Abstract
Objective: To test the hypothesis that physical leisure time activities reduce the risk of developing persistent fatigue.
Methods: The hypothesis was tested in a sample that was homogeneous with respect to sex and occupation, with a prospective cohort design. Of 6234 vocationally active, female, Norwegian nurses' aides, not on leave because of illness or pregnancy when they completed a mailed questionnaire in 1999, 5341 (85.7%) completed a second questionnaire 15 months later. The main outcome measure was the prevalence of persistent fatigue—that is, always or usually feeling fatigued in the daytime during the preceding 14 days.
Results: In participants without persistent fatigue at baseline, reported engagement in physical leisure time activities for 20 minutes or more at least once a week during the three months before baseline was associated with a reduced risk of persistent fatigue at the follow up (odds ratio = 0.70; 95% confidence interval 0.55 to 0.89), after adjustments for age, affective symptoms, sleeping problems, musculoskeletal pain, long term health problems of any kind, smoking, marital status, tasks of a caring nature during leisure time, and work factors at baseline.
Conclusion: The study supports the hypothesis that physical leisure time activities reduce the risk of developing persistent fatigue.
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Selected References
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- Buchwald D., Umali P., Umali J., Kith P., Pearlman T., Komaroff A. L. Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system. Ann Intern Med. 1995 Jul 15;123(2):81–88. doi: 10.7326/0003-4819-123-2-199507150-00001. [DOI] [PubMed] [Google Scholar]
- Bültmann U., Kant I. J., Schröer C. A. P., Kasl S. V. The relationship between psychosocial work characteristics and fatigue and psychological distress. Int Arch Occup Environ Health. 2001 Nov 16;75(4):259–266. doi: 10.1007/s00420-001-0294-0. [DOI] [PubMed] [Google Scholar]
- Bültmann Ute, Kant I. Jmert, Kasl Stanislav V., Schröer Kess A. P., Swaen Gerard M. H., van den Brandt Piet A. Lifestyle factors as risk factors for fatigue and psychological distress in the working population: prospective results from the Maastricht Cohort Study. J Occup Environ Med. 2002 Feb;44(2):116–124. doi: 10.1097/00043764-200202000-00006. [DOI] [PubMed] [Google Scholar]
- Chen M. K. The epidemiology of self-perceived fatigue among adults. Prev Med. 1986 Jan;15(1):74–81. doi: 10.1016/0091-7435(86)90037-x. [DOI] [PubMed] [Google Scholar]
- David A., Pelosi A., McDonald E., Stephens D., Ledger D., Rathbone R., Mann A. Tired, weak, or in need of rest: fatigue among general practice attenders. BMJ. 1990 Nov 24;301(6762):1199–1202. doi: 10.1136/bmj.301.6762.1199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dimeo F. C., Stieglitz R. D., Novelli-Fischer U., Fetscher S., Keul J. Effects of physical activity on the fatigue and psychologic status of cancer patients during chemotherapy. Cancer. 1999 May 15;85(10):2273–2277. [PubMed] [Google Scholar]
- Dimeo F. C., Tilmann M. H., Bertz H., Kanz L., Mertelsmann R., Keul J. Aerobic exercise in the rehabilitation of cancer patients after high dose chemotherapy and autologous peripheral stem cell transplantation. Cancer. 1997 May 1;79(9):1717–1722. [PubMed] [Google Scholar]
- Eriksen W., Bruusgaard D., Knardahl S. Work factors as predictors of sickness absence: a three month prospective study of nurses' aides. Occup Environ Med. 2003 Apr;60(4):271–278. doi: 10.1136/oem.60.4.271. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eriksen Willy, Bruusgaard Dag. Physical leisure-time activities and long-term sick leave: a 15-month prospective study of nurses' aides. J Occup Environ Med. 2002 Jun;44(6):530–538. doi: 10.1097/00043764-200206000-00014. [DOI] [PubMed] [Google Scholar]
