155 / 290
population, elderly women
’
s numbers of chronic diseases and
medications, GDS-SF score, EQ-5D score, fear of falling, urinary
incontinence, VAS score, chronic pain complaints and FRAIL score
were higher while their educational level, instrumental daily life
activity score and subjective health status score were lower. No
significant difference was observed between two genders in terms of
age, basic DLA score, existing dementia, HT, DM, HL diagnoses,
subjective health status score, rates of falling within the last 1 year,
fecal incontinence, Romber maneuver, need for assistance in ambu-
lation, and cognitive disorder presence assessed by a mini-cog test.
The postural instability was more common for the elderly women
whereas it was within the limit of significance (p = 0.07).
Conclusion:
The prevalence of geriatric syndromes was found higher
in the elderly women living in society than in men. The findings of our
study suggest that geriatric assessment is likely to be much more
beneficial in women.
Keywords:
geriatric assessment gender.
P-451
Fatih Geriatrics Trial: howoften is sarcopenia, lowmusclemass and
muscular performance decrease for the elderly people living in
society?
E. Karapinar
1
, A. Celikyurt
1
, G. Bahat
2
, C. Kilic
2
, F. Tufan
2
, S. Avci
2
, M.
A. Karan
2
.
1
Istanbul University Istanbul Faculty of Medicine,
2
Division of
Geriatric, Department of Internal Medicine, Faculty of Istanbul Medicine,
University of Istanbul
Objective:
In this abstract, it is aimed to determine the prevalence
of sarcopenia and its components in the elderly people who are
evaluated by Fatih/Istanbul Province geriatric survey research.
Methods:
In the study, the sample changes from 63 to 101 years old
people. Muscle mass is measured by bio impedance analyze (TANITA-
BC532) and is evaluated by Baumgartner Index (skeletal muscle kg/
length2). According to our national data, lowmuscle mass (the average
of adult-2SD) and muscle power threshold are determined for men
and women: <9.2 kg/m
2
, 7.4 kg/m
2
and <32 kg, <22 kg respectively.
Also, Class 1 low muscle mass level is determined as 10,1 and
8,2 kg/m
2
. The definition of sarcopenia is defined as low muscle mass
(SMMI) and reduction of muscle function (OYH or strength of muscle)
by definition of EWGSOP. Additionally, calf girth is noted. According to
our national references, the low calf girth is determined as being the
diameter of calf girth lower than 33 cm.
Table 1
Results of the research population by gender
Men
(n = 94)
Women
(n = 110)
Total
(n = 204)
p
Age
74,7 ± 6,6 76 ± 7,8 75,4 ± 7.3 0,19
Height
167,1 ± 7,4 153,2 ± 7,5 159,5 ± 10,2 <0,001
Weight
75,9 ± 14,1 73,1 ± 16,5 74,3 ± 15,7 0,2
BMI
27,1 ± 4,5 31,3 ± 6,9 29,4 ± 6,3 <0,001
Falling (last 1 year)
25,5%
30,3%
28,1%
0,47
Fear of falling
18,1%
45%
32,5%
<0,001
Inability to walk without
help
19,1%
23,6%
21,6%
0,25
Strength of hand grip 32,1 ± 8,8 19,8 ± 5,5 25,6 ± 9,5 <0,001
Dynapenia
43.6%
58.5%
51,5%
0,036
(men <32 kg,
women <22 kg)
Calf Girth
36,1 ± 4,8 37,8 ± 6,1 37 ± 5,6
0,03
Low calf girth
19.1%
12.8%
15.8%
0.24
OYH
1,09 ± 0,40 0,98 ± 0,34 1,03 ± 0,38 0,051
Low OYH
21.3%
29,8%
25,6%
0,21
Muscle mass (kg)
52 ± 7,8 41,6 ± 8,7 46,4 ± 9,8 <0,001
SMM
29,4 ± 4,4 23,5 ± 4,9 26,3 ± 5,5 <0,001
Low SSMI (Baumgartner) 17.9%
3%
9,8%
0,001
Sarcopenia Baumgartner 8.2%
2.9%
5.3%
0,11
Results:
204 cases (94 men, 110 women) were included in the
research. Median age was 74,5 ± 7,3 years. The characteristics and their
distributions by gender are summarized in the
Table 1.The prevalence
of sarcopenia and its components are by order: sarcopenia 5.3%, low
muscle mass 9.8%, dynapenia 51.5%, lowwalking speed 25.6%. Low calf
girth-an indirect indicator of low muscle mass-was observed in the
15.8% of the cases.
