human
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: The purpose of this study was to compare the effects of aerobic training with a muscle-strengthening program in patients with fibromyalgia . Thirty women with fibromyalgia were r and omized to either an aerobic exercise ( AE ) program or a strengthening exercise ( SE ) program for 8 weeks . Outcome measures included the intensity of fibromyalgia-related symptoms , tender point count , fitness ( 6-min walk distance ) , hospital anxiety and depression ( HAD ) scale , and short-form health survey ( SF-36 ) . There were significant improvements in both groups regarding pain , sleep , fatigue , tender point count , and fitness after treatment . HAD-depression scores improved significantly in both groups while no significant change occurred in HAD-anxiety scores . Bodily pain subscale of SF-36 and physical component summary improved significantly in the AE group , whereas seven subscales of SF-36 , physical component summary , and mental component summary improved significantly in the SE group . When the groups were compared after treatment , there were no significant differences in pain , sleep , fatigue , tender point count , fitness , HAD scores , and SF-36 scores . AE and SE are similarly effective at improving symptoms , tender point count , fitness , depression , and quality of life in fibromyalgia OBJECTIVE A subset of fibromyalgia ( FM ) patients have a dysfunctional hypothalamic-pituitary-insulin-like growth factor 1 ( IGF-1 ) axis , as evidence d by low serum levels of IGF-1 and a reduced growth hormone ( GH ) response to physiologic stimuli . There is evidence that pyridostigmine ( PYD ) improves the acute response of GH to exercise in FM patients . The purpose of this study was to evaluate the clinical effectiveness of 6 months of PYD and group exercise on FM symptoms . METHODS FM patients were r and omized to 1 of the following 4 groups : PYD plus exercise , PYD plus diet recall but no exercise , placebo plus exercise , and placebo plus diet recall but no exercise . The primary outcome measures were the visual analog scale ( VAS ) score for pain , tender point count , and total myalgic score . Secondary outcome measures were the total score on the Fibromyalgia Impact Question naire ( FIQ ) and FIQ VAS scores for individual symptoms ( fatigue , poor sleep , stiffness , and anxiety ) , as well as quality of life ( QOL ) and physical fitness ( lower body strength/endurance , upper and lower body flexibility , balance , and time on the treadmill ) . RESULTS A total of 165 FM patients completed baseline measurements ; 154 ( 93.3 % ) completed the study . The combination of PYD and exercise did not improve pain scores .  PYD groups showed a significant improvement in sleep and anxiety in those who completed the study and in QOL in those who complied with the therapeutic regimen as compared with the placebo groups . Compared with the nonexercise groups , the 2 exercise groups demonstrated improvement in fatigue and fitness .  PYD was generally well tolerated . CONCLUSION Neither the combination of PYD plus supervised exercise nor either treatment alone yielded improvement in most FM symptoms . However , PYD did improve anxiety and sleep , and exercise improved fatigue and fitness . We speculate that PYD may have improved vagal tone , thus benefiting sleep and anxiety ; this notion warrants further study OBJECTIVE To compare scales measuring exercise-induced changes in mood . METHODS Mood changes in a r and omized , 23-week controlled trial of exercise were assessed using the Beck Depression Inventory ( BDI ) , Center for Epidemiologic Studies Depression Scale ( CES-D ) , State Trait Anxiety Inventory ( STAI ) , Fibromyalgia Impact Question naire , and the Mental Health Inventory ( MHI ) . Effect sizes and t-tests were computed on 23-week change scores . Scales were deemed to be confounded if items addressed sleep disturbances , fatigue , or effort ( symptoms of both mood disturbances and fibromyalgia ) . RESULTS Efficacy ( 15 exercise subjects ) and intent-to-treat analyses ( 27 exercise subjects ) generated medium effects for BDI ( total , cognitive ) , MHI depression ( efficacy only ) , and CES-D ( intent-to-treat only ) scales . BDI ( total , cognitive ) , MHI ( depression , positive affect , total [ MHI-5 ] ) , and STAI scales distinguished exercise from control subjects at 23 weeks in all analyses . BDI somatic and CES-D scales were deemed to be confounded . CONCLUSION We recommend the BDI cognitive , STAI , and MHI-5 scales to measure depression , anxiety , and general mood , respectively , in patients with fibromyalgia