Bazelmans Ellen, Bleijenberg Gijs, Voeten Marinus J M, van der Meer Jos W M, Folgering Hans
Department of Medical Psychology, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
J Psychosom Res. 2005 Oct;59(4):201-8. doi: 10.1016/j.jpsychores.2005.04.003.
This study examined the effects of exercise on symptoms and activity in chronic fatigue syndrome (CFS).
Twenty CFS patients and 20 neighborhood controls performed an incremental exercise test until exhaustion. Fatigue, muscle pain, minutes spent resting, and the level of physical activity were assessed with a self-observation list. Physical activity was assessed with an actometer as well. Data were obtained 3 days before the maximal exercise test (MET) up to 5 days thereafter.
For CFS patients, daily observed fatigue was increased up to 2 days after the exercise test. For controls, self-observed fatigue returned to baseline after 2 h. Both CFS patients and controls spent more minutes resting on the day before and on the day after the MET. For CFS patients, self-observed minutes resting increased on the day of the exercise test. For neither group, a decrease of actometer recorded or self-observed physical activity after exercise was found.
Fatigue in CFS patients increased after exercise, but the level of actual physical activity remained unchanged.
本研究探讨运动对慢性疲劳综合征（CFS）患者症状及活动能力的影响。
20名CFS患者和20名社区对照者进行递增运动试验直至力竭。使用自我观察清单评估疲劳、肌肉疼痛、休息时间及身体活动水平。同时使用活动计评估身体活动情况。在最大运动试验（MET）前3天直至试验后5天收集数据。
对于CFS患者，运动试验后长达2天每日观察到的疲劳感增加。对于对照者，自我观察到的疲劳在2小时后恢复至基线水平。CFS患者和对照者在MET前一天及后一天的休息时间均增加。对于CFS患者，运动试验当天自我观察到的休息时间增加。两组均未发现运动后活动计记录的或自我观察到的身体活动减少。
CFS患者运动后疲劳感增加，但实际身体活动水平保持不变。
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