ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

2807 studies

521–540 of 2,807 studies

E2 ModerateCohortPEM unclearLongitudinal

Physiological assessment of orthostatic intolerance in chronic fatigue syndrome.

Natelson, Benjamin H, Lin, Jin-Mann S, Blate, Michelle et al.·Journal of translational medicine·2022

This study tested how the bodies of ME/CFS patients respond when they shift from lying down to leaning upright for 10 minutes. Researchers measured heart rate, blood pressure, breathing, and carbon dioxide levels in the blood. They found that 60% of patients showed abnormal responses, with low blood carbon dioxide levels being the most common problem, followed by an excessively fast heartbeat when standing.

Autonomic Nervous System

E2 ModerateBehavioralPEM unclearObservational

Graded exercise therapy for patients with chronic fatigue syndrome in secondary care - a benchmarking study.

Smakowski, Abigail, Adamson, James, Turner, Tracey et al.·Disability and rehabilitation·2022

This study looked at how graded exercise therapy (gradually increasing physical activity) helped ME/CFS patients who were treated at a specialist clinic in London. Researchers tracked patients' fatigue levels, physical ability, and ability to work and socialize over the course of treatment. The results showed that patients improved significantly, with fatigue decreasing and daily functioning improving by the end of treatment.

E2 ModerateCohortPEM requiredCross-Sectional

ME/CFS and Post-Exertional Malaise among Patients with Long COVID.

Jason, Leonard A, Dorri, Joseph A·Neurology international·2022

Researchers studied 465 people with long-term COVID symptoms to see how many also had ME/CFS (a serious condition causing extreme fatigue and worsening after activity). They found that about 6 in 10 people with long COVID met the medical criteria for ME/CFS. Interestingly, some people thought they had ME/CFS when they didn't, while others had ME/CFS without realizing it—showing that self-diagnosis alone isn't reliable.

Long COVID OverlapPost-Exertional Malaise

E2 ModerateBehavioralPEM not requiredLongitudinal

Nonimprovement in Chronic Fatigue Syndrome: Relation to Activity Patterns, Uplifts and Hassles, and Autonomic Dysfunction.

Friedberg, Fred, Adamowicz, Jenna L, Bruckenthal, Patricia et al.·Psychosomatic medicine·2022

Researchers followed 148 people with ME/CFS for 6 months to understand why some patients improve while others don't. They tracked activity patterns, daily stressors and positive experiences, and measured heart rate variability (a sign of nervous system health). Patients who didn't improve had less heart rate variability and reported fewer positive daily experiences, but surprisingly, activity patterns like "push-crash" cycles didn't differ between improving and non-improving groups.

Autonomic Nervous System

E2 ModerateCohortPEM requiredCross-Sectional

Chronic Fatigue and Postexertional Malaise in People Living With Long COVID: An Observational Study.

Twomey, Rosie, DeMars, Jessica, Franklin, Kelli et al.·Physical therapy·2022

This study looked at 213 people with long COVID to measure how severe their fatigue and postexertional malaise (PEM—worsening of symptoms after activity) were. Researchers found that over 71% had chronic fatigue as severe as or worse than other serious illnesses, and nearly 59% experienced PEM similar to what people with ME/CFS report. The study highlights that fatigue and symptom flare-ups after activity are major problems that need careful monitoring and should shape how doctors design rehabilitation programs.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Intersections between pneumonia, lowered oxygen saturation percentage and immune activation mediate depression, anxiety, and chronic fatigue syndrome-like symptoms due to COVID-19: A nomothetic network approach.

Al-Jassas, Hawraa Kadhem, Al-Hakeim, Hussein Kadhem, Maes, Michael·Journal of affective disorders·2022

This study examined 60 COVID-19 patients and 30 healthy controls to understand why some people develop depression, anxiety, and fatigue-like symptoms after COVID-19 infection. The researchers found that lung damage (seen on CT scans), low oxygen levels, and an overactive immune response are connected to these mental health and fatigue symptoms. Essentially, the physical damage to the lungs may trigger immune system activation, which then leads to depression, anxiety, and fatigue.

