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dc.contributor.authorDawes, Helen
dc.date.accessioned2021-06-18T15:01:16Z
dc.date.available2021-06-18T15:01:16Z
dc.date.issued2021-04
dc.identifier.citationSławomir Kujawski,†OrcID,Jo Cossington ,Joanna Słomko,Monika Zawadka-Kunikowska ,Małgorzata Tafil-Klawe ,Jacek J. Klawe ,Katarzyna Buszko , Jakovljevic ,Mariusz Kozakiewicz ,Karl J. Morten ,Helen Dawes ,James W. L. Strong ,Modra Murovska,Jessica Van Oosterwijck,Fernando Estevez-Lopez ,Julia L. Newton,Lynette Hodges ,Paweł Zalewski . Relationship between Cardiopulmonary, Mitochondrial and Autonomic Nervous System Function Improvement after an Individualised Activity Programme upon Chronic Fatigue Syndrome Patients. J. Clin. Med. 2021, 10(7), 1542en
dc.identifier.urihttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/837
dc.descriptionThis is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citeden
dc.description.abstractBackground: The therapeutic effects of exercise from structured activity programmes have recently been questioned; as a result, this study examines the impact of an Individualised Activity Program (IAP) on the relationship with cardiovascular, mitochondrial and fatigue parameters. Methods: Chronic fatigue syndrome (CFS) patients were assessed using Chalder Fatigue Questionnaire (CFQ), Fatigue Severity Score (FSS) and the Fatigue Impact Scale (FIS). VO2peak, VO2submax and heart rate (HR) were assessed using cardiopulmonary exercise testing. Mfn1 and Mfn2 levels in plasma were assessed. A Task Force Monitor was used to assess ANS functioning in supine rest and in response to the Head-Up Tilt Test (HUTT). Results: Thirty-four patients completed 16 weeks of the IAP. The CFQ, FSS and FIS scores decreased significantly along with a significant increase in Mfn1 and Mfn2 levels (p = 0.002 and p = 0.00005, respectively). The relationships between VO2 peak and Mfn1 increase in response to IAP (p = 0.03) and between VO2 at anaerobic threshold and ANS response to the HUTT (p = 0.03) were noted. Conclusions: It is concluded that IAP reduces fatigue and improves functional performance along with changes in autonomic and mitochondrial function. However, caution must be applied as exercise was not well tolerated by 51% of patients.en
dc.description.sponsorshipSupported by the NIHRen
dc.description.urihttps://doi.org/10.3390/jcm10071542en
dc.language.isoenen
dc.subjectExerciseen
dc.subjectChronic Fatigue Syndrome (CFS)en
dc.titleRelationship between Cardiopulmonary, Mitochondrial and Autonomic Nervous System Function Improvement after an Individualised Activity Programme upon Chronic Fatigue Syndrome Patientsen
dc.typeArticleen
dc.contributor.disciplinePhysiotherapist


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