fibromyalgia the role of nutrition and diet
Download
Skip this Video
Download Presentation
Fibromyalgia: The role of nutrition and diet.

Loading in 2 Seconds...

play fullscreen
1 / 39

Fibromyalgia: The role of nutrition and diet. - PowerPoint PPT Presentation


  • 1636 Views
  • Uploaded 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: The role of nutrition and diet.' - 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

Fibromyalgia: The role of nutrition and diet.

Blake Graham, B.Sc (Honours)

Clinical Nutritionist

(08) 9487 7409

May 17th 2010

fm pathophysiology
FM pathophysiology.
  • Mitochondrial impairment
  • Oxidative stress
  • HPA axis dysfunction
  • ANS dysfunction
  • Immune activation
  • Inflammation
  • Sleep dysfunction
causes of fm
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
FM treatment.
  • Identify and address contributing factors rather than trying treatments.
fm treatment6
FM treatment.
  • Address all contributing factors.
causes of fm7
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
Mechanisms of illness modulated by diet.
  • Nutrient levels
  • Inflammation
mechanisms of illness modulated by diet11
Mechanisms of illness modulated by diet.
  • Nutrient levels
  • Inflammation
  • Oxidative Stress
mechanisms of illness modulated by diet12
Mechanisms of illness modulated by diet.
  • Nutrient levels
  • Inflammation
  • Oxidative Stress
  • Intestinal micro-organism balance
mechanisms of illness modulated by diet13
Mechanisms of illness modulated by diet.
  • Nutrient levels
  • Inflammation
  • Oxidative Stress
  • Intestinal micro-organism balance
  • Detoxification chemistry
mechanisms of illness modulated by diet14
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Vitamin D.
  • Levels should be above 125 nmol/L.
  • Often requires 4000 IU+/day.
  • D3 Drops by Bioceuticals.
    • 333 IU/drop.
  • www.vitamindcouncil.org
slide30
Iron.
  • “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
Fish oil.
  • 6-12 grams/day.
  • Anti-inflammatory.
amino acids
Amino acids.

www.metametrix.com

remove food allergens intolerances
Remove food allergens/intolerances.
  • Methods of assessment:
    • Elimination diets.
    • IgG food intolerance testing.
elimination provocation testing
Elimination/provocation testing.
  • 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
IgG food testing via US BioTek.

Dairy

Bovine-derived

unless specified

Casein

Cheese, Cheddar

Cheese, Cottage

Cheese, Mozzarella

Milk

Milk, Goat

Whey

Yogurt

www.usbiotek.com/

recommended reading
Recommended reading.
  • ‘Musculoskeletal Pain: Expanded Clinical Strategies’
  • Alex Vasquez, ND, DC
  • 2008
  • Available from www.functionalmedicine.org
summary putting it all together
Summary - Putting it all together.
  • Identify causes/contributing factors.
  • Treat systematically.
  • Consider role of diet, nutrients and lifestyle factors.
fibromyalgia the role of nutrition and diet39

Fibromyalgia: The role of nutrition and diet.

Blake Graham, B.Sc (Honours)

Clinical Nutritionist

(08) 9487 7409

May 17th 2010

ad