{"id":17387,"date":"2018-07-09T09:53:53","date_gmt":"2018-07-09T09:53:53","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=17387"},"modified":"2018-07-09T10:08:58","modified_gmt":"2018-07-09T10:08:58","slug":"meta-analysis-investigating-post-exertional-malaise-between-patients-controls","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/meta-analysis-investigating-post-exertional-malaise-between-patients-controls\/","title":{"rendered":"Meta-analysis investigating post-exertional malaise between patients &#038; controls"},"content":{"rendered":"<h3><strong>Review abstract:<\/strong><\/h3>\n<p><a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1359105318784161?url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org&amp;rfr_dat=cr_pub%3Dpubmed&amp;\" target=\"_blank\" rel=\"noopener\">Meta-analysis investigating post-exertional malaise between patients and controls<\/a> by Abigail Brown and Leonard\u00a0Jason <span style=\"text-decoration: underline;\">in<\/span> <em>J Health Psychol.<\/em> 2018 Jul\u00a0[First published 5 July 2018]<\/p>\n<p>Post-exertional malaise is either required or included in many previously proposed case definitions of myalgic encephalomyelitis\/chronic fatigue syndrome. A <a href=\"https:\/\/en.wikipedia.org\/wiki\/Meta-analysis\" target=\"_blank\" rel=\"noopener\">meta-analysis<\/a> of odds ratios (ORs; association between patient status and post-exertional malaise status) and a number of potential moderators (i.e. study-level characteristics) of effect size were conducted.<\/p>\n<p>Post-exertional malaise was found to be 10.4 times more likely to be associated with a myalgic encephalomyelitis\/chronic fatigue syndrome diagnosis than with control status. Significant moderators of effect size included patient recruitment strategy and control selection.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright wp-image-17392 size-full lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/PEM-up-down.jpg?resize=880%2C481\" alt=\"\" width=\"880\" height=\"481\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/PEM-up-down.jpg?w=952&amp;ssl=1 952w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/PEM-up-down.jpg?resize=150%2C82&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/PEM-up-down.jpg?resize=300%2C164&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/07\/PEM-up-down.jpg?resize=768%2C419&amp;ssl=1 768w\" data-sizes=\"(max-width: 880px) 100vw, 880px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 880px; --smush-placeholder-aspect-ratio: 880\/481;\" \/>These findings suggest that post-exertional malaise should be considered a cardinal symptom of myalgic encephalomyelitis\/chronic fatigue syndrome.<\/p>\n<p align=\"LEFT\">[The article lists possible definitions of PEM, including:<\/p>\n<ul>\n<li>post-exertional neuroimmune exhaustion (Carruthers et al., 2011);<\/li>\n<li>\u201can inappropriate loss of physical and mental\u00a0stamina, rapid muscular and cognitive fatigability \u2026 and a tendency for other associated symptoms to worsen\u201d (Carruthers et al., 2003);<\/li>\n<li>\u201cprolonged exacerbation of a patient\u2019s baseline symptoms after physical\/cognitive\/orthostatic stress; [it] may be delayed relative to the trigger.\u201d (IOM, 2015)]<\/li>\n<\/ul>\n<p><a href=\"http:\/\/sci-hub.tw\/10.1177\/1359105318784161\" target=\"_blank\" rel=\"noopener\">Read full article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Review abstract: Meta-analysis investigating post-exertional malaise between patients and controls by Abigail Brown and Leonard\u00a0Jason in J Health Psychol. 2018 Jul\u00a0[First published 5 July 2018] Post-exertional malaise is either required or included in many previously proposed case definitions of myalgic &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/meta-analysis-investigating-post-exertional-malaise-between-patients-controls\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[1056,585,2241],"class_list":["post-17387","post","type-post","status-publish","format-standard","hentry","category-news","tag-abigail-a-brown","tag-post-exertional-malaise","tag-prof-leonard-jason"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4wr","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=17387"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17387\/revisions"}],"predecessor-version":[{"id":17394,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17387\/revisions\/17394"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=17387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=17387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=17387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}