{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T15:17:05Z","timestamp":1785943025853,"version":"3.56.0"},"reference-count":53,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012986","name":"Francisco De Vitoria University Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012986","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nutrition"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.nut.2026.113303","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T16:11:21Z","timestamp":1779725481000},"page":"113303","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Vegan versus traditional Mediterranean diet effects on cardiometabolic outcomes in women with fibromyalgia:FIBROVEG study"],"prefix":"10.1016","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0031-0408","authenticated-orcid":false,"given":"Paula","family":"Marrero-Fern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-4338","authenticated-orcid":false,"given":"Uju\u00e9","family":"Fres\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5846-7532","authenticated-orcid":false,"given":"Siobhan","family":"Nicaudie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia Rodrigo","family":"Huecas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muthanna","family":"Abusaada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7209-3061","authenticated-orcid":false,"given":"Gabriele","family":"Bertotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Rold\u00e1n-Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0553-6210","authenticated-orcid":false,"given":"Miguel","family":"L\u00f3pez-Moreno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nut.2026.113303_bib0001","doi-asserted-by":"crossref","unstructured":"\u00dabeda-D\u2019ocasar E, D\u00edaz-Benito VJ, Gallego-Sendarrubias GM, Valera-Calero JA, Vicario-Merino \u00c1, Herv\u00e1s-P\u00e9rez JP. Pain and cortisol in patients with fibromyalgia: systematic review and meta-analysis. Diagnostics Multidisciplinary Digital Publishing Institute (MDPI); 2020 Accessed May 27, 2025;10. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/33182522\/","DOI":"10.3390\/diagnostics10110922"},{"key":"10.1016\/j.nut.2026.113303_bib0002","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1007\/s10067-008-0966-1","article-title":"A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients","volume":"27","author":"Neumann","year":"2008","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.nut.2026.113303_bib0003","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.3390\/biomedicines12061266","article-title":"Management of fibromyalgia: an update","volume":"12","author":"Jones","year":"2024","journal-title":"Biomedicines"},{"key":"10.1016\/j.nut.2026.113303_bib0004","doi-asserted-by":"crossref","DOI":"10.1007\/s11916-013-0356-5","article-title":"Worldwide epidemiology of fibromyalgia topical collection on fibromyalgia","author":"Queiroz","year":"2013","journal-title":"Curr Pain Headache Rep Curr Med Group LLC"},{"key":"10.1016\/j.nut.2026.113303_bib0005","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.reuma.2010.05.006","article-title":"An\u00e1lisis de la composici\u00f3n corporal en mujeres con fibromialgia","volume":"7","author":"Aparicio","year":"2011","journal-title":"Reum Clin Reum Clin"},{"key":"10.1016\/j.nut.2026.113303_bib0006","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20186731","article-title":"Physical activity and exercise exwperience in spanish and us men with fibromyalgia: a qualitative cross-cultural study","author":"Montes\u00f3-Curto","year":"2023","journal-title":"Int J Env Res Public Health"},{"key":"10.1016\/j.nut.2026.113303_bib0007","first-page":"e596","article-title":"2019 ACC\/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"140","author":"Arnett","year":"2019","journal-title":"Circ NLM (Medline)"},{"key":"10.1016\/j.nut.2026.113303_bib0008","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1007\/s10067-005-0004-5","article-title":"Serum lipid profile in fibromyalgia women","volume":"25","author":"Gurer","year":"2006","journal-title":"Clin Rheumatol Clin Rheumatol"},{"key":"10.1016\/j.nut.2026.113303_bib0009","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1007\/s00296-012-2647-2","article-title":"Clinical symptoms in fibromyalgia are associated to overweight and lipid profile","volume":"34","author":"Cordero","year":"2014","journal-title":"Rheumatol Int Springer"},{"key":"10.1016\/j.nut.2026.113303_bib0010","doi-asserted-by":"crossref","first-page":"3640","DOI":"10.1080\/10408398.2016.1138447","article-title":"Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies","volume":"57","author":"Dinu","year":"2017","journal-title":"Crit