Purpose: The aim of this study was to identify fatigue and factors influencing fatigue in elderly people. Method: There were 271 elders, age 65 or older who participated in the study. Data were collected using a questionnaire which consisted of the Revised Fatigue Scale by Chalder et al. (1993), Geriatric Depression Scale (short form) by Sheikh and Yesavage (1986), the Visual Analogue Scale-pain, and items developed by the researcher on health status and life style including exercise, sleep, alcohol consumption, smoking and diet. Result: Of the participants, 63.5% reported fatigue. The mean score for fatigue was 26.21 (scores ranged from 11 to 39, possible score was 44). There were significant correlations between fatigue and number of diseases, number of medications, pain, and depression. The construction of a multiple regression model revealed an adjusted R2 of 0.343 with the pain score serving as the major predictor variable for fatigue. Conclusion: In nursing assessments and interventions for fatigue in older adults, nurses should consider pain, depression, and sleep.