ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

61–80 of 729 studies

E0 ConsensusReviewPEM unclearMeta-Analysis

Clinical overlap between fibromyalgia and myalgic encephalomyelitis. A systematic review and meta-analysis.

Ramírez-Morales, Ricardo, Bermúdez-Benítez, Elyzabeth, Martínez-Martínez, Laura-Aline et al.·Autoimmunity reviews·2022

This study looked at how often fibromyalgia and ME/CFS occur together in the same patients by reviewing 21 published research papers. The researchers found that nearly half of people diagnosed with one condition also had the other condition. This overlap suggests these two illnesses share common features, particularly fatigue, unrefreshing sleep, and brain fog.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredEditorial

Long-Term COVID 19 Sequelae in Adolescents: the Overlap with Orthostatic Intolerance and ME/CFS.

Morrow, Amanda K, Malone, Laura A, Kokorelis, Christina et al.·Current pediatrics reports·2022

Some teenagers who had COVID-19 develop long-lasting symptoms months after their initial infection, even if they weren't severely ill at first. These long COVID symptoms—like extreme fatigue, brain fog, and difficulty standing—look very similar to ME/CFS. This review examines how common long COVID is in teens and explains why current treatments don't work well for everyone because long COVID may actually be several different conditions.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredEditorial

The Updated NICE Guidance Exposed the Serious Flaws in CBT and Graded Exercise Therapy Trials for ME/CFS.

Vink, Mark, Vink-Niese, Alexandra·Healthcare (Basel, Switzerland)·2022

This study reviewed the evidence that was used to support two common ME/CFS treatments: cognitive behavioural therapy (CBT) and graded exercise therapy (GET). The authors found that the studies supporting these treatments had serious design problems—such as unclear definitions of recovery, not properly measuring actual improvements, and not publishing results that didn't support the treatments. The authors conclude that these flawed studies don't actually prove CBT and GET work, which aligns with the new British health guidelines recommending against these treatments.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredSystematic-Review

Is It Useful to Question the Recovery Behaviour of Patients with ME/CFS or Long COVID?

Vink, Mark, Vink-Niese, Friso·Healthcare (Basel, Switzerland)·2022

This review looked at research studies testing two treatments commonly recommended for ME/CFS: graded exercise therapy (GET) and cognitive behavioral therapy (CBT). The researchers found that patients were actually more likely to be unable to work after receiving these treatments than before, and that both treatments can be harmful. The authors conclude that doctors should stop encouraging ME/CFS patients to push themselves harder to recover, since these approaches don't work and may make things worse.

Post-Exertional Malaise

E0 ConsensusGuidelinePEM requiredGuideline

What Primary Care Practitioners Need to Know about the New NICE Guideline for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in Adults.

Kingdon, Caroline, Lowe, Adam, Shepherd, Charles et al.·Healthcare (Basel, Switzerland)·2022

The new NICE guideline (published October 2021) represents an important shift in how ME/CFS is recognized and treated. It acknowledges that ME/CFS is a serious medical condition, recognizes post-exertional malaise as a core symptom, and recommends against treatments like graded exercise therapy that can worsen symptoms. Instead, it calls for personalized care plans developed by a team of healthcare professionals who understand the condition.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredMeta-Analysis

Pain-Related Post-Exertional Malaise in Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) and Fibromyalgia: A Systematic Review and Three-Level Meta-Analysis.

Barhorst, Ellen E, Boruch, Alexander E, Cook, Dane B et al.·Pain medicine (Malden, Mass.)·2022

This review examined whether people with ME/CFS and fibromyalgia experience increased pain after exercise. Researchers combined data from 15 studies and found that yes, patients do have more pain after physical activity than healthy people do—especially when pain was measured 8-72 hours later. This confirms that pain is a real and significant part of post-exertional malaise (the worsening of symptoms after activity).

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

The underlying sex differences in neuroendocrine adaptations relevant to Myalgic Encephalomyelitis Chronic Fatigue Syndrome.

Thomas, Natalie, Gurvich, Caroline, Huang, Katherine et al.·Frontiers in neuroendocrinology·2022

This review examines why ME/CFS affects women much more often than men and how sex hormones may play a role. The authors found that female hormonal changes—such as those during menstrual cycles, pregnancy, and menopause—are linked to ME/CFS onset and symptoms. They suggest that differences in how men's and women's bodies handle stress hormones like cortisol and estrogen may help explain why women develop ME/CFS more frequently and sometimes experience different symptoms.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearEvidence-Map

Fatigue, post-exertional malaise and orthostatic intolerance: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition.

