Mortality and Morbidity among Farmers, Nonfarming Rural Men, and Urban Referents: A Prospective Population-Based Study

Thelin, Nils; Holmberg, Sara; Nettelbladt, Per; Thelin, Anders

doi:10.1179/107735209799449680

Cited by 27 publications

(19 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We have followed a cohort of rural men over 12 years [22]. In a previous study we found that daily intake of fruit and vegetables in combination with a high dairy fat intake was associated with a lower risk of coronary heart disease [23].…”

Section: Introductionmentioning

confidence: 99%

High dairy fat intake related to less central obesity: A male cohort study with 12 years’ follow-up

Holmberg

Thelin

2013

Scandinavian Journal of Primary Health Care

Self Cite

View full text Add to dashboard Cite

ObjectiveTo study associations between dairy fat intake and development of central obesity.DesignA prospective population-based cohort study with two surveys 12 years apart.SettingNine municipalities selected from different parts of Sweden representing the rural areas in the country.Subjects1782 men (farmers and non-farmers) aged 40–60 years at baseline participated in a baseline survey (participation rate 76%) and 1589 men participated at the follow-up. 116 men with central obesity at baseline were excluded from the analyses.Main outcome measuresCentral obesity at follow-up defined as waist hip ratio ≥ 1.Results197 men (15%) developed central obesity during follow-up. A low intake of dairy fat at baseline (no butter and low fat milk and seldom/never whipping cream) was associated with a higher risk of developing central obesity (OR 1.53, 95% CI 1.05–2.24) and a high intake of dairy fat (butter as spread and high fat milk and whipping cream) was associated with a lower risk of central obesity (OR 0.52, 95% CI 0.33–0.83) as compared with medium intake (all other combinations of spread, milk, and cream) after adjustment for intake of fruit and vegetables, smoking, alcohol consumption, physical activity, age, education, and profession. The associations between dairy fat intake and central obesity were consistent across body mass index categories at baseline.ConclusionA high intake of dairy fat was associated with a lower risk of central obesity and a low dairy fat intake was associated with a higher risk of central obesity.

show abstract

Section: Introductionmentioning

confidence: 99%

High dairy fat intake related to less central obesity: A male cohort study with 12 years’ follow-up

Holmberg

Thelin

2013

Scandinavian Journal of Primary Health Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…A number of studies have suggested a unique pattern of morbidity and mortality among farmers [2-4]. Farmers have a remarkable deficit in total mortality, cardiovascular diseases, diabetes mellitus, psychiatric disorders and total cancer compared with the other populations, but appear to have higher prevalence rates of musculoskeletal diseases, respiratory diseases, hearing loss, skin disorders, accidental death and cancer of the skin, stomach, brain, and prostate, as well as the nervous, lymphohematopoietic systems [2,3,5,6]. …”

Section: Introductionmentioning

confidence: 99%

Prevalence and changes in chronic diseases among South Korean farmers: 1998 to 2005

2009

View full text Add to dashboard Cite

BackgroundEpidemiologic studies have suggested a unique pattern of disease among farmers in Western countries, but limited information is available about the magnitude of disease prevalence and their changes over time in Asian farmers. The aim of this study was to compare the prevalence and changes in chronic diseases among farmers with those of other occupational groups in South Korea.MethodsUsing data from three consecutive cross-sectional national surveys: the Korean National Health and Nutrition Examination Survey 1998 (n = 39,060), 2001 (n = 37,769), and 2005 (n = 34,145), we calculated age and gender-standardized prevalence of chronic diseases by the direct method and compared the prevalence changes from 1998 to 2005.ResultsFemale farmers had significantly higher chronic disease prevalence than other occupational groups in all three surveys. Arthritis was the most prevalent chronic disease among farmers for both men and women. Compared with other populations, farmers demonstrated a higher prevalence of arthritis and intervertebral disc disorders. Farmers showed higher prevalence changes for intervertebral disc disorders than other occupational workers.ConclusionOur findings support that South Korean farmers have a distinct pattern of diseases prevalence from other populations. More detailed studies investigating the risk of musculoskeletal diseases and intensive intervention efforts to reduce the prevalence these diseases, particularly among female farmers, are required.

show abstract

“…Several studies reported that this population has a greater risk of several cancers (non-Hodgkin's lymphoma, Hodgkin's disease, multiple myeloma, prostate, connective tissue, skin, stomach, and brain) [1], respiratory diseases such as chronic obstructive pulmonary disease [2,3], musculoskeletal pain [4,5], reproductive outcomes [6] and accidents [7]. Some others also reported higher risk for neurologic diseases such as Parkinson’s disease [8,9] or cognitive decline and dementia [10-12].…”

Section: Introductionmentioning

confidence: 99%

“…Some others also reported higher risk for neurologic diseases such as Parkinson’s disease [8,9] or cognitive decline and dementia [10-12]. On the other hand, some findings also suggested that this population would less often suffer from other conditions, such as cardiovascular diseases [1,5,6], some types of cancer (lung, colon, oesophagus and bladder [1][5]) or asthma (particularly for farm exposure in the childhood [13,14]). In terms of mortality, the literature suggests quite consistent results, showing a lower mortality for all causes of death, and particularly lower mortality by cancer [1,5]; only few studies suggested the reverse such as in Australia [15].…”

Section: Introductionmentioning

confidence: 99%

Health and aging in elderly farmers: the AMI cohort

et al. 2012

View full text Add to dashboard Cite

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.

show abstract

Mortality and Morbidity among Farmers, Nonfarming Rural Men, and Urban Referents: A Prospective Population-Based Study

Cited by 27 publications

References 32 publications

High dairy fat intake related to less central obesity: A male cohort study with 12 years’ follow-up

High dairy fat intake related to less central obesity: A male cohort study with 12 years’ follow-up

Prevalence and changes in chronic diseases among South Korean farmers: 1998 to 2005

Health and aging in elderly farmers: the AMI cohort

Contact Info

Product

Resources

About