Immune System

E2 ModerateBehavioralPEM not requiredCross-Sectional

Influence of Codiagnosis of Chronic Fatigue Syndrome and Habitual Physical Exercise on the Psychological Status and Quality of Life of Patients with Fibromyalgia.

Hinchado, María Dolores, Otero, Eduardo, Navarro, María Del Carmen et al.·Journal of clinical medicine·2022

This study looked at how fibromyalgia (FM) patients feel psychologically and how their quality of life is affected, especially when they also have ME/CFS. The researchers compared people with FM alone, people with both FM and ME/CFS, and healthy people without either condition. They found that regular physical exercise helped both groups feel less stressed and anxious, but having ME/CFS alongside FM didn't make things worse than FM alone.

E2 ModerateCohortPEM unclearObservational

Predictors for Developing Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Following Infectious Mononucleosis.

Jason, Leonard A, Cotler, Joseph, Islam, Mohammed F et al.·Journal of rehabilitation therapy·2022

This study followed 238 college students who developed infectious mononucleosis to see who would recover and who would develop ME/CFS. Researchers found that students who had stomach problems (pain, bloating, irritable bowel) before getting sick, combined with certain low immune markers and severe digestive symptoms when they got mononucleosis, had about an 80% chance of developing severe ME/CFS that lasted six months. This suggests that pre-existing gut problems and immune differences may help predict who is at highest risk.

Immune System

E2 ModerateCohortPEM unclearCross-Sectional

Autoimmune gene expression profiling of fingerstick whole blood in Chronic Fatigue Syndrome.

Wang, Zheng, Waldman, Michelle F, Basavanhally, Tara J et al.·Journal of translational medicine·2022

Researchers tested blood samples from 166 ME/CFS patients and 83 healthy people to look for immune system clues that might explain the disease. They found that six specific genes related to immune function were more active in patients with severe, bedridden ME/CFS compared to those with milder disease. The study suggests these genes could potentially be used as biomarkers to identify how severe someone's ME/CFS is and might point toward new treatments.

BiomarkersImmune System

E2 ModerateMechanismPEM requiredObservational

Plasma metabolomics reveals disrupted response and recovery following maximal exercise in myalgic encephalomyelitis/chronic fatigue syndrome.

Germain, Arnaud, Giloteaux, Ludovic, Moore, Geoffrey E et al.·JCI insight·2022

Researchers studied 60 ME/CFS patients and 45 healthy people by measuring thousands of chemical substances in their blood before and after intense exercise tests done 24 hours apart. They found that ME/CFS patients had very different chemical patterns in their blood, especially after exercise and during the 24-hour recovery period, suggesting their bodies struggle to respond to and recover from physical exertion in ways that may explain post-exertional malaise (the worsening of symptoms after activity).

Energy MetabolismPost-Exertional Malaise

E2 ModerateCohortPEM requiredProtocol

Multimodal MRI of myalgic encephalomyelitis/chronic fatigue syndrome: A cross-sectional neuroimaging study toward its neuropathophysiology and diagnosis.

Shan, Zack Y, Mohamed, Abdalla Z, Andersen, Thu et al.·Frontiers in neurology·2022

This study used advanced brain imaging to investigate whether ME/CFS is caused by a problem with how the brain's blood vessels respond to neural activity. Researchers scanned the brains of 288 people—including those with ME/CFS, chronic fatigue, fibromyalgia, and healthy controls—while they performed tasks and held their breath, measuring blood flow and brain chemicals. The goal was to find distinctive brain patterns that could objectively diagnose ME/CFS and understand what goes wrong in this disease.

Biomarkers

E2 ModerateCohortPEM not requiredLongitudinal

How mycobacterium tuberculosis infection could lead to the increasing risks of chronic fatigue syndrome and the potential immunological effects: a population-based retrospective cohort study.

