150 / 290
Conclusions:
This study suggests that there is an association between
the upper extremity function and balance performance in older adults.
Clinicians should focus on development of balance performance to
enhance performance of the upper extremity function or vice versa.
P-432
The association between the lower extremity muscle strength and
performance in balance and walking in older adults
K. Cekok
1
, T. Kahraman
2
, B.O. Ugut
2
, A. Genc
2
, P. Keskinoglu
3
.
1
Department of Physical Therapy and Rehabilitation, Medical Park
Hospital,
2
School of Physical Therapy and Rehabilitation, Dokuz Eylül
University,
3
Department of Biostatistics and Medical Informatics,
Dokuz Eylül University, Izmir, Turkey
Objectives:
In older adults, balance and walking are important pre-
requisites for the independent life and high performance of activities
of daily living. The aim of this study was to investigate the association
between the lower extremity muscle strength and performance in
balance and walking in adults older than 60 years.
Methods:
This cross-sectional study included older adults from
community and a nursing home. The muscle strength of hip abductors
and knee extensors were assessed with a hand-held dynamometer.
The performance in balance and walking were assessed with com-
monly used clinical tools including the Berg Balance Scale (BBS),
Timed Up and Go (TUG), TUG-cognition, and Four Step Square Test
(FSST), 10-Meter Walk Test (10MWT), and Six-Min Walk Test (6MWT).
Fear of falling was assessed with the Fall Efficacy Scale - International
(FES-I).
Results:
There were 80 participants with a median age of 75 (min-
max: 60
–
90) years. There were significant correlations between the
muscle strength of hip abductors and knee extensors and BBS, TUG,
TUG-cognition, FSST, 10MWT, 6MWT, and FES-I (p < 0.05).
Conclusions:
This study has indicated that there was an association
between the lower extremity muscle strength and performance in
balance and walking in older adults. Fear of falling was also associated
with decreased lower extremity muscle strength. It is important to
assess the lower extremity muscle strength for both the identification
of decreased performance in balance and walking and the develop-
ment of better preventive rehabilitation programs in older adults.
P-433
Determinants of gait speed in female older adults
T. Kahraman
1
, K. Cekok
2
, B.O. Ugut
1
, A. Genc
1
, P. Keskinoglu
3
.
1
School of
Physical Therapy and Rehabilitation, Dokuz Eylül University,
2
Department
of Physical Therapy and Rehabilitation, Medical Park Hospital,
3
Department of Biostatistics and Medical Informatics, Dokuz Eylül
University, Izmir, Turkey
Objectives:
Reduced gait speed is associated with a higher risk for
falls, disability, hospitalization, and increased mortality in both frail
and well-functioning healthy older adults, especially among females.
A better understanding about the predictors of gait speed in older
female adults is very important to design interventions that can
improve their gait speed. The aim was to identify factors affecting the
gait speed in female older adults.
Methods:
In total, 44 female participants older than 60 years were
included in this cross-sectional study. The 10-Meter Walk Test
(10MWT) was used to assess the gait speed. The lower extremity
muscle strength, mobility, balance, activities of daily living, fear of
falling, physical activity, and exercise capacity were assessed with
commonly used clinical tools, including hand-held dynamometer
assessments, Berg Balance Scale, Timed Up and Go Test (TUG), Four
Step Square Test, 30-s Chair Stand Test (30CST), Fall Efficacy Scale-
International, Barthel Scale, Rapid Assessment of Physical Activity, and
Six-Min Walk Test.
Results:
The 10MWT was significantly correlated with age, height, and
all the performed measures (p < 0.05). The 30CST and TUG were the
strongest determinants of 10MWT, explaining 95% of the variance
(adjusted R2 = 0.95).
Conclusions:
The results of this study have indicated that gait speed
was associated with performance in lower extremity muscle strength,
mobility, balance, activities of daily living, fear of falling, physical
activity, and exercise capacity. The functional lower extremity strength,
balance and mobility should be considered the first while designing
the interventions that can improve gait speed in female older adults.
