ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

3101–3120 of 6,161 studies

E2 ModerateCohortPEM unclearObservational

Is hypercortisolaemia a factor in chronic fatigue syndrome?

Renan, M J·Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme·2003

This study investigated whether people with ME/CFS have abnormal levels of cortisol, a stress hormone produced by the body. Cortisol helps regulate energy, immune function, and stress response. The researchers wanted to understand if problems with cortisol production might explain some of the fatigue and other symptoms experienced by ME/CFS patients.

Endocrine Disruption

E2 ModerateCohortPEM not requiredCross-Sectional

Chronic fatigue syndrome versus neuroendocrineimmune dysfunction syndrome:differential attributions.

Jason, Leonard A, Holbert, Cordelia, Torres-Harding, Susan et al.·Journal of health & social policy·2003

This study looked at how doctors and nurses react differently to the name of this illness. Researchers presented the same patient case to healthcare providers but used different diagnostic labels—some were told it was "chronic fatigue syndrome," while others were told it was "chronic neuroendocrineimmune dysfunction syndrome." The results showed that the more medical-sounding name led providers to view the illness as more serious and disabling, even though it was the same patient story.

E2 ModerateCohortPEM not requiredCase-Control

Multiple co-infections (Mycoplasma, Chlamydia, human herpes virus-6) in blood of chronic fatigue syndrome patients: association with signs and symptoms.

Nicolson, G L, Gan, R, Haier, J·APMIS : acta pathologica, microbiologica, et immunologica Scandinavica·2003

This study tested the blood of 200 ME/CFS patients and 100 healthy controls for three types of infections: Mycoplasma bacteria, Chlamydia bacteria, and human herpesvirus-6 (HHV-6). The researchers found that ME/CFS patients had significantly higher rates of these infections compared to healthy people, and patients with multiple infections at the same time tended to have more severe symptoms.

Immune System

E2 ModerateCohortPEM not requiredCross-Sectional

Perceived exertion in fatiguing illness: civilians with chronic fatigue syndrome.

Cook, Dane B, Nagelkirk, Paul R, Peckerman, Arnold et al.·Medicine and science in sports and exercise·2003

This study looked at how hard exercise feels to people with ME/CFS compared to healthy people. Researchers had both groups exercise on a treadmill and rate their effort. While people with ME/CFS said exercise felt harder at moderate intensities, when researchers compared effort levels to each person's maximum oxygen capacity, there was no real difference—suggesting the difference in how hard it felt might be explained by their lower fitness level rather than a problem with how their body perceives effort.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Comparing symptoms of chronic fatigue syndrome in a community-based versus tertiary care sample.

Jason, Leonard A, Plioplys, Audrius V, Torres-Harding, Susan et al.·Journal of health psychology·2003

This study compared ME/CFS symptoms between two groups of patients: those who sought care at major medical centers and those found in the general community. Researchers found that people being treated at tertiary care hospitals reported experiencing more symptoms than community members with ME/CFS. This suggests that the people typically studied in research may not represent all people living with ME/CFS.

Diagnostics

E2 ModerateCohortPEM unclearCross-Sectional

The head-up tilt test with haemodynamic instability score in diagnosing chronic fatigue syndrome.

Naschitz, J E, Rosner, I, Rozenbaum, M et al.·QJM : monthly journal of the Association of Physicians·2003

Researchers developed a simple test using a tilting table to measure how well the body controls blood pressure and heart rate in ME/CFS patients. By tilting people upright and measuring these vital signs, they found a pattern (called a haemodynamic instability score) that appeared in ME/CFS patients but not in healthy people or those with other conditions. This test could help doctors confirm an ME/CFS diagnosis with objective measurements rather than relying only on symptoms.

Autonomic Nervous SystemDiagnostics

E2 ModerateCohortPEM not requiredCase-Control

Perceived exertion in fatiguing illness: Gulf War veterans with chronic fatigue syndrome.

Cook, Dane B, Nagelkirk, Paul R, Peckerman, Arnold et al.·Medicine and science in sports and exercise·2003

This study compared how hard exercise felt to Gulf War veterans with ME/CFS versus healthy Gulf War veterans. Researchers had both groups exercise on stationary bikes while measuring their effort ratings. People with ME/CFS reported that the same amount of exercise felt much harder than it did for healthy veterans, even though they had similar physical fitness levels.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

A measure of heart rate variability is sensitive to orthostatic challenge in women with chronic fatigue syndrome.

Yamamoto, Yoshiharu, LaManca, John J, Natelson, Benjamin H·Experimental biology and medicine (Maywood, N.J.)·2003

This study tested whether a simple heart rhythm measurement during a tilt test could help diagnose ME/CFS. Researchers compared heart rate patterns in 24 women with ME/CFS and 22 healthy women while they lay down and then tilted upright for 10 minutes. They found that women with ME/CFS showed a distinctive abnormal change in their heart rhythm pattern during tilting that could identify about 9 out of 10 ME/CFS patients correctly.

