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The prevalence and associated factors of perceived physical and mental fatigability among older adults in regional China
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The prevalence and associated factors of perceived physical and mental fatigability among older adults in regional China
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Journal Article
The prevalence and associated factors of perceived physical and mental fatigability among older adults in regional China
2025
Overview
Background
This study aims to investigate the prevalence and associated factors of perceived fatigability among older people aged 60 + years in Nanjing Municipality of China.
Methods
In this cross-sectional survey conducted in Nanjing municipality of China in 2023, 5,556 adults aged 60 + years were randomly selected from urban and rural communities. Perceived fatigability was measured using the validated simplified-Chinese version of Pittsburgh Fatigability Scale (PFS-CHN). Mixed-effects logistic regression models were introduced to calculate odds ratios (ORs) and 95% confidence intervals (95%CIs) for identifying independent associated factors associated with fatigability.
Results
The prevalence of physical fatigability was 58.9% (95% CI = 57.6, 60.2) among overall participants, with 57.8% (95% CI = 55.9, 59.7) in men and 60.0% (95% CI = 58.2, 61.8) in women. Age-specific prevalence rates were 56.6% (95% CI = 54.9, 58.3), 60.1% (95% CI = 57.8, 62.4), and 68.0% (95% CI = 64.3, 71.6) for those aged 60–69, 70–79, and 80 + years, respectively. The prevalence of mental fatigability was 58.4% (95% CI = 57.1, 59.6) among overall participants, with 57.0% (95% CI = 55.1, 58.8) in men and 59.6% (95% CI = 57.8, 61.4) in women. Age-specific prevalence rates were 56.4% (95% CI = 54.7, 58.1), 59.6% (95% CI = 57.3, 61.9), and 65.1% (95% CI = 61.3, 68.8) among individuals aged 60–69, 70–79, and 80 + years, respectively. Either physical or mental fatigability was identified to be associated with age, depressive symptoms, anxiety symptoms, sleep quality, educational level, alcohol drinking, and physical activity. Interestingly, residence area was examined in relation to physical but not mental fatigability among older adults in the study.
Conclusions
Perceived fatigability is prevalent among older adults and exhibits strong associations with age, educational level, alcohol drinking, PA, depressive and anxiety symptoms, and sleep quality in regional China. These findings suggested that fatigability is a public health problem among older adults in China and particular attention should be paid to burden caused by fatigability and its associated factors.
Clinical trial number
Not applicable.
