Health and aging in elderly farmers: the AMI cohort

BMC Public Health

Jean-François Dartigues¹  Nicole Rascle³  Muriel Rainfray²  Chantal Chantal¹  Virginie Postal³  Cécilia Maubaret¹  Sonia Laberon³  Maryse Gaimard¹  Annie Fourrier-Réglat⁶  Alexandra Foubert-Samier¹  Cécile Delcourt¹  Isabelle Bourdel-Marchasson⁵  Valérie Bergua³  Pascale Barberger-Gateau¹  Isabelle Baldi¹  Hélène Amieva¹  Michèle Allard⁴  Fanny Matharan¹  Karine Pérès¹ 

[1] Univ. Bordeaux, Bordeaux, F-33000, France;Pôle de Gérontologie Clinique, Centre Hospitalo-Universitaire de Bordeaux, Pessac, F-33604, France;Laboratoire Psychologie, Santé et Qualité de vie, EA 4139, Bordeaux, F-33076, France;Ecole Pratique des Hautes Etudes, Bordeaux, F-33000, France;Résonnance Magnétique des Systèmes Biologiques, UMR 5536 CNRS, Bordeaux, F-33076, France;Centre Hospitalo-Universitaire CIC0005, Bordeaux, F-33000, France

关键词: Interdisciplinary studies;    Cohort studies;    Agriculture;    Rural health;    Aging;   

Others  :  1163417
DOI  :  10.1186/1471-2458-12-558

 received in 2012-05-30, accepted in 2012-07-27,  发布年份 2012

【 摘 要 】

Background

The health of the agricultural population has been previously explored, particularly in relation to the farming exposures and among professionally active individuals. However, few studies specifically focused on health and aging among elders retired from agriculture. Yet, this population faces the long-term effects of occupational exposures and multiple difficulties related to living and aging in rural area (limited access to shops, services, and practitioners). However, these difficulties may be counter-balanced by advantages related to healthier lifestyle, richer social support and better living environment. The general aim of the AMI cohort was to study health and aging in elderly farmers living in rural area through a multidisciplinary approach, with a main focus on dementia.

Methods/design

The study initially included 1 002 participants, randomly selected from the Farmer Health Insurance rolls. Selection criteria were: being 65 years and older; living in rural area in Gironde (South-Western France); being retired from agriculture after at least 20 years of activity and being affiliated to the Health Insurance under own name. The study started in 2007, with two follow-up visits over 5 years. Baseline visits were conducted at home by a neuropsychologist then by a geriatrician for all cases suspected of dementia, Parkinson’s disease and depression (to confirm the diagnosis), and by a nurse for others. A large panel of data were collected through standardised questionnaires: complete neuropsychological assessment, material and social living environment, psychological transition to retirement, lifestyle (smoking, alcohol and diet), medications, disability in daily living, sensory impairments and some clinical measures (blood pressure, depression symptomatology, anxiety, visual test, anthropometry…). A blood sampling was performed with biological measurements and constitution of a biological bank, including DNA. Brain MRI were also performed on 316 of the participants. Finally, the three-year data on health-related reimbursements were extracted from the Health System database (medications, medical and paramedical consultations, biological examinations and medical devices), and the registered Long-Term Diseases (30 chronic diseases 100% covered by the Insurance System).

Discussion

AMI is the first French longitudinal study on health and aging set up in a population of elderly farmers living in rural area through a multidisciplinary approach.

【 授权许可】

   
2012 Pérès et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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