Yang, Tse-Yen, Lin, Cheng-Li, Yao, Wei-Cheng et al.·Journal of translational medicine·2022

This study found that people who have had a tuberculosis infection are about 23% more likely to develop ME/CFS than people who have never had tuberculosis. Researchers in Taiwan tracked over 38,000 people for about 10 years and noticed that tuberculosis and ME/CFS share similar symptoms and immune system patterns. The link was especially strong in men and in people aged 65 and older.

Immune System

E2 ModerateCohortPEM not requiredLongitudinal

Incidence of Lyme disease in the United Kingdom and association with fatigue: A population-based, historical cohort study.

Brellier, Florence, Pujades-Rodriguez, Mar, Powell, Emma et al.·PloS one·2022

This study tracked over 2,100 people in the UK who were diagnosed with Lyme disease and compared them to similar people without Lyme disease. Researchers found that people with Lyme disease were much more likely to develop fatigue symptoms afterward, and some developed ME/CFS. Interestingly, the risk was highest when Lyme disease occurred in autumn or winter, though fatigue risks remained elevated even months after the initial infection.

E2 ModerateCohortPEM not requiredObservational

Neurological Involvement in COVID-19 Among Non-Hospitalized Adolescents and Young Adults.

Havdal, Lise Beier, Berven, Lise Lund, Selvakumar, Joel et al.·Frontiers in neurology·2022

This study looked at young people (ages 12-25) who had COVID-19 but were not hospitalized, comparing them to people who didn't have COVID-19. Researchers found that COVID-19 patients reported more fatigue and post-exertional malaise (PEM)—a worsening of symptoms after physical activity—and had slightly elevated markers of brain injury in their blood. However, their thinking and memory abilities tested normally, and the blood markers didn't directly correlate with their symptoms.

Post-Exertional Malaise

E2 ModerateCohortPEM requiredObservational

A prospective observational study of post-COVID-19 chronic fatigue syndrome following the first pandemic wave in Germany and biomarkers associated with symptom severity.

Kedor, Claudia, Freitag, Helma, Meyer-Arndt, Lil et al.·Nature communications·2022

This study followed 42 people with long-lasting fatigue after COVID-19 infection for six months and compared them to people with similar chronic fatigue from other causes. Most participants experienced moderate to severe fatigue that interfered with daily life. The researchers found that many of these post-COVID patients had reduced hand grip strength and blood markers suggesting possible inflammation and poor blood flow, which may help explain why their bodies struggle to recover.

Immune SystemPost-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Post-acute sequelae of SARS-CoV-2 infection: relationship of central nervous system manifestations with physical disability and systemic inflammation.

Busatto, Geraldo F, de Araujo, Adriana Ladeira, Castaldelli-Maia, João Mauricio et al.·Psychological medicine·2022

Researchers studied 749 people who had been hospitalized with COVID-19 and assessed them 6-11 months later. They found that 30 different symptoms—including fatigue, brain fog, depression, and anxiety—tend to occur together as part of one underlying condition. People with more severe symptoms also showed signs of ongoing inflammation in their blood and had greater physical disability, suggesting a real biological basis for their illness.

Cognitive Impairment

E2 ModerateCohortPEM not requiredObservational

The incidence and characteristics of chronic pain and fatigue after 12 months later admitting with COVID-19; The Post- COVID 19 syndrome.

Janbazi, Lobaneh, Kazemian, Alireza, Mansouri, Kourosh et al.·American journal of physical medicine & rehabilitation·2022

Researchers followed 157 people who were hospitalized with COVID-19 and checked on them 12 months later. They found that about 27% still had chronic fatigue and muscle weakness, and about 15% experienced chronic pain, mostly in the lower back and legs. Women were more likely than men to report these symptoms, and many patients were only using pain medications rather than receiving rehabilitation or mental health support.

Pain and Sensitization

E2 ModerateCohortPEM unclearCase-Control

Genetic risk factors for ME/CFS identified using combinatorial analysis.

Das, Sayoni, Taylor, Krystyna, Kozubek, James et al.·Journal of translational medicine·2022

Researchers identified 199 genetic variations in 14 genes that are associated with ME/CFS by analyzing genetic data from thousands of people in UK Biobank. These genetic variations work together in groups to influence ME/CFS risk and were found in 91% of people with ME/CFS in the study. The identified genes are involved in processes the body uses to handle stress, infection, energy production in cells, sleep, and immune function—all areas that scientists think may go wrong in ME/CFS.

