Chronic Fatigue Syndrome in children population – current knowledge summary , 2020, Prylińska et al

Dolphin · Sep 28, 2020

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Chronic Fatigue Syndrome in children population – current knowledge summary
Prylińska, Monika; Skierkowska, Natalia; Topka, Weronika; Kwiatkowska, Małgorzata

Prylińska Monika, Skierkowska Natalia, Topka Weronika, Kwiatkowska Małgorzata. Chronic Fatigue Syndrome in children population – current knowledge summary. Journal of Education, Health and Sport. 2020;10(9):635‑643. eISSN 2391-8306. DOI

http://dx.doi.org/10.12775/JEHS.2020.10.09.076

https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.09.076

https://zenodo.org/record/4047162

Division of Ergonomics and Exercise Physiology, Department of Hygiene, Epidemiology, Ergonomics and Postgraduate Education, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland

Faculty of Health Sciences, and the Department of Geriatrics Clinic, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland

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ABSTRACT

Chronic Fatigue Syndrome/Myalgic Encephalomyelits (CFS/ME) is a chronic disease with complex pathophysiology and unknown etiology.

It occurs both in children and adolescents, as well as in adults, with equal frequency.

The clinical course is characterized by progressive fatigue, a significant reduction in the body's efficiency, lack of relief despite rest, and numerous accompanying symptoms.

Pathognomonic symptom for PE is the increase in fatigue after physical or mental exertion and the persistence of these symptoms for several hours or days.

The basis for effective treatment is primarily non-pharmacological treatment, including determining the optimal balance between physical activity and rest, which is aimed at preventing post-workout fatigue.

Pain, insomnia, IO, and other symptoms can be treated with medication.

So far, little research has been done on the diagnosis and treatment of this disease in children.

This publication aims to summarize the knowledge currently available on the Chronic Fatigue Syndrome in children and adolescents.
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Key words: Chronic Fatigue Syndrome, fatigue, children.

Creekside · Sep 28, 2020

Another study with limited knowledge of how varied ME really is. Some of us don't suffer from physical fatigue or a significant reduction in our body's efficiency. Some of us have the mental symptoms (mental lethargy/fatigue) without the physical symptoms: the Canadian and International criteria do say physical or mental fatigue. I'm not sure what 'progressive fatigue' is.

BTW, the dx.doi link doesn't work.

Mij · Sep 28, 2020

Dizziness is very common in children and adolescents with ME/CFS, and prolonged standing may aggravate symptoms such as fatigue, headache, nausea, and cognitive impairment (35-37). A controlled study showed more frequent occurrence of postural tachycardia syndrome (POTS) and neutrally mediated hypotension (NMH) in these age groups. [36] Further research is needed to determine the causes of autonomic disorders (NMH and POTS). Both of these syndromes can occur after suffering from infectious diseases or as secondary disorders as a result of autoimmune processes. Compared to healthy subjects, children and adolescents with ME/CFS also suffer from other cardiovascular disorders, including delayed recovery of brain oxygenation after a short standing position [38] and exacerbation of cognitive impairment after orthostatic stress. [37] Occasionally, OI-targeted treatment alleviates ME/CFS symptoms in both children and adolescents and adults
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Michiel Tack · Sep 29, 2020

I have the impression that these overview articles of ME/CFS are getting less bad. Compared to review articles from the past, they often recognize limitations of GET/CBT trials and write that ME/CFS is considered a biomedical illness that previously was mistaken to be a psychosomatic condition.

I also have the impression that the full-scale psychosomatic view of ME/CFS is getting rarer and that is has moved to MUS/PPS/BDS publications.

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