title: Disability evaluation in chronic fatigue syndrome: associations between exercise capacity and activity limitations/participation restrictions.
abstract: OBJECTIVE
  In an attempt to examine whether impairments in cardiorespiratory fitness are associated with daily functioning in patients with chronic fatigue syndrome (CFS), this study addresses the correlations between exercise capacity and activity limitations/participation restrictions.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  An outpatient tertiary care, chronic fatigue clinic at the Vrije Universiteit Brussel (VUB), Belgium.
  
  
  METHODS
  Seventy-seven patients fulfilling the 1994 Centers for Disease Control and Prevention (CDC) case definition for CFS.
  
  
  METHODS
  All patients filled in the Chronic Fatigue Syndrome Activities and Participation Questionnaire (CFS-APQ) and performed a maximal exercise stress test on a bicycle ergometer. Heart rate was monitored continuously by use of an electrocardiograph. Metabolic and ventilatory parameters were measured through spirometry.
  
  
  RESULTS
  A statistically significant correlation between the score obtained with the CFS-APQ and the body weight-adjusted peak oxygen uptake (Spearman rho = -0.32; p = 0.005), functional aerobic impairment (rho = 0.33; p = 0.004), workload/body weight (rho = -0.30; p = 0.009), exercise duration (rho = -0.30; p = 0.008), and the percentage of target heart rate achieved (rho = -0.33; p = 0.004) was observed. The correlations between the remaining exercise capacity parameters and the scores obtained with the CFS-APQ all indicated a trend towards association (0.01 <p<0.05).
  
  
  CONCLUSIONS
  These results suggest a moderate association between exercise capacity and activity limitations/participation restrictions in patients with CFS. The observed correlations lack strength to predict activity limitations/ participation restriction based on exercise capacity parameters. Disability evaluation in CFS should therefore encompass both exercise capacity testing and measurements at the activity/participation dimension.
authors.affiliation: Department of Human Physiology, Faculty of Physical Education and Physical Therapy and Chronic Fatigue Clinic, Vrije Universiteit Brussel (VUB), Belgium. Jo.Nijs@vub.ac.be
authors.forename: J
authors.initials: J
authors.lastname: Nijs
authors.forename: K
authors.initials: K
authors.lastname: De Meirleir
authors.forename: S
authors.initials: S
authors.lastname: Wolfs
authors.forename: W
authors.initials: W
authors.lastname: Duquet
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D001530:Belgium; D004185:Disability Evaluation; D004562:Electrocardiography; D005080:Exercise Test; D015673:Fatigue Syndrome, Chronic / Q000145:classification* / Q000523:psychology; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires