Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.

<h4>Objective</h4>To determine cardiorespiratory fitness and neuromuscular function of people with CFS and FMS compared to healthy individuals.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>PubMed, Medline, CINAHL, AMED, Cochrane Central R...

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Main Authors: Fabio Zambolin, Pablo Duro-Ocana, Azmy Faisal, Liam Bagley, William J Gregory, Arwel W Jones, Jamie S McPhee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0276009
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author Fabio Zambolin
Pablo Duro-Ocana
Azmy Faisal
Liam Bagley
William J Gregory
Arwel W Jones
Jamie S McPhee
author_facet Fabio Zambolin
Pablo Duro-Ocana
Azmy Faisal
Liam Bagley
William J Gregory
Arwel W Jones
Jamie S McPhee
author_sort Fabio Zambolin
collection DOAJ
description <h4>Objective</h4>To determine cardiorespiratory fitness and neuromuscular function of people with CFS and FMS compared to healthy individuals.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>PubMed, Medline, CINAHL, AMED, Cochrane Central Register of Controlled Trials (CENTRAL), and PEDro from inception to June 2022.<h4>Eligible criteria for selecting studies</h4>Studies were included if presenting baseline data on cardiorespiratory fitness and/or neuromuscular function from observational or interventional studies of patients diagnosed with FMS or CFS. Participants were aged 18 years or older, with results also provided for healthy controls. Risk of bias assessment was conducted using the Quality Assessment Tool for Quantitative Studies (EPHPP).<h4>Results</h4>99 studies including 9853 participants (5808 patients; 4405 healthy controls) met our eligibility criteria. Random effects meta-analysis showed lower cardiorespiratory fitness (VO2max, anaerobic threshold, peak lactate) and neuromuscular function (MVC, fatigability, voluntary activation, muscle volume, muscle mass, rate of perceived exertion) in CFS and FMS compared to controls: all with moderate to high effect sizes.<h4>Discussion</h4>Our results demonstrate lower cardiorespiratory fitness and muscle function in those living with FMS or CFS when compared to controls. There were indications of dysregulated neuro-muscular interactions including heightened perceptions of effort, reduced ability to activate the available musculature during exercise and reduced tolerance of exercise.<h4>Trail registration</h4>PROSPERO registration number: (CRD42020184108).
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spelling doaj.art-3264e9963ed2448785aed358283231772022-12-22T04:34:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011710e027600910.1371/journal.pone.0276009Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.Fabio ZambolinPablo Duro-OcanaAzmy FaisalLiam BagleyWilliam J GregoryArwel W JonesJamie S McPhee<h4>Objective</h4>To determine cardiorespiratory fitness and neuromuscular function of people with CFS and FMS compared to healthy individuals.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>PubMed, Medline, CINAHL, AMED, Cochrane Central Register of Controlled Trials (CENTRAL), and PEDro from inception to June 2022.<h4>Eligible criteria for selecting studies</h4>Studies were included if presenting baseline data on cardiorespiratory fitness and/or neuromuscular function from observational or interventional studies of patients diagnosed with FMS or CFS. Participants were aged 18 years or older, with results also provided for healthy controls. Risk of bias assessment was conducted using the Quality Assessment Tool for Quantitative Studies (EPHPP).<h4>Results</h4>99 studies including 9853 participants (5808 patients; 4405 healthy controls) met our eligibility criteria. Random effects meta-analysis showed lower cardiorespiratory fitness (VO2max, anaerobic threshold, peak lactate) and neuromuscular function (MVC, fatigability, voluntary activation, muscle volume, muscle mass, rate of perceived exertion) in CFS and FMS compared to controls: all with moderate to high effect sizes.<h4>Discussion</h4>Our results demonstrate lower cardiorespiratory fitness and muscle function in those living with FMS or CFS when compared to controls. There were indications of dysregulated neuro-muscular interactions including heightened perceptions of effort, reduced ability to activate the available musculature during exercise and reduced tolerance of exercise.<h4>Trail registration</h4>PROSPERO registration number: (CRD42020184108).https://doi.org/10.1371/journal.pone.0276009
spellingShingle Fabio Zambolin
Pablo Duro-Ocana
Azmy Faisal
Liam Bagley
William J Gregory
Arwel W Jones
Jamie S McPhee
Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
PLoS ONE
title Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
title_full Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
title_fullStr Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
title_full_unstemmed Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
title_short Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.
title_sort fibromyalgia and chronic fatigue syndromes a systematic review and meta analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals
url https://doi.org/10.1371/journal.pone.0276009
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