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Food Implications in Central Sensitization Syndromes

Fibromyalgia (FM), chronic fatigue syndrome (CFS) and multiple chemical sensitivity (MCS) are some of the central sensitization syndromes (CSSs). The complexity of their diagnosis, the high interindividual heterogeneity and the existence of multi-syndromic patients requires a multifaceted treatment....

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Autores principales: Aguilar-Aguilar, Elena, Marcos-Pasero, Helena, Ikonomopoulou, Maria P., Loria-Kohen, Viviana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766296/
https://www.ncbi.nlm.nih.gov/pubmed/33352747
http://dx.doi.org/10.3390/jcm9124106
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author Aguilar-Aguilar, Elena
Marcos-Pasero, Helena
Ikonomopoulou, Maria P.
Loria-Kohen, Viviana
author_facet Aguilar-Aguilar, Elena
Marcos-Pasero, Helena
Ikonomopoulou, Maria P.
Loria-Kohen, Viviana
author_sort Aguilar-Aguilar, Elena
collection PubMed
description Fibromyalgia (FM), chronic fatigue syndrome (CFS) and multiple chemical sensitivity (MCS) are some of the central sensitization syndromes (CSSs). The complexity of their diagnosis, the high interindividual heterogeneity and the existence of multi-syndromic patients requires a multifaceted treatment. The scientific literature is contradictory regarding the role of food in CSS, and evidence on the role of nutrition in MCS is particularly scarce. This review consists in gathering information about the current status of dietary recommendations (i.e., special dietary interventions, the role of additives, presence of micronutrient deficiencies, nutritional supplements and elimination of other nutrients and substances) and discussing the scientific evidence in depth to shed light on appropriate nutritional treatment managements for CSS patients. Current indications show that dietary modifications may vastly improve the patients’ quality of life at a low cost. We suggest personalized treatment, taking into consideration the severity of the disease symptoms, quality of life, coexistence with other diseases, pharmacological treatment, changing clinical characteristics, nutritional status, energy requirements and food tolerances, among others, as the best ways to tailor specific dietary interventions. These approaches will partially overcome the lack of scientific and clinical research on MSC. Patients should also be advised on the serious consequences of following dietary guidelines without a dietitian’s and clinician’s supervision.
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spelling pubmed-77662962020-12-28 Food Implications in Central Sensitization Syndromes Aguilar-Aguilar, Elena Marcos-Pasero, Helena Ikonomopoulou, Maria P. Loria-Kohen, Viviana J Clin Med Review Fibromyalgia (FM), chronic fatigue syndrome (CFS) and multiple chemical sensitivity (MCS) are some of the central sensitization syndromes (CSSs). The complexity of their diagnosis, the high interindividual heterogeneity and the existence of multi-syndromic patients requires a multifaceted treatment. The scientific literature is contradictory regarding the role of food in CSS, and evidence on the role of nutrition in MCS is particularly scarce. This review consists in gathering information about the current status of dietary recommendations (i.e., special dietary interventions, the role of additives, presence of micronutrient deficiencies, nutritional supplements and elimination of other nutrients and substances) and discussing the scientific evidence in depth to shed light on appropriate nutritional treatment managements for CSS patients. Current indications show that dietary modifications may vastly improve the patients’ quality of life at a low cost. We suggest personalized treatment, taking into consideration the severity of the disease symptoms, quality of life, coexistence with other diseases, pharmacological treatment, changing clinical characteristics, nutritional status, energy requirements and food tolerances, among others, as the best ways to tailor specific dietary interventions. These approaches will partially overcome the lack of scientific and clinical research on MSC. Patients should also be advised on the serious consequences of following dietary guidelines without a dietitian’s and clinician’s supervision. MDPI 2020-12-19 /pmc/articles/PMC7766296/ /pubmed/33352747 http://dx.doi.org/10.3390/jcm9124106 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Aguilar-Aguilar, Elena
Marcos-Pasero, Helena
Ikonomopoulou, Maria P.
Loria-Kohen, Viviana
Food Implications in Central Sensitization Syndromes
title Food Implications in Central Sensitization Syndromes
title_full Food Implications in Central Sensitization Syndromes
title_fullStr Food Implications in Central Sensitization Syndromes
title_full_unstemmed Food Implications in Central Sensitization Syndromes
title_short Food Implications in Central Sensitization Syndromes
title_sort food implications in central sensitization syndromes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766296/
https://www.ncbi.nlm.nih.gov/pubmed/33352747
http://dx.doi.org/10.3390/jcm9124106
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