Document Type : Research Paper

Authors

1 Core Research Head of Health Physiology and Physical Activity, Associate Professor of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran

2 M.Sc. Student of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran

Abstract

Purpose: On the other hand, fatigue is one of the most important indicators of aging syndrome. This study aimed to investigate the relationship between the level of physical activity and fatigue in elderly residents of rest homes in Tehran. Method: This was a descriptive correlational study in which 20 rest homes located in Tehran province constituted the study population. By visiting rest homes, the eligible subjects were chosen. Physical activity was measured by the Physical Activity Scale for the Elderly (PASE). The FACIT Fatigue Scale is a short, 13-item, easy to administer tool that measures an individual’s level of fatigue during their usual daily activities over the past week. Nutritional status was evaluated by mini nutritional assessment (MNA). Results: The results of statistical analysis indicated a significant and positive correlation between PASE and FACIT scores (r=0.48, p<0.01) while, there was a significant negative correlation between FACIT score and age (r=-0.23, p<0.01). Also, there was a significant positive correlation between MNA and FACIT (r=0.40, p<0.01). In addition, a significant positive correlation was found between MNA and PASE score (r=0.31, p<0.01). Conclusions: The findings of this study indicate that holding sports classes under the supervision of exercise physiologists is an essential matter to increase health and prevent age-related complications in elderly residents of Tehran rest homes.

Keywords

  1. Åkerstedt, T., Discacciati, A., Miley-Åkerstedt, A., & Westerlund, H. (2018). Aging and the change in fatigue and sleep–a longitudinal study across 8 years in three age groups. Frontiers in psychology, 9, 234, 1-8. 10.3389/fpsyg.2018.00234

    Alipanah, N., Varadhan, R., Sun, K., Ferrucci, L., Fried, L. P., & Semba, R. D. (2009). Low serum carotenoids are associated with a decline in walking speed in older women. JNHA-The Journal of Nutrition, Health and Aging, 13(3), 170-175. doi.org/10.1007/s12603-009-0053-6

    Al-Rasheed, R., Alrasheedi, R., Johani, R., Alrashidi, H., Almaimany, B., Alshalawi, B., ... & Alqadheb, A. (2018). Malnutrition in elderly and its relation to depression. Int. J. Community Med. Public Health, 5(6), 2156-

    1. 10.18203/2394-6040.ijcmph20181974

    Alzahrani, S. H., & Alamri, S. H. (2017). Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. BMC geriatrics, 17, 136, 1-7. 10.1186/s12877-017-0527-z

    Avlund, K., Damsgaard, M. T., Sakari-Rantala, R., Laukkanen, P., & Schroll, M. (2002). Tiredness in daily activities among nondisabled old people as determinant of onset of disability. Journal of clinical epidemiology, 55(10), 965-973. 10.1016/S0895-4356(02)00463-8

    Avlund, K., Schultz-Larsen, K., & Davidsen, M. (1998). Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years.

    Journal of clinical epidemiology, 51(4), 323-333. 10.1016/S08954356(97)00296-5

     Bonnefoy, M., Berrut, G., Lesourd, B., Ferry, M., Gilbert, T., Guerin, O., ... & Ruault, G. (2015). Frailty and nutrition: searching for evidence. The journal of nutrition, health & aging, 19(3), 250-257. 10.1007/s12603014-0568-3

    Cvecka, J., Tirpakova, V., Sedliak, M., Kern, H., Mayr, W., & Hamar, D. (2015). Physical activity in elderly. European journal of translational myology, 25(4), 249-252. 10.4081/ejtm.2015.5280

    Egerton, T., Chastin, S. F., Stensvold, D., & Helbostad, J. L. (2016). Fatigue may contribute to reduced physical activity among older people: an observational study. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 71(5), 670-676. 10.1093/gerona/glv150 Engberg, I., Segerstedt, J., Waller, G., Wennberg, P., & Eliasson, M. (2017). Fatigue in the general population-associations to age, sex, socioeconomic status, physical activity, sitting time and self-rated health: the northern Sweden MONICA study 2014. BMC public health, 17(1), 654, 1-9. 10.1186/s12889-017-4623-y

    Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., & Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 59(3), M255-M263. 10.1093/gerona/59.3.M255

    Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., ... & McBurnie, M. A. (2001). Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146-M157. 10.1093/gerona/56.3.M146

    Furman, E. F. (2006). Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions. Journal of gerontological nursing, 32(1), 22-27. 10.3928/0098-9134-20060101-11

    Ghaneh Ezzabadi, S., Maghsoudi, Z., & Beigomi, A. (2015). Validity and Reliability of the Functional Assessment of Chronic Illness Treatment

    (FACIT) Fatigue Scale in a Persian-Speaking Aging Population. Elderly Health Journal, 1(1), 32-35. Retrieved from https://www.sid.ir/en/journal/ViewPaper.aspx?ID=490825.  

