Beating Fatigue

Most of us experience times of fatigue and nothing we do seems to shake it off. Sometimes it is just at set times of the day, usually mid-afternoon when energy levels just seem to slump. For others fatigue becomes more chronic, making it increasingly difficult to find the motivation to exercise and be active in your every day life. You may find you frequently reach for food as a pick-me-up, more often than not something sweet, and your healthy eating plan goes to pot. Chronic levels of fatigue can be a sign of something more serious and should be discussed with your doctor. However many everyday eating and exercise habits affect our energy levels. Making changes to your eating and/or activity patterns can therefore play a major role in combating fatigue and increasing energy levels.


Iron


Iron in the haemoglobin in red blood cells plays a crucial role in transporting oxygen from the lungs to cells, including exercising muscle. An iron deficiency therefore affects the ability of the blood to get oxygen to where it is needed. A serious iron deficiency results in anaemia which is characterised by a shortness of breath; pale pallor; an inability to exercise to intensity; feeling the cold; frequent infections such as colds and flu and chronic fatigue. A blood test will confirm the deficiency and your doctor will prescribe iron tablets to help get you back on track.


However you can experience symptoms well before full blown anaemia develops and the first stages of iron deficiency may not be picked up in regular blood tests. Women are particularly susceptible due to iron losses during menstruation. So too is anyone who doesn’t eat red meat which is one of the best sources of iron. Meat contains haem iron which is better absorbed than the non-haem iron found in plant sources. If you are at risk of iron deficiency, take the following steps:

  • Eat red meat or liver three times a week

  • Eat plenty of plant sources of iron such as green leafy vegetables, legumes and fortified cereals along with a source of vitamin C to assist absorption

  • Avoid tea and coffee at mealtimes as these hinder the absorption of iron

  • Add a small amount of red meat, chicken or fish to a legume meal as this will improve uptake of both the non-haem and haem iron


Avoid taking iron supplements unless you have been diagnosed with iron deficiency by a blood test as these may affect your uptake of other minerals and/or cause constipation. Men in particular may absorb too much iron and this can be extremely damaging in the body.

Fluctuating blood glucose levels


Blood glucose has to remain within a certain range in order for the body to function properly and to prevent damage caused by excessively high levels. When blood glucose levels drop or fall below normal, energy levels can also sink. High GI foods are often to blame for these fluctuations. ‘Reactive hypoglycaemia,’ where blood glucose falls to below the starting level, can occur 1.5 to two hours after eating a high GI meal. Some people are more sensitive to these rises and falls of blood glucose and those affected may often get cravings, particularly for carbohydrate-rich foods, and lack energy mid-morning or afternoon. Take the following steps to keep your blood glucose level changes more gentle:

  • Include a low GI food at each meal

  • Avoid large intakes of carbohydrate-rich foods in one hit – spread them out evenly across the day

  • Try not to skip meals – this just leaves you eating more later and your body’s insulin response will be greater

  • Eat breakfast – this has been shown to improve concentration levels through the morning, partly due to improved blood glucose availability. You will also show a more gentle hormonal response to the lunchtime meal as well as not feeling the need to reach for the biscuit tin mid-morning


Activity levels


The less active you are, the less energetic you feel. It’s a vicious circle that many of us fall into from time to time. Our lives are more challenging on our brains than our bodies and we are often unable to distinguish between mental tiredness and physical tiredness. Movement gets blood moving through the body, delivering oxygen and nutrients to muscles but also to the brain. We are designed to be active beings, yet our environment is increasingly sedentary. Fight it and ensure you build activity into each day. Not only will you feel more energetic during the day, but you will also sleep better and feel more refreshed and ready for the next day.


Sleep


It seems obvious - inadequate sleep from either not sleeping well, or not for long enough, will leave you fatigued. If this is the cause no amount of chocolate, cappuccinos or other pick-me-ups will solve the problem. Find the time for rest and recuperation, particularly following exercise.