Conclusion:
Our results of study show that the sarcopenia prevalence
of elderly people in our society is low which is similar in other
population; however, dynapenia and the low level of walking speed
are very common problems.
P-452
Long-term home-based physiotherapy for older people with signs
of frailty or consequent to a hip fracture operation
–
Design of RCT
(NCT02305433)
K. Kukkonen-Harjula
1
, P. Kärmeniemi
1
, S. Suikkanen
1
, S. Sipilä
2
,
K. Pitkälä
3
, M. Hupli
1
.
1
Eksote Social & Health Care District,
Rehabilitation, Lappeenranta,
2
Department of Health Sciences & GEREC,
University of Jyväskylä, Jyväskylä,
3
Department of General Practice &
Primary Health Care, University of Helsinki, Helsinki, Finland
Objectives:
There is increasing need to develop rehabilitation models
to postpone older people
’
s disabilities and institutional care. One
alternative is home-based rehabilitationwith emphasis on functional-
based exercises. Our aim is to study home-based physiotherapy for 12
months with 12 months
’
follow-up in older people either with signs of
frailty or consequent to a hip fracture operation.
Methods:
Three hundred frail (>65 y) persons and 300 persons with
hip fracture (>60 y) will be recruited in Eksote District, Finland
(population 131,000). Both groups are randomized separately to a
physiotherapy (60 minutes 2 times weekly) arm, and a usual care arm.
Assessments, including modified Fried
’
s frailty criteria, SPPB, FIM,
IADL, 15D, MNA, FES-I, MMSE, GDS-15 and SPS, are performed by an
assessor-physiotherapist at the participant
’
s home at baseline, 3, 6 and
12 months. The primary outcome is duration of living at home at 24
months (a difference of six months between the groups is hypothe-
sized). Secondary outcomes are physical functioning, frailty status,
health-related quality-of-life, use and costs of health and social
services, falls, and mortality.
Results:
Recruitment will continue until the end of 2016. By May 2016,
277 frail persons and 46 persons with hip fracture have been
randomized. Hundred persons (90 and 10, respectively) have com-
pleted 12-month assessment, and 33 persons have discontinued.
Conclusions:
Our trial will provide new knowledge on how to
implement intensive long-term home-based physiotherapy and
whether it improves physical functioning of persons at risk for
disabilities, to postpone institutional care.
–
Supported by Social
Insurance Institution.
P-453
Outcomes in an orthogeriatrics Portuguese unit
F. Leal-Seabra, G. Sarmento, M. Brinquinho, R. Veríssimo, A. Agripino.
Department of Internal Medicine, Centro Hospitalar Vila Nova de Gaia/
Espinho
Background:
Hip fracture is common in older adults and is associated
with high morbidity, mortality and a common cause of long hospital
stay in the elderly. A pilot orthogeriatric unit was established in a
Portuguese Tertiary Hospital in October 2015 to ascertain if such a unit
would improve patient outcomes. The aim of this study is to evaluate
the efficiency of a multidisciplinary team.
Methods:
A retrospective cohort study was performed between
October 2015 and April 2016. We assessed hospital length of stay
and time to perform surgery, the degree of prior functional
dependence in admission and discharge of the unit, comorbidities,
complications and mortality.
Results:
Of 110 elderly had median age 83.5 (max 100 years and
minimum65 years); 84.5%werewomen. The hospital stay was 8.1 days
and the average time to perform surgery of 2.88 days. The degree
of functionality prior to event was 40.9% Katz A and 73.6% had
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S149