136 / 290
used to assess e.g. age, sex, and subjective achievement of the Dutch
physical activity guideline, defined as 30 minutes of moderate physical
activity for at least 5 days. Physical activity was measured using 7-day
accelerometry. Muscle-related parameters included absolute and
relative muscle mass, handgrip strength and gait speed. Data analysis
was stratified by age.
Results:
192 (80.9%) participants reported to meet the recom-
mended Dutch physical activity guideline whereas this was actually
the case in 50 (21.2%) participants. The association of I-PA with
muscle mass, handgrip strength and gait speed was age dependent.
In middle-aged adults, I-PA was not associated with muscle mass,
handgrip strength or gait speed. In older adults, I-PAwas significantly
associated with handgrip strength and gait speed, but not with muscle
mass.
Conclusions:
Physical activity should be measured objectivity. The
complex interrelation between physical activity, muscle measures and
physical performance is highly dependent on age.
P-379
Lack of knowledge and diagnostics hinders the implementation of
sarcopenia in daily practice
E.M. Reijnierse
1
, M.C. Trappenburg
1,2
, M.A.E. de van der Schueren
3,4
,
M. Doves
5
, C.G.M. Meskers
6
, A.B. Maier
7,8
.
1
Department of Internal
Medicine, Section of Gerontology and Geriatrics, VU University Medical
Center, Amsterdam,
2
Department of Internal Medicine, Amstelland
Hospital, Amstelveen,
3
Department of Internal Medicine, Section
Nutrition and Dietetics, VU University Medical Center, Amsterdam,
4
Department of Nutrition, Sports and Health, Faculty of Health and Social
Studies, HAN University of Applied Sciences, Nijmegen,
5
Institute of
Human Movement Studies, Faculty of Health Care, University of Applied
Sciences Utrecht,
6
Department of Rehabilitation Medicine, VU University
Medical Center,
7
Department of Human Movement Sciences, MOVE
Research Institute Amsterdam, VU University, Amsterdam, The
Netherlands;
8
Department of Medicine and Aged Care, Royal Melbourne
Hospital, University of Melbourne, Melbourne, Australia
Objectives:
Sarcopenia is an emerging clinical challenge in an ageing
population and is associated with negative health outcomes.
Healthcare professionals play a key role in diagnosing and managing
sarcopenia. This study aimed to assess the current state of know-
ledge regarding the definition of sarcopenia, strategy diagnosing it
and involved collaborating healthcare professionals among a group
of Dutch healthcare professionals attending a lecture cycle on
sarcopenia.
Methods:
The Sarcopenia Road Show comprised lectures and work-
shops on the pathophysiology of sarcopenia in one session, influencing
factors and respective interventions at multiple locations in the
Netherlands in 2015. Attending health care professionals were asked
to complete a questionnaire (n = 223) before, directly after and after
five months.
Results:
69.7% of healthcare professionals stated to know the
definition of sarcopenia and 82.6% had treated patients with sus-
pected sarcopenia. Only 21.4% indicated to know how to formally
diagnose sarcopenia; 47.5% used their clinical view. If diagnostic
measures were used, handgrip strength was the most frequent one
(33.9%). Five months after attendance, muscle mass was measured
by 13.9%, handgrip strength by 50.6% and gait speed by 54.4%.
Bottlenecks during the implementation of diagnosing sarcopenia
were experienced by 67.1% participants; lack of knowledge among
collaborating healthcare professionals, the acquisition of equipment
and time constrains to perform the diagnostic tests were most often
reported.
Conclusions:
The concept of sarcopenia is familiar to most and diverse
healthcare professionals, however lack of formal knowledge hinders
the implementation of diagnostics and intervention of sarcopenia in
daily practice; collaboration should be improved.
P-380
The European Working Group on Sarcopenia in Older People
(EWGSOP) definition of low muscle mass is associated with
functionality and nutritional status in residents of a nursing home
A. Tufan
1
, G. Bahat
2
, H. Ozkaya
3
, D. Taşc
ı
oğlu
2
, F. Tufan
2
, B. Saka
2
,
S. Akin
4
, M.A. Karan
2
.