Objectives : Published preliminary findings from a r and omized-controlled trial suggest that an 8-week Yoga of Awareness intervention may be effective for improving symptoms , functional deficits , and coping abilities in fibromyalgia . The primary aims of this study were to evaluate the same intervention ’s posttreatment effects in a wait-list group and to test the intervention ’s effects at 3-month follow-up in the immediate treatment group . Methods : Unpaired t tests were used to compare data from a per protocol sample of 21 women in the immediate treatment group who had completed treatment and 18 women in the wait-list group who had completed treatment . Within-group paired t tests were performed to compare posttreatment data with 3-month follow-up data in the immediate treatment group . The primary outcome measure was the Fibromyalgia Impact Question naire Revised ( FIQR ) . Multilevel r and om-effects models were also used to examine associations between yoga practice rates and outcomes . Results : Posttreatment results in the wait-list group largely mirrored results seen at posttreatment in the immediate treatment group , with the FIQR Total Score improving by 31.9 % across the 2 groups . Follow-up results showed that patients sustained most of their posttreatment gains , with the FIQR Total Score remaining 21.9 % improved at 3 months . Yoga practice rates were good , and more practice was associated with more benefit for a variety of outcomes . Discussion : These findings indicate that the benefits of Yoga of Awareness in fibromyalgia are replicable and can be maintained ABSTRACT Objective : Fibromyalgia ( FM ) patients present with widespread chronic pain and other symptoms . Some studies in the literature have reported inconsistent results after a Qigong exercise intervention in patients with FM . The purpose of this study was to test the feasibility of a home-based Qigong exercise in patients with FM . Methods : A total of 14 subjects were r and omly assigned into one of two groups . The experimental group went through a six-week Qigong exercise program involving meditation , deep breathing , and synchronized rhythmic body movements . The control group took part in a sham Qigong exercise program using the same body movements also for six weeks . Clinical assessment s at baseline and end of intervention used the Short-Form McGill Pain Question naire , Multidimensional Fatigue Inventory , Pittsburgh Sleep Quality Index , and Fibromyalgia Impact Question naire . Results : Group mean scores of four measurements were significantly ( p < .0125 ) reduced in the intervention group , but not in the control group . The percentage changes in the four measurements were 44.2 % , 24.8 % , 37.3 % , and 44.3 % in the intervention group , and 10.1 % , 6.3 % , 9.9 % , and 11.8 % in the control group . Conclusion : Qigong exercise may potentially be an effective self-management approach in controlling FM symptoms . In this pilot study , regular daily Qigong exercise , accumulated number of exercise sessions , and the specific form of Qigong exercise may all be important factors for the significant improvement in the study subjects . Future research is required to determine whether the same benefit can be obtained in a larger sample Objectives : To assess the effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia in comparison to st and ard medical care . Methods : Seventy-nine men and women were r and omly assigned to one of two groups . The intervention group consisted of a rheumatologist and physical therapist intake and discharge , 18 group supervised exercise therapy sessions , 2 group pain and stress management lectures , 1 group education lecture , 1 group dietary lecture , and 2 massage therapy sessions . The control group consisted of st and ard medical care with the patients ' family physician . Outcome measures included self-perceived health status , pain-related disability , average pain intensity , depressed mood , days in pain , hours in pain , prescription and nonprescription medication usage , and work status . Outcomes were measured at the end of the 6-week intervention and at 15-month follow-up . Results : Thirty-five out of 43 patients from the intervention group and 36 out of 36 patients from the control group completed the study . There were no statistically significant differences between the 2 groups prior to intervention . Intention-to-treat analysis revealed that the intervention group , in comparison to the control group , experienced statistically significant changes at intervention completion in self-perceived health status , average pain intensity , pain