GET HCM
magazine
Sign up for the FREE digital edition of HCM magazine and also get the HCM ezine and breaking news email alerts.
Not right now, thanksclose this window
JP Lennard
JP Lennard
JP Lennard
Follow Health Club Management on Twitter Like Health Club Management on Facebook Join the discussion with Health Club Management on LinkedIn Follow Health Club Management on Instagram
UNITING THE WORLD OF FITNESS
Health Club Management

Health Club Management

features

Research: Change of direction

NICE has done a U-turn on its controversial guidelines for treating Chronic Fatigue Syndrome, saying that physical activity or therapy should not now be routinely prescribed for patients

Published in Health Club Management 2021 issue 10
The prescription of exercise therapy was found to be damaging in some cases / photo: fizkes/Shutterstock
The prescription of exercise therapy was found to be damaging in some cases / photo: fizkes/Shutterstock
The new guideline emphasises the importance of a personalised management plan for areas such as energy management – including the importance of rest and staying within the individual’s energy limits

In a controversial U-turn, the UK’s National Institute of Health and Care Excellence (NICE) has gone back on its previous recommendation of prescribing exercise therapy for people suffering from ME or chronic fatigue syndrome (CFS).

The change in policy was revealed in the UK health watchdog’s long-awaited, final update to guidance on treatment for CFS.

The guideline identifies the symptoms of ME (myalgic encephalomyelitis) as debilitating fatigue that is worsened by activity, post-exertional malaise, unrefreshing sleep or sleep disturbance, and cognitive difficulties.

Graded Exercise Therapy
In its updated guidelines NICE makes it clear that any programme based on fixed incremental increases in physical activity or exercise – such as Graded Exercise Therapy – should “not be offered for the treatment of ME/CFS”.

The guidance also highlights the importance of ensuring that people “remain within their energy limits when undertaking activity of any kind”.

“Any physical activity or exercise programmes should only be considered for people with ME/CFS in specific circumstances and should begin by establishing the person’s physical activity capability at a level that does not worsen their symptoms,” the new guidance states.

“A physical activity or exercise programme should only be offered on the basis that it is delivered or overseen by a physiotherapist in an ME/CFS specialist team and is regularly reviewed.”

Support for people with ME/CFS
Peter Barry, consultant clinical advisor for NICE and chair of the guideline committee, said: “This guideline will provide clear support for people living with ME/CFS, their families and carers, and for clinicians. It recognises that ME/CFS is a complex, chronic medical condition that can have a significant effect on people’s quality of life.

“We know that people with ME/CFS have had difficulty in getting their illness acknowledged, and the guideline provides guidance for suspecting and diagnosing the condition, recognising that there is no specific test for it.

“The guideline emphasises the importance of a personalised management plan for areas such as energy management – including the importance of rest and staying within the individual’s energy limits – the treatment of specific symptoms, and guidance on managing flares and exacerbations.”

https://www.leisureopportunities.co.uk/images/2021/956627_481819.jpg
In the UK, NICE no longer recommends graded exercise therapy for Chronic Fatigue Syndrome and ME
HCM magazine
This has always been a creative, driven sector, but the pressures of the pandemic have inspired a new outpouring of creativity, leading to the emergence of new models, partnerships and concepts
HCM magazine
HCM People

