Effectiveness of the SYNCHRONIZE plus Brief Intervention in Improving Mediterranean Diet Adherence, Nutritional Quality and Intake Pattern in Persons with Fibromyalgia and Chronic Fatigue Syndrome
Por:
Carrasco-Querol, N, Cabricano-Canga, L, Hernández, NB, Martín-Borràs, C, Goncalves, AQ, Vila-Marti, A, Ribot, B, Sola, J, Valls-Llobet, C, Angelats, RC, Monteso-Curto, P, Blanco, EC, Ariza, MP, Rey, SC, Paga, LP, Sanchís, MD, Fernández-Sáez, J, Llorca, MRD, Martín, CA
Publicada:
1 ene 2025
Resumen:
Background: Multidisciplinary lifestyle interventions are being researched to treat fibromyalgia. However, the impact of nutrition as a key treatment component is little studied. This study aimed to evaluate the effectiveness of the SYNCHRONIZE + lifestyle multidisciplinary intervention in improving adherence to the Mediterranean diet, nutrition quality and dietary intake pattern in persons with fibromyalgia and chronic fatigue syndrome. Methods: A pragmatic randomized clinical trial was conducted in primary care. Data were collected using the 17-item energy-restricted Mediterranean Adherence Screener (er-MEDAS), the food frequency questionnaire (sFFQ) and the 24 h recall questionnaire (24 HR), in addition to chrono-nutritional, anthropometric, and body composition data, at baseline and 3-, 6-, and 12- month follow-up visits, and statistically analyzed. Results: A total of 158 participants were evaluated. Results showed the effectiveness of the intervention in improving adherence to the Mediterranean diet. The adherence depended on the group-time interaction being positive and significant at 3 and 6 months post-intervention in the INT group and on the participant age and educational level. Specifically, the intake of legumes, fruits, vegetables, nuts and blue fish was increased, while the intake of sweets and pastries, butter and cream and red and processed meat was reduced. Furthermore, the intake of chips and candies was also reduced, and the consumption of fermented food (yogurts, cheese, kefir) increased. Thus, general diet quality improved. Interestingly, the intake of key nutrients such as protein and iron increased. Furthermore, the number of night eaters was decreased significantly. Muscle mass index was also improved in the intervention group. These results were maintained in the medium to long term. Conclusion: SYNCHRONIZE + is a brief, low-cost, multidisciplinary intervention effective in improving adherence to the Mediterranean diet and improving nutritional and dietary intake patterns in persons with fibromyalgia and chronic fatigue syndrome. Further evaluation of the effect on quality of life and symptoms is needed.
Filiaciones:
Carrasco-Querol, N:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Cabricano-Canga, L:
EAP Dreta Eixample, CAP Roger Flor,C Roger Flor 194, Barcelona 08013, Spain
Univ Rovira Virgili URV, Dept Bioquim & Biotecnol, Fac Med & Ciencies Salut, Reus 43201, Spain
Hernández, NB:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Martín-Borràs, C:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Univ Rovira Virgili URV, Dept Activitat Fis & Fisioterapia, EUSES Terres Ebre, Tortosa 43500, Spain
Goncalves, AQ:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Atenc Primaria & Promoc Salud RICAPPS, Red Invest Cron, Barcelona 08007, Spain
Vila-Marti, A:
Univ Vic Univ Cent Catalunya UV, Ctr Hlth & Social Care Res CESS, Res Grp Methodol Methods Models & Outcomes, Fac Ciencies Salut Benestar,Dept Ciencies Salut Ba, Vic 08500, Spain
Ribot, B:
Univ Vic Univ Cent Catalunya UV, Ctr Hlth & Social Care Res CESS, Res Grp Methodol Methods Models & Outcomes, Fac Ciencies Salut Benestar,Dept Ciencies Salut Ba, Vic 08500, Spain
Sola, J:
Univ Vic Univ Cent Catalunya UV, Ctr Hlth & Social Care Res CESS, Res Grp Methodol Methods Models & Outcomes, Fac Ciencies Salut Benestar,Dept Ciencies Salut Ba, Vic 08500, Spain
Valls-Llobet, C:
Ctr Anal & Programas Sanitarios CAPS, Barcelona 08010, Spain
Angelats, RC:
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Barcelona 08007, Spain
Monteso-Curto, P:
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Barcelona 08007, Spain
Univ Rovira i Virgili URV, Dept Med & Cirurgia, Fac Med & Ciencies Salut, Reus, Spain
Blanco, EC:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Ariza, MP:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Rey, SC:
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Barcelona 08007, Spain
Paga, LP:
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Barcelona 08007, Spain
Sanchís, MD:
Inst Catala Salut ICS, Hosp Tortosa Verge Cinta, Unitat Endocrinol Nutricio, C Esplanetes 14, Tortosa 43500, Spain
Inst Catala Salut ICS, Hosp Tortosa Verge Cinta, Inst Invest Sanitaria Pere Virgili IISPV, Tortosa 43500, Spain
Fernández-Sáez, J:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Univ Rovira Virgili URV, Fac Infermeria, Dept Infermeria, Campus Terres Ebre, Tortosa 43500, Spain
Llorca, MRD:
Inst Catala Salut ICS, Serv Atencio Primaria Terres Ebre, Tortosa 43500, Spain
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Barcelona 08007, Spain
Martín, CA:
Universitari Recerca Atencio Primaria Salut Jordi, Fundacio Inst, Unitat Suport Recerca Terres Ebre, Tortosa 43500, Spain
Inst Catala Salut ICS, Unitat Avaluacio & Recerca, Direccio Atencio Primaria Terres Ebre & Gerencia T, Tortosa 43500, Spain
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