Understanding fatigue: what’s normal after 60?

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Feeling tired now and then is a part of life, but for many people over 60, fatigue seems to come more often and last longer.

It’s easy to wonder, “Is this normal, or is something wrong?”

While some changes in energy levels are a natural part of aging, persistent or extreme fatigue could signal an underlying issue. Let’s explore the causes of fatigue in older adults and how to address it.

As we age, the body undergoes many changes that can impact energy levels. Muscle mass naturally decreases, metabolism slows, and the cardiovascular system may not pump blood as efficiently as it once did.

These changes mean that everyday activities might require more effort, leading to occasional tiredness. However, this type of fatigue should go away after rest or a good night’s sleep.

Chronic fatigue, on the other hand, is different. It’s not just feeling tired after a busy day; it’s ongoing exhaustion that doesn’t improve with rest.

Research shows that fatigue is a common complaint among older adults, affecting about one-third of people over 60. While it’s not always a sign of something serious, it’s important to identify the root cause.

One major factor contributing to fatigue is poor sleep quality. Older adults often experience changes in sleep patterns, such as waking up more frequently during the night or having lighter, less restorative sleep.

Conditions like sleep apnea, restless leg syndrome, or even chronic pain can further disrupt sleep, leaving you feeling drained during the day.

Another common cause of fatigue is medical conditions. Chronic illnesses like heart disease, diabetes, anemia, and hypothyroidism can sap your energy.

Mental health conditions, such as depression and anxiety, are also major contributors. Research shows that fatigue is often one of the first symptoms of depression in older adults, but it’s frequently overlooked.

Medications can also play a role. Many drugs commonly prescribed for older adults, such as those for high blood pressure, allergies, or depression, list drowsiness or fatigue as a side effect. If you’ve recently started a new medication and notice increased tiredness, it’s worth discussing with your doctor.

Diet and hydration are other critical factors. As we age, appetite often decreases, which can lead to insufficient calorie or nutrient intake.

Without enough iron, B vitamins, or protein, your body may struggle to produce energy. Dehydration is another sneaky culprit. Even mild dehydration can leave you feeling fatigued and foggy.

It’s also important to consider lifestyle factors. Lack of physical activity can lead to deconditioning, making you feel tired more easily. On the flip side, overexertion can also lead to fatigue. Striking a balance is key.

While some fatigue is normal after 60, it’s important to pay attention to how often it happens and how much it affects your life. If fatigue is persistent, unexplained, or accompanied by other symptoms like weight loss, shortness of breath, or mood changes, it’s time to see a doctor. Identifying the cause is the first step toward finding a solution.

Here are some practical tips to boost your energy levels:

  1. Prioritize sleep. Stick to a consistent sleep schedule and create a relaxing bedtime routine. If you suspect sleep apnea or another sleep disorder, seek medical advice.
  2. Stay active. Regular exercise, such as walking or yoga, can improve energy levels and overall health. Aim for at least 30 minutes most days of the week.
  3. Eat well. Focus on a balanced diet with plenty of fruits, vegetables, whole grains, lean protein, and healthy fats. Don’t forget to drink enough water throughout the day.
  4. Review your medications. Talk to your doctor about any potential side effects of your medications and whether adjustments are needed.
  5. Manage stress. Practice relaxation techniques like meditation, deep breathing, or spending time on hobbies you enjoy.

Fatigue doesn’t have to be a normal part of aging. By addressing the causes and making small lifestyle changes, you can regain energy and enjoy a more active, fulfilling life after 60.

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