In 4 weken een konditieverbetering van 17% en 70% meer push-ups!
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Chronic fatigue fixed in four weeks
by Jared Reed
A four week exercise program can help young people with chronic fatigue resume school and social activities,
Melbourne researchers have shown.
Adolescent patients with chronic fatigue syndrome
showed significant improvements in their physical and psychological outlook after a short,
intensive inpatient exercise program, a study at Melbourne’s Austin Hospital found.
The 16 adolescents who completed four weeks of graded,
intensive exercise showed improvements of
42% in depression scores,
18% in time to fatigue, and
17% peak oxygen intake.
Fatigue severity improved to a lesser extent, at 13%,
but upper body strength and function improved markedly
through a 70% increase in the number of push-ups.
The ‘promising’ outcomes mean that
adolescents with chronic fatigue can return to normal school and sporting commitments sooner
and expect to make a full recovery, write the researchers from Austin Hospital in the Journal of Paediatrics and Child Health (45:286-290).
“It shows that at least in adolescent sufferers,
CFS doesn’t have to be a life long burden,”
study author and exercise physiologist Mr Brett Gordon tells 6minutes.
“It is this population that potentially could have the greatest impact
from this condition in terms of length of suffering, reduced capacity to contribute to the community
- both in a working capacity and socially - and therefore reducing their individual quality of life,” he says.
Further studies are being done to see if results could be replicated in an outpatient setting,
Mr Gordon added, but he was only aware of one other Australian facility offering a similar program to Austin,
as well as others in which exercise was not on an intensive daily basis.
“If we could implement this type of program on a much wider scale...
the level of improvement observed could be just as great, if not greater,” he tells 6minutes.
6 May 2009
http://www.6minutes.com.au/articles/z1/view.asp?id=479959
Promising outcomes of an adolescent chronic fatigue syndrome inpatient programme
Journal of Paediatrics and Child Health. Volume 45 Issue 5, Pages 286 - 290 [Published Online: 28 Apr 2009]
Gordon, B; Lubitz, L
Introduction:
Chronic fatigue syndrome (CFS)
is a condition of prolonged and disabling fatigue,
which is accompanied by
characteristic constitutional and neuropsychiatric symptoms.
In children and adolescents,
this condition occurring at a developmentally vulnerable time
adds to the disability
affecting self-concept, autonomy, body image,
socialisation, sexuality and academic problems.
This case series looks at
the effects of a graded exercise programme on
physical outcomes,
fatigue and
mental state in an adolescent population.
Methods:
Data sets from
16 adolescents
who completed combined exercise training
as part of the 4-week inpatient intensive CFS programme
at the Austin Hospital, Melbourne
were analysed.
All patients completed
an exercise assessment and
three questionnaires
before beginning any training.
A paediatrician (LL) confirmed the diagnosis
according to the Fukuda criteria
in all patients.
Exercise was carefully supervised and
prescribed daily by an exercise physiologist (BG)
according to each individual's ability and response
with the basic aim of
increasing exercise tolerance and
improving muscle strength and endurance.
Results:
There was an
18% improvement in volitional time to fatigue (P= 0.02) and
17% improvement in peak oxygen uptake (VO2peak) (P= 0.01).
Upper body strength and function
improved with
a remarkable 70% increase
in the number of push-ups.
Fatigue severity was reported to improve by 13% (P= 0.01) and
depression index improved significantly by 42% (P= 0.02).
Conclusions:
The significance of these improvements cannot be underestimated
as an improvement in physical capacity
through increased time to fatigue and less severe fatigue
allows adolescents to resume school, social and family activities.
KEYWORDS
adolescent • chronic fatigue syndrome • exercise
http://www3.interscience.wiley.com/journal/122369211/abstract
Met dank aan Jan van Roijen
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