Thursday 7 December 2017

Hyperbaric oxygen therapy helps in Chronic fatigue syndrome (CFS)


Within the human body, energy, in the form of ATP, is generated from the food that we eat on a daily basis. This takes place mostly in the mitochondria, sometimes dubbed the “energy powerhouse” of the cell. Inside the mitochondria, the Kreb’s citric acid cycle and the electron transport chain (ETC) help to produce some 30 molecules of ATP per glucose molecule ingested. This ATP alone constitutes the main cellular energy packets used for all life processes.

More importantly, to generate ATP adequately, the ETC uses most of the oxygen that we inhale. As we age, however, our bodies become more hypoxic, lacking the vital oxygen that is necessary to perfuse mitochondria; this results in lower amounts of ATP generated.
It can stand to be reasoned that many cases of age-related fatigue and lowered vitality are a direct result of these hypoxic conditions and reduced mitochondrial energy-producing capability. Chronic fatigue syndrome (CFS), with a typical onset being later in life, is an illness characterized by medically unexplained fatigue lasting at least 6 months and accompanied by infectious, rheumatological, and/or neuropsychiatric symptoms. It has been demonstrated that individuals with CFS suffer from great mitochondrial dysfunction with the degree of dysfunction and severity of the illness being strongly correlated. Moreover, hypoxia has been shown to impair mitochondrial function and diminish ATP production in other disease states. Since only 0.3% of all inhaled oxygen is ultimately delivered to the mitochondria, increasing the oxygen delivery to the mitochondria by HBOT may actually improve mitochondrial function and improve age-related fatigue.

In animal studies, HBOT (in comparison to room air pressure and oxygen levels) has been shown to increase the amount of work done by mitochondria, improve mitochondrial function after brain injury, and prevent mitochondrial deterioration.

Despite its importance, mitochondrial dysfunction is only 1 plausible explanation for age-related fatigue. Nutritional, lifestyle, endocrinological and cardiovascular factors should also be considered to explain an aging person’s energy decline. With that being said, most patients can benefit from HBOT, and the therapy could be considered to help any degree of fatigue, from mild to even the most severe forms, seen in CFS.

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