Sex differences in post-exercise fatigue and function in myalgic encephalomyelitis/chronic fatigue syndrome.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
03 04 2023
Historique:
received: 13 12 2022
accepted: 29 03 2023
medline: 5 4 2023
entrez: 3 4 2023
pubmed: 4 4 2023
Statut: epublish

Résumé

To assess biobehavioral sex differences in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) utilizing a low burden exercise protocol, 22 females and 15 males with ME/CFS and 14 healthy controls underwent two six-min walk tests. Fifteen daily assessments were scheduled for fatigue and function ratings and heart monitoring. Six-min walk tests were conducted on days 8 and 9. The ME/CFS group showed high self-report fatigue and impaired physical function, whereas healthy controls did not show fatigue or function abnormalities. In patients, no significant post-exercise changes were found for heart rate variability (HRV); however, heart rate decreased in ME/CFS males from Day 14 to Day 15 (p = 0.046). Female patients showed increased fatigue (p = 0.006) after the initial walk test, but a downward slope (p = 0.008) in fatigue following the second walk test. Male patients showed a decrease in self-report work limitation in the days after exercise (p = 0.046). The healthy control group evidenced a decrease in HRV after the walk tests from Day 9-14 (p = 0.038). This pilot study did not confirm hypotheses that females as compared to males would show slower exercise recovery on autonomic or self-report (e.g. fatigue) measures. A more exertion-sensitive test may be required to document prolonged post-exertional abnormalities in ME/CFS.Trial registration: NCT NCT03331419.

Identifiants

pubmed: 37012343
doi: 10.1038/s41598-023-32581-w
pii: 10.1038/s41598-023-32581-w
pmc: PMC10070276
doi:

Banques de données

ClinicalTrials.gov
['NCT03331419']

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

5442

Subventions

Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NINR NIH HHS
ID : R01 NR015850
Pays : United States

Informations de copyright

© 2023. The Author(s).

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Auteurs

Fred Friedberg (F)

Department of Psychiatry, Stony Brook University, L10-060Y, 101 Nicolls Road, Stony Brook, NY, 11794-8101, USA. fred.friedberg@stonybrookmedicine.edu.

Jenna L Adamowicz (JL)

Department of Psychological and Brain Sciences, University of Iowa, 340 Iowa Avenue, G60 PBSB, Iowa City, IA, 52242, USA.

Patricia Bruckenthal (P)

School of Nursing, Health Sciences Center, Level 2, Stony Brook, NY, 11794-8240, USA.

Maria Milazzo (M)

School of Nursing, Health Sciences Center, Level 2, Stony Brook, NY, 11794-8240, USA.

Sameera Ramjan (S)

Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7Th Floor, New York, NY, 10022, USA.

Xiaoyue Zhang (X)

Renaissance School of Medicine, Stony Brook University, L3-108, 101 Nicolls Road, Stony Brook, NY, 11794-8036, USA.

Jie Yang (J)

Renaissance School of Medicine, Stony Brook University, L3-108, 101 Nicolls Road, Stony Brook, NY, 11794-8036, USA.

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