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Identification of risk factors for falling in the elderly and

development of a multifactorial fall risk assessment tool

M. Rolinho


, A. Rama




Faculdade de Farmácia da Universidade de



CEIS20, Centro de Estudos Interdisciplinares do Século XX,

Coimbra, Portugal


Risk of falling among elderly and its connection to

morbidity/mortality is a fact that already represents the second cause

of death by injury worldwide. Its prevalence and increasing incidence,

demonstrates that the recognition of falls in elderly as a Public Health

problem and the development of programs and tools that allow its

prevention are essential and urgent.


To identify risk factors related to the characteristics of

elderly population, the prevalent chronic diseases and associated

pharmacotherapy, with the ultimate goal of creating a multifactorial

fall risk assessment tool.


We performed a literature review on falls prevention in

elderly, identifying the most relevant risk factors and potential

pharmacotherapeutic groups that propitiate the occurrence of falls.

The information obtained, served to create a questionnaire that

assesses the risk of falling, to be applied in a pilot study between May

23rd and June 23rd, in polymedicated individuals with 65 years and



The literature analysis enabled to create a questionnaire to be

used by pharmacists, which evaluates the individual characteristics as

comorbidities balance and mobility problems, as well as home

hazards. The questionnaire also allows assessing pharmacotherapeutic

profile to identify use of high risk medication such as antidepressants,

antipsychotics, benzodiazepines and others.


We conclude that a proper assessment can help to

identify elderly with high fall risk and the underlying causes, allowing

to reduce their negative impact. The questionnaire it

s being

implemented, with ongoing data collection by the end of June. In

October the final results will be presented.


Effects of samba dance on the postural balance and muscle

strength in Brazilian elderly women

M.M. Serra, A.C. Alonso, M. Peterson, L. Mochizuki, J.M.D. Greve, L.

E. Garcez-Leme.

Institute of Orthopedics and Traumatology, School of

Medicine, University of São Paulo, São Paulo, Brazil

Despite its popularity, previous studies on samba have dealt more

with the cultural and social aspects of the dance, without assessing

the impact of this activity on the dancers

health and functional

outcomes. However, considering the growth of the aging

population, and the increasing risk for falls and related morbidity, it

is vital to seek efficient, comprehensive, and culturally-relevant

prevention programs for elderly people to reduce risks. The aim of

the study was to evaluate the effect of samba on postural balance and

muscle strength among women participating in the

Wing of Baianas

in the carnival parades.


One hundred and ten women, with an average age of

67.4 ± 5.9 years, were divided into two groups: Baianas Group


participants of the carnival parades in the

Wing of Baianas

, and a

control group of women who not dance samba. Assessments included

a physical activity questionnaire, isokinetic muscle strength testing for

the knee extensors and flexors, and a postural balance assessment

completed on a force platform.


There were no differences between groups, for postural

balance outcomes, during the eyes open condition; however, with

eyes closed, there was a significant effect between groups (Bahia vs

control) in all variables. The Baianas Group showed less mediolateral

displacement [p = 0.04]; and anteroposterior displacement [p <

0.007]; larger amplitudes of mediolateral displacement [p < 0.001];

and anteroposterior displacement [p < 0.001]; increased mean vel-

ocity [p < 0.01]; and elliptical area [p < 0.01] There were no differences

in the isokinetic peak torque corrected by body weight, total work and

flexor/extensor ratio.


Participation in the Wing of Baianas is associated with

better balancewith closed eyes, but therewere no differences between

dancers and non-dancers for muscle strength.


Longevity challenge: case series of elderly patients over 90 years

hospitalized in internal medicine services

I. Silva


, M. Faria


, S. Rodrigues


, A. Boquinhas




Hospital de Cascais

Dr. José de Almeida, Cascais, Portugal


According to Eurostat


data (2015), Portugal has a high

aging index (133.5

), this is reflected in the admissions of Internal

Medicine Services (IMS). It is imperative that health professionals are

capable of dealing with the idiosyncrasies and needs of the elderly

patient. Our main goal is to characterize the elderly over 90 years

admitted to the IMS.


A retrospective and descriptive analysis of the elderly over

90 years old admitted to the IMS in the fourth quarter of 2014. We

evaluated demographic characteristics, degree of functional depend-

ence, personal history, in-hospital mortality, average hospitalization

time and destination of clinical discharge.


The sample (n = 118) accounted for 12% of total admissions in

the IMS in that period. Most (67.8%) of the elderly are women with a

mean age of 92.9 years old. On average, the elderly were treated in

an outpatient setting with 7 drugs. It is shown based on the Barthel

Index that most of them had a degree of total dependence. The most

prevalent co-morbidities were hypertension (71.2%), heart failure

(45.8%), dementia (35.6%) and coronary heart disease (30.5%). The

observed mortality rate was 28.8%.


According to the statistical characteristics found in this

descriptive study, it has become necessary to reflect on the adequacy of

clinical practice on the elderly needs. It is crucial to continue the

exercise of awareness of health professionals for the challenges posed

by increasing longevity.


The effect of a fall prevention exercise programme on fear of falling

in the elderly

A. Ferreira


, P. Chaves


, D. Simões




Santa Casa da Misericórdia de

Santo Tirso, Santo Tirso,


Department of Physiotherapy, CESPU, Vila Nova

de Famalicão,



Institute of Public Health, University of Porto,

Porto, Portugal


Increased fear of falling has been associated with

increased fall risk, reduced physical activity, and impaired physical

function in the elderly. The aim of this study was to analyse the

immediate effect of a fall prevention exercise programme on fear of

falling in a community sample of elderly Portuguese.


A randomized controlled trial was performed. Twenty-eight

volunteers (64.3% female, mean 69.8 years of age ±5.5) were

randomly allocated to control (n = 14) and exercise group (n = 14).

Fear of falling was evaluated before and after the intervention using

Fall Efficacy Scale (FES), a validated and standardized tool. The study

intervention consisted of an 8-week fall prevention exercise pro-

gramme (2 sessions each week, each lasting 60 min). Data were

analysed with a two groups x two-evaluation moments repeated-

measure ANOVA (IC 95%).


FES score in the exercise group had an increase of 11.8 points

±4.0, suggesting greater confidence during activities of daily living

and less fear of falling. We found a significant interaction between

interventions and evaluation moments (p < 0.001). Statistically sig-

nificant differences were found between evaluation moments (p <

0.001) and between groups (p = 0.035).


The results suggest that fall prevention exercise pro-

grammes can be an effective intervention to improve confidence

during activities of daily living and reduce fear of falling in the elderly.

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