European Geriatric Medicine - Supplement 1 - Volume 7 - October 2016

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Results: Both HBS and modified WHI-OS identified 35 persons (7.3%)
as frail, partly comprising different individuals, whereas FI identified
86 persons (17.9%) as frail. Of the men, 102 (21.3%) were classified as
frail by at least one of the criteria. All three criteria significantly
predicted higher mortality (for HBS p < 0.001, forWHI-OS p < 0.001, for
FI p < 0.001), higher number of fallers (for HBS p = 0.027, for WHI-OS
p = 0.023, for FI p = 0.016), and lower HRQoL (for HBS p < 0.001, for
WHI-OS p < 0.001, for FI p < 0.001) for frail participants. There was no
difference in weight change according to frailty.
Conclusions: Frailty can be identified using a simple mailed ques-
tionnaire. While all three criteria separated frailty and predicted
important outcomes, FI identified more individuals as frail.
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Sarcopenia prevalence: a retrospective study in a geriatric day
hospital
E. Populaire1, S. Gillain2, N. Berg1. 1CHR Citadelle Liège, 2CHU de Liège
Introduction and purpose: To assess sarcopenia status in the geriatric
day hospital of CHR Citadelle according to the European Working
Group on Sarcopenia in Older People (EWGSOP) and to determine
sarcopenic risk status. Afterwards, we try to establish a method to
detect patients who have risk of sarcopenia.
Method: It was an retrospective study included 494 patients who
went to geriatric day hospital from February 2014 to November 2014.
Sarcopenia status was determined according to the EWGSOP guide-
lines. We use the 4 meter gait speed, the grip strength and the
bioelectrical impedance. We collect demographic, anthropometric,
medical and functional variables in patients’ medical history. Result:
In these study, sarcopenia status was assessed among 136 patients
(28.9%). A logistic regression analysis was performed. Sarcopenia was
significantly detected when (p = 0.040 age grows), among women
(p = 0.040) and when BMI was low (p < 0.0001). When age, sex and
BMI were include any other variable was detected as significantly. A
predictive model build with age, sex and BMI was established but its
sensibility is low.
Conclusion: This retrospective study of 494 patients who went to
geriatric day hospital of CHR Citadelle. Sarcopeniawas assessed for 136
patients according to the EWGSOP guidelines. Only age, sex and BMI
show significantly influence on sarcopenia prevalence. Any method
included good sensibility and specificity was established to identify
sarcopenia risk among older patients.
Keywords: Sarcopenia; Prevalence; retrospective study; Geriatric
day hospital.
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Association between lean mass and dietary protein intake in
postmenopausal women
V. Povoroznyuk, N. Dzerovych, R. Povoroznyuk, I. Syzonenko. D.F.
Chebotarev Institute of gerontology NAMS, Ukraine
Introduction: The skeletal muscle is a key component of the body
composition, and it is highly correlated with physical activity. There
are many factors leading to age-related muscle mass loss. Recent
studies attest to a strong connection of dietary peculiarities and the
body composition of elderly people. In this context, protein with its
prominent dietary status gains an especial standing as far as the older
population ’ s health is concerned. The aim of the study was to evaluate
the appendicular lean mass depending on the dietary protein intake in
the Ukrainian postmenopausal women.
Materials and methods: The study involved 63 women aged 52–89
years, who, depending on their ages, were divided into groups: 52 –59
years (n = 9), 60 – 69 years (n = 26), 70– 79 years (n = 21), 80– 89 years
(n = 7). To assess the dietary habits of women, we used the three-day
sampling method and SEC «Viria» software. Lean mass was evaluated
using a dual-energy X-ray absorptiometry (Prodigy, GE). We also
calculated appendicular lean mass index (ALMI) by the formula:
ALMI = lean mass of upper and lower extremities (kg)/height (m2).