related disability , depressed mood , days in pain , and hours in pain , but no significant differences in nonprescription drug use , prescription drug use , or work status . At 15 months , all health outcomes retained their significance except health status . Nonprescription and prescription drug use demonstrated significant reductions at 15 months . Binary logistic regression indicated that long-term changes in Pain Disability Index were influenced by long-term exercise adherence and income status . Conclusions : Positive health-related outcomes in this mostly unresponsive condition can be obtained with a low-cost , group multidisciplinary intervention in a community-based , non clinical setting A quasi-experimental design was used to assess a multimodal pain treatment program for female patients with fibromyalgia to ascertain immediate and long-term effects .  Laboratory  and self-report pain measures together with  psychological measures were obtained from patients who were tested up to 6 months after treatment . Comparison data were also obtained from fibromyalgia patients who failed to qualify for the treatment program because of insurance coverage . Immediate and long-term treatment effects were evident with the psychological measures and the subjective pain measures but not with the laboratory pain measures . Participants who attended the month-long multimodal program achieved significant and positive changes on most of the outcome measures . However , relapse prevention must be addressed OBJECTIVE To assess the efficiency of a treatment composed of muscle stretching exercises , associated or not to laser therapy at tender points , for patients with fibromyalgia ( FM ) , in view of bettering their quality of life . METHODS Twenty FM patients were r and omly assigned to two groups : one su bmi tted to laser therapy and stretching ( LSG , n=10 ) , and the other only to stretching exercises ( SG , n=10 ) . The visual analog scale of pain ( VAS ) and dolorimetry at tender points were used to assess pain ; life quality was evaluated by means of the Fibromyalgia Impact Question naire ( FIQ ) and the 36-item Short-Form Health Survey ( SF-36 ) . RESULTS After the treatment program , both in LSG and SG were detected pain reduction , higher pain threshold at tender points ( all p<0.01 ) , lower mean FIQ scores , and higher SF-36 mean scores ( all p<0.05 ) . No significant differences were found between both groups . CONCLUSION The stretching exercises program proposed is efficient to reduce pain and painful sensibility at tender points , thus enhancing patients ' quality of life .  Laser therapy has not shown advantages when added to muscle stretching exercises OBJECTIVE To test the hypothesis that autonomic modulation after resistance exercise ( RE ) would be reduced in women with fibromyalgia ( FM ) compared with controls . DESIGN Before-after trial . SETTING Testing occurred in a university setting . PARTICIPANTS Women with FM ( n=9 ) and healthy controls ( n=9 ) underwent testing before ( pre ) and 20 minutes after ( post ) RE . INTERVENTIONS Not applicable . MAIN OUTCOME MEASURES Normalized low-frequency ( LFnu ) and normalized high-frequency ( HFnu ) oscillations and the LFnu/HFnu ratio were indicative of sympathetic modulation , parasympathetic modulation , and sympathovagal balance , respectively . Baroreceptor reflex sensitivity ( BRS ) was also measured . RESULTS Variables were similar in both groups at rest . HFnu decreased in controls ( pre , 55.0+/-4.2 % ; post , 35.0+/-4.7 % ; P<.05 ) and increased in women with FM ( pre , 57.0+/-5.7 % ; post , 63.2+/-4.6 % ; P<.05 ) . LFnu increased in controls ( pre , 43.3+/-4.4 % ; post , 63.2+/-4.8 % ; P<.05 ) and decreased in women with FM ( pre , 41.8+/-5.6 % ; post , 35.6+/-4.7 % ; P<.05 ) . The LFnu/HFnu ratio increased in controls ( pre , 0.89+/-0.17 ; post , 2.43+/-0.64 ; P<.05 ) with no change in women with FM ( pre , 0.90+/-0.22 ; post , 0.64+/-0.13 ; P=.13 ) . BRS decreased in controls ( pre , 8.78+/-1.42 ms/mmHg ; post , 5.49+/-0.66 ms/mmHg ; P<.05 ) , but not in women with FM ( pre , 5.91+/-1.22 ms/mmHg ; post , 9.23+/-2.4 ms/mmHg ; P=.16 ) . CONCLUSIONS After acute RE , women with FM responded differently from controls , demonstrated by lower sympathetic and higher vagal modulation without altering BRS . These postexercise responses may be attributed to the altered autonomic responsiveness to physiolog 
    Output:
    
agent
There were no statistically significant differences in attrition rates between the interventions .
In general , adverse effects were poorly recorded , but no serious adverse effects were reported .
