Effectiveness of the SYNCHRONIZE + Brief Intervention in Improving Mediterranean Diet Adherence, Nutritional Quality and Intake Pattern in Persons with Fibromyalgia and Chronic Fatigue Syndrome

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...

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Autores: Carrasco Querol, Noèlia|||0000-0002-5876-7082, Cabricano-Canga, Lorena|||0009-0000-0094-4042, Bueno Hernández, N., Martín-Borràs, C., Gonçalves, A. Q.|||0000-0003-3272-6861, Vila-Martí, Anna|||0000-0003-3077-2653, Ribot, B.|||0000-0003-3334-0602, Solà, J., Valls Llobet, Carme|||0000-0003-4168-478X, Caballol Angelats, Rosa|||0000-0001-5780-9888, Montesó-Curto, P., Castro Blanco, E.|||0000-0003-1692-1472, Pozo Ariza, M.|||0000-0003-0723-2499, Carreres Rey, Sandra, Pla Pagà, Laura|||0000-0003-3033-6691, Dearos Sanchís, M., Fernández-Sáez, J., Dalmau Llorca, M. Rosa|||0000-0001-7537-5307, Aguilar Martín, Carina|||0000-0002-2357-5726
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:320043
Acceso en línea:https://ddd.uab.cat/record/320043
https://dx.doi.org/urn:doi:10.3390/nu17010011
Access Level:acceso abierto
Palabra clave:Chronic fatigue syndrome
Dietary patterns
Fibromyalgia
Mediterranean diet
Nutritional intervention
Nutritional quality
Descripción
Sumario: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.

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