4.6 Article

Sleep Is Not Disrupted by Exercise in Patients with Chronic Fatigue Syndromes

Journal

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
Volume 42, Issue 1, Pages 16-22

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/MSS.0b013e3181b11bc7

Keywords

EXERTION; UNEXPLAINED ILLNESS; SLEEP DISRUPTION; CLINICAL

Categories

Funding

  1. National Institutes of Health [AI-54478]
  2. NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [R21AI054478, R01AI054478] Funding Source: NIH RePORTER

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TOGO, F., B. H. NATELSON. N. S. CHERNIACK, M. KLAPHOLZ, D. M. RAPOPORT. and D. B. COOK. Sleep Is Not Disrupted by Exercise in Patients with Chronic Fatigue Syndromes. Aled. Sci. Sports Exerc., Vol. 42, No. 1, pp. 16-22, 2010. Purpose: Patients with chronic fatigue syndrome (CFS) report that exertion produces dramatic symptom worsening. We hypothesized this might be due to the exacerbation of an underlying sleep disorder, which we have previously demonstrated to exist. Methods: Female patients with CFS and matched healthy controls with no evidence of major depressive disorder were studied with overnight polysomnography on a baseline right and on a night after their performance of a maximal exercise test. Results: CFS patients as a group had evidence for disturbed sleep compared with controls. Although exercise improved sleep for healthy subjects, it did not do this for the group as a whole. When we stratified the sample on the basis of self-reported sleepiness after a night's sleep, the patient group with reduced morning sleepiness showed improvement in sleep structure, whereas those with increased morning sleepiness continued to show evidence for sleep disruption. Conclusions: Sleep is disturbed in CFS patients as a group, but exercise does not exacerbate this sleep disturbance. Approximately half the patients studied actually sleep better after exercise. Therefore, activity-related symptom worsening is not caused by worsened sleep.

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