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

Missing protein explains link between obesity, diabetes

Fish oil use associated with brain volume preservation

The Brain Boosting and Fatigue Fighting B-12

Genetic basis for distinct type of autism uncovered

Genetic study suggests causal link between vitamin D deficiency and hypertension

Unsuspected aspect of immune regulation revealed: Role of B cells

IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders

Explaining 'Healthy' Obesity

Sinus Congestion and Sinusitis, Healing Naturally

In the gut, immunity is a two-way street

 
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.




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

Featured Products

Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health

Natural Remedies

Reversing Neurodegeneration with a New Magnesium Compound Reversing Neurodegeneration with a New Magnesium Compound
"It's Not Easy Being Green" - But It Is Healthy
Natural Support for Mood, Sleep and Mental Focus? L-theanine Natural Support for Mood, Sleep and Mental Focus? L-theanine
The Most Powerful Natural Antioxidant Discovered to Date - Hydroxytyrosol The Most Powerful Natural Antioxidant Discovered to Date - Hydroxytyrosol
Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance

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