Prevalence of fibromyalgia in Turkish geriatric population and its impact on quality of life

Amaç: Çalışmamızda, yaşlı erişkinlerde fibromiyalji (FM) varlığını araştırmak ve FM hastalık şiddetinin yaşam kalitesi üzerine etkisini değerlendirmeyi amaçladık.Gereç ve Yöntem: Çalışmamıza 65- 80 yaş arası 100 hasta dahil edildi. FM varlığı 1990 Amerikan Romatoloji Derneği [American College of Rheumatology (ACR)] kriterleri baz alınarak değerlendirildi. Hastaların ana başvuru tanıları kaydedildi. Bu kriterleri karşılayan 31 hasta FM grubunda, geri kalan 69 hasta ise FM olmayan grupta yer aldı. Hassas nokta sayısı [tender point count (TPC)] ve sık görülen semptomlar kaydedildi. FM hastalık şiddeti, Fibromiyalji Etki Ölçeği [Fibromyalgia Impact Questionnaire (FIQ)] ile değerlendirildi. Yaşam kalitesini değerlendirmede Nottingham Sağlık Profili [Nottingham Health Profile (NHP)] kullanıldı. Ağrı şiddeti Görsel Analog Skala-ağrı (Visual Analog Scale [VAS]-pain) ile ölçüldü.Bulgular: Çalışmamızda FM oranı %31 olarak bulundu. FM hastaları kontrollerle karşılaştırıldığında NHP'nin ağrı, uyku, sosyal izolasyon ve emosyonel reaksiyon alt gruplarında belirgin olarak daha yüksek skorlama gösterdiler (p

Türk geriatrik popülasyonda fibromiyalji prevalansı ve yaşam kalitesi üzerindeki etkisi

Objectives: The aim of the present study was to examine the presence of fibromyalgia (FM) in elderly adults and to evaluate the impact of the severity of FM on quality of life.Methods: A total of 100 patients between 65 and 80 years of age were included. The main admission diagnosis of the patients was recorded. Presence of FM was evaluated based on 1990 American College of Rheumatology (ACR) diagnostic criteria. The FM group was comprised of 31 patients fulfilling these criteria, and the remaining 69 patients composed the non-FM group. Tender point count (TPC) and common symptoms were recorded. FM disease severity was assessed using Fibromyalgia Impact Questionnaire (FIQ). Nottingham Health Profile (NHP) was used to evaluate quality of life. Pain severity was measured using Visual Analog Scale (VAS).Results: Rate of FM was found to be 31%. FM patients scored significantly higher on pain, sleep, social isolation, and emotional reactions subgroups of NHP when compared to controls (p<0.05). TPC and FIQ were not affected by gender difference (p>0.05), but reduced with increasing age (p<0.01). FIQ and TPC were found to be correlated with only the pain and emotional reactions subgroups of NHP (p<0.01). There was no statistically significant correlation between FIQ and TPC and the physical mobility, sleep, energy, and social isolation subgroups of NHP (p>0.05).Conclusion: Although FM is known as a disease of young and middle-aged women, our study indicates that its prevalence increases with age. FM is associated with poor quality of life in terms of pain, sleep, social, and emotional functions.

PDF

___

Fitzcharles MA, Ste-Marie PA, Shir Y, Lussier D. Man- agement of fibromyalgia in older adults. Drugs Aging 2014;31(10):711-9.
Martinez JE, Casagrande Pde M, Ferreira PP, Rossatto BL. Correlation between demographic and clinical vari- ables and fibromyalgia severity. Rev Bras Reumatol 2013;53(6):460-3.
Jones CJ, Rutledge DN, Aquino J. Predictors of physical performance and functional ability in people 50+ with and without fibromyalgia. J Aging Phys Act 2010;18(3):353-68.
Romano GF, Tomassi S, Russell A, Mondelli V, Pariante CM. Fibromyalgia and chronic fatigue: the underlying biol- ogy and related theoretical issues. Adv Psychosom Med 2015;34:61-77.
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The preva- lence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995;38(1):19-28.
Dougados M, Nakache JP, Gueguen A. Criteria for gen- eralized and focal osteoarthritis. Rev Rhum Engl Ed 1996;63(9):569-75.
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College of Rheuma- tology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990;33(2):160-72.
Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Question- naire. Rheumatol Int 2000;20(1):9-12.
Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000;23(1):31-8.
Price DD, McGrath PA, Rafii A, Buckingham B. The valida- tion of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17(1):45-56.
Neumann L, Buskila D. Epidemiology of fibromyalgia. Curr Pain Headache Rep 2003;7(5):362-8.
Brill S, Ablin JN, Goor-Aryeh I, Hyat K, Slefer A, Buskila D. Prevalence of fibromyalgia syndrome in patients referred to a tertiary pain clinic. J Investig Med 2012;60(4):685-8.
Santos AM, Burti JS, Lopes JB, Scazufca M, Marques AP, Pereira RM. Prevalence of fibromyalgia and chronic wide- spread pain in community-dwelling elderly subjects living in São Paulo, Brazil. Maturitas 2010;67(3):251-5.
Leblebici B, Turhan N, Adam M. Geriatrik popülasyonda fi- bromiyalji sendromu. Turk J Rheumatol 2009;24:6-9.
Staud R. Evidence for shared pain mechanisms in osteo- arthritis, low back pain, and fibromyalgia. Curr Rheumatol Rep 2011;13(6):513-20.
Nacir B, Genc H, Duyur Cakit B, Karagoz A, Erdem HR. Evalu- ation of upper extremity nerve conduction velocities and the relationship between fibromyalgia and carpal tunnel syndrome. Arch Med Res 2012;43(5):369-74.
Yunus MB. The prevalence of fibromyalgia in other chronic pain conditions. Pain Res Treat 2012;2012:584573
Sivas FA, Baskan BM, Aktekin LA, Çınar NK, Yurdakul FG, Ozoran K. Fibromiyalji hastalarında depresyon, uyku bozukluğu ve yaşam kalitesinin değerlendirilmesi. Türk Fiz Tıp Rehab Derg 2009;55:8-12.
Turkyilmaz AK, Kurt EE, Karkucak M, Capkin E. Sociodemo- graphic characteristics, clinical signs and quality of life in pa- tients with fibromyalgia. Eurasian J Med 2012;44(2):88-93.
Shillam CR, Dupree Jones K, Miller L. Fibromyalgia symp- toms, physical function, and comorbidity in middle-aged and older adults. Nurs Res 2011;60(5):309-17.
Jiao J, Vincent A, Cha SS, Luedtke CA, Oh TH. Relation of age with symptom severity and quality of life in patients with fibromyalgia. Mayo Clin Proc 2014;89(2):199-206.
Campos RP, Vázquez MI. The impact of Fibromyalgia on health-related quality of life in patients according to age. Rheumatol Int 2013;33(6):1419-24.
Gürer G, Şendur OF. Corelations of Clinical Features and Findings in Fibromyalgia Patients. Romatizma 2006;21:41- 4.