Relationship between perceived fatigue and performance fatigability in people with multiple sclerosis: A systematic review and meta-analysis

Bryan D. Loy, Ruby L. Taylor, Brett W. Fling, Fay B. Horak

Research output: Research - peer-reviewReview article

Abstract

Background Perceived fatigue (i.e., subjective perception of reduced capacity) is one of the most common and disabling symptoms for people with multiple sclerosis (MS). Perceived fatigue may also be related to performance fatigability (i.e., decline in physical performance over time), although study findings have been inconsistent. Objective To locate all studies reporting the relationship between perceived fatigue and fatigability in people with MS, determine the population correlation, and examine moderating variables of the correlation size. Methods In accordance with PRISMA guidelines, systematic searches were completed in Medline, PsychInfo, Google Scholar, and the Cochrane Library for peer-reviewed articles published between March 1983 and August 2016. Included articles measured perceived fatigue and performance fatigability in people with MS and provided a correlation between measures. Moderator variables expected to influence the relationship were also coded. Searches located 19 studies of 848 people with MS and a random-effects model was used to pool correlations. Results The mean correlation between fatigue and fatigability was positive, “medium” in magnitude, and statistically significant, r = 0.31 (95% CI = 0.21, 0.42), p < 0.001. Despite moderate between-study heterogeneity (I2 = 46%) no statistically significant moderators were found, perhaps due to the small number of studies per moderator category. Conclusion There is a significant relationship between perceived fatigue and fatigability in MS, such that people reporting elevated fatigue also are highly fatigable. The size of the relationship is not large enough to suggest fatigue and fatigability are the same construct, and both should continue to be assessed independently.

LanguageEnglish (US)
Pages1-7
Number of pages7
JournalJournal of Psychosomatic Research
Volume100
DOIs
StatePublished - Sep 1 2017

Fingerprint

Multiple Sclerosis
Fatigue
Meta-Analysis
Epidemiologic Effect Modifiers
Libraries
Guidelines
Population

Keywords

  • Contraction
  • Energy
  • Exercise
  • Perception
  • Symptom
  • Tired

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

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title = "Relationship between perceived fatigue and performance fatigability in people with multiple sclerosis: A systematic review and meta-analysis",
abstract = "Background Perceived fatigue (i.e., subjective perception of reduced capacity) is one of the most common and disabling symptoms for people with multiple sclerosis (MS). Perceived fatigue may also be related to performance fatigability (i.e., decline in physical performance over time), although study findings have been inconsistent. Objective To locate all studies reporting the relationship between perceived fatigue and fatigability in people with MS, determine the population correlation, and examine moderating variables of the correlation size. Methods In accordance with PRISMA guidelines, systematic searches were completed in Medline, PsychInfo, Google Scholar, and the Cochrane Library for peer-reviewed articles published between March 1983 and August 2016. Included articles measured perceived fatigue and performance fatigability in people with MS and provided a correlation between measures. Moderator variables expected to influence the relationship were also coded. Searches located 19 studies of 848 people with MS and a random-effects model was used to pool correlations. Results The mean correlation between fatigue and fatigability was positive, “medium” in magnitude, and statistically significant, r = 0.31 (95% CI = 0.21, 0.42), p < 0.001. Despite moderate between-study heterogeneity (I2 = 46%) no statistically significant moderators were found, perhaps due to the small number of studies per moderator category. Conclusion There is a significant relationship between perceived fatigue and fatigability in MS, such that people reporting elevated fatigue also are highly fatigable. The size of the relationship is not large enough to suggest fatigue and fatigability are the same construct, and both should continue to be assessed independently.",
keywords = "Contraction, Energy, Exercise, Perception, Symptom, Tired",
author = "Loy, {Bryan D.} and Taylor, {Ruby L.} and Fling, {Brett W.} and Horak, {Fay B.}",
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T1 - Relationship between perceived fatigue and performance fatigability in people with multiple sclerosis

T2 - Journal of Psychosomatic Research

AU - Loy,Bryan D.

AU - Taylor,Ruby L.

AU - Fling,Brett W.

AU - Horak,Fay B.

PY - 2017/9/1

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N2 - Background Perceived fatigue (i.e., subjective perception of reduced capacity) is one of the most common and disabling symptoms for people with multiple sclerosis (MS). Perceived fatigue may also be related to performance fatigability (i.e., decline in physical performance over time), although study findings have been inconsistent. Objective To locate all studies reporting the relationship between perceived fatigue and fatigability in people with MS, determine the population correlation, and examine moderating variables of the correlation size. Methods In accordance with PRISMA guidelines, systematic searches were completed in Medline, PsychInfo, Google Scholar, and the Cochrane Library for peer-reviewed articles published between March 1983 and August 2016. Included articles measured perceived fatigue and performance fatigability in people with MS and provided a correlation between measures. Moderator variables expected to influence the relationship were also coded. Searches located 19 studies of 848 people with MS and a random-effects model was used to pool correlations. Results The mean correlation between fatigue and fatigability was positive, “medium” in magnitude, and statistically significant, r = 0.31 (95% CI = 0.21, 0.42), p < 0.001. Despite moderate between-study heterogeneity (I2 = 46%) no statistically significant moderators were found, perhaps due to the small number of studies per moderator category. Conclusion There is a significant relationship between perceived fatigue and fatigability in MS, such that people reporting elevated fatigue also are highly fatigable. The size of the relationship is not large enough to suggest fatigue and fatigability are the same construct, and both should continue to be assessed independently.

AB - Background Perceived fatigue (i.e., subjective perception of reduced capacity) is one of the most common and disabling symptoms for people with multiple sclerosis (MS). Perceived fatigue may also be related to performance fatigability (i.e., decline in physical performance over time), although study findings have been inconsistent. Objective To locate all studies reporting the relationship between perceived fatigue and fatigability in people with MS, determine the population correlation, and examine moderating variables of the correlation size. Methods In accordance with PRISMA guidelines, systematic searches were completed in Medline, PsychInfo, Google Scholar, and the Cochrane Library for peer-reviewed articles published between March 1983 and August 2016. Included articles measured perceived fatigue and performance fatigability in people with MS and provided a correlation between measures. Moderator variables expected to influence the relationship were also coded. Searches located 19 studies of 848 people with MS and a random-effects model was used to pool correlations. Results The mean correlation between fatigue and fatigability was positive, “medium” in magnitude, and statistically significant, r = 0.31 (95% CI = 0.21, 0.42), p < 0.001. Despite moderate between-study heterogeneity (I2 = 46%) no statistically significant moderators were found, perhaps due to the small number of studies per moderator category. Conclusion There is a significant relationship between perceived fatigue and fatigability in MS, such that people reporting elevated fatigue also are highly fatigable. The size of the relationship is not large enough to suggest fatigue and fatigability are the same construct, and both should continue to be assessed independently.

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