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Fatigue and related comorbidities, active component, U.S. Armed Forces, 2007-2016.
MSMR
|January 13, 2018
Summary
Fatigue is a common diagnosis in the U.S. military, affecting 18.1 per 1,000 person-years. Identifying associated conditions like mental disorders can speed up diagnosis and treatment for service members.
Area of Science:
- Military medicine
- Public health surveillance
- Clinical epidemiology
Background:
- Fatigue is a prevalent symptom in the general population, often indicating underlying health issues.
- Understanding fatigue's incidence and impact within the military is crucial for service member health.
- Previous research has not fully characterized fatigue burden in active military personnel.
Purpose of the Study:
- To determine the incidence and burden of fatigue in active component U.S. military members.
- To analyze comorbidities associated with fatigue and their impact on military health.
- To identify key conditions linked to fatigue for improved diagnostic and treatment strategies.
Main Methods:
- Utilized data from the Defense Medical Surveillance System (DMSS) for active component military members.
- Analyzed incident fatigue cases from January 2007 to December 2016.
- Conducted a subanalysis (2012-2014) to assess comorbidity burden and associations with fatigue.
Main Results:
- Identified 211,213 incident fatigue cases, with an overall incidence rate of 18.1 per 1,000 person-years (2007-2016).
- In 2013, mental disorders and musculoskeletal diseases accounted for 35% of medical encounters and 40% of hospital days for fatigue patients.
- Male hypogonadism, thyroid disorder, and sleep problems showed the highest adjusted odds ratios for fatigue.
Conclusions:
- Fatigue is a common diagnosis with significant incidence and burden among active U.S. military personnel.
- Comorbidities such as mental disorders, musculoskeletal diseases, and specific endocrine/sleep issues are strongly associated with fatigue.
- Targeting these associated conditions can facilitate earlier diagnosis and treatment for service members experiencing fatigue.
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