Fibromyalgia the role of nutrition and diet
Download
1 / 39

Fibromyalgia - PowerPoint PPT Presentation


  • 1630 Views
  • Updated On :

Fibromyalgia: The role of nutrition and diet. Blake Graham, B.Sc (Honours) Clinical Nutritionist (08) 9487 7409 May 17 th 2010 FM pathophysiology. Mitochondrial impairment Oxidative stress HPA axis dysfunction ANS dysfunction Immune activation Inflammation Sleep dysfunction

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Fibromyalgia' - jana


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Fibromyalgia the role of nutrition and diet l.jpg

Fibromyalgia: The role of nutrition and diet.

Blake Graham, B.Sc (Honours)

Clinical Nutritionist

(08) 9487 7409

May 17th 2010


Fm pathophysiology l.jpg
FM pathophysiology.

  • Mitochondrial impairment

  • Oxidative stress

  • HPA axis dysfunction

  • ANS dysfunction

  • Immune activation

  • Inflammation

  • Sleep dysfunction


Causes of fm l.jpg
Causes of FM.

Nutrient/dietary imbalances

Gastrointestinal microbiology

imbalances

Acute chemical/allergen

exposure

Toxic chemical accumulation

Lack of quality sleep

Structural/mechanical

Hormone imbalances

Emotional factors/stress



Fm treatment l.jpg
FM treatment.

  • Identify and address contributing factors rather than trying treatments.


Fm treatment6 l.jpg
FM treatment.

  • Address all contributing factors.


Causes of fm7 l.jpg
Causes of FM.

Nutrient/dietary imbalances

Gastrointestinal microbiology

imbalances

Acute chemical/allergen

exposure

Toxic chemical accumulation

Lack of quality sleep

Structural/mechanical

Hormone imbalances

Emotional factors/stress




Mechanisms of illness modulated by diet10 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation


Mechanisms of illness modulated by diet11 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress


Mechanisms of illness modulated by diet12 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance


Mechanisms of illness modulated by diet13 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry


Mechanisms of illness modulated by diet14 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance


Mechanisms of illness modulated by diet15 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals


Mechanisms of illness modulated by diet16 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals

  • Immune function


Mechanisms of illness modulated by diet17 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals

  • Immune function

  • Circadian rhythm / sleep


Mechanisms of illness modulated by diet18 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals

  • Immune function

  • Circadian rhythm / sleep

  • Food intolerances


Mechanisms of illness modulated by diet19 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals

  • Immune function

  • Circadian rhythm / sleep

  • Food intolerances

  • Genetic expression


Mechanisms of illness modulated by diet20 l.jpg
Mechanisms of illness modulated by diet.

  • Nutrient levels

  • Inflammation

  • Oxidative Stress

  • Intestinal micro-organism balance

  • Detoxification chemistry

  • Hormone / neurotransmitter balance

  • Intake of toxic chemicals

  • Immune function

  • Circadian rhythm / sleep

  • Food intolerances

  • Genetic expression

  • Acid/base balance


Slide21 l.jpg
Diet.

Emphasize:

Extra virgin olive oil

Berries

Non-starchy dark vegetables

Unrefined meat

Fish

Whole grains

Legumes/lentils

Herbs/spices

Filtered water

Minimize:

Sunflower/Grapeseed/ Safflower/Sesame oil

Refined sugar

Fruit juice

Refined grains

Artificial sugars

Additives/colorings/ flavorings

Alcohol



Causes of nutrient imbalances l.jpg
Causes of nutrient imbalances.

  • Poor intake.

    • Food choices.

    • Inc. soil levels, food storage, cooking methods, etc.

  • Poor absorption.

  • Excess excretion/loss/utilisation.

  • Maldistribution.


Nutrient testing l.jpg
Nutrient testing.

  • Vitamin D (> 125 nmol/L).

  • Iron studies (ferritin > 50 / transferrin saturation > 22%).

  • Urine iodine.

  • Amino acid testing.

  • Magnesium testing highly unreliable.


Magnesium deficiency signs symptoms l.jpg
Magnesium deficiency signs/symptoms.

Muscle cramps, spasms or pain (e.g. leg/foot cramps, back ache, neck ache)

Muscle tension

Muscle twitches, tics or jerks

Muscle weakness

Muscle tremors

Restless legs

Fatigue / sighing

Breathlessness / chest tightness

Heart palpitations / arrhythmias

Numbness or tingling of skin or “creepy-crawly” feeling under skin

Sensitivity to loud noises or sudden bright light

Headaches / migraines

Menstrual cramps / pain

Teeth grinding (bruxism)

Frequent constipation or anal spasms

Anxious, agitated or panic attacks

Difficulty falling asleep or frequent nocturnal awakenings


Magnesium optimisation l.jpg
Magnesium optimisation.