Harry Jameson and Oli Patrick

Co-founders, Future Practice
There’s still no ‘stress resilience’ profession. We believe fitness professionals can fill that gap
HCM magazine
With their dark vibe, pumping music and kit that needs adjusting, indoor cycling classes can be intimidating to the uninitiated. Steph Eaves asks suppliers for their tips on how to encourage beginners into the cycling studio – and keep them coming back
HCM Magazine
Insight
Which messaging is most effective at inspiring people to get active and why? Researchers at the University of Waterloo in Canada set out to find out, as Tom Walker reports
HCM Magazine
Sponsored
Technogym’s Biocircuit offers a range of time-controlled and time-free circuits using the Biostrength line, with its Biodrive AI technology, delivering customised workouts
HCM Magazine
Interview
The CEO of Total Fitness has been in-post for just over three years – a true tale of two halves, with dramatic growth in the first half of her tenure, followed by a second half dominated by the pandemic and a CVA. She talks to Kate Cracknell
HCM Magazine
Sponsored
Life Fitness is introducing a new range of Hammer Strength anaerobic equipment to complement its legendary strength training range
HCM Magazine
New opening
Armah Sports has revealed the first B_fit health club – a smart club concept that’s gearing up for the Metaverse with AI, VR, Amazon Alexa and the Internet of Things, as Tom Walker reports
HCM Magazine
Debate
Can partnerships and affiliations with less obvious companies, such as fast food brands, help the industry tap into a new demographic, or is the potential for them to compromise our reputation too big a risk to take? asks Abi Harris
HCM Magazine
Promotion
A new app called Trakk, from Pulse Fitness, promises triple benefits to operators, says Chris Johnson
HCM Magazine
Latest News
Denmark has been identified as the cheapest country in the world to live a healthy ...
Latest News
Boxx has launched a new generation punch bag and smart punch trackers that work with ...
Latest News
The Global Wellness Institute (GWI) and BBC Storyworks have struck up a partnership to create ...
Latest News
The global wellness economy will grow by 9.9 per cent annually and reach US$7trn by ...
Latest News
Inclusive Fitness Boston, a health club created specifically for those with disabilities and their families, ...
Latest News
The Women in Fitness Association (WIFA), is partnering with Sport Alliance to undertake a survey ...
Latest News
Location and cost are the top considerations for consumers when it comes to choosing a ...
Latest News
Increases in COVID-19 cases across Europe are forcing governments to introduce restrictions, which is having ...
Opinion
promotion
FitnessOnDemand’s divisional vice president Uday Anumalachetty discusses what live fitness really means for clubs and their members today
Opinion: Why we need to reimagine what live fitness really means
Featured supplier news
Featured supplier news: Now is the time for whole-body EMS
Electrical muscle stimulation (EMS) Training will drive secondary revenue and increase PT penetration. It will accelerate and improve outcomes for users as well as build confidence with people who are struggling to get back to training post lockdown.
Featured supplier news
Featured supplier news: Feet on the ground, fitness in the clouds
Life Fitness has launched a new mobile app named Life Fitness Connect to provide the ultimate workout experience.
Featured operator news
Featured operator news: Being active helps Parkwood Leisure customers save the NHS £16m
Parkwood Leisure, one of the UK’s leading public leisure facilities operators, helped prevent more than 7,000 cases of stroke, dementia, depression and type 2 diabetes in 2019, saving the NHS £16 million, a new social value report has shown.
Featured operator news
Featured operator news: Everyone Active generates £342m in social value
Award-winning leisure operator Everyone Active generated £342million in social value at its sites across the country in 2019/20.
Company profiles
Company profile: YOUR Personal Training
YOUR Personal Training is the UK’s largest and most successful PT Management company, offering a ...
Company profiles
Company profile: FunXtion International BV
With our digital member solutions, branded app and branded virtual classes your clients can now ...
Catalogue Gallery
Click on a catalogue to view it online
Directory
trade associations
International SPA Association - iSPA: trade associations
Flooring
Total Vibration Solutions / TVS Sports Surfaces: Flooring
Spa software
SpaBooker: Spa software
Salt therapy products
Saltability: Salt therapy products
Wearable technology solutions
MyZone: Wearable technology solutions
Fitness equipment
Precor: Fitness equipment
Whole body cryotherapy
Zimmer MedizinSysteme GmbH / icelab: Whole body cryotherapy
Skincare
Comfort Zone - Davines S.p.A: Skincare
Architects/designers
Zynk Design Consultants: Architects/designers
Lockers/interior design
Crown Sports Lockers: Lockers/interior design
Property & Tenders
Welwyn Garden City
Welwyn Hatfield Borough Council
Property & Tenders
Newport, Shropshire
Lilleshall Sports Academy
Property & Tenders
Diary dates
01-03 Feb 2022
Coventry Building Society Arena, Coventry, United Kingdom
Diary dates
07-10 Apr 2022
Exhibition Centre , Cologne, Germany
Diary dates
15-16 Jun 2022
ExCeL London, London, United Kingdom
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates

features

Research: Change of direction

NICE has done a U-turn on its controversial guidelines for treating Chronic Fatigue Syndrome, saying that physical activity or therapy should not now be routinely prescribed for patients

Published in Health Club Management 2021 issue 10
The prescription of exercise therapy was found to be damaging in some cases / photo: fizkes/Shutterstock
The prescription of exercise therapy was found to be damaging in some cases / photo: fizkes/Shutterstock
The new guideline emphasises the importance of a personalised management plan for areas such as energy management – including the importance of rest and staying within the individual’s energy limits

In a controversial U-turn, the UK’s National Institute of Health and Care Excellence (NICE) has gone back on its previous recommendation of prescribing exercise therapy for people suffering from ME or chronic fatigue syndrome (CFS).

The change in policy was revealed in the UK health watchdog’s long-awaited, final update to guidance on treatment for CFS.

The guideline identifies the symptoms of ME (myalgic encephalomyelitis) as debilitating fatigue that is worsened by activity, post-exertional malaise, unrefreshing sleep or sleep disturbance, and cognitive difficulties.

Graded Exercise Therapy
In its updated guidelines NICE makes it clear that any programme based on fixed incremental increases in physical activity or exercise – such as Graded Exercise Therapy – should “not be offered for the treatment of ME/CFS”.

The guidance also highlights the importance of ensuring that people “remain within their energy limits when undertaking activity of any kind”.

“Any physical activity or exercise programmes should only be considered for people with ME/CFS in specific circumstances and should begin by establishing the person’s physical activity capability at a level that does not worsen their symptoms,” the new guidance states.

