The relationship between social deprivation and a frailty index of cumulative deficits in French middle-aged caregivers

BMC Geriatrics

Mael Barthoulot¹  Pascaline Cassagnaud¹  Eric Boulanger¹  Jonathan Giovannelli²  Manon Lenain³  Brigitte Lefebvre³  Nicolas Capon³  Anthony Pinon³  Simon Spychala³  Anne-Laure Cleys³ 

[1] CHU de Lille, Lille, France;GIOVANNELLI Epidemiology and Clinical Research Counselling, 93 rue du 20ème siècle, 59160, Lille, France;Institut Pasteur de Lille, Lille, France;

关键词: Frailty;    Deficits;    Caregiver;    Middle age;    Social deprivation, Epices score;   

DOI  :  10.1186/s12877-021-02736-3

来源: Springer

【 摘 要 】

BackgroundThe Institut Pasteur de Lille, in the north of France, has implemented a large, multidisciplinary health check, which aims to identify frailty in middle-aged caregivers. We aimed to construct an adapted frailty index of cumulative deficit (FI-CD) and study the associated factors, in particular socioeconomic factors.MethodsThe cross-sectional study included caregivers aged 45 to 65. A 34-item FI-CD including deficits adapted to a middle-aged population (related to cognition and autonomy, dietetics, physical activity, comorbidities, functional signs, lab values and paraclinical examinations) was constructed in accordance with standard procedures. It was calculated as a ratio of deficits present out of the total number of possible deficits, giving a continuous score between 0 and 1. Scores > 0.25 and >  0.4 were classified as frailty and severe frailty, respectively. Univariate and multivariate associations were studied using linear regressions.ResultsOne hundred and seventeen caregivers were included; among them, 111 were analyzed due to missing values. The mean FI-CD was 0.22 ± 0.08. Forty (36%) individuals were classified as frailty and three (2.7%) as severe frailty. In multivariate analysis, FI-CD was significantly associated with age (beta [95% confidence interval] = 0.005 [0.002; 0.009] per 1-year increase, p = 0.005) and social deprivation (beta = 0.054 [0.007; 0.102], p = 0.025). A significant interaction was observed between and age and social deprivation (p = 0.036). The adjusted relationship between FI-CD and age was beta = 0.010 [0.002; 0.019], p = 0.017 in precarious caregivers, and beta = 0.003 [− 0.001; 0.007], p = 0.19 in non-precarious caregivers.ConclusionsThe study suggested that the 34-item FI-CD could have clinical utility in the management of middle-aged caregivers. Social deprivation appeared as an important factor associated with frailty, highlighting the importance of early care and social support for precarious caregivers.

【 授权许可】

CC BY