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Living with Chronic Fatigue Syndrome: Is it good to exercise?

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Living with Chronic Fatigue Syndrome: Is it good to exercise?

Chronic Fatigue Syndrome makes you extremely tired and affects your sleep quality. So, can exercising help to manage the symptoms? Let’s find out on World Chronic Fatigue Syndrome Awareness Day.

Exercise is not just meant to manage a healthy weight, but also to reduce stress, as well as to keep bones and joints in top shape. Some moves may also be recommended to manage health conditions such as osteoporosis, diabetes and hypertension. But what if you feel too tired to do any kind of physical activity? Chronic Fatigue Syndrome is a condition that leads to extreme fatigue. Even after resting, you will feel too tired to do anything. It also has an impact on the quality of your sleep and your ability to concentrate. So, is exercising the solution? On the occasion of World Chronic Fatigue Syndrome Awareness Day on May 12, we tell you how exercising may help people with this long-term condition.

What is Chronic Fatigue Syndrome?

Chronic Fatigue Syndrome or Myalgic encephalomyelitis is a condition that can lead to extreme tiredness. It can affect anyone, including children. According to the UK’s National Health Service, this long-term condition can make you feel so tired that it can make daily activities like going to work or taking a shower difficult.

Chronic fatigue syndrome affects your sleep quality. Image courtesy: Adobe Stock

It can cause sleep problems, including insomnia. Sometimes, people with this condition sleep too much, and still feel like they have not slept properly. It can also lead to brain fog, and make it hard to think and concentrate properly. Due to disabling fatigue, which is unpredictable, it can disrupt personal, professional and social life of the person with this condition.

Can exercising help people with Chronic Fatigue Syndrome?

Physical activity may help to improve the Chronic Fatigue Syndrome symptoms along with muscle strength and cardiovascular endurance. But exercises should be done with supervision, according to The Royal Australian College of General Practitioners. Exercising with Chronic Fatigue Syndrome must be approached very carefully. “Gentle and well-paced physical activity can offer certain benefits if done correctly,” says physiotherapist Neha Gill.

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Here are some of the benefits:

  • Improves circulation: Gentle movement supports better blood and oxygen flow to tissues, which can help reduce brain fog.
  • Prevents muscle deconditioning: Long periods of rest can lead to muscle weakness and joint stiffness. “Light activity helps maintain basic strength and mobility without overexertion,” says the expert.
  • Supports better sleep: Calming movements like stretching, or even deep breathing may improve sleep quality, which is often poor in people with Chronic Fatigue Syndrome.
  • Eases pain: Gentle stretching and mobility exercises can reduce muscle aches and stiffness.
  • Boosts mood: Movement, even if it is light, can increase the production of endorphins and serotonin, the feel-good hormones. “Exercising can help manage anxiety and depression that often accompany chronic illness,” says the expert.

Exercises for Chronic Fatigue Syndrome

There are benefits of exercising, but it doesn’t mean you engage in high-intensity workouts or push through fatigue. Also, many people with Chronic Fatigue Syndrome are prone to dizziness, especially while standing, as per the US Centers for Disease Control and Prevention. So, exercises that involve standing, especially without any support, should be avoided. Instead, try these exercises for Chronic Fatigue Syndrome:

1. Diaphragmatic (Belly) breathing

  • To try this technique, sit or lie comfortably.
  • Place one hand on your chest, the other on your belly.
  • Inhale through your nose so that your belly rises followed by ribcage.
  • Exhale slowly through your mouth and feel your belly fall gradually.
  • Repeat the steps for 5 to 10 breaths.

2. Seated marching

  • Sit upright in a sturdy and comfortable chair with your feet flat.
  • Lift your right knee a few inches, then lower.
  • Alternate to your left knee.
  • Do 10 to 15 repetitions slowly on each leg.

3. Seated shoulder rolls

  • Sit tall with your arms relaxed.
  • Roll your shoulders forward in small circles 5 times.
  • Then roll them backward 5 times.

4. Wall push-ups

  • You can try standing with support. Stand facing a wall, your arms stretched out and hands on the wall.
  • Bend elbows to slowly bring your chest toward the wall.
  • Push back to the starting position of wall push-ups.
  • Do 5 to 10 reps, and rest as needed.

5. Ankle pumps

  • Sit or lie down with your legs extended.
  • Flex your toes toward you then point them away.
  • Flex your ankle towards you then move it away.
  • Repeat the steps 15 to 20 times slowly.