The evidence ( rated as low quality ) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function , pain , tenderness , and muscle strength in women with fibromyalgia .
The evidence ( rated as low quality ) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia .
There was low- quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function .
There was low- quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: The purpose of this study was to compare the effects of aerobic training with a muscle-strengthening program in patients with fibromyalgia . Thirty women with fibromyalgia were r and omized to either an aerobic exercise ( AE ) program or a strengthening exercise ( SE ) program for 8 weeks . Outcome measures included the intensity of fibromyalgia-related symptoms , tender point count , fitness ( 6-min walk distance ) , hospital anxiety and depression ( HAD ) scale , and short-form health survey ( SF-36 ) . There were significant improvements in both groups regarding pain , sleep , fatigue , tender point count , and fitness after treatment . HAD-depression scores improved significantly in both groups while no significant change occurred in HAD-anxiety scores . Bodily pain subscale of SF-36 and physical component summary improved significantly in the AE group , whereas seven subscales of SF-36 , physical component summary , and mental component summary improved significantly in the SE group . When the groups were compared after treatment , there were no significant differences in pain , sleep , fatigue , tender point count , fitness , HAD scores , and SF-36 scores . AE and SE are similarly effective at improving symptoms , tender point count , fitness , depression , and quality of life in fibromyalgia OBJECTIVE A subset of fibromyalgia ( FM ) patients have a dysfunctional hypothalamic-pituitary-insulin-like growth factor 1 ( IGF-1 ) axis , as evidence d by low serum levels of IGF-1 and a reduced growth hormone ( GH ) response to physiologic stimuli . There is evidence that pyridostigmine ( PYD ) improves the acute response of GH to exercise in FM patients . The purpose of this study was to evaluate the clinical effectiveness of 6 months of PYD and group exercise on FM symptoms . METHODS FM patients were r and omized to 1 of the following 4 groups : PYD plus exercise , PYD plus diet recall but no exercise , placebo plus exercise , and placebo plus diet recall but no exercise . The primary outcome measures were the visual analog scale ( VAS ) score for pain , tender point count , and total myalgic score . Secondary outcome measures were the total score on the Fibromyalgia Impact Question naire ( FIQ ) and FIQ VAS scores for individual symptoms ( fatigue , poor sleep , stiffness , and anxiety ) , as well as quality of life ( QOL ) and physical fitness ( lower body strength/endurance , upper and lower body flexibility , balance , and time on the treadmill ) . RESULTS A total of 165 FM patients completed baseline measurements ; 154 ( 93.3 % ) completed the study . The combination of PYD and exercise did not improve pain scores .  PYD groups showed a significant improvement in sleep and anxiety in those who completed the study and in QOL in those who complied with the therapeutic regimen as compared with the placebo groups . Compared with the nonexercise groups , the 2 exercise groups demonstrated improvement in fatigue and fitness .  PYD was generally well tolerated . CONCLUSION Neither the combination of PYD plus supervised exercise nor either treatment alone yielded improvement in most FM symptoms . However , PYD did improve anxiety and sleep , and exercise improved fatigue and fitness . We speculate that PYD may have improved vagal tone , thus benefiting sleep and anxiety ; this notion warrants further study OBJECTIVE To compare scales measuring exercise-induced changes in mood . METHODS Mood changes in a r and omized , 23-week controlled trial of exercise were assessed using the Beck Depression Inventory ( BDI ) , Center for Epidemiologic Studies Depression Scale ( CES-D ) , State Trait Anxiety Inventory ( STAI ) , Fibromyalgia Impact Question naire , and the Mental Health Inventory ( MHI ) . Effect sizes and t-tests were computed on 23-week change scores . Scales were deemed to be confounded if items addressed sleep disturbances , fatigue , or effort ( symptoms of both mood disturbances and fibromyalgia ) . RESULTS Efficacy ( 15 exercise subjects ) and intent-to-treat analyses ( 27 exercise subjects ) generated medium effects for BDI ( total , cognitive ) , MHI depression ( efficacy only ) , and CES-D ( intent-to-treat only ) scales . BDI ( total , cognitive ) , MHI ( depression , positive affect , total [ MHI-5 ] ) , and STAI