ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020
Associations of Actigraphic Sleep Parameters With Fatigability in Older Adults.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of fatigue and perceived fatigability in older adults: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Impact of exercise on older adults' mood is moderated by sleep and mediated by altered brain connectivity.Social cognitive and affective neuroscience · 2020Trial
- Sleep duration and depressive symptoms among older Chinese adults: a serial mediation model of self-rated health and frailty.BMC geriatrics · 2026Article
- The relationship between sleep and fatigue within community-residing older individuals aged 60 years or above in regional China.Frontiers in public health · 2026Article
- Associations between sleep duration and quality and physical frailty in community-dwelling older adults: a cross-sectional study.Scientific reports · 2025Article
- Correlations between clinical insomnia and psychophysiological factors in postoperative patients discharged from the ICU: A cross-sectional study.PCN reports : psychiatry and clinical neurosciences · 2025Article
- The Arabic Version of the Pittsburgh Fatigability Scale for Older Adults: Translation and Validation.BMC geriatrics · 2025Article
- Accelerometer-assessed sleep and decline in physical function in older men.Sleep health · 2024Article
- Association between prior-night sleep and next-day fatigue in older adults: a daily diary study.BMC geriatrics · 2023Article
- Role of Perceived Physical and Mental Fatigability Severity on Prospective, Recurrent, and Injurious Fall Risk in Older Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Free-Living Gait Cadence Measured by Wearable Accelerometer: A Promising Alternative to Traditional Measures of Mobility for Assessing Fall Risk.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Measuring and Understanding the Health Impact of Greater Fatigability in Older Adults: A Call to Action and Opportunities.Fatigue : biomedicine, health & behavior · 2023Article
- Does sleep duration moderate genetic and environmental contributions to cognitive performance?Sleep · 2022Article
- Gender Differences in Disease, Function, and Behavioral Symptoms in Residents with Dementia.Western journal of nursing research · 2022Article
- Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA).Journal of Alzheimer's disease : JAD · 2022Article
- Correlates of objective sleep quality in older peritoneal dialysis patients.Renal failure · 2021Article
- Traits and treadmills: Association between personality and perceived fatigability in well-functioning community-dwelling older adults.Psychology and aging · 2021Article
- Profiles of Accelerometry-Derived Physical Activity Are Related to Perceived Physical Fatigability in Older Adults.Sensors (Basel, Switzerland) · 2021Article
- Fatigability: A Prognostic Indicator of Phenotypic Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundPoor sleep may increase the likelihood of fatigue, and both are common in later life. However, prior studies of the sleep-fatigue relationship used subjective measures or were conducted in clinical populations; thus, the nature of this association in healthier community-dwelling older adults remains unclear. We studied the association of actigraphic sleep parameters with perceived fatigability-fatigue in response to a standardized task-and with conventional fatigue symptoms of low energy or tiredness.
methodsWe studied 382 cognitively normal participants in the Baltimore Longitudinal Study of Aging (aged 73.1 ± 10.3 years, 53.1% women) who completed 6.7 ± 0.9 days of wrist actigraphy and a perceived fatigability assessment, including rating of perceived exertion (RPE) after a 5-minute treadmill walk or the Pittsburgh Fatigability Scale (PFS). Participants also reported non-standardized symptoms of fatigue.
resultsAfter adjustment for age, sex, race, height, weight, comorbidity index, and depressive symptoms, shorter total sleep time (TST; <6.3 hours vs intermediate TST ≥6.3 to 7.2 hours) was associated with high RPE fatigability (odds ratio [OR] = 2.56, 95% confidence interval [CI] = 1.29, 5.06, p = .007), high PFS physical (OR = 1.88, 95% CI = 1.04, 3.38, p = .035), and high mental fatigability (OR = 2.15, 95% CI = 1.02, 4.50, p = .044), whereas longer TST was also associated with high mental fatigability (OR = 2.19, 95% CI = 1.02, 4.71, p = .043). Additionally, longer wake bout length was associated with high RPE fatigability (OR = 1.53, 95% CI = 1.14, 2.07, p = .005), and greater wake after sleep onset was associated with high mental fatigability (OR = 1.14, 95% CI = 1.01, 1.28, p = .036).
conclusionAmong well-functioning older adults, abnormal sleep duration and sleep fragmentation are associated with greater perceived fatigability.
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