King, E, Beynon, M, Chalder, T et al. · Journal of psychosomatic research · 2020 · DOI
Researchers studied how 579 ME/CFS patients moved and exercised during their daily lives using activity monitors. They found that patients fell into four different activity patterns: some stayed quite inactive, some stayed fairly active, some had a 'boom and bust' pattern (very active then very inactive), and some had mixed patterns. Each group showed different health characteristics—inactive patients had more physical disability, active patients had more anxiety, and boom-and-bust patients had more sleep problems.
Activity patterns are something ME/CFS patients manage daily, and understanding how different patterns relate to specific symptoms could help tailor treatment approaches. This work suggests that activity monitoring might help predict outcomes and guide personalized interventions, which could improve care quality and individual health trajectories.
This study does not prove that activity patterns cause specific symptoms—only that they are associated. It cannot establish whether the activity pattern creates the symptom cluster or whether symptoms drive the activity pattern. The findings also require replication before being applied clinically, as noted by the authors themselves.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
King, E, Beynon, M, Chalder, T, Sharpe, M, & White, P D (2020). Patterns of daytime physical activity in patients with chronic fatigue syndrome.. Journal of psychosomatic research. https://doi.org/10.1016/j.jpsychores.2020.110154
BibTeX
@article{mecfsatlas-king-2020-patterns-daytime,
author = {King, E and Beynon, M and Chalder, T and Sharpe, M and White, P D},
title = {Patterns of daytime physical activity in patients with chronic fatigue syndrome.},
journal = {Journal of psychosomatic research},
year = {2020},
doi = {10.1016/j.jpsychores.2020.110154},
note = {PubMed: 32504895},
url = {https://www.mecfsatlas.com/evidence/king-2020-patterns-daytime},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-25. https://www.mecfsatlas.com/evidence/king-2020-patterns-daytime
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