Autonomic Nervous System

E2 ModerateBehavioralPEM not requiredCross-Sectional

Unexplained fatigue syndromes in a multinational primary care sample: specificity of definition and prevalence and distinctiveness from depression and generalized anxiety.

Skapinakis, Petros, Lewis, Glyn, Mavreas, Venetsanos·The American journal of psychiatry·2003

This study looked at how different definitions of unexplained fatigue affect how many people are diagnosed and whether they also have depression or anxiety. Researchers interviewed over 5,400 primary care patients from 14 countries and found that when they required more physical symptoms in addition to fatigue, fewer people were diagnosed, but those diagnosed were more likely to also have depression or anxiety.

Diagnostics

E2 ModerateBehavioralPEM not requiredCross-Sectional

Functional status, neuropsychological functioning, and mood in chronic fatigue syndrome (CFS): relationship to psychiatric disorder.

Tiersky, Lana A, Matheis, Robert J, Deluca, John et al.·The Journal of nervous and mental disease·2003

This study looked at how depression and anxiety affect people with ME/CFS. Researchers compared four groups: people with ME/CFS alone, people with ME/CFS plus mental health symptoms that started after CFS, people with ME/CFS plus mental health symptoms that started before CFS, and healthy controls. The main finding was that while mental health problems don't make the physical fatigue and weakness worse, they do make people feel more emotionally distressed—especially if those mental health issues came before the CFS diagnosis.

Cognitive Impairment

E2 ModerateCohortPEM not requiredCross-Sectional

Determination of fatty acid levels in erythrocyte membranes of patients with chronic fatigue syndrome.

Liu, Zhandong, Wang, Dexin, Xue, Qiming et al.·Nutritional neuroscience·2003

This study looked at the levels of different types of fatty acids in the red blood cells of people with ME/CFS compared to healthy controls. Researchers found that people with ME/CFS had lower levels of two important fatty acids (arachidonic acid and docosahexanoic acid) but higher levels of two others (palmitic acid and oleic acid). The researchers suggested this imbalance might be caused by oxidative stress damaging these fatty acids in the body.

E2 ModerateCohortPEM not requiredCross-Sectional

Abnormal impedance cardiography predicts symptom severity in chronic fatigue syndrome.

Peckerman, Arnold, LaManca, John J, Dahl, Kristina A et al.·The American journal of the medical sciences·2003

Researchers used a special test called impedance cardiography to measure how much blood the heart pumps in patients with ME/CFS. They found that people with severe ME/CFS had weaker heart output compared to healthy controls and those with milder ME/CFS. Importantly, symptoms like post-exertion fatigue and flu-like feelings were strongly linked to this reduced circulation, suggesting a physical problem with blood flow may be connected to symptom severity.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredObservational

[Chronic fatigue syndrome following tick-borne diseases].

Gustaw, Katarzyna·Neurologia i neurochirurgia polska·2003

This study looked at whether ME/CFS develops more often in people who have had tick-borne infections like Lyme disease (borreliosis) or tick-borne encephalitis. Researchers examined 86 patients with a history of these infections and found that about half developed ME/CFS. Notably, 71% of those who had Lyme disease developed ME/CFS, compared to only 24% of those who had tick-borne encephalitis. When patients with Lyme disease history were treated with standard ME/CFS treatments, about 61% felt better.

E2 ModerateCohortPEM not requiredObservational

Chronic fatigue and organophosphate pesticides in sheep farming: a retrospective study amongst people reporting to a UK pharmacovigilance scheme.

Tahmaz, N, Soutar, A, Cherrie, J W·The Annals of occupational hygiene·2003

This study looked at sheep farmers in the UK who reported health problems they believed were caused by pesticides used in sheep dipping. Researchers wanted to know if repeated exposure to these pesticides was linked to chronic fatigue. They found that fatigue was very common among farmers who thought pesticides affected their health, and there was some association between higher pesticide exposure and higher fatigue scores, though the evidence was limited.

E2 ModerateCohortPEM not requiredObservational

[Disorder of adrenal gland function in chronic fatigue syndrome].

Zarković, Milos, Pavlović, Milorad, Pokrajac-Simeunović, Ana et al.·Srpski arhiv za celokupno lekarstvo·2003

This study tested how well the adrenal glands (which produce stress hormones) respond to a small dose of ACTH hormone in people with ME/CFS, compared to healthy people and those with adrenal problems from steroid use. The researchers found that some people with ME/CFS had a slower initial hormone response similar to adrenal insufficiency, but the response eventually caught up. This suggests ME/CFS patients may have a subtle problem with how quickly their adrenal glands respond to signals.