- Fukuda K., Straus S. E., Hickie I., Sharpe M. C., Dobbins J. G., Komaroff A. The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Ann Intern Med. 1994 Dec 15;121(12):953–959. doi: 10.7326/0003-4819-121-12-199412150-00009. [DOI] [PubMed] [Google Scholar]
- Gutstein H. B. The biologic basis of fatigue. Cancer. 2001 Sep 15;92(6 Suppl):1678–1683. doi: 10.1002/1097-0142(20010915)92:6+<1678::aid-cncr1496>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
- Hansen C. J., Stevens L. C., Coast J. R. Exercise duration and mood state: how much is enough to feel better? Health Psychol. 2001 Jul;20(4):267–275. doi: 10.1037//0278-6133.20.4.267. [DOI] [PubMed] [Google Scholar]
- Kristal-Boneh E., Froom P., Harari G., Ribak J. Fatigue among Israeli industrial employees. J Occup Environ Med. 1996 Nov;38(11):1145–1150. doi: 10.1097/00043764-199611000-00015. [DOI] [PubMed] [Google Scholar]
- Kuorinka I., Jonsson B., Kilbom A., Vinterberg H., Biering-Sørensen F., Andersson G., Jørgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987 Sep;18(3):233–237. doi: 10.1016/0003-6870(87)90010-x. [DOI] [PubMed] [Google Scholar]
- Li S., Carlson E., Holm K. Validation of a single-item measure of usual physical activity. Percept Mot Skills. 2000 Oct;91(2):593–602. doi: 10.2466/pms.2000.91.2.593. [DOI] [PubMed] [Google Scholar]
- Libbus K., Baker J. L., Osgood J. M., Phillips T. C., Valentine D. M. Persistent fatigue in well women. Women Health. 1995;23(1):57–72. doi: 10.1300/J013v23n01_04. [DOI] [PubMed] [Google Scholar]
- Lloyd A. R. Chronic fatigue and chronic fatigue syndrome: shifting boundaries and attributions. Am J Med. 1998 Sep 28;105(3A):7S–10S. doi: 10.1016/s0002-9343(98)00157-0. [DOI] [PubMed] [Google Scholar]
- Loge J. H., Ekeberg O., Kaasa S. Fatigue in the general Norwegian population: normative data and associations. J Psychosom Res. 1998 Jul;45(1):53–65. doi: 10.1016/s0022-3999(97)00291-2. [DOI] [PubMed] [Google Scholar]
- Matthews C. E., Freedson P. S., Hebert J. R., Stanek E. J., 3rd, Merriam P. A., Rosal M. C., Ebbeling C. B., Ockene I. S. Seasonal variation in household, occupational, and leisure time physical activity: longitudinal analyses from the seasonal variation of blood cholesterol study. Am J Epidemiol. 2001 Jan 15;153(2):172–183. doi: 10.1093/aje/153.2.172. [DOI] [PubMed] [Google Scholar]
- Natvig B., Bruusgaard D., Eriksen W. Physical leisure activity level and physical fitness among women with fibromyalgia. Scand J Rheumatol. 1998;27(5):337–341. doi: 10.1080/03009749850154348. [DOI] [PubMed] [Google Scholar]
- Nelson E., Kirk J., McHugo G., Douglass R., Ohler J., Wasson J., Zubkoff M. Chief complaint fatigue: a longitudinal study from the patient's perspective. Fam Pract Res J. 1987 Summer;6(4):175–188. [PubMed] [Google Scholar]
- Partinen M, Gislason T. Basic Nordic Sleep Questionnaire (BNSQ): a quantitated measure of subjective sleep complaints. J Sleep Res. 1995 Jun;4(S1):150–155. doi: 10.1111/j.1365-2869.1995.tb00205.x. [DOI] [PubMed] [Google Scholar]
- Schechtman K. B., Barzilai B., Rost K., Fisher E. B., Jr Measuring physical activity with a single question. Am J Public Health. 1991 Jun;81(6):771–773. doi: 10.2105/ajph.81.6.771. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stewart D., Abbey S., Meana M., Boydell K. M. What makes women tired? A community sample. J Womens Health. 1998 Feb;7(1):69–76. doi: 10.1089/jwh.1998.7.69. [DOI] [PubMed] [Google Scholar]
- Tambs K., Moum T. How well can a few questionnaire items indicate anxiety and depression? Acta Psychiatr Scand. 1993 May;87(5):364–367. doi: 10.1111/j.1600-0447.1993.tb03388.x. [DOI] [PubMed] [Google Scholar]