Obesity Linked to Worse Fibromyalgia Symptoms

WEDNESDAY, Feb. 8 (HealthDay News) -- Obese people are not only at greater risk for fibromyalgia, they are likely to experience more severe symptoms of the condition, such as chronic pain, fatigue, sleep disturbance and mood disorders, according to a new study.

The findings suggest that weight-loss strategies should accompany treatment plans for overweight patients with fibromyalgia, a syndrome characterized by widespread musculoskeletal pain that mainly affects women and has no known cure, according to researchers from the Mayo Clinic.

"We see an association between body mass index with symptom severity and quality of life in patients with fibromyalgia," study author Dr. Terry Oh, of Mayo Clinic's department of physical medicine and rehabilitation, said in a news release from the clinic. "This was the first study to look at distinct groups of obese patients and determine how weight correlates with levels of symptoms and quality of life."

In conducting the study, the researchers examined the body mass index (BMI) -- a measurement that takes into account height and weight -- of 888 patients with fibromyalgia. A BMI score of 30 or greater is deemed obese, and about half of the patients were in that category. One-quarter of the participants were considered severely obese with a BMI score greater than 35.

The patients also answered questions about their fibromyalgia symptoms and ability to function in daily activities. Oh's team found that as patients' weight increased so did the severity of their symptoms. Meanwhile, their quality of life dropped.

Severely obese patients also reported experiencing much more pain than other patients, the investigators found.

The study, published in the February issue of Arthritis Care & Research, noted that the higher rate of obesity among people with fibromyalgia may be due to chronic pain and inactivity, resulting in poor quality of life and a rise in disability.

"BMI has already been singled out as an independent risk factor for fibromyalgia," Oh stated in the news release. "Our results underscore the importance of incorporating weight management strategies in treatment programs for fibromyalgia patients."

While the study uncovered an association between obesity and severity of fibromyalgia symptoms, it did not prove a cause-and-effect relationship.

More information

The U.S. National Library of Medicine has more about fibromyalgia.

 

