Objective: To investigate the cardiovascular metabolic risk factors in patients with primary fibromyalgia. Subject and method: 87 patients with primary fibromyalgia by 1990 ACR criteria and 87 subjects with sex, age-matched controls, examined in out-patient department from March 2012 to March 2014 were included. Method: Cross-sectional study. Subjects were underwent interview, clinical examinations and blood tests. Result: Mean age: 44.6 +/- 13.9; female/male = 4.8; disease duration: 1.5 +/- 0.8 years. Compared to controls, patients with primary fibromyalgia had higher prevalence of cardiovascular metabolic risk factors (p0.05) such as obese (28.8 percent vs 24.1 percent), abdominal obese (36.8 percent vs 33.3 percent), hypertension (35.6 percent vs 32.2 percent), hyperglycemia (37.9 percent vs 33.3 percent); low HDL-C (48.3 percent vs 39.1 percent); atherosclerotic index (total cholesterol/HDL-C) (3.89 +/- 1.96 vs 3.21 +/- 1.63), high LDL-C (42.5 vs 37.9 percent), high triglycerides (40.2 vs 35.6 percent). Prevalence of metabolic syndrome ( or = 3 risk factors) in patients was higher than that in controls (36.8 percent vs 21.8 percent; p0.001). Conclusion: Patients with primary fibromyalgia had higher cardiovascular metabolic risk factors than controls. Therefore, doctors should early identify and efficient control the cardiovascular metabolic risk factors in these patients.
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