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socio-economic structure) were inquired via computer-assisted

telephone interviews (first survey). In addition, face-to-face inter-

views with elderly residents in nursing homes (n = 200) were per-

formed. The acceptance of adaptation strategies (based on first survey

and stakeholder input) was verified by a second survey of elderly living

in heat urban islands (n = 200).


and Discussion: Socially deprived people showed more heat

related symptoms. Heat periods were reported to be associated with

mental health problems. The higher the environmental stressors and

the less the socio-economic and health resources the more indoor

adaption strategies must be deployed. Some of the measures taken by

the subjects are contrary to medical recommendations (e.g. opening

windows during the day).

Key conclusions:

There is an increasing demand for health protection

from heat waves. Only few specific adaptation measures for elderly

people are implemented in Vienna so far. Coping strategies and

measures suitable for implementation are presented for decision



Loneliness in nursing homes

A.H. Jansson, H. Kautiainen, K.H. Pitkälä.

Department of General

Practice, University of Helsinki, Helsinki University Hospital, Unit of

Primary Health Care


About 39% of Finnish community dwelling older people

suffer from loneliness at least sometimes and 5% often or always.

Loneliness is known to predict lower quality-of-life, disability,

cognitive decline and higher mortality. However, there are only few

studies which have researched loneliness in institutional settings. This

study examines the prevalence, associated factors and prognosis of

loneliness among older people in nursing homes.


A cross-sectional study of all residents (N = 4966) in nursing

homes (N = 61) in Helsinki, 2011. Residents with severe dementiawere

excluded. Loneliness was assessed with the question

Do you suffer

from loneliness?


Of the participants (N = 2072), 9% suffered from loneliness

often or always, and 35% at least sometimes. Loneliness was associated

in a step-wise manner with lower education, poor self-rated health,

disability, higher cognitive function, malnutrition, and depression.

Loneliness predicted poor psychological well-being (PWB) both

among women and men. Whereas among

not lonely

men had

better PWB than the respective women, among the



and the

always lonely

group there were no differences

between the genders concerning PWB. Loneliness also predicted

higher mortality (among the

sometimes lonely

group HR 1.19, 95%CI


1.35 and among the

always lonely

group HR 1.28, 95%CI 1.06

1.55 when

not lonely

was the reference group).

Key conclusions:

Loneliness has severe consequences even among

residents in nursing homes and therefore deserves more attention. Key

issue is to assess residents

loneliness and take it into account in the

care and interventions.


Circle of friends

successful model for the alleviation of loneliness

A.H. Jansson, K.H. Pitkälä.


The Finnish Association for the Welfare

of Older People, Department of General Practice, University of Helsinki,

Helsinki University Hospital, Unit of Primary Health Care


About 35

39% of Finnish older people suffer from

loneliness, which is associated with decreased quality of life and

impaired health. VTKL

s Circle of friends (CoF) group model aims

to alleviate feelings of loneliness. In a randomized controlled trial


6 it improved lonely older people

s well-being, health

and cognition. The main elements of CoF include closed-group

dynamics, target-oriented work and enhancing communication

among group participants. This study aims to describe the feasibility

and dissemination of CoF and its effects in practice in a 10-year



CoF has been actively promoted in Finnish communities

and assisted living facilities with three main activity areas: coordin-

ating regional organisation, training CoF-facilitators, and supporting

CoF-group activities among older people. By 2016 altogether 723

facilitators have been trained. The data were collected by an electronic

survey for facilitators.


267 responded. Facilitators

mean age is 57 y, 96% are women.

The responders have facilitated a mean three groups (range 1

30). The

groups included, e.g. home-dwelling participants, older people in

assisted living facilities, people with dementia and widows. The main

elements in groups were in line with CoF model (deals with loneliness

90%, goal-oriented group work 90%, closed groups 89%, number of

participants 6

8 73%, meeting 8

12 times 90%). The facilitators

reported typical challenging situations in groups.

Key conclusions:

We have successfully implemented and dissemi-

nated CoF-model in Finland. The success is due to paying attention to

the main elements of CoF and careful training of professionals.


Keep body and mind moving in Luebeck Model Worlds of

Movement (Lübecker Modell Bewegungswelten)

S. Krupp


, C. Ralf


, A. Krahnert


, F. Balck


, M. Willkomm




Forschungsgruppe Geriatrie Lübeck (Research Group Geriatrics Luebeck)

am Krankenhaus Rotes Kreuz Lübeck Geriatriezentrum, Luebeck,


Universitätskrankenhaus Carl Gustav Carus, Dresden, Germany


Life quality in old age depends on social relationships and

the ability to perform activities of daily living, these again on muscle

power, endurance, joint mobility, coordination and cognition. Several

kinds of training aim at keeping silver agers fit, but there is a lack of

standardized programs for those that already need regular assistance.


Initiated by the Federal Centre for Health Education, the

Research Group Geriatrics Luebeck created a program for seniors

dependent on help, but still able to walk six meters without personal

aid. Involving experts from geriatrics, physiotherapy and sports,

training units addressing all regions of the body and all target criteria

mentioned above were composed. Each unit carries a motto (





etc.). Photo illustrated instructions on daily

self-exercises complete the program.


For every motto a manual was created, assigning target

criteria and body regions to each exercise. Training supervisors were

educated to select and modify exercises according to the individual

current status of each participant. This training is offered in ten nursing

homes in Luebeck to up to fifteen residents and non-residents per



Embedding exercises into a motto seems to be a

successful approach to win seniors

long-term participation. Training

supervisors report that personal experiences linked to the motto

are shared within the group and social contacts intensify. Participants

find it easier to carry out exercises correctly, when these correspond

to automated activities from the chosen

World of Movement


Functional improvements can be seen. The program undergoes

scientific evaluation.



s nutritional status prior the tailored nutritional


S. Kunvik


, M. Salonoja


, R. Valve


, M.H. Suominen




The Social

Services and Healthcare Centre of Pori,


Department of Food and

Environmental Sciences, University of Helsinki,


Unit of Primary Health

Care, Helsinki University Central Hospital, Finland


Caregivers often experience high levels of stress,

lowered sense of well-being, depression, burden and compromised

physical health which increase the risk of inadequate nutrition,

especially in elderly caregivers. Nutrition counseling can be an

effective way to improve caregivers



In this ongoing randomized controlled trial, we investigate

the effectiveness of tailored nutrition counseling on nutrient intake

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