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Maximal Oxygen Uptake and Lactate Metabolism are Normal in Chronic Fatigue Syndrome

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By Sargent C, Scroop GC, Nemeth PM, Burnet RB, Buckley JD • • January 15, 2002

Exercise Physiology Research Unit, Department of Physiology, University of Adelaide, South Australia 5005, AUSTRALIA; Endocrine and Metabolic Unit, Royal Adelaide Hospital, South Australia 5005, AUSTRALIA; and the Centre for Research in Education and Sports Science, School of Physical Education, Exercise and Sport Studies, University of South Australia, South Australia 5032, AUSTRALIA.

Maximal oxygen uptake and lactate metabolism are normal in chronic fatigue syndrome. Med. Sci. Sports Exerc., Vol. 34, No. 1, 2002, pp. 51-56.

PURPOSE: Previous studies in chronic fatigue syndrome (CFS) have reported reductions in maximal oxygen uptake (VO2max), yet often the testing procedures have not followed accepted guidelines, and gender data have been pooled. The present study was undertaken to reevaluate exercise capacity in CFS patients by using "gold standard" maximal exercise testing methodology and stratifying results on a gender basis.

METHODS: Sixteen male and 17 female CFS patients and their gender-, age-, and mass-matched sedentary controls performed incremental exercise to volitional exhaustion on a stationary cycle ergometer while selected cardiorespiratory and metabolic variables were measured.

RESULTS: VO2max in male CFS patients was not different from control values (CFS: 40.5 +/- 6.7; controls: 43.3 +/- 8.6; and was 96.3 +/- 17.9% of the age-predicted value, indicating no functional aerobic impairment (3.7 +/- 17.9%). In female CFS patients, VO2max was lower than control values (CFS: 30.0 +/- 4.7; controls: 34.2 +/- 5.6;, P = 0.002), but controls were higher than the age-predicted value (112.6 +/- 15.4%, P = 0.008) whereas the CFS patients were 101.2 +/- 20.4%, indicating no functional aerobic impairment (-1.2 +/- 20.4%).

Maximal heart rate (HRmax) in male CFS patients was lower than their matched controls (CFS: 184 +/- 10; controls: 192 +/- 12; beats.min-1; P = 0.016) but was 99.1 +/- 5.5% of their age-predicted value. In female CFS patients, HRmax was not different from controls (CFS: 183 +/- 11; controls: 186 +/- 10; beats.min-1) and was 98.9 +/- 5.1% of the age-predicted value. The VO2 at the lactate threshold (LT) in each gender group, whether expressed in or as a percentage of VO2max, was not different between CFS patients and controls.

CONCLUSIONS: In contrast to most previous reports, the present study found that VO2max, HRmax, and the LT in CFS patients of both genders were not different from the values expected in healthy sedentary individuals of a similar age.

PMID: 11782647 [PubMed - as supplied by published

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