Health and aging in elderly farmers: the AMI cohort

<p>Abstract</p> <p>Background</p> <p>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 amon...

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Main Authors: Pérès Karine, Matharan Fanny, Allard Michèle, Amieva Hélène, Baldi Isabelle, Barberger-Gateau Pascale, Bergua Valérie, Bourdel-Marchasson Isabelle, Delcourt Cécile, Foubert-Samier Alexandra, Fourrier-Réglat Annie, Gaimard Maryse, Laberon Sonia, Maubaret Cécilia, Postal Virginie, Chantal Chantal, Rainfray Muriel, Rascle Nicole, Dartigues Jean-François
Format: Article
Language:English
Published: BMC 2012-07-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/12/558
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author Pérès Karine
Matharan Fanny
Allard Michèle
Amieva Hélène
Baldi Isabelle
Barberger-Gateau Pascale
Bergua Valérie
Bourdel-Marchasson Isabelle
Delcourt Cécile
Foubert-Samier Alexandra
Fourrier-Réglat Annie
Gaimard Maryse
Laberon Sonia
Maubaret Cécilia
Postal Virginie
Chantal Chantal
Rainfray Muriel
Rascle Nicole
Dartigues Jean-François
author_facet Pérès Karine
Matharan Fanny
Allard Michèle
Amieva Hélène
Baldi Isabelle
Barberger-Gateau Pascale
Bergua Valérie
Bourdel-Marchasson Isabelle
Delcourt Cécile
Foubert-Samier Alexandra
Fourrier-Réglat Annie
Gaimard Maryse
Laberon Sonia
Maubaret Cécilia
Postal Virginie
Chantal Chantal
Rainfray Muriel
Rascle Nicole
Dartigues Jean-François
author_sort Pérès Karine
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods/design</p> <p>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).</p> <p>Discussion</p> <p>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.</p>
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spelling doaj.art-c2e45d8490e74a8684be2231e49b58012022-12-22T01:22:19ZengBMCBMC Public Health1471-24582012-07-0112155810.1186/1471-2458-12-558Health and aging in elderly farmers: the AMI cohortPérès KarineMatharan FannyAllard MichèleAmieva HélèneBaldi IsabelleBarberger-Gateau PascaleBergua ValérieBourdel-Marchasson IsabelleDelcourt CécileFoubert-Samier AlexandraFourrier-Réglat AnnieGaimard MaryseLaberon SoniaMaubaret CéciliaPostal VirginieChantal ChantalRainfray MurielRascle NicoleDartigues Jean-François<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods/design</p> <p>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).</p> <p>Discussion</p> <p>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.</p>http://www.biomedcentral.com/1471-2458/12/558AgingRural healthAgricultureCohort studiesInterdisciplinary studies
spellingShingle Pérès Karine
Matharan Fanny
Allard Michèle
Amieva Hélène
Baldi Isabelle
Barberger-Gateau Pascale
Bergua Valérie
Bourdel-Marchasson Isabelle
Delcourt Cécile
Foubert-Samier Alexandra
Fourrier-Réglat Annie
Gaimard Maryse
Laberon Sonia
Maubaret Cécilia
Postal Virginie
Chantal Chantal
Rainfray Muriel
Rascle Nicole
Dartigues Jean-François
Health and aging in elderly farmers: the AMI cohort
BMC Public Health
Aging
Rural health
Agriculture
Cohort studies
Interdisciplinary studies
title Health and aging in elderly farmers: the AMI cohort
title_full Health and aging in elderly farmers: the AMI cohort
title_fullStr Health and aging in elderly farmers: the AMI cohort
title_full_unstemmed Health and aging in elderly farmers: the AMI cohort
title_short Health and aging in elderly farmers: the AMI cohort
title_sort health and aging in elderly farmers the ami cohort
topic Aging
Rural health
Agriculture
Cohort studies
Interdisciplinary studies
url http://www.biomedcentral.com/1471-2458/12/558
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