6. Cat-cow yoga pose

  • Get on your hands and knees. You can use a cushion if you feel the need.
  • Inhale then arch back and look up.
  • Exhale, round your spine and tuck your chin.
  • Repeat about 5 to 8 times.
Chronic fatigue syndrome
Yoga may be beneficial. Image courtesy: Adobe Stock

7. Seated side bends

  • Sit in a chair with your hands by your sides.
  • Raise your right arm over your head and lean to the left.
  • Hold for 5 to 10 seconds, return, and switch sides.
  • Repeat 3 to 5 times per side.

Tips for exercising with Chronic Fatigue Syndrome

You need to be extremely careful while engaging in physical activity if you have Chronic Fatigue Syndrome. Here are a few tips:

  • Start with just 1 to 2 exercises per session if needed.
  • Rest between these exercises.
  • No pain no gain doesn’t work, so never push through your pain or fatigue.
  • Practice exercise in good posture, as doing any exercise correctly is far more important than repetitions.
  • Use support props like pillows, chairs or walls.
  • Understand your limits, and stay within your energy boundaries.
  • Drink water before and after doing exercises for Chronic Fatigue Syndrome. “Also, eat a small, energy-supportive pre-workout snack like a banana if needed before light movement,” suggests Gill.

You need to be cautious while exercising with Chronic Fatigue Syndrome. The goal is to gently support your health without worsening the symptoms. High-impact exercises or strenuous workouts can trigger crashes in people with Chronic Fatigue Syndrome. So, choose gentle moves and breathing instead. Talk to a doctor or physiotherapist before working out.

Related FAQs

How to resolve chronic fatigue syndrome?

There is no cure for chronic fatigue syndrome. But lifestyle changes, medication, and cognitive behavioral therapy and physical therapy may help to manage the symptoms.

Can you live a normal life with chronic fatigue syndrome?

Mildly impaired people with chronic fatigue syndrome may be able to go to work. However, careful planning and management of activities are needed.

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Exercise scientist reveals the strength training mistake many women make, even after lifting for years

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Exercise scientist reveals the strength training mistake many women make, even after lifting for years

Wondering how much weight you should be lifting in the gym to build strength? Dr Stacy Sims says that not going heavy enough could be the biggest mistake women are making in their workouts.

What strength training looks like might differ (for example, some prefer callisthenics over classic weight training) for some, but one thing is clear – it needs to be a challenge.

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Jogging 101: Benefits for Your Body and Mind

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Jogging 101: Benefits for Your Body and Mind

Walking and running share a number of benefits — but what about that sweet middle ground between the two?

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“Jogging is about creating a steady pace,” says sports and exercise medicine specialist Leonardo Oliveira, MD. “Instead of focusing on speed, you’re focused more on endurance with good, quality steps.”

Before your next jaunt, Dr. Oliveira shares the many benefits of jogging and how it can help improve your overall health and wellness.

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9 benefits of jogging

Unlike running, where you’re focused on targeting different heart rate zones, jogging involves keeping a more stable and persistent pace. If you’re jogging at a moderate intensity, for example, your target heart rate will usually fall into zone 2, at 60% to 70% of your max heart rate.

“When you’re jogging, you should be able to carry on a conversation as you breathe through your nose,” says Dr. Oliveira. “If you’re doing just 15 minutes of jogging three times a week, you’re already going to notice the benefits.”

Here’s how you can benefit from jogging.

1. Reduces stress

Jogging, like other exercises, can help decrease your stress levels. As an aerobic exercise, it helps release endorphins, which can boost your mood and create feelings of euphoria or satisfaction. Not only does it provide an outlet for pent-up energy, but jogging outside also allows you to spend more time in nature, which provides even more mental health benefits.

“Research shows exercise can be as effective as medication when treating depression because of its wide-ranging benefits,” says Dr. Oliveira.

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2. Burns calories

Jogging is a full-body exercise that offers a higher calorie burn than some other aerobic exercises. According to the widely used Compendium of Physical Activities, jogging burns about 7.5 calories per kilogram of body weight each hour. That means you can burn about:

  • 8 times as many calories as sitting quietly
  • 4 times as many calories as walking
  • 2.6 times as many calories as stationary cycling

“Jogging will burn more calories in a shorter period of time than cycling, especially if you’re not used to exercising,” reports Dr. Oliveira.

3. Improves insulin resistance and boosts metabolism

Insulin resistance is one of the biggest barriers to having a healthy metabolism. Insulin helps your body break down glucose for energy. But if your body can’t do that, your metabolism slows down, leading to:

  • Lower energy levels
  • Weight gain
  • An inability to burn fat

“Exercising at higher intensities helps increase metabolism and insulin resistance,” says Dr. Oliveira. “But researchers have also found that even lower-intensity exercises, like jogging, for longer periods of time can have the same effect.”

