European Geriatric Medicine - Supplement 1 - Volume 7 - October 2016

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set exercises for a specific thematic related with functional limitations
in daily live, then counseling for de facilitation of movement. We
analyze the results with dimensions of SF-36, for the differences at
the beginning and the end of the program.
Results: research show statistically significant differences for all
dimensions of QOL, between the beginning and the end of the
program. We use non parametric test, for related- samples Wilcoxon
signed ranks test.
Conclusions: There are statistically significant differences between
the twomoments of assessment, suggesting that physical intervention
programs for promotion of physical activity can play an important role
for the QOL of elderly population.
P-467
Physical activity programs in patients with Alzheimer’s disease.
What does the practice based on evidence in physiotherapy
L. Pedro1. 1Escola Superior de Tecnologia da Saúde de Lisboa – Politécnico
de Lisboa, Lisbon, Portugal
Objectives: Alzheimer’ s disease is progressive and irreversible and
results in cognitive and/or motor disturbances. The objectives of this
study is to review the literature-based evidence on the efficacy of a
physical activity program designed by physical therapy in controlling
the progression of Alzheimer’ s disease.
Method: The research was performed in the databases MEDLINE and
PEDRO, where articles in English and Portuguese idioms published
from 2011 to 2016 were selected. We used the following keywords:
“alzheimer’ s” and “physical activity ” and “physiotherapy”, having as
result 112 articles in MEDLINE, and 21 in PEDRO. We applied the
following Exclusion criteria in the selection of articles: All articles
that did not register data recommendation for physiotherapy, those
patients submitted to pharmacological tests. At the end articles 18
were selected.
Results: The studies recommend performing aerobic exercise of
moderate intensity for a total of 20 to 30 minutes per session, alter-
nating with rest periods, two to three times per week, have benefits for
cognitive component of these patients. The balance training improves
posture of individuals affected by Alzheimer’ s disease, and thereby
reduce the risk of falling. The program of activities including, aerobic
exercise (walking, swimming, cycling) and strength training, proved to
be particularly effective in improving posture and reducing the risk of
fall as well as improved physical function and cognitive these patients.
Conclusion: We found scientific evidence that exercise programs and
physical activity promotion in people with Alzheimer’ s disease. may
have a significant impact on its functionality, and possibly to improve
cognition in individuals with Alzheimer’ s disease.
P-468
The rise of a fall prevention program
M. Pires1, T. Santos1, A. Borges1. 1Physical and Rehabilitation Medicine
Department, Hospital Beatriz Ângelo, Loures, Portugal
Introduction: According to the World Health Organization elderly
falls are a public health concern, with around 424 thousand being fatal
annually. Many risk factors lead to a growing prevalence, with the
higher living expectancy being one of the leading causes, determining
the need for special care in fall prevention on this frail segment of the
population.
Methods: The Physical and Rehabilitation Department of the Hospital
Beatriz Ângelo, has created in January 2016 a Fall Prevention Program
targeting the elderly with 65 years-old (yo) or above, and with a high
risk of falling. It consists of a 12 session biweekly group class, in
which the patients perform a rotation between four exercise sta-
tions focusing on aerobic and isometric strengthening, coordination,
balance/vestibular, plyometric and stretching exercises. Patients are
evaluated with strength, balance and functional tests in the first and
last sessions, using BERG balance test (BERG), Timed-up and Go (TUG),
Functional Reach Test (FRT) and global lower limb strength evaluation
(MRC scale).
Results: So far seven patients have been enrolled in this class
(ratio women: men, 1 : 1), mean age 78 yo ranging from 65 to
85 yo. Although a total of 15 patients were prescribed to the
program, eight didn’t complete the whole program or did not attend
it at all, and thus were excluded. A positive progression tendency was
encountered in TUG, BERG and FRT scales, although not statistically
significant.
Conclusion: Maintenance of this Programwill allow further statistical
analysis and a better understanding of the importance of this
intervention in preventing elderly falls.
P-469
Nutritional intervention among geriatric patients after discharge –
baseline findings
T.M. Puranen1, J. Verho1, M.H. Suominen1. 1Department of General
Practice and Primary Health Care, University of Helsinki, Finland
Introduction: Malnutrition is common among hospitalized older
adults and nutritional status may deteriorate during hospital stay.
Recovering from acute disease, however, requires good nutritional
status and adequate energy, protein and other nutrient intake.
Methods: The randomized, controlled trial is used to investigate the
effectiveness of tailored nutritional guidance on nutrient intake,
quality of life and physical performance after discharge among
independently living older adults with normal cognition. The MNA
is used to assess nutritional status and three-day food diaries are
collected shortly after discharge to assess nutrient intake. The tailored
nutritional guidance includes at least one home visit, personalized
nutritional care plan, written material, and ONSs when needed. The
study is ongoing.
Results: To date, 33 (52% women) older adults, with the mean age 77.4
years have been recruited to the trial. At baseline, 52% were at risk for
malnutrition according to the MNA. The mean energy intake was
1,283 kcal (SD 469), the mean protein intake 62 g (SD 25), dietary
fiber 15 g (SD 5.6), calcium 814 mg (SD 380), vitamin C 87 mg (SD 72),
and folate 186 μg (SD 113). The 67% of participants had the protein
intake under 1 g/bodyweight in kg, and only 18% reached the protein
intake of 1.2 g/bodyweight in kg.
Conclusions: The risk of malnutrition and poor nutrient intake is
common among geriatric patients after discharge. Tailored nutritional
guidance and use of ONSs are needed to ensure the adequate nutrition,
which is essential when recovering from acute disease.
P-470
Barriers and facilitators to delivering a chair based exercise
programme
K. Robinson1, V. Hood2, P. Logan1, T.M. Masud 3, J.R.F. Gladman1.
1Division of Rehabilitation and Ageing, University of Nottingham,
2Division of Physiotherapy and Rehabilitation Sciences, University of
Nottingham, 3Healthcare of Older People Nottingham University
Hospitals NHS Trust, Nottingham, United Kingdom
Introduction: Chair based exercise (CBE) is encouraged for older
people who are unable to take part in standing exercise programmes
and is currently delivered across health and social care with little
standardisation in practice. A CBE programme has now been devel-
oped using a consensus definition derived from the views of clinical
experts. This qualitative study aimed to explore barriers and facili-
tators to delivering the CBE programme in order to improve future
delivery.
Method: Thirteen community dwelling older peoplewere recruited to
a chair based exercise programme. A researcher maintained field notes
and recorded barriers and facilitators to delivering the programme
from the participant and therapist perspective. Content analysis was
used to identify themes from the textual data of the field notes. The
frequency of themes was recorded to establish the most commonly
occurring barriers and facilitators.
Results: 19 themes relating to facilitators and 18 themes relating to
barriers were identified. Facilitators included participants being able
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S153