Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model
Older adults with diabetes appear more susceptible to fatigue compared to younger adults with diabetes or healthy older adults, since aging and diabetes independently and synergistically influence fatigue. Few studies have investigated fatigue in older adults with diabetes using a multidimensional a...
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Online Access: | https://www.mdpi.com/1660-4601/16/22/4502 |
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doaj-a8e1bdebf8664115828f4b3f290d700d2020-11-25T01:15:07ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-11-011622450210.3390/ijerph16224502ijerph16224502Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial ModelHyerang Kim0Heesook Son1Red Cross College of Nursing, Chung-Ang University, Seoul 06974, KoreaRed Cross College of Nursing, Chung-Ang University, Seoul 06974, KoreaOlder adults with diabetes appear more susceptible to fatigue compared to younger adults with diabetes or healthy older adults, since aging and diabetes independently and synergistically influence fatigue. Few studies have investigated fatigue in older adults with diabetes using a multidimensional approach. This study explored the influences of physical, psychological, interpersonal, and contextual factors on diabetes fatigue using a dynamic biopsychosocial model. Face-to-face surveys were administered to community-dwelling older adults with diabetes and included variables across four domains (i.e., physical, psychological, interpersonal, and contextual factors). Univariate analyses and multiple linear regression were used. The mean fatigue score was 3.94 (standard deviation (SD) = 1.81) out of 7, and the prevalence of fatigue was 48.8%. Significant differences in fatigue severity by psychological, interpersonal, and contextual factors were found. Comorbidity and psychological factors were significant predictors of fatigue in the model, explaining 31.9% of the variance. As nearly half the sample experienced moderate or severe fatigue, which was significantly influenced by both comorbidity and psychological factors, including depression, sleep quality, and diet-related psychological characteristics, assessing patients’ psychological status may be important. Awareness of fatigue could be incorporated into dietary interventions for older adults with diabetes.https://www.mdpi.com/1660-4601/16/22/4502fatigueolder adults with diabetesdynamic biopsychosocial model |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyerang Kim Heesook Son |
spellingShingle |
Hyerang Kim Heesook Son Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model International Journal of Environmental Research and Public Health fatigue older adults with diabetes dynamic biopsychosocial model |
author_facet |
Hyerang Kim Heesook Son |
author_sort |
Hyerang Kim |
title |
Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model |
title_short |
Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model |
title_full |
Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model |
title_fullStr |
Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model |
title_full_unstemmed |
Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model |
title_sort |
fatigue-related factors for community-dwelling older adults with diabetes: a theory-guided multi-dimensional approach using the dynamic biopsychosocial model |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-11-01 |
description |
Older adults with diabetes appear more susceptible to fatigue compared to younger adults with diabetes or healthy older adults, since aging and diabetes independently and synergistically influence fatigue. Few studies have investigated fatigue in older adults with diabetes using a multidimensional approach. This study explored the influences of physical, psychological, interpersonal, and contextual factors on diabetes fatigue using a dynamic biopsychosocial model. Face-to-face surveys were administered to community-dwelling older adults with diabetes and included variables across four domains (i.e., physical, psychological, interpersonal, and contextual factors). Univariate analyses and multiple linear regression were used. The mean fatigue score was 3.94 (standard deviation (SD) = 1.81) out of 7, and the prevalence of fatigue was 48.8%. Significant differences in fatigue severity by psychological, interpersonal, and contextual factors were found. Comorbidity and psychological factors were significant predictors of fatigue in the model, explaining 31.9% of the variance. As nearly half the sample experienced moderate or severe fatigue, which was significantly influenced by both comorbidity and psychological factors, including depression, sleep quality, and diet-related psychological characteristics, assessing patients’ psychological status may be important. Awareness of fatigue could be incorporated into dietary interventions for older adults with diabetes. |
topic |
fatigue older adults with diabetes dynamic biopsychosocial model |
url |
https://www.mdpi.com/1660-4601/16/22/4502 |
work_keys_str_mv |
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