1
Department of Internal Medicine, Division of
Geriatrics, Marmara University Hospital,
2
Department of Internal
Medicine, Division of Geriatrics, Istanbul Medical School,
3
Istanbul
Metropolitan Municipality, Department of Health and Social Services,
Kay
ı
şdagi Darulaceze Ministry, Istanbul,
4
Department of Internal
Medicine, Division of Geriatrics, Erciyes Medical School, Kayseri, Turkey
Objectives:
To determine the prevalence of low muscle mass(LMM)
and the relationship between sarcopenic LMM with functionality and
nutritional status as defined using the European Working Group on
Sarcopenia in Older People(EWGSOP) criteria among male residents in
a nursing home.
Methods:
Male residents aged >60 years of a nursing home located in
Turkey, were included in our study. Their bodymass index(BMI) kg/m
2
,
skeletal muscle mass(SMM)kg/m
2
, and skeletal muscle mass index
(SMMI) kg/m
2
were calculated. Functional status were evaluated
with Katz activities of daily living(ADL) and Lawton Instrumental
Activities of Daily Living(IADL). Nutritional assessment was performed
using the Mini Nutritional Assessment(MNA). The number of drugs
taken and chronic diseases were recorded.
Results:
One hundred fifty-seven male residents were enrolled into
the study. Their mean age was 73.1 ± 6.7 years with mean ADL score
of 8.9 ± 2.0 and IADL score of 8.7 ± 4.6. One hundred twelve (71%)
residents were aged >70 years. Thirty-five (23%) men had sarcopenic
muscle mass in group aged >60 years, and twenty-eight(25%) subjects
in the group aged >70 years. MNA scores were significantly lower in
sarcopenic residents compared with nonsarcopenic males(17.1 ± 3.4
vs. 19.6 ± 2.5, p = 0.005). BMI was significantly lower in the sarcope-
nic group compared with the nonsarcopenic subjects (19.6 ± 2.7vs.
27.1 ± 4.1, p < 0.001). ADL scores were significantly different between
sarcopenic and nonsarcopenic subjects in those aged >70 years
(8.1 ± 2.6 vs. 9.1 ± 1.6, p = 0.014).
Conclusions:
There is a strong association of sarcopenic muscle mass
with functionality and nutritional status within the nursing home
setting using the EWGSOP criteria with Turkish normative reference
cut-off values.
P-381
Validation of a new mortality risk prediction model for people 65
years and older in northwest Russia: the crystal risk score
A. Turusheva
1
, E. Frolova
1
, B. Vaes
2
, E. Hegendoerfer
2
, J.M. Degryse
2
.
1
Russia,
2
Institut de Recherche Santé et Société, Université Catholique
de Louvain, Brussels, Belgium
Introduction:
Prediction models of adverse outcomes for older adults
may help physicians make decisions about screening, diagnosis
and treatment. Neither the classical phenotype, nor the accumulated
deficit model and self-report approach of frailty appeared to be valid in
our cohort. This study aims to develop a risk score that predict short-
term mortality and perform its internal and external validations.
Methods:
In a population-based prospective cohort study of 611
community-dwelling individuals 65+, mortality risks over 2.5 years
follow-up were determined based on the results obtained from
anthropometry, medical history, physical performance tests, spirom-
etry and laboratory tests. C-statistic, Risk Reclassification analysis,
Integrated Discrimination Improvement analysis, decision curves
analysis, internal validation and external validation were performed.
Results:
Older adults were at higher risk for mortality [HR(95%CI) = 4.5
(3.7
–
5.5)] when two or more of the following components were
present: poor physical performance, low muscle mass, poor lung
function, and anemia. If anemia was combined with high C- reactive
protein (CRP) and high B-type natriuretic peptide (BNP) was added
the HR(95%CI) was higher (5.8(4.7
–
7.1)) even after adjusting for age,
sex and comorbidities, but reclassification measurements did not
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S130