Dietary Supplements for Pain Relief in Patients with Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

K. T. Lim, Kia Hui Lim, Xuan Zhou, Juan Yang, Kyung-Min Shin, A. Mohabbat, Wyatt W Baude, S. Nanda, David A Bauer, Monique Theberath, Nicole Theberath, B. Bauer, Ravindra Ganesh
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Abstract

Pain is the most frequently encountered symptom by patients with fibromyalgia (FM). Dietary supplements (DSs) in particular have a proven impact as a possible adjunctive therapy for symptom management in FM. However, there is currently no conclusive review outlining the evidence for DSs in pain management in FM. This study aims to assess currently available studies evaluating the use of DSs for pain relief in FM. Randomized controlled trials regarding the use of DSs on adult FM patients were included for evidence synthesis. Study results indicated that DSs significantly relieved pain in FM (SMD 1.23; 95% CI 0.02-2.43, [Formula: see text] = 0.046) but did not improve quality of life (QoL) (SMD 0.73; 95% CI -0.07-1.53, [Formula: see text] = 0.075) in the data. Adverse events of DSs varied from mild to severe, with the most common being gastrointestinal symptoms and androgenic side effects in 5.7% and 3.9% of patients, respectively. More well-designed RCTs are required in the future. The protocol for this review has been published on PROSPERO (CRD42020149941).
膳食补充剂缓解纤维肌痛患者疼痛:随机对照试验的系统回顾和荟萃分析。
疼痛是纤维肌痛(FM)患者最常见的症状。膳食补充剂(DS)作为FM症状管理的一种可能的辅助疗法,尤其具有被证明的影响。然而,目前还没有结论性的综述概述DS在FM疼痛管理中的证据。本研究旨在评估目前可用的评估DS用于FM疼痛缓解的研究。纳入了对成年FM患者使用DS的随机对照试验,以进行证据综合。研究结果表明,在数据中,DS显著缓解了FM的疼痛(SMD 1.23;95%CI 0.02-2.43,[公式:见正文]=0.046),但没有改善生活质量(QoL)(SMD 0.73;95%CI-0.07-1.53,[公式,见正文]=0.075)。DS的不良事件从轻到重不等,最常见的是胃肠道症状和雄激素副作用,分别发生在5.7%和3.9%的患者中。未来需要更精心设计的随机对照试验。本次审查的方案已在PROSPERO上发布(CRD42020149941)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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