A previous paper from the Copenhagen Male Study showed that frequent exposure to strenuous physical activity at work was a strong risk factor for later hospitalisation due to HLDD.
16 Similar to the findings reported on breast cancer risk reduction, Lee and colleagues found a significant negative relationship between more strenuous exercise or daily physical work and the risk of developing colon cancer in a cohort of Japanese men.
Using cumulative logistic regression analysis, the prognosis for recovering from long-term pain at baseline to short-term pain or pain-free at follow-up in the respective body regions when experiencing moderate or light (reference: strenuous) physical exertion during healthcare work was modeled.
In mildly affected participants, triggers such as too much work or study, strenuous physical exertions, exercise and mountain walks could increase fatigue and provoke PEM: "[I] walk… on Thursdays.
"I didn't do anything particularly strenuous," he says, "but the physical work, combined with the exhaustion, meant that when I had to start observing again, I fell asleep in the chair".
The participants wore the Actiwatch (AW) on the non-dominant wrist during the whole study period, except when taking a shower, during strenuous physical training, and when they had to work in aseptic conditions.
Patients were instructed to avoid strenuous physical exertion during the study period.
Try stretching exercises and low-resistance routines such as yoga or Pilates and work up to more strenuous physical activity.
"For those working or exercising outdoors, strenuous physical exertion during the hottest part of the day should be kept to a minimum".
