Health and aging in elderly farmers: the AMI cohort

BMC Public Health

Study Protocol

Virginie Postal¹  Cécilia Maubaret²  Cécile Delcourt²  Jean-François Dartigues²  Pascale Barberger-Gateau²  Fanny Matharan²  Hélène Amieva²  Isabelle Baldi²  Alexandra Foubert-Samier²  Karine Pérès²  Chantal Chantal²  Maryse Gaimard³  Annie Fourrier-Réglat⁴  Michèle Allard⁵  Nicole Rascle⁶  Sonia Laberon⁶  Valérie Bergua⁶  Muriel Rainfray⁷  Isabelle Bourdel-Marchasson⁸ 

[1] INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, F-33000, Bordeaux, France;Laboratoire Psychologie, Santé et Qualité de vie, EA 4139, F-33076, Bordeaux, France;INSERM, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique, F-33000, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;Centre Emile Durkheim UMR 5116, F-33000, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;INSERM, U567, F-33076, Bordeaux, France;Centre Hospitalo-Universitaire CIC0005, F-33000, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;Institut de Neurosciences cognitives et intégratives d'Aquitaine, CNRS UMR 5287, F-33076, Bordeaux, France;Ecole Pratique des Hautes Etudes, F-33000, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;Laboratoire Psychologie, Santé et Qualité de vie, EA 4139, F-33076, Bordeaux, France;Univ. Bordeaux, F-33000, Bordeaux, France;Pôle de Gérontologie Clinique, Centre Hospitalo-Universitaire de Bordeaux, F-33604, Pessac, France;Univ. Bordeaux, F-33000, Bordeaux, France;Pôle de Gérontologie Clinique, Centre Hospitalo-Universitaire de Bordeaux, F-33604, Pessac, France;Résonnance Magnétique des Systèmes Biologiques, UMR 5536 CNRS, F-33076, Bordeaux, France;

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

DOI  :  10.1186/1471-2458-12-558

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

来源: Springer

【 摘 要 】

BackgroundThe 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/designThe 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).DiscussionAMI 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】

CC BY   
© Pérès et al.; licensee BioMed Central Ltd. 2012