scales distinguished exercise from control subjects at 23 weeks in all analyses . BDI somatic and CES-D scales were deemed to be confounded . CONCLUSION We recommend the BDI cognitive , STAI , and MHI-5 scales to measure depression , anxiety , and general mood , respectively , in patients with fibromyalgia Objectives : Published preliminary findings from a r and omized-controlled trial suggest that an 8-week Yoga of Awareness intervention may be effective for improving symptoms , functional deficits , and coping abilities in fibromyalgia . The primary aims of this study were to evaluate the same intervention ’s posttreatment effects in a wait-list group and to test the intervention ’s effects at 3-month follow-up in the immediate treatment group . Methods : Unpaired t tests were used to compare data from a per protocol sample of 21 women in the immediate treatment group who had completed treatment and 18 women in the wait-list group who had completed treatment . Within-group paired t tests were performed to compare posttreatment data with 3-month follow-up data in the immediate treatment group . The primary outcome measure was the Fibromyalgia Impact Question naire Revised ( FIQR ) . Multilevel r and om-effects models were also used to examine associations between yoga practice rates and outcomes . Results : Posttreatment results in the wait-list group largely mirrored results seen at posttreatment in the immediate treatment group , with the FIQR Total Score improving by 31.9 % across the 2 groups . Follow-up results showed that patients sustained most of their posttreatment gains , with the FIQR Total Score remaining 21.9 % improved at 3 months . Yoga practice rates were good , and more practice was associated with more benefit for a variety of outcomes . Discussion : These findings indicate that the benefits of Yoga of Awareness in fibromyalgia are replicable and can be maintained ABSTRACT Objective : Fibromyalgia ( FM ) patients present with widespread chronic pain and other symptoms . Some studies in the literature have reported inconsistent results after a Qigong exercise intervention in patients with FM . The purpose of this study was to test the feasibility of a home-based Qigong exercise in patients with FM . Methods : A total of 14 subjects were r and omly assigned into one of two groups . The experimental group went through a six-week Qigong exercise program involving meditation , deep breathing , and synchronized rhythmic body movements . The control group took part in a sham Qigong exercise program using the same body movements also for six weeks . Clinical assessment s at baseline and end of intervention used the Short-Form McGill Pain Question naire , Multidimensional Fatigue Inventory , Pittsburgh Sleep Quality Index , and Fibromyalgia Impact Question naire . Results : Group mean scores of four measurements were significantly ( p < .0125 ) reduced in the intervention group , but not in the control group . The percentage changes in the four measurements were 44.2 % , 24.8 % , 37.3 % , and 44.3 % in the intervention group , and 10.1 % , 6.3 % , 9.9 % , and 11.8 % in the control group . Conclusion : Qigong exercise may potentially be an effective self-management approach in controlling FM symptoms . In this pilot study , regular daily Qigong exercise , accumulated number of exercise sessions , and the specific form of Qigong exercise may all be important factors for the significant improvement in the study subjects . Future research is required to determine whether the same benefit can be obtained in a larger sample Objectives : To assess the effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia in comparison to st and ard medical care . Methods : Seventy-nine men and women were r and omly assigned to one of two groups . The intervention group consisted of a rheumatologist and physical therapist intake and discharge , 18 group supervised exercise therapy sessions , 2 group pain and stress management lectures , 1 group education lecture , 1 group dietary lecture , and 2 massage therapy sessions . The control group consisted of st and ard medical care with the patients ' family physician . Outcome measures included self-perceived health status , pain-related disability , average pain intensity , depressed mood , days in pain , hours in pain , prescription and nonprescription medication usage , and work status . Outcomes were measured at the end of the 6-week intervention and at 15-month follow-up . Results : Thirty-five out of 43 patients from the intervention group and 36 out of 36 patients from the control group completed the study . There were no statistically significant differences between the 2 groups prior to