The Effectiveness of Intermittent Fasting, Time Restricted Feeding, Caloric Restriction, a Ketogenic Diet and the Mediterranean Diet as Part of the Treatment Plan to Improve Health and Chronic Musculoskeletal Pain: A Systematic Review
Metadatos
Mostrar el registro completo del ítemAutor
Cuevas Cervera, María; Pérez Montilla, José Javier; García Ríos, María Del Carmen; Navarro Ledesma, SantiagoEditorial
MDPI
Materia
Musculoskeletal chronic pain Inflammation Fasting Caloric restriction Time restricted
Fecha
2022-05-30Referencia bibliográfica
Cuevas-Cervera, M... [et al.]. The Effectiveness of Intermittent Fasting, Time Restricted Feeding, Caloric Restriction, a Ketogenic Diet and the Mediterranean Diet as Part of the Treatment Plan to Improve Health and Chronic Musculoskeletal Pain: A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 6698. [https://doi.org/10.3390/ijerph19116698]
Resumen
Food strategies are currently used to improve inflammation and oxidative stress conditions
in chronic pain which contributes to a better quality of life for patients. The main purpose of
this systematic review is to analyze the effectiveness of different dietary strategies as part of the
treatment plan for patients suffering from chronic pain and decreased health. PubMed, Web of
Science, ProQuest, Scopus, Cumulative Index to Nursing & Allied Health Literature (CINAHL),
Cambridge Core, and Oxford Academy databases were used to review and to appraise the literature.
Randomized clinical trials (RCT), observational studies, and systematic reviews published within the
last 6 years were included. The Physiotherapy Evidence Database (PEDro) scale, the PEDro Internal
Validity (PVI), the Standard Quality Assessment Criteria for Evaluating Primary Research Papers
from a variety of fields (QUALSYT), and the Quality Assessment Tool of Systematic Reviews scale
were used to evaluate the risk of bias of the included studies. A total of 16 articles were included, of
which 11 were RCTs and 5 were observational studies. Six of them showed an improvement in pain
assessment, while two studies showed the opposite. Inflammation was shown to be decreased in four
studies, while one did not show a decrease. The quality of life was shown to have improved in five
studies. All of the selected studies obtained good methodological quality in their assessment scales.
In the PVI, one RCT showed good internal validity, five RCTs showed moderate internal quality,
while five of them were limited. Current research shows that consensus on the effects of an IF diet on
pain improvement, in either the short or the long term, is lacking. A caloric restriction diet may be a
good long term treatment option for people suffering from pain. Time restricted food and ketogenic
diets may improve the quality of life in chronic conditions. However, more studies analyzing the
effects of different nutritional strategies, not only in isolation but in combination with other therapies
in the short and the long term, are needed.