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

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and nutritional status among the elderly caregivers aged 65 years or
older with normal cognition. The nutritional status is assessed with
the Mini Nutritional Assessment (MNA) and nutrient intake with
three-day food diary. The six month intervention includes tailored
nutritional guidance with home visits, group meetings and written
material. The baseline results are presented as means and standard
deviations.
Results: Total of 79 caregivers, with the mean age of 73,7 years
(62% women) were recruited to the trial. At baseline 15 participants
(19%) were at risk for malnutrition and one participant (1,3%) was
malnourished according to the MNA. The mean energy intake was
1609,8 (423,9) kcal/d. The mean protein intake was only 0,95 (0,26)
g/kg bodyweight/d. 79,7% of the participants did not reach the
recommended 1,2 g/kg bodyweight/d protein intake. There was also
a lack of dietary fiber (19,8 (6,0) g/d), folate (208,1 (69,8) μg/d), and
vitamin D (9,3 (5,3) μg/d).
Conclusions: Every fifth of the caregivers were at risk of malnutrition.
Lack of protein, fiber and vitamins reduce the quality of the diet.
Nutrition counseling is needed to improve elderly caregiver ’ s
nutrition.
P-599
Readmission of frail elderly patients – a Danish randomized
clinical trial
M.A. Lembeck1, L.C. Thygesen2, B. Dreyer Sørensen3, L. Lumby
Rasmussen 1, E.A. Holm1. 1Nykøbing Falster Hospital, 2National Institute
of Public Health, University of Southern Denmark, 3Department of Quality
and Development, Region Zealand, Denmark
Introduction: We performed a study to determine whether discharge
planning including a single follow-home visit reduces readmission
rate.
Methods: Centrally randomized single-centre controlled trial. Patients
aged >65 years discharged during 2013–2014 from a Danish hospital
serving a rural and low socioeconomic area. Patients discharged from
medical, geriatric, emergency, surgical or orthopedic departments met
inclusion criteria describing frailty, e.g. low functional status, need of
more personal help and multiple medications. Study and department
nurses reviewed discharge planning the day before discharge. On day
of discharge, study nurses accompanied the patient to their home,
where they met with the municipal nurse. Together with the patient,
they reviewed cognitive skills, medicine, nutrition, mobility, func-
tional status, and future appointments in the health care sector and
intervened if appropriate. Primary outcome was readmission at any
hospital in Denmark within 180 days after discharge. Secondary
outcomes were time to first readmission, number of readmissions,
length of stay, and readmission with Ambulatory Care Sensitive
Conditions, visits to general practitioners, municipal services, and
mortality.
Results: Among 951 eligible patients, 544 were randomized. In
the intervention group 56% and in the control group 54% were
readmitted (p = 0.71) and 23% from the intervention group and 22%
from the control group died within 180 days. There were no significant
differences between intervention and control groups concerning other
secondary outcomes.
Key conclusions: There is no effect of a single follow-home visit on
readmission in a group of frail elderly patients discharged from
hospital.
P-600
Pharmacological treatment, non-pharmacological and combined
cardiovascular disease in menopausal and dyslipidemic elderly
population
N.E.A. de Lima, A.G. Bexiga, E. de Marco Ornelas, J.C. Cury,
L.B.M. Maifrino. Universidade São Judas Tadeu
According to estimates, the increasing pace of aging affects the
population in general. In women as well as changes due to aging,
endocrine and metabolic changes present in this phase, associated
with physical inactivity and poor diet, make this susceptible
population the development of cardiovascular diseases. Currently,
various forms of treatment of cardiovascular disease in menopause
have been studied, among them, hormone replacement therapy,
diet and physical exercise. With the aim of deepening the knowledge
of the various forms of treatment of cardiovascular disease in
menopausal and dyslipidemia elderly population, we conducted a
search in the databases: Pubmed and Science Direct, using the key
words: Dyslipidemia and Menopause and Cardiovascular disease
and Exercise. The articles were filtered as inclusion and exclusion
criteria, the following items were analyzed: Year of publication,
individual models (human or animal), forms of treatment and
technical parameters analyzed. Our results showed prevalence in
studies using exercise as non-pharmacological treatment and preva-
lence in the biochemical, biometric and physiological analyzes.
P-601
Efficacy of an exercise program to improve performance in
community elders
S.C. Mazzei, H.M. Teixeira-Leite, C.A.C. D’ Almeida. HAS- Hospital
Adventista Silvestre
Functional capacity (CP) is currently the largest marker of health of the
elderly, so the muscular status and mobility are key to CP maintenance
of the elderly. The objective of this study is to prove the effectiveness
of a new exercise program directed to the elderly. METHODOLOGY
observational, case-control with elderly convenience sample of an
operator’s health RJ/Brazil, intervention group (IG) attended 32
sessions strength, balance, endurance exercises based on functional
training, assisted by physiotherapists, periodicity twice a week. The
control group (CG) waited for the program without performing
any exercise for 16 weeks. Subjects were submitted to the follow-
ing instruments before and after 32 sessions or 16 weeks: Short
physical performance battery (SPPB) Performance oriented mobility
Assessment-version Brazil (POMA-BR), time (seconds) of sitting and
standing without hand support 5x handgrip (FPM), gait speed and.
Mini MentalState Exam (MMSE). The subjects with MMSE ≤ 20,
with severe sensory deficits and behavioral changes were excluded.
Statistical analysis was used SPSS18 package and conducted socio-
demographic analysis and analysis of variance between the results of
the two groups before and after the intervention. Will be considered a
level of significance (P≤ 0.001) We hope to prove with this study the
effectiveness of a new structured model of physical training specific-
ally targeted to seniors
P-602
Effectiveness of an exercise program aimed at optimizing physical
performance of older adults
S. Mazzei1,3, H. Teixeira-Leite1,3, C. Lourenço2, C. D’ Almeida1. 1HAS
Hospital Adventista Silvestre, Rio de Janeiro, 2UNIFES Universidade
Federal do Espírito Santo, Vitoria, 3UERJ Universidade do Estado do Rio de
Janeiro, Rio de Janeiro, Brazil
Objectives: Functional capacity (CP) is currently the largest marker of
health of the elderly, so the muscular status and mobility are key to CP
maintenance of the elderly. The objective of this study is to determine
the effect of a new exercise program on functional performance in
elderly patients.
Methods: Pre-post experimental design with elderly convenience
sample of an operator’s health RJ/Brazil, intervention group (IG)
attended 32 sessions strength, balance, endurance exercises based on
functional training, assisted by physiotherapists, periodicity twice a
week. The control group (CG) waited for the program without
performing any exercise for 16 weeks. Subjects were submitted to
the following instruments before and after 32 sessions or 16 weeks:
Short physical performance battery (SPPB) Performance oriented
mobility Assessment-version Brazil (POMA-BR), time (seconds) of
sitting and standing without hand support 5x handgrip (FPM), gait
speed and Mini Mental State Exam (MMSE). The subjects with
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S187