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Fatigue in an older population.

S Liao1, B A Ferrell

  • 1UCLA School of Medicine, and VA-UCLA Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California, USA.

Journal of the American Geriatrics Society
|May 8, 2000
PubMed
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Fatigue is highly prevalent in older adults residing in long-term care facilities, affecting 98% of participants. Key predictors of fatigue intensity include depression, pain, medication count, and walking ability.

Area of Science:

  • Gerontology
  • Epidemiology
  • Internal Medicine

Background:

  • Fatigue is a common yet understudied symptom in elderly populations.
  • Understanding fatigue's epidemiology in long-term care settings is crucial for improving quality of life.

Purpose of the Study:

  • To investigate the prevalence and characteristics of fatigue symptoms in older adults.
  • To examine the relationship between fatigue and demographic/medical factors in a residential care setting.

Main Methods:

  • A cross-sectional survey was conducted with 199 ambulatory older residents in a single residential care facility.
  • Data collected included demographics, medical history, mental status (Folstein), activities of daily living (Katz and Lawton), depression (Yesavage GDS), a 3-minute walk test, pain scale, and the modified Piper Fatigue Scale.

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Main Results:

  • 98% of participants reported fatigue symptoms, with a median duration of 44 weeks.
  • Significant correlations were found between fatigue and depression (GDS), walking distance, instrumental activities of daily living (Lawton IADLs), pain, and medication count.
  • Multivariate analysis identified depression, pain, medication count, and walking distance as significant predictors of fatigue intensity (R=0.68).

Conclusions:

  • Fatigue is a pervasive symptom among older adults in residential facilities, significantly impacting their quality of life.
  • Fatigue in this population is often unrecognized and undertreated, highlighting a need for better clinical awareness and management strategies.