Abstract
We thank Prof Vitaliano for his response to our study. We should have specified that our paper [ [1] Lacey R.E. McMunn A. Webb E. Informal caregiving and metabolic markers in the UK Household Longitudinal Study. Maturitas. 2018; 109: 97-103 Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar ] was the first to investigate modification by gender in the longitudinal association between caregiving hours and metabolic outcomes on a ‘large, nationally representative’ sample. The focus of our study was on UK-wide population-level caregiving, using a nationally representative longitudinal study. As such we decided not to focus on a small highly selected sub-sample of caregivers, as has been done in many studies. We acknowledge that caregiving for a spouse with Alzheimer’s disease is likely to be particularly stressful. However, as the UKHLS is a multi-purpose study we were not able to take into consideration the caring needs or medical conditions of care recipients in our study. This is addressed in the limitations section of our paper (p. 101).
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