4. Strengthens your heart

Jogging also has positive impacts on your heart and its ability to pump blood to the rest of your body. That’s because it contributes to hypertrophy, or the strengthening of your heart’s muscle tissues.

“As you develop endurance, the amount of blood in one pump increases,” explains Dr. Oliveira. “When your heart gets stronger, it contracts more efficiently, which decreases your resting heart rate.”

5. Improves lung expansion and gas exchange

The more you work on building endurance and stamina, the more likely it is that you’ll improve your overall ability to breathe — both at rest and while jogging.

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“Consistent aerobic exercise helps your lungs get stronger and more efficient,” says Dr. Oliveira. “Over time, you won’t need to breathe as often because each breath brings in more oxygen than before.”

6. Activates muscles

Jogging activates major muscle groups, including your:

  • Quads
  • Hamstrings
  • Glutes
  • Core
  • Back

“Strength training is a good complement to jogging because it can help strengthen all the areas of your body,” says Dr. Oliveira. “This can help you handle longer distances.”

7. Reduces stiffness

“Jogging is one of those activities where once you get going, you start to feel better,” notes Dr. Oliveira. “It’s an exercise that helps warm up your muscles and lubricate your joints, which can help with the overall sense of stiffness that comes with age.”

That said, jogging is still a high-impact exercise because it forces you to bear down weight as your feet hit the pavement. Consider working with a physical therapist or athletic trainer to reduce the risk of further injury if you:

  • Have arthritis
  • Have an active injury
  • Had previous sprains or fractures in your lower body

8. Improves endurance

“The more you jog, the more you’ll increase your functional aerobic capacity,” says Dr. Oliveira. “Someone who jogs regularly will have better physical fitness that will help them last longer on a bike or a walk than someone who’s just getting started.”

Your ability to breathe and move also extends to other daily activities that demand cardiovascular strength and endurance, like climbing stairs.

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9. Provides better quality of life and other mental health benefits

Research shows that any amount of jogging — even just once a week — can improve your quality of life and lower your risk of dying from cancer and cardiovascular-related issues.

“Jogging is a great form of exercise, but it’s not the only one,” notes Dr. Oliveira. “The most important thing is to work on being healthy and strong. And for a lot of people, if you’re looking to advance your physical fitness, jogging is a good place to start.”

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Michelle Yeoh, 63, uses ‘exercise snacking’ to stay fit – here’s why mini workouts have big benefits

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Michelle Yeoh, 63, uses ‘exercise snacking’ to stay fit – here’s why mini workouts have big benefits

As an increasing number of scientific studies are published citing the benefits of ‘exercise snacking’ – short bouts of physical activity sprinkled throughout the day – one celeb has sworn by the practise for several years already. The woman in question? Acting great Michelle Yeoh. Below, we look at the power of mini workouts and why the Oscar-winner’s go-to move is so effective.

Stretching

Michelle revealed to Vogue that she incorporates fitness into her morning routine in a way that’s incredibly time-efficient. ‘Remember, you can do your kicks, you can do your stretches, while you are also waking up,’ she said. Indeed, research has shown that regular stretching can improve flexibility, reduce muscle stiffness and improve blood circulation – all crucial elements of healthy ageing.

And you don’t have to stretch for very long, either. One study found that while static stretching improves flexibility in adults, there was no additional benefit observed beyond four minutes per session or 10 minutes per week. So, it seems that a short stretching sesh (you don’t even have to get out of bed to do it) like Michelle’s is a very worthwhile habit to adopt.

Squats

In her Vogue interview, Michelle also shared that she performs squats most days while doing her skincare routine. Virtually every expert and trainer we speak to here at Women’s Health lists squats as one of the most important moves for women to do as they age. A compound exercise (when multiple muscle groups are used), squats also mirror the vital movement pattern of sitting down and getting back up again.

Numerous studies have highlighted the benefits of this simple exercise for posture, strength and power, and one paper even found that intermittent squat exercises performed during prolonged periods of sitting may boost brain power. Whether you’re squatting mid-moisturise like Michelle or while you’re waiting for the kettle to boil, the science suggests sprinkling squats into your day can be really quite powerful.

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The power of habit stacking

As Michelle’s routine shows, adopting a sustainable exercise routine often relies on habit stacking – adding a movement to something you already do every day, like doing your skincare or brushing your teeth.

BRB, we’re just off to do our daily squats.


After years living with endometriosis and undergoing seven rounds of IVF, Radio 4 presenter Emma Barnett turned to training with PT Frankie Holah to rebuild strength and a more positive relationship with her body. Download the Women’s Health UK app to access Frankie’s full training plan.

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Headshot of Hannah Bradfield

Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis.  She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity.  A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.

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