Fatigue and physical activity in older women after myocardial infarction
Open accessAbstract
Background Within 6 years of a myocardial infarction (MI) more women (35%) than men (18%) will have another MI. Participation in physical activity is one of the most effective methods to reduce cardiac risks; however, few older women participate. One of the most frequently reported barriers to physical activity is fatigue.Objectives The specific aims of this study were to (1) describe factors related to fatigue in older women after MI and (2) examine the relationship of fatigue to physical activity in older women after MI.Methods This descriptive correlational study examined the effects of age, body mass index, comorbidities, sleep, beta-blocker medication, depression, and social support on fatigue and physical activity in women (N = 84), ages 65 to 88 years old, 6 to 12 months post-MI. All women had their height and weight measured and completed (1) a health form on comorbidities, physical activity, and medication history; (2) the Geriatric Depression Scale; (3) the Epworth Sleepiness Scale; (4) the Revised Piper Fatigue Scale; and (5) the Social Provisions Scale.Results The majority (67%) of the women reported fatigue that they perceived as different from fatigue before their MI. Moderately strong correlations were noted among depression, sleep, and fatigue, and multivariate analysis indicated that depression and sleep significantly accounted for 32.7% of the variance in fatigue. Although only 61% of the women reported participating in physical activity for exercise, most were meeting minimal kilocalories per week for secondary prevention. Fatigue was not significantly associated with participation in physical activity.Conclusion Describing correlates to fatigue and older women's participation in physical activity after MI are important to develop interventions targeted at increasing women's participation in physical activity, thus decreasing their risk for recurrent MIs.
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Diminished sleep quality (shorter and more fragmented) is common in older cardiovascular patients and often adds to fatigue and exercise intolerance.
“Diminished sleep quality (shorter and more fragmented) is also common in older cardiovascular patients and often adds to fatigue and exercise intolerance.25”
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- Authors
- Crane, P. B.
- Affiliations
- University of North Carolina at Greensboro (US)
- Corresponding author
- Crane, Patricia B.
- ORCID
- Crane, Patricia B.
- Venue
- Heart & Lung
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 34
- Issue
- 1
- Pages
- 30-38
- ISSN
- 0147-9563 (ISSN-L)
- OpenAlex
- W2007811363
- Cited by
- 58
- References
- 78
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 1 · 2013: 3
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- green
- libres.uncg.edu
- Locations
- Heart & Lung (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- fatigue, physical activity, myocardial infarction, older women, post-myocardial infarction, depression, sleep, social support, beta-blockers, comorbidities, body mass index, secondary prevention, reinfarction
- MeSH terms
- Adrenergic beta-Antagonists, Aged, Aged, 80 and over, Depression, Fatigue, Female, Humans, Motor Activity, Myocardial Infarction, Surveys and Questionnaires, Sleep Wake Disorders, Comorbidity, Multivariate Analysis
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