Abstract
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.
Highlights
The 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
The frailty index of cumulative deficit (FI-CD) was significantly associated with age (p = 0.001), Epices score (p = 0.011), social deprivation (p = 0.015), financial difficulties for needs (p = 0.037), not be homeowner (p = 0.039), not had leisure within the year (0.001), perceived health Visual Analog Scale (VAS) (p < 0.001) and financial assistance for long-term illness (p = 0.009)
The FI-CD was significantly associated with age and social deprivation
Summary
The 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. The Institut Pasteur of Lille, in the north of France, has implemented a prevention program, which aims to identify and correct pre-frailty or frailty in middle-aged individuals, to age better and limit the consequences of ageing. The first step of this prevention program is a large, multidisciplinary health check, which aims to identify frailty. It includes a medical check with numerous clinical and paraclinical examinations (bone mineral density, dual energy X-ray absorptiometry, spirometry, visual and auditory examinations, electrocardiogram, biology), and interviews carried out by neuropsychologists, dieticians, and medico-sports educators. The second step is a coaching intervention, which aims to try to correct the observed frailty
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