Patterns and predictors of recovery from exhaustion in older adults

The cardiovascular health study

Heather E. Whitson, Stephen Thielke, Paula Diehr, Ann M. O'Hare, Paulo H M Chaves, Neil A. Zakai, Alice Arnold, Sarwat Chaudhry, Diane Ives, Anne B. Newman

Research output: Contribution to journalArticle

Abstract

Objectives: To estimate the likelihood of, and factors associated with, recovery from exhaustion in older adults. Design: Secondary analysis of a cohort study. Setting: Six annual examinations in four U.S. communities. Participants: Four thousand five hundred eighty-four men and women aged 69 and older. Measurements: Exhaustion was considered present when a participant responded "a moderate amount" or "most of the time" to either of two questions: "How often have you had a hard time getting going?" and "How often does everything seem an effort?" Results: Of the 964 participants who originally reported exhaustion, 634 (65.8%) were exhaustion free at least once during follow-up. When data from all time points were considered, 48% of those who reported exhaustion were exhaustion free the following year. After adjustment for age, sex, race, education, and marital status, 1-year recovery was less likely in individuals with worse self-rated health and in those who were taking six or more medications or were obese, depressed, or had musculoskeletal pain or history of stroke. In proportional hazards models, the following risk factors were associated with more persistent exhaustion over 5 years: poor self-rated health, six or more medications, obesity, and depression. Recovery was not less likely in participants with a history of cancer or heart disease. Conclusion: Exhaustion is common in old age but is dynamic, even in those with a history of cancer and congestive heart failure. Recovery is especially likely in seniors who have a positive perception of their overall health, take few medications, and are not obese or depressed. These findings support the notion that resiliency is associated with physical and psychological well-being.

Original languageEnglish (US)
Pages (from-to)207-213
Number of pages7
JournalJournal of the American Geriatrics Society
Volume59
Issue number2
DOIs
StatePublished - Feb 2011

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Health
Musculoskeletal Pain
Sex Education
Marital Status
Proportional Hazards Models
Heart Diseases
Neoplasms
Cohort Studies
Heart Failure
Obesity
Stroke
Depression
Psychology

Keywords

  • fatigue
  • frailty
  • symptoms
  • transition analysis

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Whitson, H. E., Thielke, S., Diehr, P., O'Hare, A. M., Chaves, P. H. M., Zakai, N. A., ... Newman, A. B. (2011). Patterns and predictors of recovery from exhaustion in older adults: The cardiovascular health study. Journal of the American Geriatrics Society, 59(2), 207-213. https://doi.org/10.1111/j.1532-5415.2010.03238.x

Patterns and predictors of recovery from exhaustion in older adults : The cardiovascular health study. / Whitson, Heather E.; Thielke, Stephen; Diehr, Paula; O'Hare, Ann M.; Chaves, Paulo H M; Zakai, Neil A.; Arnold, Alice; Chaudhry, Sarwat; Ives, Diane; Newman, Anne B.

In: Journal of the American Geriatrics Society, Vol. 59, No. 2, 02.2011, p. 207-213.

Research output: Contribution to journalArticle

Whitson, HE, Thielke, S, Diehr, P, O'Hare, AM, Chaves, PHM, Zakai, NA, Arnold, A, Chaudhry, S, Ives, D & Newman, AB 2011, 'Patterns and predictors of recovery from exhaustion in older adults: The cardiovascular health study', Journal of the American Geriatrics Society, vol. 59, no. 2, pp. 207-213. https://doi.org/10.1111/j.1532-5415.2010.03238.x
Whitson, Heather E. ; Thielke, Stephen ; Diehr, Paula ; O'Hare, Ann M. ; Chaves, Paulo H M ; Zakai, Neil A. ; Arnold, Alice ; Chaudhry, Sarwat ; Ives, Diane ; Newman, Anne B. / Patterns and predictors of recovery from exhaustion in older adults : The cardiovascular health study. In: Journal of the American Geriatrics Society. 2011 ; Vol. 59, No. 2. pp. 207-213.
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