ProHealth health Vitamin and Natural Supplement Store and Health
Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

New Science Destroys the Saturated Fat Myth

Sinus Congestion and Sinusitis, Healing Naturally

Ginger's Many Evidence-Based Health Benefits Revealed

Diet Affects Men’s and Women’s Gut Microbes Differently

New Lyme guidelines promote options and informed choice

Natural products from plants protect skin during cancer radiotherapy

Dangers of desert dust: new diagnostic tool for valley fever

Phases of clinical depression could affect treatment

Eating Baked or Broiled Fish Weekly Boosts Brain Health, Pitt Study Says

“Worm pill” could ease autoimmune disease symptoms

 
Print Page
Email Article

Chronic fatigue syndrome in teens not common but very serious & under-diagnosed by GPs - Dutch study

  [ 3 votes ]   [ Discuss This Article ]
www.ProHealth.com • April 20, 2011


An article published online Apr 18 by Pediatrics (“Adolescent Chronic Fatigue Syndrome: Prevalence, Incidence, and Morbidity,” by Dr. Sanne L Nijhof, et al.) reports on a survey of pediatricians and general practitioners to scope out the diagnosis and prevalence of adolescent CFS (ME/CFS) in the Netherlands.

While the resulting statistics have their limitations, the insights gained are valuable. For example:

• Given the findings that the impact of adolescent CFS tends to be extreme and long-lasting disability, and that CFS in youngsters is likely under-diagnosed & under-referred by general practitioners, the researchers’ proposal is that: “All adolescents who consult their GP for a complaint of severe and long-lasting fatigue should be referred to a pediatrician for proper disease diagnosis and initiation of treatment.”

• Chronic fatigue syndrome may affect 1 in 900 Dutch youngsters ages 10 to 18, vs. roughly 1 in 100 adults. By comparison, a recent study found that “severe fatigue” (limited duration) is much more common, affecting 20.5% of adolescent girls and 6.5% of boys in the Netherlands.

• In terms of onset, of cases diagnosed as CFS:

- Average age of onset is 15, with an average of 5 symptoms from the 1994 CDC diagnostic criteria, and half are ill for 17 months before getting a diagnosis (though the range was 6 to 110 months);

- 22% of diagnosed cases started after an acute episode of infectious disease, and 52% of those had recent or current Epstein Barr virus (mono) infection.

- 10% had acute noninfectious onset

- 68% had gradual onset.

• Fatigue and impairment measures are "remarkably high" in youngsters diagnosed with CFS, strongly suggesting that adolescent CFS should be recognized as “a serious illness” with serious potential educational & social consequences. Nearly half had been unable to attend school even 50% of the time during the previous 6 months.

• Most responding Dutch pediatricians regard CFS as a distinct diagnosis (96%) and use the 1994 CDC criteria for the diagnosis (92%).

• But by contrast, only 51% of responding GPs even consider CFS a distinct diagnosis & a much smaller proportion would apply the CDC criteria. This may suggest under-referral to pediatricians & thus failure of available statistics to reflect the true incidence of adolescent CFS in the Netherlands. (Though it is not known how frequently GPs may refer adolescents whom they deem “severely” or “chronically” fatigued to a specialist.)

• For treatment, patients were referred to a psychologist, physical therapist, rehab center and/or tertiary care center.



Please Discuss This Article:   Post a Comment 



[ Be the first to comment on this article ]




 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Immune Support Supplements

Featured Products

Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid

Natural Remedies

Are You Obtaining the Proper Enzymes? Are You Obtaining the Proper Enzymes?
IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders
The Curcumin Revolution: The Curcumin Revolution: "Golden" Ticket to Better Health
Magnesium + Malic Acid: One-Two Punch for Pain & Fatigue Magnesium + Malic Acid: One-Two Punch for Pain & Fatigue
Broad Spectrum Protection Against Brain Aging Broad Spectrum Protection Against Brain Aging

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia 101
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS 101
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE
CONTACT US
PRIVACY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing