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Fibromyalgia patients frequently suffer from symptoms similar to those of adult celiac disease, raising the possibility that some fibromyalgia patients experience oligosymptomatic celiac disease or non-celiac gluten intolerance. The objective of this study is to compare the effect of a gluten-free diet with a hypocaloric diet in patients with fibromyalgia and celiac-type symptoms.
Fibromyalgia, a chronic pain disorder, is characterized by generalized chronic musculoskeletal pain that is usually accompanied by several other clinical manifestations that contribute to a diminished quality of life, such as sleep disturbances, chronic fatigue, mood disorders, and cognitive difficulties. Many patients with fibromyalgia suffer from gastrointestinal and extra-intestinal symptoms that are similar to those experienced by adult celiac disease patients such as abdominal pain, dyspepsia, nausea, diarrhea, constipation, fatigue, pain and mood changes. This raises the possibility that some patients with fibromyalgia may also suffer from oligosymptomatic celiac disease or non-celiac gluten intolerance. On the other hand, the emerging evidence linking obesity with fibromyalgia and the high prevalence of overweight among fibromyalgia patients suggest a potential benefit for weight loss among these patients. Thus, the main objective of this study is to compare the efficacy of a gluten-free diet (GFD) with a hypocaloric diet (HCD) in patients with fibromyalgia that also experience celiac-type symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gluten-free diet | Experimental |
| |
| Hypocaloric diet | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gluten-free diet | Other | A diet that is free of the gluten component |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change, between baseline and endpoint, in the number of experienced celiac-type symptoms | 0, 4, 8, 12, 18 and 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change, between baseline and endpoint, in the Body Mass Index | 0, 4, 8, 12, 18 and 24 weeks | |
| Change, between baseline and endpoint, in the Revised Fibromyalgia Impact Questionnaire total score | 0, 4, 8, 12, 18 and 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elena P. Calandre, M.D. | Universidad de Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto de Neurociencias "Federico Oloriz" | Granada | Granada | 18012 | Spain |
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| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D055050 | Diet, Gluten-Free |
| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
| D004032 | Diet |
| D009747 |
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| Hypocaloric diet |
| Other |
A standard hypocaloric diet with a daily 1500 caloric intake. |
|
| Change, between baseline and endpoint, in the Pittsburgh Sleep Quality Index | 0, 4, 8, 12, 18 and 24 weeks |
| Change, between baseline and endpoint, in the Brief Pain Inventory | 0, 4, 8, 12, 18 and 24 weeks |
| Change, between baseline and endpoint, in the Beck Depression Inventory | 0, 4, 8, 12, 18 and 24 weeks |
| Change, between baseline and endpoint, in the Short-form Health Survey | 0, 4, 8, 12, 18 and 24 weeks |
| Change, between baseline and endpoint, in the State-Trait Anxiety Inventory | 0, 4, 8, 12, 18, 24 weeks |
| D009422 |
| Nervous System Diseases |
| Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |