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EWGSOP algorithm and reduction of low muscle weight (SMMI)
and muscle functions (OYH or muscle strength). The definition of
obesity was evaluated through two alternative procedures, which are
recommended by the literature as Zoico methodology: the percentile
of fat belonging to elderly population is >=60 or WHO definition: BMI
>=30 kg/m
2
.
Results:
204 of elderly population was recruited in the study (110
women-94 men). The average age is 75.4 ± 7.3. The features of the
study population including gender differences are summarized in
Table 1. The determination for sarcopenic obesity was absent in both
genders according to WHO definition, whereas the determination for
sarcopenic obesity was present as %4.6 for males and %2.1 for the
entire population according to Zoico methodology.
Conclusion:
The fact that our study determined the SO as 0 according
to the WHO criteria suggests that with this methodology, sarcopenia is
absent in obese cases. Therefore we suggest that Zoico methodology
could be more convenient in evaluating SO.
P-436
Improvement in health perception of patients after an
interventional program in a geriatric day hospital (GDH): a
prospective observational study
E. de Jaime
1
, O. Vazquez
1
, S. Mojal
2
, A. Renom-Guiteras
1
, E. Sevilla
1
,
M.L. Rodriguez
1
, R. Miralles
1
, M.A. Vidal
1
, S. Burcet
1
.
1
Geriatric Service
Centre Forum del Parc Salut Mar,
2
Institut Municipal d
’
Investigacio
Medica, Barcelona, Spain
Objectives:
To ascertain whether admission to a GDH modifies health
self-perception and each of the Quality-of-life (QOL) dimensions using
the Nottingham Health Profile (NHP) instrument.
Method:
A prospective observational study that included all the
patients admitted and discharged from GDH between January 2007
and December 2011 who were attended during a minimum of 7
sessions. Evaluated parameters at admission and discharge were:
Barthel and Lawton indexes, Folstein
’
s Mini-Mental State Exam,
Charlson index for comorbidity, Geriatric Depression Scale, Timed
Up&Go test, Tinetti walking test and NHP for health self-perception.
Patients with Mini-Mental <10, aphasia or poor collaboration were
excluded. Both, the total score and the dimensional score from NHP
(pain, emotional reactions, energy, sleep, social isolation, physical
mobility) were analyzed, with results ranging from 0 to 100 and a
higher score indicating worse health perception.
Results:
Out of 369 patients, 38 (10.2%) were excluded and in 85
(25.6%) NHP was not register at the time of discharge, remaining 246
for study. Average age was 76.9 ± 10.5 being 58.9% women. A
significant improvement was found in NHP total score (admission:
35.7 ± 20.9 vs. discharge: 30.5 ± 21.2, p = 0.000), and the dimensions
physical mobility (50.1 ± 29.6 vs. 41.9 ± 29.3, p = 0.000), social isolation
(22.6 ± 22.4 vs. 18.6 ± 20.8, p = 0.006), pain (33.5 ± 30.1 vs. 26.8 ± 29.1,
p = 0.000), and emotional reactions (35.1 ± 27.7 vs. 26.6 ± 26.1,
p = 0.000).
Conclusions:
Admission to a GDH may improve global health
perception of patients, particularly the dimensions of physical
mobility, social isolation, pain and emotional reactions. Further
studies should confirm these results.
P-437
The relationship between health-related physical fitness, balance
and fear of falling in healthy elderly fallers and non-fallers
M. Duray
1
, A. Genc
2
.
1
Pamukkale University School of Physical Therapy
and Rehabilitation, Denizli,
2
Dokuz Eylul University School of Physical
Therapy and Rehabilitation,
İ
zmir, Turkey
Objectives:
Declining physical fitness, increased falling risk and fear of
falling (FOF) can be observed in elderly people over aged 65. In the last
stages of life, these situations are important in terms of morbidity,
mortality and economic costs. The aim of this study was to examine
the relationship between health-related physical fitness and falling
risk, FOF in healthy elderly fallers and non-fallers.
Methods:
76 elderly (67 female, 9 male) whose mean age was
72.76 ± 6.58 years were included in the study. Participants were
grouped as fallers and non-fallers. For the measurement of health
related physical fitness, chair stand test (CST), modified push up test
(MPUT), six minute walking test (SMWT), flexion, extension, right and
left lateral flexion flexibility of trunk tests were applied to the subjects.
Falling risk and FOF were evaluated by Berg balance scale (BBS) and
Tinetti
’
s Fall Efficacy Scale (TFES) respectively.
Results:
29(%39.2) subjects had reported one or more falls and 47(%
61.8) subjects had not reported a fall. BBS and TFES had a positive and
medium significant correlation with CST (rBBS:,506; rTFES:,449),
MPUT (r:,529; rTFES:,445), SMWT (r:,604; rTFES:,436), extension
(r:,490; rTFES:,356), right lateral flexion (r:,536; rTFES:,349) and left
lateral flexion (,544; rTFES:,335) flexibility of trunk tests. Non-fallers
had better aerobic endurance and flexion of trunk flexibility than
fallers (Chi-square test, p < 0.05).
Conclusion:
Our results support that falling risk and FOF increases
with declining physical fitness. However, falling history affects aerobic
endurance and lower body flexibility in healthy elderly.
Keywords:
physical fitness; falling risk; fear of falling.
P-438
The investigation of relationship between physical activity level
and physical performance in elderly people living at home
M. Duray
1
, N. Yagci
1
, M.C. Duz
1
, M. Is
ı
k
1
.
1
Pamukkale University School of
Physical Therapy and Rehabilitation, Denizli, Turkey
Objectives:
Physical inactivity is an important problem which may
affect daily activities by decreasing physical performance. The aim of
this study was to examine the relationship between physical activity
level and performance more closely in elderly people living at home.
Methods:
Fifty volunteer elderly people, 36 males and 14 females,
aged between 65 and 85 years participated in this study. The Seven
Day Physical Activity Recall Questionnaire (SDPARQ) for physical
activity level and 4- Meter Walk Gait Speed Test (4MWGST), five
repetition sit to stand test (5RSST) and standing tests (ST) which are
the subtest of the Short Physical Performance Battery (SPPB) for
physical performance were used.
Results:
The average age of elderly people was 69.89 ± 4.95 years
and the average Body Mass Index (BMI) of the subjects was 28.01 ±
4.22 kg/cm
2
. SDPARQ scores showed a positive and moderate sig-
nificant correlation with 4MWGST scores (r = 0.318; p = 0.024) and,
5RSST scores (r = 0.556; p = 0.01). There was not a correlation between
SDPARQ and ST (r = 0,094; p = 0,516).
Conclusion:
The results of our study showed that the increase in
physical activity affects physical performance positively among the
elderly.
Keywords:
physical activity; physical performance; elderly people.
P-439
Maximal oxygen consumption, dynamic balance and quality of life
in community dwelling elderly with different physical activity
level
M. Duray
1
, A. Genc
2
.
1
Pamukkale University School of Physical Therapy
and Rehabilitation, Denizli,
2
Dokuz Eylul University School of Physical
Therapy and Rehabilitation,
İ
zmir, Turkey
Objectives:
It is accepted that physical activity level (PAL) has a major
effect on cardiorespiratory fitness, balance and the quality of life. The
aim of this study is to compare VO2max, dynamic balance and the
quality of life in elderly with different physical activity levels.
Methods:
Totally, 84 elderly (74 female, 10 male) were divided into
two groups as the group with low PAL (Group 1, n = 43) and the group
with high PAL (Group 2, n = 41). Cardiorespiratory fitness was
evaluated by calculating maximal oxygen consumption (VO2max)
during six minute walk test. Dynamic balance and quality of life were
assessed with Time up and go test (TUGT) and the SF-36 quality of life
questionnaire respectively.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S145