Ll. Clapp et al., Acute effects of thirty minutes of light-intensity, intermittent exercise on patients with chronic fatigue syndrome, PHYS THER, 79(8), 1999, pp. 749-756
Background and Purpose. Currently, there is no consensus on exercise prescr
iption for patients with chronic fatigue syndrome (CFS). This investigation
examined whether light-intensity, intermittent physical activity exacerbat
ed symptoms in patients with CFS immediately following exercise to 7 days f
ollowing exercise. Subjects. Subjects were 9 women (mean age=44.2 years, SD
=8.4, range=29-56; mean weight=74.2 kg, SD=18.8, range=56.36-110.91; and me
an height=1.63 m, SD=0.8, range=1.55-1.78) and 1 man (age=48 years, weight=
97.1 kg, and height=1.98 m) who met the Centers for Disease Control and Pre
vention's criteria for CFS. Methods. Subjects performed 10 discontinuous 3-
minute exercise bouts (separated by 3 minutes of recovery) at a self-select
ed, comfortable walking pace on a treadmill. Oxygen consumption, minute ven
tilation, respiratory exchange ratio, and heart rate were-measured every mi
nute during the exercise session. To assess degree of disability, general h
ealth status, activity level, symptoms, and mood, subjects completed variou
s questionnaires before and after exercise. Results. Results indicated that
degree of disability, general health status, symptoms, and mood did not ch
ange immediately and up to 7 days following exercise. Conclusion and Discus
sion. Thirty minutes of intermittent walking did not exacerbate symptoms in
subjects with CFS. The physiological data did not show any abnormal respon
se to exercise. Although this study did not determine whether 30 minutes of
continuous versus intermittent exercise would exacerbate symptoms, all 10
subjects felt that they could not exercise continuously for 30 minutes with
out experiencing symptom exacerbation. Despite this limitation, the results
indicate that some individuals with CFS may be able to use low-level, inte
rmittent exercise without exacerbating their symptoms.