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Patterns and predictors of recovery from exhaustion in older adults: the cardiovascular health study.
Tuesday,2012-11-06 12:25 America/Los_Angeles — eenright
| Title | Patterns and predictors of recovery from exhaustion in older adults: the cardiovascular health study. |
| Publication Type | Journal Article |
| Year of Publication | 2011 |
| Authors | Whitson, HE, Thielke, S, Diehr, P, O'Hare, AM, Chaves, PHM, Zakai, NA, Arnold, A, Chaudhry, S, Ives, D, Newman, AB |
| Journal | J Am Geriatr Soc |
| Volume | 59 |
| Issue | 2 |
| Pagination | 207-13 |
| Date Published | 2011 Feb |
| ISSN | 1532-5415 |
| Keywords | Aged, Aging, Cardiovascular Physiological Phenomena, Exercise Test, Exercise Tolerance, Female, Follow-Up Studies, Geriatric Assessment, Health Status, Humans, Male, Predictive Value of Tests, Recovery of Function, Retrospective Studies, United States |
| Abstract | <p><b>OBJECTIVES: </b>To estimate the likelihood of, and factors associated with, recovery from exhaustion in older adults.</p><p><b>DESIGN: </b>Secondary analysis of a cohort study.</p><p><b>SETTING: </b>Six annual examinations in four U.S. communities.</p><p><b>PARTICIPANTS: </b>Four thousand five hundred eighty-four men and women aged 69 and older.</p><p><b>MEASUREMENTS: </b>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?"</p><p><b>RESULTS: </b>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.</p><p><b>CONCLUSION: </b>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.</p> |
| DOI | 10.1111/j.1532-5415.2010.03238.x |
| Alternate Journal | J Am Geriatr Soc |
| PubMed ID | 21288229 |
| PubMed Central ID | PMC3059104 |
| Grant List | P30 AG028716-04 / AG / NIA NIH HHS / United States R01 AG-15928 / AG / NIA NIH HHS / United States UL1 TR000005 / TR / NCATS NIH HHS / United States R01 HL075366 / HL / NHLBI NIH HHS / United States P30-AG-028716 / AG / NIA NIH HHS / United States R01 AG015928 / AG / NIA NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States R01 HL-075366 / HL / NHLBI NIH HHS / United States N01 HC015103 / HC / NHLBI NIH HHS / United States K23 AG038345 / AG / NIA NIH HHS / United States N01HC55222 / HL / NHLBI NIH HHS / United States N01-HC-85086 / HC / NHLBI NIH HHS / United States P30-AG-02482 / AG / NIA NIH HHS / United States N01HC85086 / HL / NHLBI NIH HHS / United States AG-027058 / AG / NIA NIH HHS / United States K23 AG032867 / AG / NIA NIH HHS / United States N01-HC-55222 / HC / NHLBI NIH HHS / United States N01-HC-75150 / HC / NHLBI NIH HHS / United States R01 AG-20098 / AG / NIA NIH HHS / United States K23-AG-030986 / AG / NIA NIH HHS / United States R01 AG020098 / AG / NIA NIH HHS / United States N01HC75150 / HL / NHLBI NIH HHS / United States P30 AG028716 / AG / NIA NIH HHS / United States R01-AG-023629 / AG / NIA NIH HHS / United States K23-AG-032867 / AG / NIA NIH HHS / United States N01-HC-85079 / HC / NHLBI NIH HHS / United States K23 AG030986 / AG / NIA NIH HHS / United States AG-023629 / AG / NIA NIH HHS / United States N01HC85079 / HL / NHLBI NIH HHS / United States R01 AG023629 / AG / NIA NIH HHS / United States R01 AG027058 / AG / NIA NIH HHS / United States N01 HC045133 / HC / NHLBI NIH HHS / United States N01 HC035129 / HC / NHLBI NIH HHS / United States R56 AG023629 / AG / NIA NIH HHS / United States K23 AG032867-03 / AG / NIA NIH HHS / United States |