  • Magnesium.

    • Oral.

      • ‘Magnesium Colloid’ by Full Health (10 ml bid)

      • ‘Ultra Muscleze’ by Bioceuticals (1 tsp bid)

      • ‘Chelated Magnesium’ by MicroGenics (3 bid)

    • Topical.

      • ‘Magnesium Chloride Oil’ by Essence of Life. www.echolife.com.au

      • 5 ml/day.

      • In Perth available from Good Life Subiaco (Shop 9, Subiaco Centro Shopping Centre, 29 Station St – 08 9381 3999)

    • Trial oral + topical combination for 6 weeks.

    • Epsom salt baths (e.g. 1 kg/bath).


Vitamin d l.jpg
Vitamin D.

  • Symptoms/signs of low levels:

    • Regular bone pain or tenderness (e.g. from applying thumb pressure to sternum/shinbone/forearm)

    • Muscle aches/pain/discomfort (esp. low back pain)

    • Poor balance or coordination

    • Muscle weakness

    • Feeling of heaviness in legs

    • Symptoms worse (e.g. pain or mood) in winter


Slide28 l.jpg

Vitamin D and chronic widespread pain in a white middle-aged British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

Vitamin D levels in women with systemic lupus erythematosus and fibromyalgia. J Rheumatol, 2001

Vitamin D deficiency is associated with anxiety and depression in fibromyalgia. Clinical rheumatology, 2007

Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine, 2003


Vitamin d29 l.jpg
Vitamin D. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • Levels should be above 125 nmol/L.

  • Often requires 4000 IU+/day.

  • D3 Drops by Bioceuticals.

    • 333 IU/drop.

  • www.vitamindcouncil.org


Slide30 l.jpg
Iron. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • “having a serum ferritin level <50 ng/ml caused a 6.5-fold increased risk for FMS … We suggest that iron as a cofactor in serotonin and dopamine production may have a role in the etiology of FMS. ”

  • O Ortancil, A Sanli, R Eryuksel, A Basaran and H Ankarali. Association between serum ferritin level and fibromyalgia syndrome. European Journal of Clinical Nutrition 64, 308-312 (March 2010)


Fish oil l.jpg
Fish oil. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • 6-12 grams/day.

  • Anti-inflammatory.


Amino acids l.jpg
Amino acids. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

www.metametrix.com


Remove food allergens intolerances l.jpg
Remove food allergens/intolerances. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • Methods of assessment:

    • Elimination diets.

    • IgG food intolerance testing.


Elimination diets vs igg testing l.jpg
Elimination diets vs. IgG testing. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009


Elimination provocation testing l.jpg
Elimination/provocation testing. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • 1. Dairy products.

  • 2. Wheat/barley/rye/oats/spelt (gluten containing grains).

  • 3. Eggs.

  • 4. Peanuts.

  • 5. Corn.

  • 6. Soy.

  • 7. Cocoa.

  • 8. Yeast (e.g. alcohol, cheese, vinegar, mushrooms, fermented foods, anything containing brewers/bakers yeast [bread], vegemite, olives, capers, etc.).

  • 9. Citrus (inc. citrus essence in many sauces/spices/condiments, earl grey tea).

  • 10. Tomatoes.

  • 11. Beef & pork.

  • 12. Coffee & tea.

  • 13. Refined sugar & additives/colorings/preservatives.


Igg food testing via us biotek l.jpg
IgG food testing via US BioTek. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

Dairy

Bovine-derived

unless specified

Casein

Cheese, Cheddar

Cheese, Cottage

Cheese, Mozzarella

Milk

Milk, Goat

Whey

Yogurt

www.usbiotek.com/


Recommended reading l.jpg
Recommended reading. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • ‘Musculoskeletal Pain: Expanded Clinical Strategies’

  • Alex Vasquez, ND, DC

  • 2008

  • Available from www.functionalmedicine.org


Summary putting it all together l.jpg
Summary - Putting it all together. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

  • Identify causes/contributing factors.

  • Treat systematically.

  • Consider role of diet, nutrients and lifestyle factors.


Fibromyalgia the role of nutrition and diet39 l.jpg

Fibromyalgia: The role of nutrition and diet. British population: evidence from a cross-sectional population survey. Annals of the Rheumatic Diseases, Jun 2009

Blake Graham, B.Sc (Honours)

Clinical Nutritionist

(08) 9487 7409

May 17th 2010


ad