Self-Reported Fatigue and Its Cross-Sectional Associations with Physical Function throughout Adulthood: The INSPIRE-T Cohort.

IF 3.3 Q2 GERIATRICS & GERONTOLOGY Journal of Frailty & Aging Pub Date : 2024-01-01 DOI:10.14283/jfa.2024.56
D Matsumoto, J Raffin, W-H Lu, S Guyonnet, F Pillard, Y Rolland, B Vellas, P de Souto Barreto
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Abstract

Background: Fatigue negatively impacts health outcomes but its association with physical function across the adulthood remains unclear.

Objectives: This study described self-reported fatigue levels across age and sex categories, investigated the associations between fatigue and physical functions, and examined whether age and sex moderated their associations.

Design: Cross-sectional design.

Setting: Community.

Participants: Nine hundred sixteen participants aged 20-100 years in the observational INSPIRE-T cohort study.

Measurements: Participants were classified into four age categories. Fatigue was assessed using the Patient-Reported Outcomes Measurement Information System (Short Form v1.0 - Fatigue 8a) and physical function was assessed by handgrip strength (HGS, Kg), usual gait speed (UGS, m/s), both 5-repetition (5CR, s) and 30-sec chair rise tests (30sCR, times), isokinetic knee extension strength (IKES, N m), and maximum oxygen consumption (V̇O2 max, ml/kg/min). Multiple linear regressions were performed to examine the associations between fatigue and the physical function outcomes (all square-root-transformed). Interactions of fatigue with age and sex were considered.

Results: Fatigue levels were the highest in people 75+ years. Women had a higher fatigue level than men. Fatigue was significantly associated with decreasing performance in UGS, HGS, 5CR, and 30sCR but not in IKES and V̇O2 max. Interaction analyses revealed that fatigue was associated with reduced UGS as people age (Fatigue × age: B = -0.002, 95% confidence interval = -0.003, -0.001). Sex did not moderate the association between fatigue and physical function.

Conclusions: Our study indicated that fatigue was negatively associated with several components of physical function. Although sex did not moderate the relationship between fatigue and physical function, the association between fatigue and low UGS was more pronounced with increasing age.

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自述疲劳及其与整个成年期身体功能的横截面关联:INSPIRE-T 队列。
背景:疲劳会对健康产生负面影响,但疲劳与整个成年期身体功能的关系仍不清楚:本研究描述了不同年龄和性别人群自我报告的疲劳程度,调查了疲劳与身体功能之间的关系,并研究了年龄和性别是否会调节两者之间的关系:设计:横断面设计:参与者参与 INSPIRE-T 队列观察研究的 916 名参与者,年龄在 20-100 岁之间:参与者被分为四个年龄组。采用患者报告结果测量信息系统(简表 v1.0 - 疲劳 8a)对疲劳进行评估,并通过手握力(HGS,千克)、通常步速(UGS,米/秒)、5 次重复(5CR,秒)和 30 秒椅子起立测试(30sCR,次)、等动伸膝力量(IKES,牛米)和最大耗氧量(VO2 max,毫升/千克/分钟)对身体功能进行评估。对疲劳与身体功能结果之间的关系进行了多元线性回归(均为平方根转换)。研究还考虑了疲劳与年龄和性别的交互作用:结果:75 岁以上人群的疲劳程度最高。女性的疲劳程度高于男性。疲劳与 UGS、HGS、5CR 和 30sCR 成绩的下降明显相关,但与 IKES 和 V̇O2 max 的下降无关。交互分析表明,随着年龄的增长,疲劳与 UGS 下降有关(疲劳 × 年龄:B = -0.002,95% 置信区间 = -0.003,-0.001)。性别并不影响疲劳与身体功能之间的关系:我们的研究表明,疲劳与身体功能的几个组成部分呈负相关。虽然性别并不影响疲劳与身体功能之间的关系,但随着年龄的增长,疲劳与低 UGS 之间的关系更加明显。
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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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Nationwide insights into frailty: Systematic review and meta-analysis of community-based prevalence studies from India. Community-based physical activity and nutrition interventions in low-income and/or rural older adults: A scoping review. Facilitating oral and dental care in older people in low- and middle-income countries: The role of teledentistry. A systematic review of assessment tools for cognitive frailty: Use, psychometric properties, and clinical utility. Association of objective and subjective socioeconomic status with intrinsic capacity deficits among community-dwelling middle-aged and older adults in China: A cross-sectional study.
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