Rev Food Sci Nutr Taylor Fr Inc"},{"key":"10.1016\/j.nut.2026.113303_bib0011","first-page":"577","article-title":"Vegetarian diets and blood pressure: a meta-analysis","volume":"174","author":"Yokoyama","year":"2014","journal-title":"JAMA Intern Med Am Med Assoc"},{"key":"10.1016\/j.nut.2026.113303_bib0012","doi-asserted-by":"crossref","first-page":"2609","DOI":"10.1093\/eurheartj\/ehad211","article-title":"Vegetarian or vegan diets and blood lipids: a meta-analysis of randomized trials","volume":"44","author":"Koch","year":"2023","journal-title":"Eur Heart J"},{"key":"10.1016\/j.nut.2026.113303_bib0013","doi-asserted-by":"crossref","first-page":"597","DOI":"10.3945\/ajcn.112.044073","article-title":"Risk of hospitalization or death from ischemic heart disease among British vegetarians and nonvegetarians: results from the EPIC-Oxford cohort study","volume":"97","author":"Crowe","year":"2013","journal-title":"Am J Clin Nutr Elsevier"},{"key":"10.1016\/j.nut.2026.113303_bib0014","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1001\/jamainternmed.2013.6473","article-title":"Vegetarian dietary patterns and mortality in adventist health study 2","volume":"173","author":"Orlich","year":"2013","journal-title":"JAMA Intern Med JAMA Intern Med"},{"key":"10.1016\/j.nut.2026.113303_bib0015","article-title":"Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts","volume":"378","author":"Estruch","year":"2018","journal-title":"N Engl J Med Mass Med Soc"},{"key":"10.1016\/j.nut.2026.113303_bib0016","doi-asserted-by":"crossref","DOI":"10.1016\/j.numecd.2024.08.008","article-title":"The OMNIVEG STUDY: health outcomes of shifting from a traditional to a vegan Mediterranean diet in healthy men. A controlled crossover trial","author":"L\u00f3pez-Moreno","year":"2024","journal-title":"Nutr Metab Cardiovasc Dis Elsevier"},{"key":"10.1016\/j.nut.2026.113303_bib0017","doi-asserted-by":"crossref","first-page":"m4743","DOI":"10.1136\/bmj.m4743","article-title":"Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data","volume":"372","author":"Goldenberg","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.nut.2026.113303_bib0018","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s41043-025-00818-1","article-title":"Comparative effects of different macronutrient compositions for type 2 diabetes management: a systematic review and network meta-analysis of randomized trials","volume":"44","author":"Badrooj","year":"2025","journal-title":"J Health Popul Nutr"},{"key":"10.1016\/j.nut.2026.113303_bib0019","first-page":"549","article-title":"The Mediterranean diet and health: a comprehensive overview","volume":"290","author":"Guasch-Ferr\u00e9","year":"2021","journal-title":"J Intern Med John Wiley Sons Inc"},{"key":"10.1016\/j.nut.2026.113303_bib0020","doi-asserted-by":"crossref","first-page":"1970","DOI":"10.1016\/j.jand.2016.09.025","article-title":"Position of the academy of nutrition and dietetics: vegetarian diets","volume":"116","author":"Melina","year":"2016","journal-title":"J Acad Nutr Diet Elsevier BV"},{"key":"10.1016\/j.nut.2026.113303_bib0021","first-page":"678","article-title":"Dietopro.com: Una nueva herramienta de gesti\u00f3n dietoterap\u00e9utica basada en la tecnolog\u00eda cloud computing","volume":"30","author":"Garc\u00eda","year":"2014","journal-title":"Nutr Hosp Grupo Aula Med SA"},{"key":"10.1016\/j.nut.2026.113303_bib0022","unstructured":"Bennett R.M. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991. Accessed May 20, 2025 Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/1865419\/"},{"key":"10.1016\/j.nut.2026.113303_bib0023","unstructured":"Monterde S, Salvat I, Montull S, Fern\u00e1ndez-Ballart J Validaci\u00f3n de la versi\u00f3n espa\u00f1ola del fibromyalgia impact questionnaire. Accessed May 18, 2004. Available at: https:\/\/www.elsevier.es\/es-revista-revista-espanola-reumatologia-29-articulo-validacion-version-espanola-del-fibromyalgia-13068512?furriel=b1857353cce1f47c1f41d6272e99cd47a5a0a428"},{"key":"10.1016\/j.nut.2026.113303_bib0024","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1002\/osp4.299","article-title":"Validation of the diet satisfaction questionnaire: a new measure of satisfaction with diets for weight management","volume":"4","author":"James","year":"2018","journal-title":"Obes Sci Pr Wiley-Blackwell"},{"key":"10.1016\/j.nut.2026.113303_bib0025","article-title":"Cardiometabolic effects of omnivorous