intervention . Intention-to-treat analysis revealed that the intervention group , in comparison to the control group , experienced statistically significant changes at intervention completion in self-perceived health status , average pain intensity , pain related disability , depressed mood , days in pain , and hours in pain , but no significant differences in nonprescription drug use , prescription drug use , or work status . At 15 months , all health outcomes retained their significance except health status . Nonprescription and prescription drug use demonstrated significant reductions at 15 months . Binary logistic regression indicated that long-term changes in Pain Disability Index were influenced by long-term exercise adherence and income status . Conclusions : Positive health-related outcomes in this mostly unresponsive condition can be obtained with a low-cost , group multidisciplinary intervention in a community-based , non clinical setting A quasi-experimental design was used to assess a multimodal pain treatment program for female patients with fibromyalgia to ascertain immediate and long-term effects .  Laboratory  and self-report pain measures together with  psychological measures were obtained from patients who were tested up to 6 months after treatment . Comparison data were also obtained from fibromyalgia patients who failed to qualify for the treatment program because of insurance coverage . Immediate and long-term treatment effects were evident with the psychological measures and the subjective pain measures but not with the laboratory pain measures . Participants who attended the month-long multimodal program achieved significant and positive changes on most of the outcome measures . However , relapse prevention must be addressed OBJECTIVE To assess the efficiency of a treatment composed of muscle stretching exercises , associated or not to laser therapy at tender points , for patients with fibromyalgia ( FM ) , in view of bettering their quality of life . METHODS Twenty FM patients were r and omly assigned to two groups : one su bmi tted to laser therapy and stretching ( LSG , n=10 ) , and the other only to stretching exercises ( SG , n=10 ) . The visual analog scale of pain ( VAS ) and dolorimetry at tender points were used to assess pain ; life quality was evaluated by means of the Fibromyalgia Impact Question naire ( FIQ ) and the 36-item Short-Form Health Survey ( SF-36 ) . RESULTS After the treatment program , both in LSG and SG were detected pain reduction , higher pain threshold at tender points ( all p<0.01 ) , lower mean FIQ scores , and higher SF-36 mean scores ( all p<0.05 ) . No significant differences were found between both groups . CONCLUSION The stretching exercises program proposed is efficient to reduce pain and painful sensibility at tender points , thus enhancing patients ' quality of life .  Laser therapy has not shown advantages when added to muscle stretching exercises OBJECTIVE To test the hypothesis that autonomic modulation after resistance exercise ( RE ) would be reduced in women with fibromyalgia ( FM ) compared with controls . DESIGN Before-after trial . SETTING Testing occurred in a university setting . PARTICIPANTS Women with FM ( n=9 ) and healthy controls ( n=9 ) underwent testing before ( pre ) and 20 minutes after ( post ) RE . INTERVENTIONS Not applicable . MAIN OUTCOME MEASURES Normalized low-frequency ( LFnu ) and normalized high-frequency ( HFnu ) oscillations and the LFnu/HFnu ratio were indicative of sympathetic modulation , parasympathetic modulation , and sympathovagal balance , respectively . Baroreceptor reflex sensitivity ( BRS ) was also measured . RESULTS Variables were similar in both groups at rest . HFnu decreased in controls ( pre , 55.0+/-4.2 % ; post , 35.0+/-4.7 % ; P<.05 ) and increased in women with FM ( pre , 57.0+/-5.7 % ; post , 63.2+/-4.6 % ; P<.05 ) . LFnu increased in controls ( pre , 43.3+/-4.4 % ; post , 63.2+/-4.8 % ; P<.05 ) and decreased in women with FM ( pre , 41.8+/-5.6 % ; post , 35.6+/-4.7 % ; P<.05 ) . The LFnu/HFnu ratio increased in controls ( pre , 0.89+/-0.17 ; post , 2.43+/-0.64 ; P<.05 ) with no change in women with FM ( pre , 0.90+/-0.22 ; post , 0.64+/-0.13 ; P=.13 ) . BRS decreased in controls ( pre , 8.78+/-1.42 ms/mmHg ; post , 5.49+/-0.66 ms/mmHg ; P<.05 ) , but not in women with FM ( pre , 5.91+/-1.22 ms/mmHg ; post , 9.23+/-2.4 ms/mmHg ; P=.16 ) . CONCLUSIONS After acute RE , women with FM responded differently from controls , demonstrated by lower sympathetic and higher vagal modulation without altering BRS . These postexercise responses may be attributed to the altered autonomic responsiveness to physiolog 
    Output:
    