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Chronic fatigue syndrome: prospective studies?

Question:
Is anyone aware of any large prospective or retrosp. study on chronic fatigue syndrome? It seems that it would be easy to carry out and I am currently testing it on NHANES by comparing transferrin and LDL and some of the immunology of the subjects. anyone have recommendations for reliable biomarkers of CSF? There was psychological questionnaire (fatigue) in nhanes. I am also looking at comparing to physical activity and diet: i have added a glycemic index score to the NHANES study.. cool huh.. it was easy as there are only 40 foods or so on the questionnaire..

I have seen it suggested in popular books that the more the population is fed the more fatigued they seem to get. I'm sure that in the 1800s, when a person was fatigued you would recommend bed rest and a nice big meal. In 2002, people are overfed and will probably eat more when they feel fatigued. Nightmarish. immagine if we end up recommending very low calorie diets for the fatigued!


Answer:
I don't know if this is going to help you any but I will list all of the known causes of fatigue in humans (from a nutritional perspective). I did buy the NHANES III cd database but I mix with statistics like oil mixes with water. A student t-test is about as far as I can go without help from a statistician.

Fatigue, and this includes chronic fatigue syndrome, is unlikely to have one single cause. But multivariate analysis of the NHANES III data with the question about fatigue may shed some light on this very common problem.

Here is my list of what is known to be associated with fatigue in humans:

Toxicity: Cadmium Lead Mercury Arsenic

Excessive Intake: Vitamin A Vitamin D Vitamin E Vitamin C Riboflavin Calcium Magnesium Iron Copper Potassium Selenium

Deficient Intake: Thiamin Folic Acid Pantothenic Acid Iodine Iron Biotin Chromium Copper Niacin Phosphorus Potassium Sodium Vitamin A Vitamin B6 Vitamin C Zinc Manganese Tin Protein Vitamin B12 Calories

Happy hunting (number crunching).

NHANESIII does have lead levels and if I remember correctly, past NHANES data was analyzed and fatigue did have some correlation with the lead level but I do not remember how strong that correlation was. NHANES III pointed out that the average lead level decreased from NHANES II and this was seen as being very positive in terms of mental alertness, hemoglobin profiles and fatigue.


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