43 comments

  • Gruene Queen  •  San Antonio, Texas  •  3 months ago
    I have fibromyalgia, got it as result of auto accident damaging brain. I was not obese at the time, speed walked at least 30 miles a week, rode horses, scuba dived, was extremely active. Since the advent of symptoms which includes a sleep disorder, I have had to severely limit my activities. I cannot get insurance co. to pay for necessary meds, so I am in extreme pain the next several days with any activity. Is it any wonder I am obese now? Only family member who is. So why blame fibromyalgia on the obesity? Fibromyalgia causes it! I also now have Hashimoto's Disease (thyroid disappearance) because of all the X-rays!!! Thyroid doctors are wrong in prescription levels too. I have learned I have to fight for my health. I only have one ally, my new GP. Specialists are usually too egotistical to pay attention to what I say.
    • slickity 3 months ago
      I agree. Also have the SAME thyroid, sleep and other issues, nothing seems right anymore, health in a downward spiral.
    • Barry puff daddy 3 months ago
      Those Big Macs didn't help either.
    • Totally Disgusted 3 months ago
      @ Barry puff doodle I don't eat red meat, processed foods or sugar yet that does ont help either. Please your ig nor ance is showing....
  • 29forever  •  Dallas, Texas  •  3 months ago
    I was thin until I started taking the drugs that they give for fibro. Then I gained 30 pounds. Even after I quit taking all meds I still can't lose the weight! Maybe they should take that into consideration before labeling people.
    • Jamie 3 months ago
      your body is probably storing it cause its toxic and its protecting you....you should look in to ion foot baths, steam tents and body detox wraps to assist in removing the hormones from you without having to have them go through your organs, which your body is already protecting you from. Also you might have food allergies that are causing the fybro. Its very common with gluten allergies and yeast. good luck.
    • 29forever 3 months ago
      Thank you, I'm about to start a detox/elimination diet to see if that helps!
    • Katie's Picks 3 months ago
      I too have Fibro and am not overweight. So sick of people theorizing on things they have absolutely no idea. I am gluten-free, organic, etc etc. The bottom line is we don't know what the cause is. Once upon a time diabetes and MS were considered hysterical women's diseases too.. People really need to work on empathy as life can change very quickly!
  • George  •  3 months ago
    Obesity makes any disease and the symptoms worse. This doesn't say anything about the cause, pathophysiology nor a cure for fibromyalgia.
    • just me 3 months ago
      was it supposed to ?
    • Lin 3 months ago
      There is no cure. Read some of the articals to learn more.
    • George 3 months ago
      There is no cure right now, but there will be a cure in the near future. I am a doctor.
  • Mary  •  Marquette, Michigan  •  3 months ago
    Maybe the pain creates a situation where you become obese because exercise is so painful you want to throw yourself off a tall building to get away from it...hmmm. Or it's a side effect of the medications that people are put on when they are diagnosed? This is just another fascinating way for the medical field to create prejudice against people with weight problems. (i.e. "If you weren't so fat you wouldn't have these problems.") Maybe we need to consider that obesity is a symptom, not a cause. I was 125 lbs when I was diagnosed with Fibromyalgia for the first time at the age of 25. Now, it's a completely different story. Fibromyalgia is a devilish problem that sometimes feels better if you exercise, but makes you feel so bad you couldn't possibly exercise. This is an uninformative and irresponsible article/research project. There is not enough information here for this to be science.
  • DAS  •  Tyler, Texas  •  3 months ago
    I have had FM/Lupus/RA/Degenerative spine disease for years. I started gaining weight almost immediately and I can tell you from experience that it is very difficult to live a "normal" life when you are exhausted all the time...dieting only adds more stress to the pkg. if you are the only person in the house who is doing the dieting !!! When you cannot stand on your feet for more than 30 min. w/o being ready to collapse...it makes it very stressful. I have had further complications from medicines the different doctors prescribed, such as dry mouth so bad that all of my teeth fell out and I was forced into dental implants only to discover that due to my immune system being gone, my gums would not heal and grow to the posts they put in ...so I have been able to eat very little of salads, etc. ..so I am eating only soft foods and juices with almost "no help " from the so called specialists out there available to me. Very stressful and expensive. I know my medical problems contributed to my divorce and later to strokes and heart attacks. My life is over as compared to a few years of medical problems !
    • A Yahoo! User 3 months ago
      Did you know that you can make lettuce soup? Just take your salad and run it through the blender and drink it. One more thing...get your Vitamin D levels checked. You may be deficient as I am and that can affect your immune system and your healing. I am sorry you are struggling so much. May God bless you.
    • judy 3 months ago
      Also try B12 injection. I was in pain for 3 years and within two days of a B12 injection my pain decreased by 35%. It was as if my body refused to heal, my muscles wouldn't recover...I'm only 45.
    • Kelly 3 months ago
      I,too, had always led an active life until being diagnosed with fibromyalgia, disk degenerative disease, interstitial cystitis and numerous surgeries. I also had both my front teeth to break off due to the depletion of vital vitamins and minerals in my system. Luckily, I was able to have veneers put on. I have been struggling with this for 12 years--only 8 of which has been diagnosed. I never had to struggle with weight but now it is a constant battle. I've gained and lost the same 15 lbs. I don't know how many times and that's still not enough! I've read people's comments...but if they've not lived it, then please don't add to the pile of crap that we, chronic pain patients have to wade through every time a story like this is printed. We know you THINK you're helping...you're not. It is quite easy on that side of the pain line to suggest "getting toxins out of your system" when we all know on THIS side of the pain line that WE'RE BARELY SURVIVING MUCH LESS WANTING TO HEAR YOUR IDIOTIC VERSION OF "WHAT IF..."
      Now, to all of us who are surviving the best we can...keep trying. Life is worth the smallest of victories. Here's one woman who's praying for you all as well as herself. God Bless.
  • Erika  •  3 months ago
    There's an associaion all right, Fibromyalgia and other chronic pain issues put one at high risk for obesity. People with Fibro are more likely to be fat because it hurts to move and they're too exhausted all the time to add exercise to a necessarily slim movement routine.
  • Totally Disgusted  •  3 months ago
    I wonder if any of these researchers checked out some of the side effects of the medication that fibro patients have been given. Let's see Lyrica - side effect WEIGHT GAIN... Predizone - side effect WEIGHT GAIN. Now that the feds do not want percocet or morphine used for pain they are pushing anti depressants for the control of pain - side effect WEIGHT GAIN..I am still trying to lose the weight these pills have caused. I have come to the conclusion that chemical weight gain is harder to lose than weight gain caused by food.
    . Now I do have fibro and thanks to my 2 dogs I walk every day for 2 miles. I come home and I am totally useless. The fibro according to the foot Dr. is also effecting my feet which makes it hard to walk when I return home. BUT I WALK EACH DAY ANYWAY!!!! Every morning I wake up gritting my teeth. My job is trying to walk! Now would you like to prescribe a med that does not cause weight gain but actually gets rid of the pain I would be the first to use it.
  • K  •  3 months ago
    As a person living with the rare Palindromic Rheumatism...Your idea of exercise, and weight loss plan only makes it worse to move muscles,and joints that don't want to move...that the smallest amount of stress can send a person into flare ups from hell? do these doctors know what that pain feels like? Have they forgotten that some people have thyroid issues which (omg) can cause obesity. It's bad enough doctors still pass people off as being crazy when they mention the symptoms.
  • Liza2  •  3 months ago
    "The study, published in the February issue of Arthritis Care & Research, noted that the higher rate of obesity among people with fibromyalgia may be due to chronic pain and inactivity, resulting in poor quality of life and a rise in disability." This is pretty much the only relevant statement in this article.

