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PERIODICAL
FASTING AND CALORIC RESTRICTION FOR LIFE EXTENSION,
DISEASE TREATMENT AND CREATIVITY.
(clinical and experimental data)
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FASTING AND CALORIC RESTRICTION PREVENT AND CURE DISEASES
(Evidence) |
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2005
Cognitive behaviour therapy
for adolescents with chronic fatigue syndrome: randomized
controlled trial. StulemeijerM, de JongLWAM, FiselierTJW,
HoogveldSWB, BleijenbergG. (2005) BMJ, 330, 14-17.
Objective To evaluate the efficacy of cognitive behaviour
therapy for adolescents aged 10 to 17 years with chronic
fatigue syndrome. Design Randomized controlled trial.
Setting Department of child psychology. Participants
A total of 71 consecutively referred patients with
chronic fatigue syndrome; 36 were randomly assigned
to immediate cognitive behaviour therapy and 35 to
the waiting list for therapy. Intervention Ten sessions
of therapy over 5 months. Treatment protocols depended
on the type of activity pattern (relatively active
or passive). All participants were assessed again
after 5 months. Main outcome measures Fatigue severity
(checklist individual strength), functional impairment
(SF-36 physical functioning), and school attendance.
Results A total of 62 patients had complete data at
5 months (29 in the immediate therapy group and 33
on the waiting list). Patients in the therapy group
reported significantly greater decrease in fatigue
severity (difference in decrease on checklist individual
strength was 14.5, 95% confidence interval 7.4 to
21.6) and functional impairment (difference in increase
on SF-36 physical functioning was 17.3, 6.2 to 28.4)
and their attendance at school increased significantly
(difference in increase in percentage school attendance
was 18.2, 0.8 to 35.5). They also reported a significant
reduction in several accompanying symptoms. Self reported
improvement was largest in the therapy group. Conclusion
Cognitive behaviour therapy is an effective treatment
for chronic fatigue syndrome in adolescents.
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2002
Abteilung fur Innere Medizin
V, Naturheilkunde und Integrative Medizin, Kliniken
Essen Mitte, Essen.
BACKGROUND: Fasting followed
by vegetarian diet has shown to be an effective treatment
for rheumatoid arthritis, moreover fasting is frequently
used as an adjunctive treatment in chronic pain and
stress/exhaustion syndromes. Data on well-being and
the frequency of side effects during fasting are mostly
retrospective. Mineral supplements are frequently
used in order to compensate for fasting-induced tissue
acidosis and to reduce side effects. There are only
limited data that support this practice. OBJECTIVE:
To study the effects of oral mineral supplements on
common side effects and well-being during short-term
fasting. PATIENTS AND METHODS: 209 consecutive inpatients
with chronic pain/exhaustion syndromes were recruited.
In a controlled non-randomised study design all patients
underwent fasting (250 kcal; 3 l fluid intake/day)
over 7 days, in study phase 1 without (n = 103) and
in study phase 2 with (n = 106) concomitant prescription
of standardised oral mineral supplements (3 x 2 to
3 x 3 Bullrich's Vital). Weight, blood pressure and
urinary pH were recorded daily. Well-being and mood
as well as common side effects (i.e. fatigue, hunger,
heart burn, headache) were assessed with standardised
self-reports. RESULTS: Baseline characteristics of
the 209 patients (mean age 54.7 +/- 10.5 years; 83.3%
female) were balanced. Both groups showed a fasting-induced
decrease of blood pressure, a slight decrease in mood
and well-being on days 3 and 4 with consecutive increase
and moderate hunger, i.e. in the evening. Side effects
and general tolerability of fasting as well as well-being
and mood were not different between the groups. There
were no serious side effects in both groups. CONCLUSIONS:
Short-term fasting in inpatients with pain and stress
syndromes is safe and well tolerated, concomitant
mineral supplements have no additive benefit.
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2001
First Department of Internal
Medicine, Kagoshima University.
Cognitive behavioral therapy
temporarily alleviated symptoms of a chronic fatigue
syndrome patient but the anxiety about rehabilitation
into work became stronger and his symptoms worsened.
This patient was successfully rehabilitated by fasting
therapy. Natural killer cell activity and serum acylcarnitine
levels recovered after fasting therapy. Though fasting
therapy transiently increased physical and mental
subjective symptoms, the patient gained self-confidence
by overcoming difficulties after fasting therapy.
A combination of cognitive behavioral therapy and
fasting therapy is promising as a treatment for chronic
fatigue syndrome.
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