Arienti, Chiara, Cordani, Claudio, Lazzarini, Stefano G et al.·European journal of physical and rehabilitation medicine·2022

This study looked at what treatments have helped people with fatigue and exercise problems in other conditions to understand what might help people with long COVID. Researchers found that exercise programs, telehealth rehabilitation, and educational interventions showed promise for fatigue, while combined aerobic and anaerobic training helped with exercise intolerance. However, they found very little research specifically on post-exertional malaise (feeling much worse after activity) or orthostatic intolerance (dizziness when standing), which are key symptoms in post-COVID and ME/CFS.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): Where will the drugs come from?

Toogood, Peter L, Clauw, Daniel J, Phadke, Sameer et al.·Pharmacological research·2021

ME/CFS is a serious illness causing extreme fatigue that doesn't improve with rest, along with pain, sleep problems, and difficulty thinking clearly. This review looks at what we currently know about ME/CFS, how doctors diagnose it, and what treatments exist today. The authors examined past research to identify promising targets for new medicines that could help treat ME/CFS in the future.

Immune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM requiredReview-Narrative

Redox imbalance links COVID-19 and myalgic encephalomyelitis/chronic fatigue syndrome.

Paul, Bindu D, Lemle, Marian D, Komaroff, Anthony L et al.·Proceedings of the National Academy of Sciences of the United States of America·2021

This review examines how COVID-19 and ME/CFS may share similar biological problems, particularly an imbalance in how the body handles harmful molecules called free radicals. Both conditions appear to involve problems with inflammation, energy production in cells, and a slowed metabolism. While this research shows these biological abnormalities exist in both illnesses, more studies are needed to understand exactly how they work together and how to treat them.

NeuroinflammationPost-Exertional Malaise

E0 ConsensusReviewPEM not requiredSystematic-Review

The Safety of Baduanjin Exercise: A Systematic Review.

Fang, Jianqi, Zhang, Liying, Wu, Fangzhen et al.·Evidence-based complementary and alternative medicine : eCAM·2021

Baduanjin is a gentle exercise therapy from traditional Chinese medicine that is becoming more popular around the world. This review looked at 47 studies involving 3,877 people to find out what side effects people experienced when doing Baduanjin. Most studies didn't carefully track side effects, but those that did reported issues like muscle aches, heart palpitations, dizziness, knee pain, and fatigue—though it's unclear if Baduanjin actually caused these problems.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

Long COVID a New Derivative in the Chaos of SARS-CoV-2 Infection: The Emergent Pandemic?

Fernández-Lázaro, Diego, Sánchez-Serrano, Nerea, Mielgo-Ayuso, Juan et al.·Journal of clinical medicine·2021

Long COVID is a condition where symptoms persist for weeks to months after an acute COVID-19 infection. The main symptoms include severe fatigue, difficulty with physical activity that worsens symptoms, brain fog, and reduced ability to do daily activities. This review summarizes what is currently known about Long COVID, including its causes, risk factors, and possible treatments.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredReview-Narrative

The Emerging Role of Gut Microbiota in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Current Evidence and Potential Therapeutic Applications.

Varesi, Angelica, Deumer, Undine-Sophie, Ananth, Sanjana et al.·Journal of clinical medicine·2021

Many people with ME/CFS experience stomach and digestive problems alongside their fatigue and pain. This review explores how the bacteria living in our gut might be different in ME/CFS patients and could be contributing to symptoms. The researchers found that people with ME/CFS tend to have fewer types of gut bacteria compared to healthy people, and they discuss how treating the gut microbiome might help reduce ME/CFS symptoms overall.

Post-Exertional Malaise

E0 ConsensusGuidelinePEM requiredGuideline

ME/CFS: Exercise goals should be set by patients and not driven by treatment plan, says NICE.

Torjesen, Ingrid·BMJ (Clinical research ed.)·2021

The UK's National Institute for Health and Care Excellence (NICE) issued new guidance stating that people with ME/CFS should set their own exercise goals based on their personal circumstances, rather than having exercise targets imposed by healthcare providers as part of a standard treatment plan. This represents an important shift in how ME/CFS care should be approached, emphasizing patient autonomy and individual needs.

Post-Exertional Malaise

E0 ConsensusReviewPEM not requiredReview-Narrative

Long COVID or post-COVID-19 syndrome: putative pathophysiology, risk factors, and treatments.

Yong, Shin Jie·Infectious diseases (London, England)·2021

This review examines what we know about Long COVID, an illness that affects some people after they recover from COVID-19 infection. The main symptoms are extreme tiredness and breathing difficulties that last for months, along with brain fog, pain, and heart problems. Researchers found that Long COVID may be caused by lasting damage to organs like the lungs and brain, combined with ongoing inflammation in the body.

Immune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM not requiredReview-Narrative

Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form.

