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models in order to organize a comprehensive geriatric assessment of

the patient. There are used several scales that assess the nutritional

status, screen for depression and evaluates mobility problems and

social problems, among others. We present the results of scales which,

in our view, identify key issues that might affect the functionality and

autonomy of the elderly, leading to the patient adjustment, guidance

and correction.


The evaluation of the Geriatric Unit is repeated annually and

brings together the results of Katz scales, Mini Mental State Evaluation

and Geriatric Depression Scale as well as physical therapy assessment,

nutrition, psychological and finally the assessment of the Geriatric



In the annual comparison of results obtained with the 100

patients followed it appears that, in the case of Katz scales and MMSE

(Mini Mental State Evaluation), 93% and 88% of the monitored cases

show positive development and stability compared to the previous

assessment. In the case of EDG (Geriatric Depression Scale) 70% of the

cases studied show an improvement/stability of their depressive state.


These results demonstrate the importance of the multi-

disciplinary approach to patients. In this case, this consists in a team

of doctors, nurses, pharmaceutical, Gerontologist, psychologist, social

worker and physical therapists, all volunteers. The comprehensive

geriatric assessment serves to identify and address problems that may

be prohibitive of a life without limitations, more confident, independ-

ent, enabling the elderly patient to have a better quality of life for as

long as possible. These results show the importance of the persistence

of the team to implement the University Geriatric Unit and the

commitment to the continuity of its operations. In a country without

specific assistance to the elderly, this practice is a positive experience

and a gain of knowledge that is the basis for replication of other units

in Portugal.


A forgotten item for exercise prescription in elderly

A. Azhari, S.R. Mazloum, H. Kooshyar, Z. Najafi.

Mashhad University of

Medical Sciences


Exercise is believed to be one of the most effective of all

interventions proposed to improve functionality and quality of life in

elderly. The aim of this study was to assess the effect of fun physical

activity on muscular performance of nursing home residents.


63 home residents in Mashhad were randomly split into

intervention & control group who received fun physical activity &

routine physical activity respectively. Duration & Frequency of pro-

grams was 20 minutes, 3 times per week for 2 months. Balance &

muscle strength was assessed by Balance assessment score &

dynamometer in both groups.


Balance assessment score was significantly better in inter-

vention group (34/3 ± 8.1) comparing to control group (46/2 ± 15.6)

The average of grip strength was also better in intervention group

(17.9 ± 1.2) than controls (15.6 ± 1).


Exhilarating physical activities are strongly related to

improved beneficial effects of exercises on muscular performance in



General health status views of older adults: gender differences in

Turkish sample

N. Yagci, E. Baskan, U. Cavlak.

Pamukkale University School of Physical

Therapy and Rehabilitation


Preventive geriatric rehabilitation program helps

ageing population is to be healthy. Self-evaluations of general health

status can be used as a sensitive predictor in geriatric rehabilitation

program. It is a valid and reliable measure among older adults without

cognitive impairment. Health professionals need to know how older

adults think about their health status. This study was carried out to

determine the gender differences in terms of general health status

view and affecting illnesses among the elderly.


A total of 278 older adults (Male: 158; Female: 120) aged


90 (mean = 71.7 ± 5.5 yrs.) without cognitive impairments accord-

ing to the Hodkinson Mental Scale Score included this study. The

participants were asked to rate their general health status on Centers

for Disease Control and Prevention-4 Questionnaire (CDC-4 first

question was used only). In addition to this all participants were

asked to define the most affecting health problems (max. 5 illnesses)

their general health and quality of life.


11.2% of Female participants defined their general health

status as


while 38% of males defined as


. No women

reported as


. 5.7% of males reported


. Hypertension

was reported as the most affecting illness by males (31%) and females

(34.2%) older adults. Spinal pain (8.9% by males) and pulmonary

diseases (10% by females) were rated as less percentage by the both


Key conclusions:

The results of this study showed that the male

participants reported as good-perfect compared to the females. Both

gender had chronic illnesses affecting their general health and quality

of life. That

s why preventive geriatric rehabilitation program is vital

for ageing older adults, especially women to improve their general

health and quality of life.


Health Status; Older adults; Gender; Quality of Life.


Every step you take: does a cut-off of 7500 steps per day

differentiate between older people with regards to health and

physical functioning?

B. Bogen, A.H. Ranhoff, M.K. Aaslund, R. Moe-Nilssen.

University of



Public health recommendations include being moder-

ately to vigorously physically active for at least 30 per day for health

purposes. It has been suggested that walking

7,500 steps per day

may be sufficient to meet this recommendation. For this cut-off to be

meaningful, it should differentiate between older people on well-

known parameters of health and physical functioning.


Volunteers wore a step-counting sensor for three days.

Health and physical functioning was measured with preferred

walking speed over 6.5 meters (PWS) and the SF36 Physical Function

(PF) scale (0

100). The participants were split into less or more than

7,500 steps per day (inactive vs active). The groups were then

compared with regards to PWS and the SF36 PF scale. ROC-analysis

was performed to investigate the sensitivity and specificity of the

7,500 cut-off.


46 persons were included (mean age 76, 61% women). On

average, the participants walked 7,368 steps per day (±2,389). The

inactive group had significantly lower PWS (p = .024) but not self-

reported physical functioning (p = .074). ROC-analysis showed an area

under the curve of less than .700 for both PWS and the SF36 PF scale.


Although some support for a 7,500 steps cut-off was

found, ROC-analysis showed moderate sensitivity and specificity.

Alternative cut-offs should be investigated. Inferences about causality

may not be made with this cross-sectional design.


A feasibility study of a tailored physical and cognitive exercise

intervention to reduce falls in older adults with mild dementia

V. Booth, P. Logan, T. Masud, R. Harwood, V. Hood.

University of

Nottingham, Nottingham University Hospitals NHS Trust, UK


Older adults with mild dementia are at a high risk of



A pre-post feasibility study tested the components and

acceptability of a combined 6 week physical (strength and balance)

and cognitive (dual-tasking) exercise-based fall prevention interven-

tion. Outcome measures collected pre and post the intervention

included: Physiological Profile Assessment (PPA), Berg Balance Scale

(BBS), Timed Up and Go (TUG), spatial-temporal gait parameters in

Poster presentations / European Geriatric Medicine 7S1 (2016) S29