vs vegan diets in identical twins: a randomized clinical trial","volume":"6","author":"Landry","year":"2023","journal-title":"JAMA Netw Open JAMA Netw Open"},{"key":"10.1016\/j.nut.2026.113303_bib0026","author":"Dobi\u00e1sov\u00e1"},{"key":"10.1016\/j.nut.2026.113303_bib0027","first-page":"212","volume":"17","author":"Heyward","year":"2004"},{"key":"10.1016\/j.nut.2026.113303_bib0028","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1080\/030097400447697","article-title":"Vegan diet alleviates fibromyalgia symptoms","volume":"29","author":"Kaartinen","year":"2000","journal-title":"Scand J Rheumatol Scand J Rheumatol"},{"key":"10.1016\/j.nut.2026.113303_bib0029","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/BF01088096","article-title":"Reduced plasma fibrinogen, serum peroxides, lipids, and apolipoproteins after a 3-week vegetarian diet","volume":"43","author":"H\u00f8stmark","year":"1993","journal-title":"Plant Foods Hum Nutr Plant Foods Hum Nutr"},{"key":"10.1016\/j.nut.2026.113303_bib0030","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Moreno M, Fres\u00e1n U. Do the health benefits of the mediterranean diet increase with a higher proportion of whole plant-based foods? Curr Nutr Rep 2025;14:1:52. Accessed May 10, 2025. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/40138066\/","DOI":"10.1007\/s13668-025-00647-y"},{"key":"10.1016\/j.nut.2026.113303_bib0031","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1161\/CIRCULATIONAHA.117.030088","article-title":"Low-calorie vegetarian versus mediterranean diets for reducing body weight and improving cardiovascular risk profile: CARDIVEG study (cardiovascular prevention with vegetarian diet)","volume":"137","author":"Sofi","year":"2018","journal-title":"Circ Circ"},{"key":"10.1016\/j.nut.2026.113303_bib0032","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1038\/ejcn.2014.228","article-title":"Substitution of red meat with legumes in the therapeutic lifestyle change diet based on dietary advice improves cardiometabolic risk factors in overweight type 2 diabetes patients: a cross-over randomized clinical trial","volume":"69","author":"Hosseinpour-Niazi","year":"2015","journal-title":"Eur J Clin Nutr Eur J Clin Nutr"},{"key":"10.1016\/j.nut.2026.113303_bib0033","article-title":"Effect of nut consumption on blood lipids: an updated systematic review and meta-analysis of randomized controlled trials","volume":"35","author":"Nishi","year":"2025","journal-title":"Nutr Metab Cardiovasc Dis Nutr Metab Cardiovasc Dis"},{"key":"10.1016\/j.nut.2026.113303_bib0034","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1016\/j.jacc.2004.03.046","article-title":"Optimal low-density lipoprotein is 50 to 70 mg\/dl","volume":"43","author":"H","year":"2004","journal-title":"JACC Am Coll Cardiol Found"},{"key":"10.1016\/j.nut.2026.113303_bib0035","doi-asserted-by":"crossref","first-page":"489","DOI":"10.5551\/jat.RV17040","article-title":"Low-density lipoprotein cholesterol level cannot be too low: considerations from clinical trials","volume":"27","author":"Tada","year":"2020","journal-title":"Hum Genet Biol, J Atheroscler Thromb"},{"key":"10.1016\/j.nut.2026.113303_bib0036","first-page":"127","article-title":"A mediterranean diet and low-fat vegan diet to improve body weight and cardiometabolic risk factors: a randomized, cross-over trial","volume":"41","author":"Barnard","year":"2022","journal-title":"J Am Nutr Assoc Taylor Fr"},{"key":"10.1016\/j.nut.2026.113303_bib0037","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s13142-015-0353-9","article-title":"Effects on cardiovascular risk factors of weight losses limited to 5-10%","volume":"6","author":"Brown","year":"2016","journal-title":"Transl Behav Med Engl;"},{"key":"10.1016\/j.nut.2026.113303_bib0038","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/j.numecd.2020.12.032","article-title":"The effects of foods on LDL cholesterol levels: a systematic review of the accumulated evidence from systematic reviews and meta-analyses of randomized controlled trials","volume":"31","author":"Schoeneck","year":"2021","journal-title":"Nutr Metab Cardiovasc Dis Nutr Metab Cardiovasc Dis"},{"key":"10.1016\/j.nut.2026.113303_bib0039","series-title":"Proceedings of the Nutrition Society Cambridge University Press","first-page":"61","article-title":"Dietary fibre and cardiovascular health: a review of current evidence and policy","volume":"79","author":"Evans","year":"2020"},{"key":"10.1016\/j.nut.2026.113303_bib0040","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.advnut.2023.01.005","article-title":"Soluble