THU0356
BENEFITS OF A MULTIDISCIPLINARY TREATMENT IN WOMEN WITH FIBROMYALGIA AND OBESITY
S. Castro 1,*R. Fontova 1M. J. Poveda 1A. Castel 2R. Qanneta 3S. Montull 4R. Periñan 2I. Miralles 4N. Aragonés 2I. Salvat 4R. Cascón 2S. Monterde 4A. Padrol 2C. Añez 2M. Rull 2 and Multidimentional Pain Research Group. IISPV. Tarragona. Spain
1Rheumatology, 2Pain Clinic, 3Chronic Fatigue Unity, Hospital Universitari Joan Xxiii, 4Medicine and Surgery, Universitat Rovira i Virgili, Tarragona, Spain
Background: Fibromyalgia (FM) is a musculoskeletal chronic pain condition with low response to pharmacological conventional treatment (CPhT). Multidisciplinary treatment (MT) has showed efficacy in improving FM symptoms. Nevertheless, MT has not been studied in patients with FM and obesity.
Objectives: To compare the benefits of the CPhT versus the MT (with pharmacological, cognitive-behavioural, and physiotherapy treatments) in a sample of women with FM and obesity (Body Mass Index ≥ 30).
Methods: 44 women with obesity and FM according to the American College of Rheumatology criteria. Mean age 49.9 years (S.D. 6.4). 21 patients attended CPhT and 23 MT. Patients were assessed before treatment, after treatment, and at 3-6-12 month follow-up. Outcomes were: pain intensity (Numeric Rating Scale), functionality (FIQ), psychological distress (HADS), quality of life (COOP-WONCA), and sleep problems (Medical Outcome Study: MOS).
Results: The interaction group x time with mixed linear model analyses demonstrated that patients of the MT group improved more than patients of the CPhT group in pain intensity (p<.001), functionality (p<.0001), quality of life (p<.05), and sleep index problems (p<.001).
Conclusions: MT consisting of pharmacological treatment, cognitive-behavioural psychological treatment and physiotherapy improves FM symptoms in women with FM and obesity. Improvements were maintained at follow-up.
Supported by the Foundation Marató Grant Number 070910
Disclosure of Interest: None Declared