152 / 290
Results:
While VO2max scores of group 2 were better than group 1
(p = 0.001) significantly, TUGT scores were similar in both groups
(p > 0,91). There was a significant difference between groups in terms
of physical function (p = 0.001), general health (GH) (p = 0.001),
vitality (VT) (p = 0.001), role-emotional (p = 0.013), mental health
(p = 0.048). However Groups were similar with regard to bodily
pain (BP) (p = 0.124), role-physical (p = 0.260), social function (SF)
(p = 0,956) parameters of SF-36 questionnaire (p > 0,05). On the
other hand, a significant relationship was found between VO2max
and GH, VT, SF. TUGT was significantly corralated with BP, GH, VT, SF
(p < 0,05).
Conclusion:
In this research it was concluded that high PAL
increases VO2max level and quality of life in community dwelling
elderly.
Keywords:
aging; physical activity; cardiorespiratory; fitness.
P-440
Fatih district of geriatrics study: effective factors on depressive
mood in elders living in the community
G. Esen
3
, Z. Er
3
, G. Bahat
1
, C. Kilic
1
, S. Avci
2
, F. Turan
1
, A.M. Karan
1
.
1
Division of Geriatric, Department of
İ
nternal Medicine,
İ
stanbul
University,
2
Division of Geriatric, Department of
İ
nternal Medicine,
Faculty of Cerrahpasa Medicine,
3
Faculty of
İ
stanbul Medicine,
İ
stanbul
University,
İ
stanbul, Turkey
Background:
Geriatrics syndromes are clinical status that related
morbidity and mortality. The prevalence of geriatric syndrome, have
been reported in the elderly admitted to the polyclinic or hospitalized
in our contry. However, there is no similar study reported on the
elderly living in the community in the field. Within this scope, a
screening study was organized on the elderly living in the community
in Istanbul Province, Fatih District. Depression is increasing incidence
of aging and is a problemwhich plays an important role for morbidity
and mortality in elderly. In this report the effective factors on
depressive mood in the elderly who evaluated in geriatric study was
investigated in Fatih district.
Methods:
The elders who lives in Fatih/Istanbul were chosen by
cluster sample. The third and forth grade students of Istanbul Faculty
of Medicine were served as interviewers. Interviewers took the
standard training about measurement. The elders who is age of
between 65 and 101 were taken for research. Cognitive states were
screened with GDS-SF to measure of life quality were surveyed EQ5D,
we evaluated with KATZ Activities of Daily Living Scale (ADL),
LAWTON-BRODY Instrumental Activities of DailyLiving Scale.
Disease, number of drugs, hypertension (HT), diabetes mellitus (DM)
and hyperlipidemia have been noted.
Results:
204(94 males, 110 females) elderly person were taken to the
study. The average of age was 75,4 ± 7,3 years. It is summarized that
demografic, cognitive, mood, functionality, verifies quality of life
assessment mutual distribution among the sexes in research popula-
tion. Illiteracy rates (p = 0,04), female gender (p < 0,001) demans
diagnosis and positive scanning of cognitif disorders (p = 0,04/
p < 0,001), dependence on ambulation (p < 0,001), fear of falling
(p = 0,001), the prevelance of chronic pain (p < 0,001), uriner incon-
tinans (p < 0,001), malnutrition (p = 0,002) are more common in
depressed patient. But there is no significant difference for the
preserce of fall DM HT obesity. Depressive events were more elder,
more morbidity, more using drugs and scores of fragility are higher
score of ADL, IADL, CDT, MNA, EQ5D and subjective health situation
were less than other people. Depressive mood related factors in
regression analyze (the dependent variable is depressive scanning
positive, the independent variables are age, gender, education, the
number of drug and disease, malnutrition, fragility the presence of
cognitive disorders, DLA scores, life quality score) female sex (p =
0,027) the cognitive of screening test positive (p = 0,005) and low
quality o life was (p = 0,014).
