Fatigue Symptom Management in People Living With Human Immunodeficiency Virus

Perazzo, Joseph; Webel, Allison R.; Voss, Joachim; Prince-Paul, Maryjo

doi:10.1097/njh.0000000000000329

Cited by 16 publications

(12 citation statements)

References 32 publications

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“…This is to some extent at the higher end of the prevalence range (33%–88%) reported previously in the literature. 8 13–15 This finding is harmonised with the regional study conducted in Tigray, Ethiopia 51.7%, studies in USA 54%, South Africa 55% and Canada 54%. 17 29 36 37 Larger sample size, similar patient characteristics and inclusion criteria in these studies could explain the consistent findings.…”

Section: Discussionsupporting

confidence: 74%

“… 11 12 Nonetheless, the chronicity of HIV infection post-HAART era and side effects has imposed an additional burden of HIV-related symptoms. Several studies report an estimated prevalence of fatigue ranging from 33% to 88% 8 13–15 and the fatigue is the highest reported among the other entire HIV-related and ART-related symptoms in HIV positive patients. 16 …”

Section: Introductionmentioning

confidence: 99%

“… 20 22 23 Further, evidence suggests that+ fatigue is associated with age, gender, malnutrition, insomnia, unemployment, poor income, family burden, depression, social support system, several disease-related factors such as the stage of the disease, anaemia, the use of ART and certain laboratory parameters, as well as with the sociodemographic and psychological factors. 8 9 13 14 …”

Section: Introductionmentioning

confidence: 99%

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Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia

et al. 2020

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ObjectiveThis study aimed to determine the prevalence of fatigue and the factors associated among adult people living with HIV attending antiretroviral therapy clinic in Gondar town, Ethiopia.DesignCross-sectional.SettingGovernmental health facility that provides HIV care in Gondar town.Outcome measureFatigue is defined by nine items version Fatigue Severity Scale.ParticipantsAdult (aged 18 and above) people living with HIV in Gondar town (n=392).ResultA total of 408 HIV seropositive adults were approached for consent, among which 392 participants consented to participate in this study, with a response rate of 96.1%. The mean age of the participants was 40.5±8.5 years. The prevalence of HIV-related fatigue was 53.3% and about 66% of women living with HIV experienced fatigue. The factors associated with fatigue experience were; female gender (adjusted OR (AOR): 2.61, 95% CI 1.01 to 5.3), being married (AOR: 0.18, 95% CI 0.10 to 0.9), low income (AOR: 7.1, 95% CI 4.6 to 22.15), unemployed (AOR: 2.79, 95% CI 1.19 to 9.84), parity (AOR: 4.87, 95% CI 2.18 to 17.9), being anaemic (AOR: 12.45, 95% CI 5.6 to 41.01), depression (AOR: 4.51, 95% CI 1.91 to 11.20), mild weight loss (AOR: 4.2 95% CI 2.56 to 13.9) and moderate weight loss (AOR: 5.1, 95% CI 1.85 to 16.12), respectively.ConclusionThe findings of this study revealed that experiencing fatigue is quite common among adult people living with HIV. It is important for the healthcare professionals and people living with HIV to understand; the possible causes of fatigue, remedies and ways to reclaim energy. The predisposing factors and complications that cause fatigue should be aggressively diagnosed and treated by the clinicians. Further qualitative studies exploring the reasons for experiencing HIV-related fatigue might help designing interventions.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia

et al. 2020

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“…Evidence in other medical populations suggests that a comprehensive, multicomponent treatment may be most effective. For example, fatigue management in patients recovering from cancer, [39][40][41][42][43] traumatic brain injury, [44][45][46] HIV, 47,48 and multiple sclerosis [49][50][51] include development of an exercise program, proper nutrition/ hydration, mood management, activity pacing, medication review, and sleep hygiene; each represents issues that are frequently disrupted during critical illness recovery.…”

Section: Discussionmentioning

confidence: 99%

Fatigue Symptoms During the First Year Following ARDS

Neufeld

Leoutsakos

Yan

et al. 2020

Chest

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BACKGROUND: Fatigue is commonly reported by ARDS survivors, but empirical data are scarce. RESEARCH QUESTION: This study evaluated fatigue prevalence and associated variables in a prospective study of ARDS survivors. STUDY DESIGN AND METHODS: This analysis is part of the ARDSNet Long-Term Outcomes Study (ALTOS) conducted at 38 US hospitals. Using age-and sex-adjusted, time-averaged random effects regression models, we evaluated associations between the validated Functional Assessment of Chronic Illness Therapy-Fatigue Scale with patient and critical illness variables, and with physical, cognitive, and mental health status at 6 and 12 months following ARDS. RESULTS: Among ARDS survivors, 501 of 711 (70%) and 436 of 659 (66%) reported clinically significant symptoms of fatigue at 6 and 12 months, respectively, with 41% and 28% reporting clinically important improvement and worsening (n ¼ 638). At 6 months, the prevalence of fatigue (70%) was greater than that of impaired physical functioning (50%), anxiety (42%), and depression (36%); 46% reported both impaired physical function and fatigue, and 27% reported co-existing anxiety, depression, and fatigue. Fatigue was less severe in men and in those employed prior to ARDS. Critical illness variables (eg, illness severity, length of stay) had little association with fatigue symptoms. Worse physical, cognitive, and mental health symptoms were associated with greater fatigue at both the 6-and 12-month follow-up. INTERPRETATION: During the first year following ARDS, more than two-thirds of survivors reported clinically significant fatigue symptoms. Due to frequent co-occurrence, clinicians should evaluate and manage survivors' physical, cognitive, and mental health status when fatigue is endorsed.

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“…6 Further, PLWH also have higher rates of insulin resistance, fatigue, pain, depression, and smoking and alcohol use, compounding their risk for CVD. 7–13 PLWH can benefit tremendously from physical activity, but their objectively-measured physical activity patterns, and the influence of those patterns on cardiovascular health, are not well understood. The aims of this study were to describe physical activity patterns in PLWH who did not meet AHA recommended guidelines for physical activity, and to examine the relationship of these patterns to markers of cardiovascular health.…”

mentioning

confidence: 99%