Immune SystemPost-Exertional Malaise

E2 ModerateCohortPEM not requiredLongitudinal

Altered Effective Connectivity of Resting-State Networks by Tai Chi Chuan in Chronic Fatigue Syndrome Patients: A Multivariate Granger Causality Study.

Li, Yuanyuan, Wu, Kang, Hu, Xiaojie et al.·Frontiers in neurology·2022

This study looked at how a traditional Chinese exercise called Tai Chi Chuan affects the brain in ME/CFS patients. Using brain imaging, researchers found that ME/CFS patients had weaker communication between two important brain networks compared to healthy people. After just one month of Tai Chi Chuan training, this brain communication improved, and patients reported better quality of life, especially with less pain and better physical function.

E2 ModerateCohortPEM unclearObservational

Activity monitoring and patient-reported outcome measures in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome patients.

Rekeland, Ingrid G, Sørland, Kari, Bruland, Ove et al.·PloS one·2022

This study tracked 27 ME/CFS patients for six months using Fitbit activity monitors and questionnaires to understand how symptoms vary day-to-day and whether activity data matches what patients report. Researchers found that people with milder disease had larger swings in their activity levels week-to-week, while those with severe disease stayed consistently low. Activity monitoring proved feasible and useful as a tool alongside patient surveys.

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Evidence browser

Physiological assessment of orthostatic intolerance in chronic fatigue syndrome.

Graded exercise therapy for patients with chronic fatigue syndrome in secondary care - a benchmarking study.

ME/CFS and Post-Exertional Malaise among Patients with Long COVID.

Nonimprovement in Chronic Fatigue Syndrome: Relation to Activity Patterns, Uplifts and Hassles, and Autonomic Dysfunction.

Chronic Fatigue and Postexertional Malaise in People Living With Long COVID: An Observational Study.

Intersections between pneumonia, lowered oxygen saturation percentage and immune activation mediate depression, anxiety, and chronic fatigue syndrome-like symptoms due to COVID-19: A nomothetic network approach.

Influence of Codiagnosis of Chronic Fatigue Syndrome and Habitual Physical Exercise on the Psychological Status and Quality of Life of Patients with Fibromyalgia.

Predictors for Developing Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Following Infectious Mononucleosis.

Autoimmune gene expression profiling of fingerstick whole blood in Chronic Fatigue Syndrome.

Plasma metabolomics reveals disrupted response and recovery following maximal exercise in myalgic encephalomyelitis/chronic fatigue syndrome.

Multimodal MRI of myalgic encephalomyelitis/chronic fatigue syndrome: A cross-sectional neuroimaging study toward its neuropathophysiology and diagnosis.

How mycobacterium tuberculosis infection could lead to the increasing risks of chronic fatigue syndrome and the potential immunological effects: a population-based retrospective cohort study.

Incidence of Lyme disease in the United Kingdom and association with fatigue: A population-based, historical cohort study.

Neurological Involvement in COVID-19 Among Non-Hospitalized Adolescents and Young Adults.

A prospective observational study of post-COVID-19 chronic fatigue syndrome following the first pandemic wave in Germany and biomarkers associated with symptom severity.

Post-acute sequelae of SARS-CoV-2 infection: relationship of central nervous system manifestations with physical disability and systemic inflammation.

The incidence and characteristics of chronic pain and fatigue after 12 months later admitting with COVID-19; The Post- COVID 19 syndrome.

Genetic risk factors for ME/CFS identified using combinatorial analysis.

Altered Effective Connectivity of Resting-State Networks by Tai Chi Chuan in Chronic Fatigue Syndrome Patients: A Multivariate Granger Causality Study.

Activity monitoring and patient-reported outcome measures in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome patients.

Curated Collections

Neuroinflammation Evidence

Metabolism & Mitochondria

Biomarkers

PEM-Specific Research