title: Factors associated with fatigue in a family medicine clinic in the United Arab Emirates.
abstract: BACKGROUND
  Fatigue is a common symptom in Family Medicine and it has many associated factors. The Arabian Gulf provides a unique setting for studying these factors, in particular the UAE where rapid development has been a prominent feature.
  
  
  OBJECTIVE
  The aim of the study was to sample a group of GP attenders and examine the factors which were associated with fatigue in the UAE.
  
  
  METHODS
  A fatigue scale, psychological questionnaire, detailed history, physical examination and laboratory testing were administered to a sample of attenders at a Family Medicine clinic.
  
  
  RESULTS
  Fatigue was more prevalent than in western studies (males 34.0%, females 38. 2%). It was strongly associated with anxiety, especially in younger adults, and it has been recognized that rapid social change is felt most acutely in young adults and adolescents. Depression in females was also a factor. Lack of exercise, obesity and illiteracy played a minor role in the severity of fatigue.
  
  
  CONCLUSIONS
  Fatigue appears to be a cultural 'idiom of distress', a way of expressing anxiety or depression in a rapidly changing society.
authors.affiliation: Department of Family Medicine, Faculty of Medicine and Health Sciences, UAE University, PO Box 17666, Al Ain, United Arab Emirates.
authors.forename: S
authors.initials: S
authors.lastname: McIlvenny
authors.forename: A
authors.initials: A
authors.lastname: DeGlume
authors.forename: M
authors.initials: M
authors.lastname: Elewa
authors.forename: O
authors.initials: O
authors.lastname: Fernandez
authors.forename: P
authors.initials: P
authors.lastname: Dormer
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000150:complications; D016022:Case-Control Studies; D003863:Depression / Q000150:complications; D004522:Educational Status; D015444:Exercise; D005194:Family Practice / Q000706:statistics & numerical data*; D005221:Fatigue / Q000453:epidemiology* / Q000209:etiology*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D017678:Sex Distribution; D012922:Social Change; D011795:Surveys and Questionnaires; D014479:United Arab Emirates / Q000453:epidemiology