P-434
The prevalence of frailty in older people admitted to hospital with
vertebral fragility fractures
L. Goh
1
, Y.Y.S. Chan
1
, T. Ong
1
, O. Sahota
1
.
1
Division of rehabilitation and
Ageing, Department of Healthcare of Older People, University of
Nottingham, Queens Medical Centre
Introduction:
Vertebral fragility fractures (VFF) are the most preva-
lent fragility fracture. Despite adjustment of risk factors and co-
morbidities, it is associated with significant mortality felt to be related
to an underlying frailty syndrome within this cohort. This evaluation
aims to identify the degree of frailty among hospital patients admitted
with VFF using clinical frailty scales.
Methods:
Patients >65 years old were screened over 6 weeks using
the hospital radiology system for a radiological diagnosis of vertebral
fracture. Data was collected on patients
’
demographics, mobility
(timed-up-and-go test, TUG), activities of daily living (Barthel Index),
cognition (abbreviated mental test, AMT) and frailty. As there is no
universally accepted frailty scale, the PRISMA-8, Groningen Frailty
Index (GFI), and Edmonton Frail Scale (EFS) were selected as these
were advocated by a national document on frailty management.
Cut-off points to indicate frailty were
≥
3 for PRISMA-7;
≥
4 for GFI; and
≥
8 for EFS.
Results:
Data was collected from 24 patients [16 female (66.7%); 8
male (33.3%)] with a mean(SD) age of 81(8.3). Pertaining to patient
characteristics, average co-morbidities were 3 per-patient; 19 patients
(79.2%) were admitted with a fall; 75.0% had a fall in the past year
(range 1
–
10); 83.3% were taking
≥
4 medication; 29.2% needed
assistance with daily living; Barthel Index mean(SD) was 17(4); AMT
mean(SD) was 8(3); and 75.0% needed >20 sec to perform a time-up-
and-go test. Fractures were centred on the thoraco-lumbar region
(T7-L5; 94.3%). With regards to the frailty indices, PRISMA-7 identified
70.8% of patients as frail; 66.7% on GFI; and 33.3% according to EFS. A
further 20.8% were considered vulnerable to frailty on the EFS. A total
of 29.2% were frail on all 3 three indices.
Conclusion:
A significant proportion of patients with VVF in hospital
are frail with co-morbid conditions related to older people. Treatment
of VVF in hospital needs to include management of their frailty using
a multidimensional interdisciplinary process, the comprehensive
geriatric assessment.
P-435
Geriatric study in the district of Fatih: Sarcopenic obesity in the
elderly population: how frequent?
C. Cimen
3
, Y. Yavuz
3
, G. Bahat
1
, C. Kilic
1
, F. Tufan
1
, S. Avci
2
, M.A. Karan
1
.
1
Division of Geriatric, Department of Internal Medicine, Faculty of
Istanbul Medicine, Istanbul University,
2
Division of Geriatric, Department
of Internal Medicine, Faculty of Cerrahpasa Medicine, Istanbul University,
3
Faculty of Istanbul Medicine, Istanbul University, Istanbul, Turkey
Aim:
The aim of this paper is to determine the prevalence of
sarcopenic obesity in the elderly population of the Fatih District that
take part in this geriatric screening survey.
Materials and methods:
Bioelectrical-impedance- analysis (BIA)
(TANITA-BC532) was used to measure the muscle weight. The
muscle mass was evaluated with Baumgartner index (skeleton
muscle weight/height 2). Low muscle weight (average of young
adults-2SD) and the threshold for muscle strength are evaluated as the
following according to our national data -men and women respect-
ively, lowmuscleweight: <9.2 kg/m
2
vs 7.4 kg/m
2
; <32 kg vs <22 kg. In
addition, value of class-1 low muscle weight was determined as 10.1
and 8.2 kg/m
2
. The definition of sarcopenia was determined through
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S144