Conclusion:
Female gender, cognitif disorder, poor quality of life are
outstanding risk factor for depressed mood in elders who live in
society mood situation assessment is specially important in elders
who have this risk factor.
Keywords:
elderly; geriatric; depressed mood; daily living activities.
P-441
Is inspiratory muscle strength related with functional capacity?
R. Francisco
1
, P. Fonseca
1
, M.T. Tomás
1
.
1
Escola Superior de Tecnologia da
Saúde de Lisboa, Lisbon, Portugal
Introduction:
The decrease in inspiratory muscle strength may affect
the respiratory health, especially in the elderly. Generally, the
handgrip strength is used as functional capacity indicator. Thus, our
objective was to verify inspiratory muscle strength in a sample of
elderly and investigate possible associations with measured handgrip
strength.
Methods:
Maximal inspiratory pressure (MIP in cmH2O) was assessed
using a dynamometer for respiratory muscles (MicroRPM
®
), whereas
handgrip strength (HG in kg) was evaluated using a hydraulic
dynamometer (JAMAR
®
). Body mass index (BMI in kg/m2) was
calculated from weight (kg) and height (m). The association between
MIP and HG was analysed based on Spearman
’
s rank correlation
coefficient for p < 0.05.
Results:
A sample of 21 older day-care center attendants (2 males and
19 females) aged 79 ± 6 years old with a BMI (29.6 ± 3.5 kg/m
2
) were
assessed. MIP scored 64.0 ± 19.8 cmH2O for males (around 65% of the
expected 98.2 ± 2.7 cmH2O) and 39.1 ± 19.5 cmH2O for females
(around 60% of the expected 64.1 ± 3.2 cmH2O). Moreover, a HG of
around 30.0 ± 9.9 kg and 24.2 ± 3.9 kg was obtained for males and
females, respectively, which were below average for both genders.
Lastly, a positive relation indicator between HG and MIP was attained
with p = 0.001 and rs = 0.660.
Conclusions:
Results suggest an association between the diminishing
of MIP and the decreasing of the functional capacity measured by the
HG, indicating the importance of inspiratorymuscle training in elderly.
Nevertheless, further studies with larger samples are recommended to
validate these results.
P-442
Immigrants in geriatric rehabilitation: assumptions and opinions
about self-reliance and healthcare
K. Fräser-Scheffer
1
, M. van der Tas-van Vuuren
2
, P. de Man-Visser
2
,
M. van Eijk
2
, W. Achterberg
2
, R. Reis
2
.
1
Pieter van Foreest, Delft,
2
Leiden
University Medical Center (LUMC), the Netherlands
Introduction:
In our multicultural society, cultural diversity is an
increasingly important topic in healthcare. Standards and values about
self-reliance and healthcare is influenced by cultural aspects. It is
unknown which cultural aspects are important in geriatric rehabili-
tation, and whether the current geriatric care offered is in line with
frail elderly immigrants expectations.
Methods:
The goal of this qualitative research is to explore assump-
tions and opinions about geriatric rehabilitation, provision of care and
cultural aspects of healthcare. Included patients were admitted in
geriatric rehabilitation for stroke or hip fracture in one of the three
participating skilled nursing facilities. All patients were living at home
and were not diagnosed with cognitive disabilities before admission.
All underwent a semi-structured interview.
Results:
Interviews with 9 patients were analysed. Two types of
patients were identified: (1) Patients with a high self-reliance, who are
still in working life and have a spouse. They actively participate in
rehabilitation. (2) Patients with a low self-reliance, most of whom are
without a spouse. Goal of rehabilitation was often unclear and
participation in rehabilitation was low. There is an overall preference
for provision of care by informal caregivers when patients need help
with their (instrumental) activities of daily living.
Conclusions:
Broadly 2 types of patients could be identified during
rehabilitation. In both groups the knowledge and purpose of geriatric
rehabilitation before admission was low or absent. Language-barrier
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S146