    Ghazi, L., Fereshtehnejad, S. M., Abbasi Fard, S., Sadeghi, M., Shahidi, G. A., & Lökk, J. (2015). Mini Nutritional Assessment (MNA) is rather a reliable and valid instrument to assess nutritional status in Iranian healthy adults and elderly with a chronic disease. Ecology of food and nutrition,

    54(4), 342-357. 10.1080/03670244.2014.994743

    Goggin, N. L., & Morrow, J. R. (2001). Physical activity behaviors of older adults. Journal of Aging and Physical Activity, 9(1), 58-66. 10.1123/japa.9.1.58

    Inouye, S. K., Studenski, S., Tinetti, M. E., & Kuchel, G. A. (2007). Geriatric Syndromes: Clinical, Research, and Policy Implications of a Core Geriatric Concept: (See Editorial Comments by Dr. William Hazzard on pp 794–796). Journal of the American Geriatrics Society, 55(5), 780-

    1. 10.1111/j.1532-5415.2007.01156.x

    KhazaeePool, M., Sadeghi, R., Majlessi, F., & Rahimi Foroushani, A. (2015). Effects of physical exercise programme on happiness among older people. Journal of psychiatric and mental health nursing, 22(1), 47-57. 10.1111/jpm.12168

    Kushkestani, M., Parvani, M., Ebrahimpour Nosrani, S., Bathaeezadeh Y. (2020). The relationship between drug use, sleep quality and quality of life in dormitory students at Allameh Tabataba’i University, Iran. Population Medicine. 2(2), 1-7. doi:10.18332/popmed/115799 

    Noroozian, M. (2012). The elderly population in iran: an ever growing concern in the health system. Iranian journal of psychiatry and behavioral sciences, 6(2), 1-6.

    Oh, J., Kim, H. S., Martins, D., & Kim, H. (2006). A study of elder abuse in Korea. International journal of nursing studies, 43(2), 203-214. 10.1016/j.ijnurstu.2005.03.005

    Papparotto, C., Bidoli, E., & Palese, A. (2013). Risk factors associated with malnutrition in older adults living in Italian nursing homes: a crosssectional study. Research in gerontological nursing, 6(3), 187-197. 10.3928/19404921-20130528-01

    Rolland, Y., Van Kan, G. A., Benetos, A., Blain, H., Bonnefoy, M., Chassagne, P., ... & Piette, F. (2008). Frailty, osteoporosis and hip fracture: causes, consequences and therapeutic perspectives. The Journal of Nutrition Health and Aging, 12(5), a319-a330. 10.1007/BF02982665

    Sadrollahi, A., Hosseinian, M., Alavi, N. M., Khalili, Z., & Esalatmanesh, S. (2016). Physical activity patterns in the elderly kashan population. Iranian Red Crescent Medical Journal, 18(6). e25008.

    Soyuer, F., & Şenol, V. (2011). Fatigue and physical activity levels of 65 and over older people living in rest home. International Journal of Gerontology, 5(1), 13-16. 10.1016/j.ijge.2011.01.003

    Stewart, A. L., MILLS, K. M., King, A. C., Haskell, W. L., Gillis, D. A. W. N., & Ritter, P. L. (2001). CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Medicine & Science in Sports & Exercise, 33(7), 1126-1141.

     Tartibian, B., Kushkestani, M., & Ebrahimpour Nosrani, S. (2019). The Effect of 12-Week Endurance Training on Lipid Profiles and Fat Percentage of Overweight Girls. New Approaches in Sport Sciences, 1(1), 189-200.

    doi:10.22054/nass.2019.10134 

    Valentini, A., Federici, M., Cianfarani, M. A., Tarantino, U., & Bertoli, A. (2018). Frailty and nutritional status in older people: the Mini Nutritional Assessment as a screening tool for the identification of frail subjects. Clinical interventions in aging,   13, 1631, 1237-1244. 10.2147/CIA.S164174

    Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of clinical epidemiology, 46(2), 153-162. 10.1016/0895-4356(93)90053-4

    Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of clinical epidemiology, 46(2), 153-162. 10.1016/0895-4356(93)90053-4

    Wick, J., & LaFleur, J. (2007). Fatigue: implications for the elderly. The Consultant Pharmacist®, 22(7), 566-578. 10.4140/TCP.n.2007.566

    World Health Organization. (2007). A guide for population-based approaches to increasing levels of physical activity: implementation of the WHO global strategy on diet, physical activity and health.