When beginning an exercise program, clients with CFS should start at what level?

Starting an exercise program for clients with Chronic Fatigue Syndrome (CFS) should always begin at low levels based on the individual's tolerance. This approach is essential because CFS is characterized by profound fatigue that is not improved by rest, and clients often experience post-exertional malaise where symptoms worsen after physical or mental exertion.

Beginning exercise at a low intensity allows the client to gradually acclimatize to physical activity without overwhelming their system. It ensures that the individual can engage in exercise in a manageable way, building stamina over time while minimizing the risk of exacerbating their symptoms. Monitoring how they feel during and after exercise sessions can guide adjustments to the program based on their unique responses, providing a foundation for gradual improvement.

Higher intensity or advanced exercise levels are not suitable as they can lead to increased fatigue or unusable symptoms, contrary to the aims of the exercise program. Similarly, moderate intensity programs may not recognize the delicate balance required for individuals with CFS, who often need to approach physical activity very cautiously. This tailored, low-impact strategy is more effective in promoting long-term engagement in physical activity while supporting their overall health.