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Life Fitness (UK) Ltd
Life Fitness (UK) Ltd
Life Fitness (UK) Ltd
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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
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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
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Increases in COVID-19 cases across Europe are forcing governments to introduce restrictions, which is having ...
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Exercise has been found to increase levels of endocannabinoids – cannabis-like substances produced by the ...
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FitnessOnDemand’s divisional vice president Uday Anumalachetty discusses what live fitness really means for clubs and their members today
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Featured supplier news: Revamped Fitline Maassluis health club equipped by Core Health & Fitness
An iconic Dutch fitness centre that first opened 32 years ago has received an extensive overhaul following a vicious fire.
Featured supplier news
Featured supplier news: Greenvale Leisure Centre reveals brand new gym equipped with Core Health & Fitness products
Greenvale Leisure Centre in Northern Ireland last month revealed its brand new 800sq m gym completely transformed with Core Health & Fitness products.
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Featured operator news: Being active helps Parkwood Leisure customers save the NHS £16m
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Total Vibration Solutions / Floors 4 Gyms / TVS Sports Surfaces
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Company profile: Merrithew™ - Leaders in Mindful Movement™
Merrithew™ enriches the lives of others with responsible exercise modalities and innovative, multidisciplinary fitness offerings ...
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Company profile: Life Fitness
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Catalogue Gallery
Click on a catalogue to view it online
Directory
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Comfort Zone - Davines S.p.A: Skincare
Flooring
Total Vibration Solutions / TVS Sports Surfaces: Flooring
Whole body cryotherapy
Zimmer MedizinSysteme GmbH / icelab: Whole body cryotherapy
Architects/designers
Zynk Design Consultants: Architects/designers
Spa software
SpaBooker: Spa software
Wearable technology solutions
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Red Light Therapy
 Red Light Rising: Red Light Therapy
Exercise equipment
Power Plate: Exercise equipment
Management software
Premier Software Solutions: Management software
trade associations
International SPA Association - iSPA: trade associations
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
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