Sa. Sisto et al., PHYSICAL-ACTIVITY BEFORE AND AFTER EXERCISE IN WOMEN WITH CHRONIC-FATIGUE-SYNDROME, QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS, 91(7), 1998, pp. 465-473
We measured physical activity after strenuous exercise in 20 women wit
h chronic fatigue syndrome (CFS), compared to 20 sedentary healthy vol
unteers who exercised no more than once per week. Activity was measure
d for 2 weeks using a portable waist-worn vertical accelerometer. Afte
r the first week of activity monitoring, all participants returned for
a maximal treadmill test, followed by continued activity monitoring f
or the second week. five activity measures were derived from the data:
(i) average activity; (ii) total activity; (iii) duration of waking d
ay; (iv) duration; and (v) number of daily rests. A repeated measures
ANCOVA was used to determine post-treadmill group differences accounti
ng for pre-treadmill differences. There was a significant reduction in
overall average activity after the treadmill test, with the greatest
decrease on days 12 through 14. This reduction was accompanied by a si
gnificant increase in the duration of the waking day and number of dai
ly rests. Thus, marked exertion does produce changes in activity, but
later than self-report would suggest, and are apparently not so severe
that CFS patients cannot compensate.