Results: Examination of patients’ dietary habits showed an age-related
decrease. Women of 80–89 years consuming less than 1.0 grams of
protein per 1 kg of body weight accounted for more than a half of
their group (57.1%), which is significantly different from the para-
meters established in women of 52–59 years (22.2%). For the purpose
of quartile analysis, women were divided into 4 groups depending
on their ALMI values: Q1 – ALMI = 5.20– 5.84 kg/m2 (n = 15), Q2 –
ALMI = 5.85–6.25 kg/m2 (n = 17), Q3 – ALMI = 6.26–6.56 kg/m2 (n =
16), Q4 – ALMI = 6.57–7.65 kg/m2 (n = 15). Women with the lowest
ALMI values consume the lowest amounts of dietary protein (F = 3.67;
p = 0.02). Significant correlations among dietary protein, nonessential,
essential aminoacids and ALMI values (r = 0.40, t = 3.44, p = 0.001;
r = 0.39, t = 3.30, p = 0.002; r = 0.35, t = 2.91, p = 0.005; accordingly)
were determined.
Conclusion: Further studies are needed to elaborate a set of recom-
mendations aimed at correction of nutritional habits observed in older
women of different countries.
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Skeletal muscle and vitamin D level in women of various ages
V.V. Povoroznyuk, N.I. Dzerovych, T.J. Solonenko, O.A. Vdovina. D.F.
Chebotarev Institute of gerontology NAMS Ukraine
Introduction: In recent years there has been a number of studies
examining the correlation between vitamin D status and skeletal
muscles. However, there are many different approaches to the role of
vitamin D metabolism and function of skeletal muscles. The aim of the
research conducted at the SI «D.F. Chebotarev Institute of Gerontology
NAMS of Ukraine» was to study the correlation between skeletal
muscles and vitamin D level in women of different ages.
Materials and methods: The study involved 122 healthy women aged
20 to 83 years. According to the gerontological classification, the
examined women were divided into groups: younger – up to 44 years
(n = 35), middle – 45– 59 years old (n = 26), older – 60– 74 years
(n = 44), senile age – 75–89 years (n = 17). Lean mass of the total body,
upper and lower extremities was evaluated using Dual X-ray
absorptiometry (Prodigy, GEHC Lunar, Madison, WI, USA). Strength
of skeletal muscle was evaluated using springy carpal dynamometer.
To determine the functional capacity of skeletal muscle we used a
«four-meter» test. To determine the level of 25(OH)D electroche-
miluminescent method was used with Elecsys 2010 analyzer (Roche
Diagnostics, Germany).
Results: We determined a significant correlation between parameters
of lean mass (r = 0.45; t = 2.08; p = 0.05) and the level of vitamin D in
women of middle (45–59 years) age; skeletal muscle functionality
(r = −0.51; t = −2.29; p = 0.04) and the level of vitamin D in women of
older (60–74 years) age. We did not find the significant correlation
between parameters of muscle strength and level of vitamin D.
Conclusion: Significant correlation between parameters of lean mass,
skeletal muscle functionality and the level of vitamin D was
determined in women of middle and older age.
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Sarcopenia in Ukrainian older women
V. Povoroznyuk, N. Dzerovych, R. Povoroznyuk. D.F. Chebotarev Institute
of Gerontology NAMS, Ukraine
The aimof this study was to evaluate the frequency of sarcopenia in the
healthy Ukrainian women. Materials and methods. 390 women aged
20–87 years (mean age – 57.50 ± 15.99 years) were examined. All
subjects were free of systemic disorders and obesity, and were not
taking medications known to affect the skeletal and muscle metab-
olism. The lean and fat masses were measured by the DXA method
(Prodigy, GEHC Lunar, Madison, WI, USA). Appendicular skeletal mass
(ASM) was measured at all the four limbs with DXA. We’ve also
calculated the appendicular skeletal mass index (ASMI) according to
the formula: ASM/height (kg/m2). Lowmusclemass values conform to
the following definitions: European guidelines (ASMI <5.5 kg/m2)
(EWGSOP, 2010), less than 20% of sex-specific normal population and
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S126