Lifestyle risk factors of self-reported fibromyalgia in the Norwegian Women and Cancer (NOWAC) study

© 2023. BioMed Central Ltd., part of Springer Nature..

BACKGROUND: While the aetiology of fibromyalgia syndrome (FM) remains unknown, lifestyle factors have been linked to the disorder. However, there are few studies on the association between lifestyle factors and FM, thus we examine the risk of self-reported fibromyalgia given selected lifestyle factors.

METHODS: We used data from 75,485 participants in the Norwegian Women and Cancer study. Information on FM and the lifestyle factors body mass index (BMI), physical activity level, smoking status/intensity, and alcohol consumption were obtained from baseline and follow-up questionnaires. We used Cox proportional hazards model to calculate hazard ratios (HRs) with 95% confidence intervals (CIs).

RESULTS: After a median follow-up time of 10 years, we observed 2,248 cases of self-reported fibromyalgia. Overweight (BMI 25-29.9 kg/m2) and obese (BMI ≥ 30 kg/m2) women had a relative risk of 1.34 (95% CI 1.21-1.47) and 1.62 (95% CI 1.41-1.87), respectively, compared to women with normal weight (BMI 18.5-24.9 kg/m2). Very low physical activity level (1-2) was associated with a 31% higher risk of self-reported fibromyalgia (HR 1.31, 95% CI 1.09-1.57) when compared to moderate physical activity level (5-6). There was a strong dose-response relationship between smoking status/intensity and self-reported fibromyalgia (p for trend < 0.001). Compared with moderate alcohol consumption (4.0-10 g/day), the risk of self-reported FM was 72% (HR 1.72; 95% CI 1.45-2.03) higher among teetotallers, and 38% (HR 1.38, 95% CI 1.23-1.54) higher among those with low consumption (0.1-3.9 g/day).

CONCLUSIONS: Overweight and obesity, very low physical activity level, smoking, and alcohol consumption were associated with an increased risk of self-reported FM.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

BMC public health - 23(2023), 1 vom: 11. Okt., Seite 1967

Sprache:

Englisch

Beteiligte Personen:

Benebo, Faith Owunari [VerfasserIn]
Lukic, Marko [VerfasserIn]
Jakobsen, Monika Dybdahl [VerfasserIn]
Braaten, Tonje Bjørndal [VerfasserIn]

Links:

Volltext

Themen:

Alcohol consumption
Body mass index
Female
Fibromyalgia
Journal Article
Lifestyle
Overweight
Physical activity
Research Support, Non-U.S. Gov't
Self-report
Smoking

Anmerkungen:

Date Completed 13.10.2023

Date Revised 21.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12889-023-16773-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363148965