“A physical activity or exercise programme should only be offered on the basis that it is delivered or overseen by a physiotherapist in an ME/CFS specialist team and is regularly reviewed.”

Support for people with ME/CFS
Peter Barry, consultant clinical advisor for NICE and chair of the guideline committee, said: “This guideline will provide clear support for people living with ME/CFS, their families and carers, and for clinicians. It recognises that ME/CFS is a complex, chronic medical condition that can have a significant effect on people’s quality of life.

“We know that people with ME/CFS have had difficulty in getting their illness acknowledged, and the guideline provides guidance for suspecting and diagnosing the condition, recognising that there is no specific test for it.

“The guideline emphasises the importance of a personalised management plan for areas such as energy management – including the importance of rest and staying within the individual’s energy limits – the treatment of specific symptoms, and guidance on managing flares and exacerbations.”

https://www.leisureopportunities.co.uk/images/2021/956627_481819.jpg
In the UK, NICE no longer recommends graded exercise therapy for Chronic Fatigue Syndrome and ME
Latest News
Denmark has been identified as the cheapest country in the world to live a healthy ...
Latest News
Boxx has launched a new generation punch bag and smart punch trackers that work with ...
Latest News
The Global Wellness Institute (GWI) and BBC Storyworks have struck up a partnership to create ...
Latest News
The global wellness economy will grow by 9.9 per cent annually and reach US$7trn by ...
Latest News
Inclusive Fitness Boston, a health club created specifically for those with disabilities and their families, ...
Latest News
The Women in Fitness Association (WIFA), is partnering with Sport Alliance to undertake a survey ...
Latest News
Location and cost are the top considerations for consumers when it comes to choosing a ...
Latest News
Increases in COVID-19 cases across Europe are forcing governments to introduce restrictions, which is having ...
Latest News
Exercise has been found to increase levels of endocannabinoids – cannabis-like substances produced by the ...
Latest News
People suffering from mild depression should be offered exercise, mindfulness, therapy or meditation before medication, ...
Latest News
Total Fitness plans to launch a new-style health club model, with plans already in the ...
Opinion
promotion
FitnessOnDemand’s divisional vice president Uday Anumalachetty discusses what live fitness really means for clubs and their members today
Opinion: Why we need to reimagine what live fitness really means
Featured supplier news
Featured supplier news: Now is the time for whole-body EMS
Electrical muscle stimulation (EMS) Training will drive secondary revenue and increase PT penetration. It will accelerate and improve outcomes for users as well as build confidence with people who are struggling to get back to training post lockdown.
Featured supplier news
Featured supplier news: Feet on the ground, fitness in the clouds
Life Fitness has launched a new mobile app named Life Fitness Connect to provide the ultimate workout experience.
Featured operator news
Featured operator news: Being active helps Parkwood Leisure customers save the NHS £16m
Parkwood Leisure, one of the UK’s leading public leisure facilities operators, helped prevent more than 7,000 cases of stroke, dementia, depression and type 2 diabetes in 2019, saving the NHS £16 million, a new social value report has shown.
Featured operator news
Featured operator news: Everyone Active generates £342m in social value
Award-winning leisure operator Everyone Active generated £342million in social value at its sites across the country in 2019/20.
Company profiles
Company profile: YOUR Personal Training
YOUR Personal Training is the UK’s largest and most successful PT Management company, offering a ...
Company profiles
Company profile: FunXtion International BV
With our digital member solutions, branded app and branded virtual classes your clients can now ...
Catalogue Gallery
Click on a catalogue to view it online
Directory
trade associations
International SPA Association - iSPA: trade associations
Flooring
Total Vibration Solutions / TVS Sports Surfaces: Flooring
Spa software
SpaBooker: Spa software
Salt therapy products
Saltability: Salt therapy products
Wearable technology solutions
MyZone: Wearable technology solutions
Fitness equipment
Precor: Fitness equipment
Whole body cryotherapy
Zimmer MedizinSysteme GmbH / icelab: Whole body cryotherapy
Skincare
Comfort Zone - Davines S.p.A: Skincare
Architects/designers
Zynk Design Consultants: Architects/designers
Lockers/interior design
Crown Sports Lockers: Lockers/interior design
Property & Tenders
Welwyn Garden City
Welwyn Hatfield Borough Council
Property & Tenders
Newport, Shropshire
Lilleshall Sports Academy
Property & Tenders
Diary dates
01-03 Feb 2022
Coventry Building Society Arena, Coventry, United Kingdom
Diary dates
07-10 Apr 2022
Exhibition Centre , Cologne, Germany
Diary dates
15-16 Jun 2022
ExCeL London, London, United Kingdom
Diary dates
01-07 Dec 2022
tbc, Dunedin, New Zealand
Diary dates
Search news, features & products:
Find a supplier:
JP Lennard
JP Lennard
Partner sites