{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T11:15:37Z","timestamp":1780398937134,"version":"3.54.1"},"reference-count":52,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Fibromyalgia is a chronic pain disorder. Patients often introduce lifestyle changes, including dietary modifications and physical activity, after diagnosis to alleviate symptoms. However, real-world patterns of these post-diagnostic adaptations remain poorly understood. Methods: An exploratory cross-sectional study was conducted in 88 patients with fibromyalgia using a study-specific questionnaire. Spearman correlation and network analysis were applied to assess relationships between lifestyle changes. K-means clustering was used to identify adaptation patterns. Differences in symptom severity were evaluated using the Kruskal\u2013Wallis test and regression analysis. Results: Participants most frequently increased vegetable and water intake and reduced consumption of meat, alcohol, and sugar-sweetened beverages. Network analysis revealed structured co-occurrence patterns among dietary changes. Three clusters were identified: minimal (n = 47), selective (n = 27), and comprehensive (n = 14). No significant association was found between adaptation patterns and symptom severity (p = 0.53). Conclusions: Patients with fibromyalgia may adopt structured, non-random lifestyle changes following diagnosis. These findings provide a data-driven perspective on real-world behavioral adaptation patterns and highlight the need for longitudinal research to better understand their potential role in disease management.<\/jats:p>","DOI":"10.3390\/nu18111791","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:14:57Z","timestamp":1780395297000},"page":"1791","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-Diagnostic Lifestyle Adaptations in Fibromyalgia: A Network and Cluster Analysis of Real-World Behavioral Patterns"],"prefix":"10.3390","volume":"18","author":[{"given":"Matylda","family":"Kosiorz","sequence":"first","affiliation":[{"name":"Student Scientific Association at the Department of Internal Medicine and Emergency Medicine, Medical University of Silesia in Katowice, 41-902 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6562-7072","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Muc-Wierzgo\u0144","sequence":"additional","affiliation":[{"name":"Department of Propedeutics of Internal Medicine and Emergency Medicine, Medical University of Silesia in Katowice, 41-902 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5168-4444","authenticated-orcid":false,"given":"Katarzyna Weronika","family":"Walkiewicz","sequence":"additional","affiliation":[{"name":"Department of Propedeutics of Internal Medicine and Emergency Medicine, Medical University of Silesia in Katowice, 41-902 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1019-5959","authenticated-orcid":false,"given":"Sylwia","family":"Dzi\u0119gielewska-G\u0119siak","sequence":"additional","affiliation":[{"name":"Department of Propedeutics of Internal Medicine and Emergency Medicine, Medical University of Silesia in Katowice, 41-902 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Filipovic, T., Filipovi\u0107, A., Nikolic, D., Gimigliano, F., Stevanov, J., Hrkovic, M., and Bosanac, I. 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