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Prevalence of fibromyalgia in low socioeconomic status population - Source: BMC Musculoskeletal Disorders, Jun 8, 2009

  [ Not Yet Rated ]   [ 2 Comments ]
By Ana Assumpcao, et al. • www.ProHealth.com • June 10, 2009


[Note: to read the full text of this open access article, click here.]

Background: The aim of this study was to estimate the prevalence of fibromyalgia, as well as to assess the major symptoms of this syndrome in an adult, low socioeconomic status population assisted by the primary health care system in a city in Brazil.

Methods: We cross-sectionally sampled individuals assisted by the public primary health care system (n=768, 35-60 years old). Participants were interviewed by phone and screened about pain. They were then invited to be clinically assessed (304 accepted). Pain was estimated using a Visual Analogue Scale (VAS). Fibromyalgia was assessed using the Fibromyalgia Impact Questionnaire (FIQ), as well as screening for tender points using dolorimetry. Statistical analyses included Bayesian Statistics and the Kruskal-Wallis Anova test (significance level=5%).

Results: From the phone-interview screening, we divided participants (n=768) in three groups: No Pain (NP) (n=185); Regional Pain (RP) (n=388) and Widespread Pain (WP) (n=106).

Among those participating in the clinical assessments, (304 subjects), the prevalence of fibromyalgia was 4.4% (95% confidence interval [2.6%; 6.3%]). Symptoms of pain (VAS and FIQ), feeling well, job ability, fatigue, morning tiredness, stiffness, anxiety and depression were statically different among the groups.

• In multivariate analyses we found that individuals with fibromyalgia and widespread pain had significantly higher impairment than those with regional pain and no pain.

• FM and widespread pain were similarly disabling.

• Similarly, regional pain was not significantly different than no pain.

Conclusion: Fibromyalgia is prevalent in the low socioeconomic status population assisted by the public primary health care system. Prevalence was similar to other studies (4.4%) in a more diverse socioeconomic population. Individuals with FM and widespread pain have significant impact in their well being.

Source: (BioMedCentral) BMC Musculoskeletal Disorders, Jun 8, 2009 10(1):64. PMID: 19505321, by Assumpcao A, Cavalcante AB, Capela CE, Sauer JF, Chalot SD, Pereira CA, Marques AP. Departments of Experimental Physiopathology and Physical, Speech & Occupational Therapy, School of Medicine, University of Sao Paulo; Statistics Department, Institute of Mathematics and Statistics, University of Sao Paulo; Department of Physical Therapy, Universidade Bandeirantes, Sao Paulo, Brazil. [E-mail: anassumpcao@usp.br]





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Prevalence of fibromyalgia in low socioeconomic status population
Posted by: lsobol
Jun 11, 2009
This is truly a sad commentary on a population group. Regardless of color, creed, religion, gender, or financial status...FM (fibromyalgia) is what it is. In a very short time of realizing what FM was and is-I have had the opportunity to meet people suffering with FM; these people are you and me, and the neighbor across the street, the lady in a lab coat, a man who paid the ultimate price with his life. People everywhere and in every financial status...and why, because people are people and FM has no barriers or boundaries...Pain and suffering of FM is ruthless and often attacks like a chronic deadly cancer, only, presumably people with FMS don't die from it. It can claim life when people with FM fall apart from the condition as a result of side effects that go along with the condition. Things to especially watch out for are obesity due to a slowed metabolic system and IBS, which can lead to CHF (congestive heart failure), and a bowel bowel blockages from adhesion/s complications. Just know the facts...FM is a serious condition with various degrees of severity...please don't pull out a sector of society and label them. People with FM regardless of their income suffer more than they realize before they get the help they need from a doctor. Too bad that it almost always takes a rheumatologist to give a diagnosis of fibromyalgia before a primary care provider will acknowledge FM as a condition for their patient. It's even worse when a primary care doctor does not put much emphasis of it either way. Hope, family support, working with a primary care doctor and rheumatologist are all central to moving into the future.
Reply Reply

Prevalence of fibromyalgia in low socioeconomic status population
Posted by: lsobol
Jun 11, 2009
This is truly a sad commentary on a population group. Regardless of color, creed, religion, gender, or financial status...FM (fibromyalgia) is what it is. In a very short time of realizing what FM was and is-I have had the opportunity to meet people suffering with FM; these people are you and me, and the neighbor across the street, the lady in a lab coat, a man who paid the ultimate price with his life. People everywhere and in every financial status...and why, because people are people and FM has no barriers or boundaries...Pain and suffering of FM is ruthless and often attacks like a chronic deadly cancer, only, presumably people with FMS don't die from it. It can claim life when people with FM fall apart from the condition as a result of side effects that go along with the condition. Things to especially watch out for are obesity due to a slowed metabolic system and IBS, which can lead to CHF (congestive heart failure), and a bowel bowel blockage/s from adhesion/s complications. Just know the facts...FM is a serious condition with various degrees of severity...please don't pull out a sector of society and label them as FM most-likely subjects. People with FM regardless of their income suffer more than they realize before they get the help they need from a doctor. Too bad that it almost always takes a rheumatologist to give a diagnosis of fibromyalgia before a primary care provider will acknowledge FM as a condition for their patient. It's even worse when a primary care doctor does not put much emphasis of it either way. Hope, family support, working with a primary care doctor and rheumatologist are all central to moving into the future. Fortunately there are some neurologists out there too who are beginning to see and accept the CNS (central nervous system role in FM. Good luck all, and never lose hope!
Reply Reply
 
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