Table of Contents Table of Contents
Previous Page  187 / 290 Next Page
Show Menu
Previous Page 187 / 290 Next Page
Page Background

support and none of them expressed fear from falling. The outcomes in

this population may improve by identification and correction of risk

factors, as well as by advice for use the march support.


Physical exercise in osteoporotic fracture prevention in older


C. Bento


, J. Caçoilo


, I. Calvinho




Unidade de Saúde Familiar Oriente,

Lisbon, Portugal


Osteoporotic fractures are a major health and economic

problem in our rapidly aging society and physical exercise is often

recommended to patients with osteoporosis. Therefore, the purpose of

this systematic review is to investigate the role of physical exercise in

the prevention of osteoporotic fractures in the elderly population.


Research in PubMed, Cochrane Library and Guideline

databases, using the MESH terms

osteoporotic fracture




physical exercise

, while the search was limited to




randomized controlled trials






of the last

10 years

. The Strength of Recommendation

Taxonomy (SORT) was used in this review.


12 entries were found, of which 5 guidelines and 3 systematic

reviews, (one was also a meta-analysis) were selected. Entries that did

not evaluate the relation between the variables in study were

excluded. All articles provide evidence (A) that physical exercise

reduces fall risk and improves Bone Mass Density (BMD). Regarding

reduction of fracture risk we can only find low quality and expert

opinion based evidence (C). Most studies are of low quality mainly due

to the fact that osteoporotic fracture is either not an endpoint or is

analysed as an adverse effect and the possible bias towards the

publication of positive results weakens the body of evidence.


There is currently not enough evidence to recommends

physical exercise in osteoporotic fracture prevention as more quality

studies that analyse fracture as a primary endpoint are needed.

However there is Strength of Recommendation A in fall risk reduction

and BMD improvement.


The influence of a short cognitive and mobility training program

on cognitive functioning among elderly people

E. Bourkel


, J.-P. Steinmetz


, C. Federspiel




Centre for Memory and



ZithaSenior, Research & Development, Luxembourg

Cognitive and mobility training both maintain or improve cognitive

functioning in elderly people. Thus, cognitive and mobility interven-

tions play an important role in the primary and secondary prevention

of dementia. The aim of this study is to further clarify the influence of

diverse training programs on cognitive performances in older adults.

We investigate the effects of cognitive and mobility training on people

with no cognitive disorders and people suffering from mild cognitive

impairments. Furthermore, we determine which cognitive functions

(i.e., memory, cognitive flexibility, fluency and attention) are most

influenced by the training.

The participants (N = 60, age range = 66

87 years) partook in a 12

week mobility and cognitive training program with two sessions per

week. The participant

s cognitive abilities were assessed before and

after training, using learning and recall memory tests, a cognitive

flexibility test, a verbal fluency test and a nonverbal attention test.

The discussion of the findings focuses on the necessity of introducing

structured cognitive and mobility training programs in the primary

and secondary prevention of dementia in older adults.


In-hospital mortality among Portuguese octogenarians,

nonagenarians and centenarians

D. Brandão



, A. Freitas


, O. Ribeiro


, C. Paúl




Faculty of Medicine,

University of Porto (FMUP),


Center for Health Technology and Services

Research (CINTESIS),


Research and Education Unit on Ageing (UNIFAI-

ICBAS/UP), Porto, Portugal


The exponential growth of the oldest old population is

expected to contribute to a higher number of hospital admissions due

to situations of prolonged disability and multimorbidity. Oldest

patients often have complex medical diagnoses and frailty conditions,

which are associated with higher rates of utilization of emergency

services, and a higher risk of experiencing adverse outcomes, such us

mortality. This study aims to analyze trends in-hospital mortality rates

in inpatient hospitalizations byoldest old persons in Portuguese public



All inpatient episodes of hospital admissions by patients

aged 80 years and older between 2000 and 2014 were considered.

Exploratory descriptive analyses of data regarding in-hospital mortal-

ity were performed.


A total of 1.837,613 episodes of hospital admissions were

analyzed. In 15.6% of the episodes, the patients died. An analysis by

age group revealed that in octogenarians, the percentage of mortality

was 14.3%, increasing in nonagenarians (22.2%) and centenarians

(29.1%). The in-hospital mortality rate decreased from 15.6% in 2000 to

14.6% in 2014. Principal diagnoses at admission with a higher

frequency of in-hospital mortality were pneumonia, acute cerebro-

vascular disease and non-hypertensive congestive heart failure.

Key conclusions:

Findings from this study pointed to an increased

vulnerability with age among the oldest old population and that

there is a positive trend in in-hospital mortality. Further studies

should focus on the sociodemographic characteristics of these

inpatients, and on their medium length of stay and presence of

medical comorbidities.


Fall prediction model in not disabled elderly

D. Cerasuolo, A. Piazzi Tsigler, M. Colpo, G. Sini, P. Palumbo, E. Talluri,

S. Bandinelli.

Laboratory of Clinical Epidemiology, InCHIANTI Study

Group, LHTC Local Health Tuscany Center, Florence, Italy; Departement of

Electrical Electronic, Information Engineering University of Bologna

Background and purpose:

This study aims to define a predictive

model of the risk of falling in not disabled elderly over a one-year

period using the information obtained from the InCHIANTI Study.

Participants: Participants were selected with the following variables:


65, Mini Mental State Examination (MMSE)

21, no loss in

Activity of Daily Livings (ADL). Data comes from InCHIANTI Study FU4

and a one-year fall monitoring (Farseeing Project).


The following parameters were evaluated: Age, Handgrip,

Fall in the previous year, CES-D, Haemoglobin concentration (gr/dL),

Trail Making Test A (TMTA), Level of physical activity (PA), Short

Physical Performance Battery (SPPB), 400 m speed, Fear of falling,

number of drugs. Stepwise selection was performed on a logit

regression model created with the aforementioned parameters using

the AIC criterion.


Forty-two subjects out of 250 (age = 82.1 ± 5.62) reported at

least one fall in the one-year monitoring. Predictivity of the model was

assessed on all subjects resulting with an AUC = 0.74. Internal cross-

validation was performed with a training set equal to 80% of the

subjects and validation set equal to the remaining 20%, resulting with

an AUC = 0.70.


Results suggest that to predict risk of falling in elderly

with good cognitive performance and no loss in ADL the following

parameters are the most influential: Handgrip, Fall in the previous

year, CES-D, PA, Haemoglobin concentration (gr/dL).



3 Plus 1 Integrated Program

improved cardiovascular health

and physical fitness for community-dwelling healthy older adults

in Taiwan

H. Hsu


, S.W. Lin


, C.L. Yang


, L.K. Chen




Yangsheng Foundation,

Taipei, Taiwan;


Aging and Health Research Center, National Yang Ming



Center for Geriatrics and Gerontology, Taipei Veterans

General Hospital

Poster presentations / European Geriatric Medicine 7S1 (2016) S29