    Though my weight went up my fibro symptoms improved as I learned to take it easy, not overexercise, eat more often, etc. My fibro symptoms were definitely worse when I was thin and working on keeping my weight down. They should do more research and figure out which came first, the chicken or the egg, before making such broad generalized recommendations as they have done here. I think dieting and overexercising are probably two of the worst things for fibro...though eating healthy is a win-win!
  • L M  •  3 months ago
    Well, duh.
    People who are in pain don't move much, and they gain weight. It's a vicious circle that is very hard to interrupt, especially when so many physicians don't care and don't help.
  • Michael  •  3 months ago
    What magic wand is proposed for curing obesity, particularly if one finds it painful to move? If it were as simple as thin people's suggestion to "just" eat less and exercise more, everybody would do it and nobody would be obese. It's a national epidemic for a reason, or more likely several reasons, and medical science has little intelligent to offer in combating it.
  • slickity  •  3 months ago
    I must disagree. I have a friend with fibro and I also have it. She was the epitome of health, worked out every day, no fat on her and her symptoms are infinitely worse than mine. I got fibro 22 years ago after chemo, she got it after a car accident.
  • Whrldpz  •  3 months ago
    Do these researchers read their own notes? Fibro leads to inactivity and weight gain. If you are in pain 24 hours a day, there is no cure and you have no pain management; guess what? This condition makes you unable to do your activities of daily living and exercise. Now wouldn't it be wiser to keep working on an effective treatment, offer pain management, and then insist on a weight loss and exercise plan?
  • Rafferty  •  Dayton, Nevada  •  3 months ago
    This one lady- 52 years old was told that she had fibromyalgia- when in fact her fatigue and achiness was from a hidden heart problem from which she died after ignoring chest pains - next day or so a Doctor sent her home with medicine, and when this didn't work and she was stricken again, she died on operating table at 52 years old. I have it too- check out sleep apnea, as well. I used Cymbalta, and now mostly 1/2 tablet of Cyclobenzaprine/Flexeril around 8 pm for the pain, muscle spasms
    and sleep problems and a Hot bath whenever the weather and soreness make me ache all over.
    I am about 30 pounds overweight, but with low blood sugar problems, I snack in between meals so its hard to lose it.
  • pynaetlb  •  3 months ago
    If you have chronic pain, Google Aspartame poisoning, it just might help you out. I had chronic shoulder pain for six years. Spent thousands on visits to my doctor and chiropractor and neither could help me. Then I was made aware of Aspartame poisoning. I've been pain free for over two years. Doctors don't know everything.
  • BFE  •  3 months ago
    I gained weight because of medication for depression. I've had severe fibromyalgia pain even when I was skinny and I had exercised daily. Yes, I am no longer exercising daily due to other ailments, and surgeries, but this seems as if it is another one of those one sided studies. It appears that when the "Mayo Clinic" comes out with a study, doctors do not question the studies, but push it on to their patients who do have fibromyalgia. Where do they find these people? I am in just as much pain now, as I was when first diagnoised. How about a treatment that doesn't involve exercise, nor has drug interaction. Right now each individual aliment is treated by a different doctor. The so called "experts won't take insurance, so unless you are rich, you are SOL. I do know that weather and stress plays a big part in how bad my pain is, but hey, I've been living with this pain for almost twenty years, what do I know.
  • Deanna D  •  Poughkeepsie, New York  •  3 months ago
    What ever you call it, (a disease or a syndrome) it has debilitating and relentless symptoms.
  • Brenda  •  Las Cruces, New Mexico  •  3 months ago
    I assure you that it is not made up disease. I used to suffer for it greatly, but now have it under control. It is not a disease, it is a condition. A disease is when there is a chronic problem that they know specifically what the cause was. A condition is where a chronic condition exists, but they do not know the specific origin or cause, only speculation. It does not mean though it if fictitious. If you give a brain scan to a person with Fibro, you can actually see a difference to one who doesn't suffer from this condition. If you do research, you can understand the complexity of this condition. They test you first for MS, Lupis and other things that mimick the symptons. Once the other diseases are ruled out, Fibro is often the diagnosis. If anyone out there would like more information, please contact me. I also have it under control, and if anyone would like info on how to regain their health back, please contact me.
  • Connie  •  Spokane, Washington  •  3 months ago
    I Went on a sugar and gluten free diet, lost 20 lbs in 2 months, pain eased up, could move more easily, have reached best weight for my size. Massage out the sore spots on the body, that helps ease the pain. maintaining the diet and exercise as much as possible. Taking mucinex helps cleanse the body. Going sugar free is most important
  • kristad  •  3 months ago
    I had 'fibro' for years...until I was finally diagnosed with celiac disease. I just expected my IBS (very severe) to go away. Imagine my surprise when within a couple of months not only was my fibro in remission so was my cripplingly painful arthritis.
    If you have any tummy trouble and fibro DEMAND they check you for celiac. Not all celiacs are thin, as most doctors think, many are overweight. NIH figures state 1 out of 100 Americans are celiac...95% are misdiagnosed with something else.