Fatigue and asthenia

Fatigue and asthenia

First of all, we must remember the notions of fatigue and asthenia.
George Bugard (1839-1883), first used the term neurasthenia (asthenia = weakness; neurasthenia = nerve weakness) in 1968.

He and others said:
“Fatigue is a reversible decrease in functional capacity and excitability of tissues and / or the body following an exertion and disappears at rest.

It is followed by unpleasant or painful sensations that lead to stop the effort to avoid depletion phenomena.”

On the contrary, asthenia, on one hand it is also “a diminution of excitability and functional power accompanied by unpleasant or painful sensations, on the other hand it is not the result of work and it is reversible with rest.

In relation to fatigue, which is a physiological phenomenon, asthenia by its chronic, irrational and little reversible aspect has to do with the epidemiological pathology – importance of the problem “.

Several surveys converge on the same results: Asthenia, in all forms, accounts for 10% to 20% of GP visits.

We know that all social categories and professions are involved. It is noted a slight prevalence of asthenic syndrome in women. According to age, there is a difference between men and women.


Fatigue is global: it refers to the ability to focus psychologically, to make physical efforts, to intellectual and sexual performances.

More generally, the inability to perform new tasks and excessive difficulty in continuing with routine activities.

Often other phenomena also arise such as various pains (headache, abdominal pain, back pain, diarrhea, nausea, vomiting, etc.).

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