Fatigue after 60: What’s normal and what’s not?

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Feeling tired from time to time is something everyone experiences, but for many people over 60, fatigue can feel like a constant companion. While some changes in energy levels are a natural part of aging, excessive or chronic fatigue isn’t something you should ignore.

It’s important to understand what’s normal, what might be a sign of something more serious, and what you can do to feel more energized.

As we age, our bodies naturally slow down in some ways. Metabolism decreases, muscle mass tends to decline, and changes in sleep patterns can lead to less restful nights. All of these factors can contribute to feeling more tired than you did in your younger years.

However, research shows that healthy older adults shouldn’t feel exhausted all the time. Persistent fatigue can signal underlying issues that deserve attention.

One common cause of fatigue after 60 is poor sleep quality. Aging often brings changes in the sleep cycle, such as waking up more frequently during the night or having trouble falling back asleep.

Sleep apnea, a condition where breathing stops and starts repeatedly during sleep, is particularly common in older adults and can leave you feeling drained during the day. Studies suggest that treating sleep apnea, often with devices like CPAP machines, can significantly improve energy levels.

Chronic health conditions are another major factor. Conditions like heart disease, diabetes, arthritis, and hypothyroidism are more common after 60 and can all contribute to fatigue.

For example, if your heart isn’t pumping blood efficiently, your body may struggle to get the oxygen and nutrients it needs, leaving you feeling tired. Similarly, poorly managed diabetes can cause blood sugar fluctuations that sap your energy.

Medications can also play a role. Many older adults take multiple prescriptions, and some drugs, such as those for blood pressure, depression, or allergies, can cause drowsiness as a side effect. If you think your medication might be contributing to your fatigue, talk to your doctor about adjusting the dosage or exploring alternatives.

Mental health is another key piece of the puzzle. Depression and anxiety don’t just affect your emotions—they can also leave you feeling physically exhausted.

Research shows that older adults with untreated depression often report fatigue as one of their primary symptoms. Addressing mental health concerns through therapy, medication, or support groups can make a significant difference.

Lifestyle factors are also worth considering. Are you staying active? Regular physical activity has been shown to boost energy by improving circulation, increasing muscle strength, and releasing endorphins. A sedentary lifestyle, on the other hand, can lead to feelings of sluggishness and fatigue.

Diet matters too. Eating too many processed foods or not getting enough nutrients like iron and B vitamins can leave you feeling drained. Staying hydrated is just as important, as even mild dehydration can sap your energy.

If you’re experiencing fatigue that doesn’t go away with rest or lifestyle changes, it’s important to see a doctor. They can rule out serious conditions like anemia, infections, or even cancer. Blood tests and other evaluations can help identify whether your fatigue is linked to an underlying issue that can be treated.

The good news is that there are many ways to combat fatigue. Improving sleep hygiene—such as sticking to a regular sleep schedule and creating a calming bedtime routine—can lead to better rest.

Eating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can provide the nutrients your body needs. Regular exercise, even something as simple as a daily walk, can increase your energy over time. And staying socially active can improve both your mood and your vitality.

While it’s normal to have slightly less energy as you age, chronic fatigue shouldn’t be accepted as just another part of getting older.

By addressing the root causes and making healthy changes, you can enjoy more energy and a better quality of life well into your golden years. If fatigue is affecting your daily life, don’t hesitate to seek help—you deserve to feel your best.

If you care about wellness, please read studies about how ultra-processed foods and red meat influence your longevity, and why seafood may boost healthy aging.

For more health information, please see recent studies about the power of pickle juice, and time-restricted eating: a simple way to fight aging and cancer.

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