Endocrine Disruption

E2 ModerateCohortPEM not requiredObservational

Non-vascular claudication: a clinical conundrum.

Fasih, T, Pickin, M, Cuschieri, R J·International journal of clinical practice·2003

Doctors sometimes see patients complaining of leg pain that resembles poor circulation (claudication), but the pain isn't actually caused by blood vessel problems. This study looked at over 1,000 patients with suspected circulation problems and found that 33 had other causes for their symptoms, including spine problems, nerve damage, or other conditions. One patient was diagnosed with chronic fatigue syndrome (ME/CFS). The study highlights that doctors need to correctly identify the real cause of symptoms before recommending treatments.

Diagnostics

E2 ModerateCohortPEM unclearCross-Sectional

Epidemiology of chronic fatigue syndrome and self reported myalgic encephalomyelitis in 5-15 year olds: cross sectional study.

Chalder, T, Goodman, R, Wessely, S et al.·BMJ (Clinical research ed.)·2003

This study looked at how common ME/CFS is in children aged 5-15 years old in the United Kingdom. Researchers surveyed thousands of families to find out how many children experienced long-lasting tiredness and muscle pain similar to ME/CFS. The findings help doctors understand how widespread this condition is in young people.

E2 ModerateCohortPEM not requiredCross-Sectional

Autoantibodies against muscarinic cholinergic receptor in chronic fatigue syndrome.

Tanaka, Susumu, Kuratsune, Hirohiko, Hidaka, Yoh et al.·International journal of molecular medicine·2003

This study found that about half of ME/CFS patients have unusual antibodies (immune proteins) that target a specific brain receptor involved in muscle control and nervous system function. Patients with these antibodies reported more muscle weakness and cognitive problems than those without them. This suggests that in some ME/CFS patients, the immune system may be mistakenly attacking the body's own nerve receptors.

Immune System

E2 ModerateCohortPEM not requiredCross-Sectional

Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population.

Solomon, Laura, Nisenbaum, Rosane, Reyes, Michele et al.·Health and quality of life outcomes·2003

This study surveyed people in Wichita, Kansas to understand how ME/CFS affects daily life and work. Researchers found that people with ME/CFS were just as impaired in their ability to work and do activities as people whose fatigue came from other medical or psychiatric conditions, and all of them had much less energy than people without fatigue.

E2 ModerateBehavioralPEM not requiredCross-Sectional

Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis.

Rangel, L, Garralda, M E, Hall, A et al.·Psychological medicine·2003

This study compared psychiatric and emotional problems in children with ME/CFS versus children with juvenile arthritis, another serious chronic illness. Children with ME/CFS had significantly more depression, anxiety, and personality difficulties than the arthritis group, even though both groups faced similar challenges from living with chronic illness. This suggests that ME/CFS may involve specific factors that increase psychiatric risk beyond what chronic illness alone would explain.

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Is hypercortisolaemia a factor in chronic fatigue syndrome?

Chronic fatigue syndrome versus neuroendocrineimmune dysfunction syndrome:differential attributions.

Multiple co-infections (Mycoplasma, Chlamydia, human herpes virus-6) in blood of chronic fatigue syndrome patients: association with signs and symptoms.

Perceived exertion in fatiguing illness: civilians with chronic fatigue syndrome.

Comparing symptoms of chronic fatigue syndrome in a community-based versus tertiary care sample.

The head-up tilt test with haemodynamic instability score in diagnosing chronic fatigue syndrome.

Perceived exertion in fatiguing illness: Gulf War veterans with chronic fatigue syndrome.

A measure of heart rate variability is sensitive to orthostatic challenge in women with chronic fatigue syndrome.

Unexplained fatigue syndromes in a multinational primary care sample: specificity of definition and prevalence and distinctiveness from depression and generalized anxiety.

Functional status, neuropsychological functioning, and mood in chronic fatigue syndrome (CFS): relationship to psychiatric disorder.

Determination of fatty acid levels in erythrocyte membranes of patients with chronic fatigue syndrome.

Abnormal impedance cardiography predicts symptom severity in chronic fatigue syndrome.

[Chronic fatigue syndrome following tick-borne diseases].

Chronic fatigue and organophosphate pesticides in sheep farming: a retrospective study amongst people reporting to a UK pharmacovigilance scheme.

[Disorder of adrenal gland function in chronic fatigue syndrome].

Non-vascular claudication: a clinical conundrum.

Epidemiology of chronic fatigue syndrome and self reported myalgic encephalomyelitis in 5-15 year olds: cross sectional study.

Autoantibodies against muscarinic cholinergic receptor in chronic fatigue syndrome.

Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population.

Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis.

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