133 / 290
two SD below the mean of the young adult Ukrainian females (20
–
39 yrs). We also assessed handgrip strength and measured gait speed.
The sarcopenia was determined using EWGSOP-suggested algorithm.
Results:
The ASMI values corresponding to a cutoff of low muscle
mass by the definitions used were as follows: <5.5 kg/m
2
(European
guidelines), <5.7 kg/m
2
(<20th percentile of sex specific population),
<4.8 kg/m
2
(two SD below the mean of young Ukrainian females aged
20
–
39 yrs). The frequency of low muscle mass in women aged 65 yrs
and older based on the above three criteria was 12%, 16% and 1.7%,
respectively. The frequency of sarcopenia increased with age: in
women 50
–
59 yrs
–
5.1%, 60
–
69 yrs
–
3.7%, 70
–
79 yrs
–
18.4%, 80
–
80 yrs
–
30.8%. The mean frequency of sarcopenia in women aged
65 yrs and older was 21.3%.
Conclusion:
The cutoff value of ASMI (<4.8 kg/m
2
) defined as two SD
below the mean of reference young populationwas lower in this study
compared with the Rosetta Study (<5.5 kg/m
2
). As for the sex specific
cutoff (ASMI <5.7 kg/m
2
), this index was similar to the data of the
Health ABC study (<5.67 kg/m
2
) (EWGSOP, 2010). The mean frequency
of sarcopenia in Ukrainian older women was 21.3%.
P-368
Effects of resistance muscle training in prevention of sarcopenia in
ageing adults
–
systematic review
M.L. Rosado
1
, M.T. Tomás
2
, S. Collaço
3
, C. Gonçalves
3
, M. Abreu
3
,
S. Cardoso
3
.
1
PT, PhD; Department of Physiotherapy, Alcoitão School of
Health, Alcabideche,
2
PT, PhD; CIPER, Faculty of Human Kinetics,
University of Lisbon, Lisbon,
3
PT; Alcoitão School of Health, Alcabideche,
Portugal
Objectives:
Sarcopenia describes a progressive and generalized loss of
skeletal muscle mass and strength. It
’
s a complex medical condition
that leads to loss of independence, high risk of falls, decreased quality
of life, increased expenses in health and increasedmorbility. We aimed
verify the resistance muscle training effect in Lean Body Mass (LBM) or
Tight Lean Mass (TLM) in ageing adults.
Methods:
PEDro, PubMed and CochRane Library were searched
(January 2005
–
May 2015), using predefined research terms,
Randomized Controlled Trials (RCTs), with a study population aged
65 and up, that went through a resistance muscle training (RMT) based
intervention, with assessment of body composition by Dual Energy
X-ray Absorptiometry or Computed Tomography Scan technology,
were analyzed. The internal validity of each article was assessed using
the PEDro scale.
Results:
From a total of 125 studies, five RCTs met the inclusion
criteria. All the studies had a score of 5/10 on the PEDro scale. Main
results show that both, high intensity or low intensity resistance
training, increased Muscle Quality Index, Cross Sectional Area,
strength of the quadriceps, TLM/LBM and functionality (gait speed,
time sit-to-stand and Timed up & Go). Even on the detraining period,
there were no significant losses of the above mentioned.
Conclusions:
RMT has shown increase LBM or TLM and that could
contribute to sarcopenia prevention leading to a better functional
capacity and reduced risk of falls, which could increase quality of life in
older adults.
P-369
Improving the diagnosis and recording of clinical frailty in the
acute hospital setting. The introduction of
“
frailty tab
”
on the
electronic discharge letter (EDL) template at MEHT
S. Saber, A. Ramnarine, A. Kayani, H. Iftikhar, A. Qureshi, M. Sweeting.
Broomfield Hospital, Chelmsford, UK
Objectives:
The aging population in the UK is dramatically increasing
and thus so is the prevalence of frailty. Our ability to recognize frailty as
a syndrome and record it as a diagnosis can facilitate risk stratification
and promote advanced care planning.
Methods:
Datawas collected retrospectively before introduction of the
frailty score tab on the EDL, 60 patients (>75 years) admitted to acute
geriatric wards were randomly selected.
