M.E. Beth Smith, DO; Elizabeth Haney, MD; Heidi D. Nelson, MD, MPH
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0114.
Smith M., Haney E., Nelson H.; Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Ann Intern Med. 2015;163:888. doi: 10.7326/L15-5176
Download citation file:
Published: Ann Intern Med. 2015;163(11):888.
We thank the authors for their comments and Dr. Speedy for sharing his personal experience. Regarding Dr. White and colleagues' statements about the harms of exercise, we acknowledge that exercise testing differs from graded exercise programs. However, patients may consider both forms of exercise harmful. To clarify the results of Moss-Morris and associates' trial, whereas 44% of participants in the intervention group declined repeated exercise testing, 20% did so because of their perception of harm (1). Also, although the Cochrane review did not identify harms of exercise, the authors drew similar conclusions to ours, stating that, “limited information makes it difficult to draw firm conclusions about the safety of exercise therapy” (2).
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only