SUNDAY, Nov. 13 (HealthDay News) -- Fibromyalgia patients who
stopped taking medication and then exercised regularly for six
weeks reported improved memory function and less pain, according to
a small, new study.
While the finding is encouraging, it does not suggest a
potential change in clinical care for fibromyalgia patients, the
study authors stressed.
Senior author Dr. Brian Walitt, director of the Fibromyalgia
Evaluation and Research Center at Georgetown University Medical
Center, is scheduled to present the findings Sunday with
co-researcher, Manish Khatiwada, at the Society of Neuroscience
annual meeting, in Washington, D.C.
Fibromyalgia is a disorder marked by widespread pain, fatigue,
sleep and cognitive problems. It has no apparent cause and the pain
is real, Walitt said, and likely originates from the central
nervous system. It typically affects women more than men.
Exercise has long been recommended to fibromyalgia patients, and
some find it improves their sense of well-being. "This is a first
look at understanding how exercise alters memory performance,"
Walitt said of the study.
For the trial, nine women received a baseline brain image called
a functional MRI test. They were also given tests to assess their
working memory and asked about their well-being and pain while on
medication. The memory tests involved reading back a sequence of
letters at various times after learning them.
Next, the women stopped their medication for a six-week
''washout'' period. Then they had a second round of fMRIs and
tests. Then they started a six-week supervised aerobic exercise
program, consisting of three 30-minute sessions a week.
"When we took people off the medicine, they performed worse on the tests," Walitt said. But, he added, "As they stayed off the medications for a period of time and exercised, their cognitive performance returned to normal levels [the same as at the start of the study]," he said.
The finding potentially suggests that exercise may lead to
improvement in the network of brain areas that are recruited for
working memory to function.
"In some ways it is concerning," Walitt said. "One would have hoped that exercise would have made them better [at the memory test]."
Wallit isn't sure what the findings might mean for real-life
situations. "It may be if you have a more efficient brain, doing
real-life tasks will be better."
While more study is needed, Walitt said that "overall, exercise
seems to be a beneficial thing for fibromyalgia patients, in terms
of overall well-being. If you can exercise and make it work for
you, that's great."
However, he noted, some people with the condition can't tolerate
exercise. Working out "is not going to be the answer for everybody
and it's not going to fix anybody," he said.
While the study has some flaws, it's basically encouraging for
those with the condition, said Dr. I. Jon Russell, a San Antonio
fibromyalgia researcher and consultant, and retired professor at
the University of Texas Health Science Center, San Antonio.
He thought the amount of time spent off medication during the
study should have been longer before repeat testing. But, he said,
"the most encouraging thing about this study is that fibromyalgia
is continuing to be investigated."
"We have many reasons to believe that aerobic exercise is good for our patients. This study gives some support [to that idea]," Russell said. However, "We shouldn't over-interpret that exercise is the answer."
If patients can and do exercise, he said, "It's likely they will
experience additional benefits."
Research presented at meetings should be considered preliminary
since it has not undergone the scrutiny required of studies
published in peer-reviewed journals.
More information
For more on fibromyalgia, visit the
American Chronic Pain Association.