Feelings of fatigue predict death in older adults


Dr. Nancy W. Grin, Associate Professor, Faculty of Epidemiology, University of Pittsburgh Graduate School of Public Health.Credit: University of Pittsburgh

According to a study published today, how older people feel that a particular activity is tired can predict that death may be less than three years. Journal of Gerontology: Medical Sciences According to an epidemiologist at the University of Pittsburgh. This is the first study to establish physical fatigue, which is perceived as an indicator of early mortality.

Elderly people who rated the highest post-activity fatigue and fatigue were more than twice as likely to die in the next 2.7 years as compared to older people with lower scores. Fatigue was assessed for a variety of activities using the new Pittsburgh Fatigue Scale.

“This is the time for people to make and break New Year’s resolutions to get more. Physical activityDr. Nancy W. Grin, lead author and associate professor of epidemiology at Pitt’s School of Public Health, said: Previous studies have shown that gaining more physical activity can reduce a person’s fatigue. Our study is the first to link more severe physical fatigue to premature death. Conversely, lower scores indicate longer energy and longevity. “

Grin and her colleagues administered the Pittsburgh Fatigue Scale to 2,906 participants over the age of 60. Longevity family study, An international study that tracks families over two generations. Participants were ranked from 0 to 5, and how tired were they to think or imagine that certain activities such as leisurely 30-minute walks, light household chores, and heavy gardening would make them.

Follow-up to this work was completed at the end of 2019 to avoid the increased impact of the COVID-19 pandemic on mortality. This allowed the team to get an average of 2.7 years of data for each participant.After considering various factors that affect mortality, such as depression, existing or underlying Terminal illness, Age, Gender, Team, Participants who scored 25 points or more on the Pittsburgh Fatigue Scale are likely to die 2.7 years after completing the scale, compared to participants who scored less than 25. Was found to be 2.3 times higher.

“There are studies showing that people who increase physical activity may lower their fatigue score,” said physical activity epidemiologist Grin. “And one of the best ways to increase physical activity simply means to move more, but set manageable goals and start routines such as regular walks and regular exercise. That is. “

In addition to linking high fatigue to premature death, Grin said the study demonstrates the value of the Pittsburgh Fatigue Scale created by her and her colleagues in 2014. Since then, it has been translated into 11 languages.

“The Pittsburgh Fatigue Scale has been widely adopted in research as a reliable and sensitive method for measuring fatigue, but it has not been fully utilized in hospital settings and clinical trials,” Grin said. Says. “My ultimate goal is to develop something physical activity Interventions aimed at reducing fatigue as a means of stopping the descending spiral of physical dysfunction common to the aging process. Reducing fatigue can change their feelings and can motivate them to do more. “

Additional authors of this study are Teresa Gumerin, MSW, MPH, Eusia (Susanna) Chao, Sc.M. , Robert M. Baudrow, Ph.D. , Kale Kristensen, MD, Anne B. Newman, MD, all pits. Dr. Sharon Renner of Columbus State University. Dr. Mary F. Feitosa of Washington University in St. Louis. Dr. Stephanie Cosentino of Columbia University and Dr. Stacy L. Andersen of Boston University.

Easily tired can warn of future heart problems

For more information:
Nancy W. Grin et al., Perceived physical fatigue predicts mortality from all causes in the elderly, Journals of Gerontology: Series A (2021). DOI: 10.1093 / gerona / glab374

Quote: Fatigue is from https: //medicalxpress.com/news/2022-01-fatigue-death-older-adults.html on January 24, 2022 (January 24, 2022). Predict death

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