fiber supplementation and serum lipid profile: a systematic review and dose-response meta-analysis of randomized controlled trials","volume":"14","author":"Ghavami","year":"2023","journal-title":"Adv Nutr Elsevier"},{"key":"10.1016\/j.nut.2026.113303_bib0041","first-page":"4308","article-title":"Effect of gut microbiota on blood cholesterol: a review on mechanisms","volume":"12","author":"Deng","year":"2023","journal-title":"Foods Multidiscip Digit Publ Inst (MDPI)"},{"key":"10.1016\/j.nut.2026.113303_bib0042","doi-asserted-by":"crossref","first-page":"8074","DOI":"10.3390\/ijms22158074","article-title":"The role of gut microbiota on cholesterol metabolism in atherosclerosis","volume":"22","author":"Vourakis","year":"2021","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.nut.2026.113303_bib0043","first-page":"1","article-title":"Fibromyalgia syndrome improved using a mostly raw vegetarian diet: an observational study","volume":"1","author":"Donaldson","year":"2001","journal-title":"BMC Complement Altern Med BioMed Cent Ltd"},{"key":"10.1016\/j.nut.2026.113303_bib0044","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/S0300-483X(00)00276-6","article-title":"Antioxidants in vegan diet and rheumatic disorders","volume":"155","author":"H\u00e4nninen","year":"2000","journal-title":"Toxicol Elsevier;"},{"key":"10.1016\/j.nut.2026.113303_bib0045","article-title":"Inflammation in pathogenesis of chronic pain: foe and friend","volume":"19","author":"Fang","year":"2023","journal-title":"Mol Pain SAGE Publ Inc"},{"key":"10.1016\/j.nut.2026.113303_bib0046","doi-asserted-by":"crossref","first-page":"316","DOI":"10.3389\/fnhum.2017.00316","article-title":"Inflammation: the common pathway of stress-related diseases","volume":"11","author":"Liu","year":"2017","journal-title":"Front Hum Neurosci Front Media S A"},{"key":"10.1016\/j.nut.2026.113303_bib0047","article-title":"Systematic review and meta-analysis of the associations of vegan and vegetarian diets with inflammatory biomarkers","volume":"10","author":"Menzel","year":"2020","journal-title":"Sci Rep Nat Res"},{"key":"10.1016\/j.nut.2026.113303_bib0048","article-title":"Lignans as pharmacological agents in disorders related to oxidative stress and inflammation: chemical synthesis approaches and biological activities","volume":"23","author":"Osmakov","year":"2022","journal-title":"Int J Mol Sci Int J Mol Sci"},{"key":"10.1016\/j.nut.2026.113303_bib0049","doi-asserted-by":"crossref","DOI":"10.3390\/ijms232415482","article-title":"Antioxidant, anti-inflammatory, anti-menopausal, and anti-cancer effects of lignans and their metabolites","volume":"23","author":"Jang","year":"2022","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.nut.2026.113303_bib0050","first-page":"823","article-title":"Barriers to adopting a plant-based diet in high-income countries: a systematic review","volume":"16","author":"Rickerby","year":"2024","journal-title":"Nutr Multidiscip Digit Publ Inst"},{"issue":"10","key":"10.1016\/j.nut.2026.113303_bib0051","first-page":"4136","article-title":"A comprehensive review of the benefits of and the barriers to the switch to a plant-based diet","volume":"12","author":"Feh\u00e9r","year":"2020","journal-title":"Sustain (Switz) MDPI;"},{"key":"10.1016\/j.nut.2026.113303_bib0052","first-page":"12","volume":"74","author":"M\u00e4kiniemi","year":"2014"},{"key":"10.1016\/j.nut.2026.113303_bib0053","article-title":"Food costs of a low-fat vegan diet vs a mediterranean diet: a secondary analysis of a randomized clinical trial","author":"Kahleova","year":"2024","journal-title":"JAMA Netw Open Am Med Assoc"}],"container-title":["Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089990072600211X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089990072600211X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:39:09Z","timestamp":1785940749000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S089990072600211X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":53,"alternative-id":["S089990072600211X"],"URL":"https:\/\/doi.org\/10.1016\/j.nut.2026.113303","relation":{},"ISSN":["0899-9007"],"issn-type":[{"value":"0899-9007","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vegan versus traditional Mediterranean diet effects on cardiometabolic outcomes in women with fibromyalgia:FIBROVEG study","name":"articletitle","label":"Article Title"},{"value":"Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nut.2026.113303","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"113303"}}