EDL
’
s were analyzed for a
A diagnosis of Clinical Frailty
A Clinical Frailty Score(CSF)
For patients with a CFS of >5, whether or not the GP was notified about
adding them to the frailty register. Data was then collected for 60
patients discharged after the introduction of the frailty tab of the
Rockwood CFS on the EDL prospectively.
Results:
Cycle 1: 0% patients had a CFS but 14% did have the term
“
clinical frailty
”
written on the EDL whilst the remaining 86% had
neither. 8.6% of those without a CFS had detailed information on
mobility allowing calculation of the CFS.
Cycle 2:
74% of patients had a CFS and all patients with a CFS in the tab
also had a diagnosis of clinical frailty in the diagnosis box of the EDL.
Conclusion:
Introduction of a simple frailty tab on the EDL has
dramatically improved the coding of clinical frailty in EDL.
The frailty tab can be used by GPs to recognize frailty and ensure
patients are registered on local
“
frailty networks
”
. This allows access to
appropriate community support.
P-370
Prevalence of sarcopenia in very old hip fracture patients
M.N. Vaquero-Pinto
1
, C. Sánchez-Castellano
1
, A. Merello-de-Miguel
1
,
A.C. Ramírez-Archundia
2
, A.J. Cruz-Jentoft
1
.
1
Hospital Universitario
Ramón y Cajal, Madrid, Spain
2
Instituto Tecnológico de Estudios
superiores de Monterrey- Campus Monterrey, México
Objectives:
This is a substudy of an ongoing study that aims to identify
biological markers (inflammatory and neuromuscular markers) for
the early diagnosis of sarcopenia in patients older than 80 years
hospitalized for the surgical treatment of a hip fracture. The aimwas to
assess the prevalence of sarcopenia (defined as low muscle mass and
strength).
Methods:
Patients admitted to an orthogeriatric unit who gave
the informed consent for the biomarker
’
s study. Muscle mass was
assessed preoperatively using bioimpedance analysis, Janssen
’
s (J) and
Masanés (M) Spanish reference cutoff-points were used to define low
muscle mass. Strength was assessed with handgrip strength (Jamar
’
s
dynamometer). Assessment included socio-demographic data, cogni-
tive status(Pfeiffer, GDS-Reisberg), functional status(Barthel, Lawton,
FAC), nutrition(MNA, BMI), number of falls, medications.
Results:
N = 87. Mean age:88.0 ± 4.7. Women:82.8%. Sarcopenia preva-
lence varied from 8.8% (FJ) to 33.7% (FM). 74.5% had independent
ambulation before the fracture, 69% reported two or more previous
falls. 30% had dementia,18.8% moderate to severe dementia. 75.3% had
mild to moderate dependence before admission, only 12.9% were
independent for BADL. MNA:10.4 ± 2.7. BMI = 25.6 ± 14
–
7. 83.7% were
on 4 or more drugs before admission. In multivariate analysis, only
the type of fracture was associated to the presence of sarcopenia
(subcapital fractures more frequent, p = 0.018).
Conclusion:
The prevalence of sarcopenia in our patients with hip
fracture varies according the muscle mass reference cutoff-points
used, been more frequent with national references. Most hip fracture
patients do not have pre-fracture sarcopenia. Subcapital hip fractures
were more frequent in sarcopenic patients. Funded with a grant from
FundaciónMutuaMadrileña
P-371
Sarcopenia does not predict one-year-mortality after a hip fracture
C. Sánchez-Castellano
1
, A. Merello-de-Miguel
1
, M.N. Vaquero-Pinto
1
,
A.C. Ramírez-Archundia
2
, A.J. Cruz-Jentoft
1
.
1
Hospital Universitario
Ramón y Cajal, Madrid, Spain;
2
Instituto Tecnológico de Estudios
superiores de Monterrey- Campus Monterrey, México
Objectives:
This is a substudy of an ongoing study that aims to identify
biological markers (inflammatory/neuromuscular) for the diagnosis of
sarcopenia in patients older than 80, hospitalized for the treatment
of a hip fracture. The aim was to explore if sarcopenia is linked with
outcomes in this patients.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S127