The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China

Objectives: This study aimed to investigate the association of physical activity with perceived fatigability among community-dwelling older adults in regional China. Methods: Totally, 5484 community-dwelling residents aged 60+ years were randomly chosen from Nanjing municipality of China in this cro...

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Main Authors: Bin Yang, Qing Ye, Xiaojing Deng, Zhiyong Wang, Caihong Hu, Yeping Bian, Jian Xu, Fei Xu
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211335525002049
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author Bin Yang
Qing Ye
Xiaojing Deng
Zhiyong Wang
Caihong Hu
Yeping Bian
Jian Xu
Fei Xu
author_facet Bin Yang
Qing Ye
Xiaojing Deng
Zhiyong Wang
Caihong Hu
Yeping Bian
Jian Xu
Fei Xu
author_sort Bin Yang
collection DOAJ
description Objectives: This study aimed to investigate the association of physical activity with perceived fatigability among community-dwelling older adults in regional China. Methods: Totally, 5484 community-dwelling residents aged 60+ years were randomly chosen from Nanjing municipality of China in this cross-sectional study in 2023. The outcome variable, perceived physical and mental fatigability, was assessed with the validated Chinese version of Pittsburgh Fatigability Scale. The independent variable, physical activity, was measured with the Chinese version of International Physical Activity Questionnaire. Mixed-effect logistic regression models were employed to compute odds ratios (ORs) and 95 % confidence intervals (95 %CIs) for examining associations of physical activity with both physical and mental fatigability. Results: Among overall participants, the prevalence of physical and mental fatigability was 59.0 % (95CI = 57.7, 63.0) and 51.1 % (95 %CI = 49.8, 52.4), respectively. After adjustment for potential confounders, participants with sufficient physical activity were less likely to perceive either physical (OR = 0.66; 95 %CI = 0.55, 0.81) or mental (OR = 0.68; 95 %CI = 0.56, 0.83) fatigability compared to their counterparts with insufficient physical activity. Moreover, such negative associations of physical activity with physical and mental fatigability were observed for participants stratified by age/gender, with an exemption for the relationship between physical activity and physical fatigability in participants aged 80+ years. Conclusions: Physical activity was negatively associated with either physical or mental fatigability for overall or age−/gender-specific community-dwelling residents aged 60+ years in regional China. This study has important implications for building healthy-aging societies, since it is possible to prevent or mitigate both physical and mental fatigability for older adults through population-level physical activity promotion.
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spelling doaj-art-3f7fffa2e4134781abbc6830206e9e312025-08-23T04:48:05ZengElsevierPreventive Medicine Reports2211-33552025-09-015710316510.1016/j.pmedr.2025.103165The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional ChinaBin Yang0Qing Ye1Xiaojing Deng2Zhiyong Wang3Caihong Hu4Yeping Bian5Jian Xu6Fei Xu7Nanjing Gulou District Center for Disease Control and Prevention, Nanjing, ChinaNanjing Medical University Affiliated Nanjing Municipal Center for Disease Control and Prevention, Nanjing, China; School of Public Health, Nanjing Medical University, Nanjing, ChinaGeriatric Hospital of Nanjing Medical University, Nanjing, ChinaNanjing Medical University Affiliated Nanjing Municipal Center for Disease Control and Prevention, Nanjing, China; School of Public Health, Nanjing Medical University, Nanjing, ChinaNanjing Medical University Affiliated Nanjing Municipal Center for Disease Control and Prevention, Nanjing, ChinaGeriatric Hospital of Nanjing Medical University, Nanjing, ChinaGeriatric Hospital of Nanjing Medical University, Nanjing, China; Corresponding author at: Geriatric Hospital of Nanjing Medical University, 30 Luojia Rd., Nanjing 210024, China.Nanjing Medical University Affiliated Nanjing Municipal Center for Disease Control and Prevention, Nanjing, China; School of Public Health, Nanjing Medical University, Nanjing, China; Corresponding author at: Nanjing Medical University Affiliated Nanjing Municipal Center for Disease Control and Prevention, 2 Zizhulin, Nanjing 210003, China.Objectives: This study aimed to investigate the association of physical activity with perceived fatigability among community-dwelling older adults in regional China. Methods: Totally, 5484 community-dwelling residents aged 60+ years were randomly chosen from Nanjing municipality of China in this cross-sectional study in 2023. The outcome variable, perceived physical and mental fatigability, was assessed with the validated Chinese version of Pittsburgh Fatigability Scale. The independent variable, physical activity, was measured with the Chinese version of International Physical Activity Questionnaire. Mixed-effect logistic regression models were employed to compute odds ratios (ORs) and 95 % confidence intervals (95 %CIs) for examining associations of physical activity with both physical and mental fatigability. Results: Among overall participants, the prevalence of physical and mental fatigability was 59.0 % (95CI = 57.7, 63.0) and 51.1 % (95 %CI = 49.8, 52.4), respectively. After adjustment for potential confounders, participants with sufficient physical activity were less likely to perceive either physical (OR = 0.66; 95 %CI = 0.55, 0.81) or mental (OR = 0.68; 95 %CI = 0.56, 0.83) fatigability compared to their counterparts with insufficient physical activity. Moreover, such negative associations of physical activity with physical and mental fatigability were observed for participants stratified by age/gender, with an exemption for the relationship between physical activity and physical fatigability in participants aged 80+ years. Conclusions: Physical activity was negatively associated with either physical or mental fatigability for overall or age−/gender-specific community-dwelling residents aged 60+ years in regional China. This study has important implications for building healthy-aging societies, since it is possible to prevent or mitigate both physical and mental fatigability for older adults through population-level physical activity promotion.http://www.sciencedirect.com/science/article/pii/S2211335525002049AgingFatigueFatigabilityPhysical activityPFSOlder adult
spellingShingle Bin Yang
Qing Ye
Xiaojing Deng
Zhiyong Wang
Caihong Hu
Yeping Bian
Jian Xu
Fei Xu
The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
Preventive Medicine Reports
Aging
Fatigue
Fatigability
Physical activity
PFS
Older adult
title The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
title_full The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
title_fullStr The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
title_full_unstemmed The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
title_short The association of physical activity with perceived fatigability among community-dwelling older adults aged ≥60 years in regional China
title_sort association of physical activity with perceived fatigability among community dwelling older adults aged ≥60 years in regional china
topic Aging
Fatigue
Fatigability
Physical activity
PFS
Older adult
url http://www.sciencedirect.com/science/article/pii/S2211335525002049
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