Malkova, Annа, Kudryavtsev, Igor, Starshinova, Anna et al.·Pathogens (Basel, Switzerland)·2021

Some people develop long-term symptoms weeks or months after having a mild or even asymptomatic COVID-19 infection. This review found that fatigue, breathing problems, cough, and loss of smell are common in these cases, affecting about 30-60% of patients, mostly women. The researchers suggest these symptoms may be caused by the virus damaging the nervous system or triggering the immune system to attack nerve cells, similar to what happens in chronic fatigue syndrome.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredReview-Narrative

A Comprehensive Update of the Current Understanding of Chronic Fatigue Syndrome.

Noor, Nazir, Urits, Ivan, Degueure, Arielle et al.·Anesthesiology and pain medicine·2021

This review summarizes what researchers currently understand about ME/CFS, a complex illness causing severe fatigue and other symptoms. The condition may involve problems with the immune system, stress response, or nervous system, and can be triggered by infections like Epstein-Barr virus, though not always. Diagnosis requires six months of fatigue plus four symptoms like memory problems, sore throat, or post-exertion malaise, and doctors must rule out other conditions first. Treatment options include therapy, medication, and newer approaches like electrical stimulation, though more research is needed to find the best approaches.

SleepImmune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

Long COVID or Post-acute Sequelae of COVID-19 (PASC): An Overview of Biological Factors That May Contribute to Persistent Symptoms.

Proal, Amy D, VanElzakker, Michael B·Frontiers in microbiology·2021

Some people who recover from COVID-19 infection continue to experience symptoms for months afterward, a condition called Long COVID or PASC. This review examines multiple biological explanations for why this happens, including organ damage, lingering virus in the body, reactivation of dormant viruses, immune system dysfunction, blood clotting problems, and the body's own immune cells attacking healthy tissues. The authors suggest that different patients likely have different underlying causes, which means different treatments may work best for different people.

Immune SystemPost-Exertional Malaise

E0 ConsensusGuidelinePEM requiredGuideline

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management.

Bateman, Lucinda, Bested, Alison C, Bonilla, Hector F et al.·Mayo Clinic proceedings·2021

This article brings together 21 expert doctors who specialize in ME/CFS to share the best ways to diagnose and treat this complex illness. The experts explain that most people with ME/CFS don't get properly diagnosed, and many receive treatments that can actually make them worse. They provide clear, practical guidance that general doctors can use to help ME/CFS patients feel better and improve their quality of life.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredReview-Narrative

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Neurological Entity?

Murga Gandasegui, Iñigo, Aranburu Laka, Larraitz, Gargiulo, Pascual-Ángel et al.·Medicina (Kaunas, Lithuania)·2021

This review examines whether ME/CFS is primarily a neurological disorder by looking at brain imaging studies and tests of the autonomic nervous system (the part that controls automatic body functions like heart rate). The authors found that while brain imaging shows various changes in ME/CFS patients, these changes aren't specific enough to diagnose the condition on their own. However, specialized tests measuring heart rate variability and immune responses show promise as potential biomarkers that could help identify and monitor ME/CFS.

BiomarkersPost-Exertional Malaise

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Evidence Atlas

Evidence browser

Clinical overlap between fibromyalgia and myalgic encephalomyelitis. A systematic review and meta-analysis.

Long-Term COVID 19 Sequelae in Adolescents: the Overlap with Orthostatic Intolerance and ME/CFS.

The Updated NICE Guidance Exposed the Serious Flaws in CBT and Graded Exercise Therapy Trials for ME/CFS.

Is It Useful to Question the Recovery Behaviour of Patients with ME/CFS or Long COVID?

What Primary Care Practitioners Need to Know about the New NICE Guideline for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in Adults.

Pain-Related Post-Exertional Malaise in Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) and Fibromyalgia: A Systematic Review and Three-Level Meta-Analysis.

The underlying sex differences in neuroendocrine adaptations relevant to Myalgic Encephalomyelitis Chronic Fatigue Syndrome.

Fatigue, post-exertional malaise and orthostatic intolerance: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition.

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): Where will the drugs come from?

Redox imbalance links COVID-19 and myalgic encephalomyelitis/chronic fatigue syndrome.

The Safety of Baduanjin Exercise: A Systematic Review.

Long COVID a New Derivative in the Chaos of SARS-CoV-2 Infection: The Emergent Pandemic?

The Emerging Role of Gut Microbiota in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Current Evidence and Potential Therapeutic Applications.

ME/CFS: Exercise goals should be set by patients and not driven by treatment plan, says NICE.

Long COVID or post-COVID-19 syndrome: putative pathophysiology, risk factors, and treatments.

Post COVID-19 Syndrome in Patients with Asymptomatic/Mild Form.

A Comprehensive Update of the Current Understanding of Chronic Fatigue Syndrome.

Long COVID or Post-acute Sequelae of COVID-19 (PASC): An Overview of Biological Factors That May Contribute to Persistent Symptoms.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Neurological Entity?

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