13.]
N. Gusi, P. Tomas-Carus.
Cost-utility of an 8-month aquatic training for women with fibromyalgia: a randomized controlled trial.
Arthritis Res Ther, 10 (2008), pp. R24
[14.]
M. Malavolti, C. Mussi, M. Poli, A.L. Fantuzzi, G. Salvioli, N. Battistini, et al.
Crosscalibration of eight-polar bioelectrical impedance analysis versus dual-energy X-ray absorptiometry for the assessment of total and appendicular body composition in healthy subjects aged 21–82 years.
Ann Hum Biol, 30 (2003), pp. 380-391
[15.]
A. Sartorio, M. Malavolti, F. Agosti, P.G. Marinone, O. Caiti, N. Battistini, et al.
Body water distribution in severe obesity and its assessment from eight-polar bioelectrical impedance analysis.
Eur J Clin Nutr, 59 (2005), pp. 155-160
[16.]
J. Norregaard, P.M. Bulow, P. Vestergaard-Poulsen, C. Thomsen, B. Danneskiold-Samoe.
Muscle strength, voluntary activation and cross-sectional muscle area in patients with fibromyalgia.
Br J Rheumatol, 34 (1995), pp. 925-931
[17.]
WHO.
Diet, nutrition and the prevention of chronic diseases. Report of a Joint FAO/WHO Expert consultation. WHO Technical Report series 916.
Geneva, (2003),
[18.]
J.M. Bland, D.G. Altman.
Statistical methods for assessing agreement between two methods of clinical measurement.
Lancet, 1 (1986), pp. 307-310
[19.]
R. Bennett.
The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses.
Clin Exp Rheumatol, 23 (2005), pp. 154-162
[20.]
J. Aranceta, C. Perez Rodrigo, L. Serra Majem, L. Ribas Barba, J. Quiles Izquierdo, J. Vioque, et al.
Prevalence of obesity in Spain: results of the SEEDO 2000 study.
Med Clin (Barc), 120 (2003), pp. 608-612
[21.]
J. Aranceta, C. Perez Rodrigo, M. Foz Sala, T. Mantilla, L. Serra Majem, B. Moreno, et al.
Tables of coronary risk evaluation adapted to the Spanish population: the DORICA study.
Med Clin (Barc), 123 (2004), pp. 686-691
[22.]
J.C. Lowe, J. Yellin, G. Honeyman-Lowe.
Female fibromyalgia patients: lower resting metabolic rates than matched healthy controls.
Med Sci Monit, 12 (2006), pp. CR282-CR289
[23.]
S.R. Clark, C.S. Burckhardt, C. O’Rielly, B. RM.
Fitness characteristics and perceived exertion in women with fibromyalgia.
J Musculoskeletal Pain, 1 (1993), pp. 191-197
[24.]
J.R. Shapiro, D.A. Anderson, S. Danoff-Burg.
A pilot study of the effects of behavioral weight loss treatment on fibromyalgia symptoms.
J Psychosom Res, 59 (2005), pp. 275-282
[25.]
C. Sotillo, M. Lopez-Jurado, P. Aranda, M. Lopez-Frias, C. Sanchez, J. Llopis.
Body composition in an adult population in southern Spain: influence of lifestyle factors.
Int J Vitam Nutr Res, 77 (2007), pp. 406-414
[26.]
J.E. Ware Jr., C.D. Sherbourne.
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
Med Care, 30 (1992), pp. 473-483
[27.]
E.A. Janke, A. Collins, A.T. Kozak.
Overview of the relationship between pain and obesity: what do we know? Where do we go next?.
J Rehabil Res Dev, 44 (2007), pp. 245-262
[28.]
J.K. Lake, C. Power, T.J. Cole.
Back pain and obesity in the 1958 British birth cohort. Cause or effect?.
J Clin Epidemiol, 53 (2000), pp. 245-250
[29.]
A.J. Busch, C.L. Schachter, T.J. Overend, P.M. Peloso, K.A. Barber.
Exercise for fibromyalgia: a systematic review.
J Rheumatol, 35 (2008), pp. 1130-1144
Copyright © 2011. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
Download PDF
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?