EAP CAP Terrassa Nord

Barcelona, Spain

EAP CAP Terrassa Nord

Barcelona, Spain
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Faro M.,EAP CAP Terrassa Nord | Saez-Francas N.,Autonomous University of Barcelona | Castro-Marrero J.,Autonomous University of Barcelona | Aliste L.,Autonomous University of Barcelona | And 2 more authors.
Medicina Clinica | Year: 2014

Background and objective: Different studies have showed association of the chronic fatigue syndrome (CFS) with other pathologies, including fibromyalgia (FM). The objective of this study is to analyze whether there are differences in the clinic and in the assessment of fatigue in CFS patients associated or not with FM. Patients and methods: A cross-sectional, single-site observational study was undertaken on a consecutive cases of a register of CFS patients at CFS Unit in Vall d'Hebron Hospital, Barcelona, from January 2008 until March 2011. The variables analyzed were FM comorbidity, sleep and fatigue characteristics and cognitive, neurological and autonomic symptoms. Questionnaires of fatigue impact scale, fatigue strength and impact on quality of life SF-36 were evaluated. Results: We included 980 CFS patients (mean age: 48 ± 9 years; 91% women). Fibromyalgia was present in 528 patients (54%). The level of fatigue (P =.001) and pain (P <.001) was higher in FM patients. Patients with CFS and FM had more prevalence of sleep-related phenomena. The percentage of patients and the degree of severity of cognitive symptoms, neurological and autonomic dysfunction was higher in FM patients (P <.001). FM patients scored higher on the fatigue impact scale (P <.001) and showed worse results in the quality of life questionnaire (P <.001). Conclusions: FM co-morbidity worse clinical parameters, fatigue and the perception of quality of life in CFS patients. © 2013 Elsevier España, S.L. All rights reserved.


PubMed | EAP CAP Terrassa Nord, Hospital Clinic Of Barcelona and Autonomous University of Barcelona
Type: Journal Article | Journal: Medicina clinica | Year: 2014

Different studies have showed association of the chronic fatigue syndrome (CFS) with other pathologies, including fibromyalgia (FM). The objective of this study is to analyze whether there are differences in the clinic and in the assessment of fatigue in CFS patients associated or not with FM.A cross-sectional, single-site observational study was undertaken on a consecutive cases of a register of CFS patients at CFS Unit in Vall dHebron Hospital, Barcelona, from January 2008 until March 2011. The variables analyzed were FM comorbidity, sleep and fatigue characteristics and cognitive, neurological and autonomic symptoms. Questionnaires of fatigue impact scale, fatigue strength and impact on quality of life SF-36 were evaluated.We included 980 CFS patients (mean age: 489 years; 91% women). Fibromyalgia was present in 528 patients (54%). The level of fatigue (P=.001) and pain (P<.001) was higher in FM patients. Patients with CFS and FM had more prevalence of sleep-related phenomena. The percentage of patients and the degree of severity of cognitive symptoms, neurological and autonomic dysfunction was higher in FM patients (P<.001). FM patients scored higher on the fatigue impact scale (P<.001) and showed worse results in the quality of life questionnaire (P<.001).FM co-morbidity worse clinical parameters, fatigue and the perception of quality of life in CFS patients.


Faro M.,EAP CAP Terrassa Nord | Saez-Francas N.,Hospital Universitario Vall dHebron | Castro-Marrero J.,Hospital Universitario Vall dHebron | Aliste L.,Hospital Universitario Vall dHebron | And 2 more authors.
Reumatologia Clinica | Year: 2016

Background and objectives: Chronic fatigue syndrome (CFS) is a chronic condition that predominantly affects women. To date, there are few epidemiologic studies on CFS in men. The objective of the study was to assess whether there are gender-related differences in CFS, and to define a clinical phenotype in men. Patients and methods: A prospective, cross-sectional cohort study was conducted including CFS patients at the time of diagnosis. Sociodemographic data, clinical variables, comorbid phenomena, fatigue, pain, anxiety/depression, and health quality of life, were assessed in the CFS population. A comparative study was also conducted between genders. Results: The study included 1309 CFS patients, of which 119 (9.1%) were men. The mean age and symptoms onset were lower in men than women. The subjects included 30% single men vs. 15% single women, and 32% of men had specialist work vs. 20% of women. The most common triggering factor was an infection. Widespread pain, muscle spasms, dizziness, sexual dysfunction, Raynaud's phenomenon, morning stiffness, migratory arthralgias, drug and metals allergy, and facial oedema were less frequent in men. Fibromyalgia was present in 29% of men vs. 58% in women. The scores on physical function, physical role, and overall physical health of the SF-36 were higher in men. The sensory and affective dimensions of pain were lower in men. Conclusions: The clinical phenotype of the men with CFS was young, single, skilled worker, and infection as the main triggering agent. Men had less pain and less muscle and immune symptoms, fewer comorbid phenomena, and a better quality of life. © 2014 Elsevier España, S.L.U. y Sociedad Española de Reumatología y Colegio Mexicano de Reumatología.

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