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

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P-613
Functional exercise capacity in a sample of elderly women; A three
years follow-up
M.T. Tomás 1, A. Galán-Mercant2, B. Fernandes1. 1Instituto Politécnico de
Lisboa-Escola Superior de Tecnologia da Saúde de Lisboa, Lisboa,
Portugal; 2Jaén University, Jaén, Spain
Aged population is increasing and physical activity seems to be an
effective action to deal with ageing effects and decrements in physical
activity (PA). However the correct intensity of prescribed PA is
important.
Objectives: To verify the decrements in functional exercise capacity in
a sample of elderly woman, in order to adjust possible changes in
intensity demands of physical activity and walking activity.
Methods: Six minutes’ walk test (6MWT) in a 20 m distance and levels
of physical activity (LPA) were assessed.
Results: A sample of 30 females aged 77 ± 9 yrs. (63–94 yrs.) and BMI
of 27.7 ± 3.5 kg/m2 were assessed 3 years after a first assessment.
At first moment distance walked was 391.4 ± 107.2 m (137.5–561.2 m)
which corresponded to a percentage of 78.9% ± 16.6% of expected
distance for age, height and weight. LPA showed that 50% of this
sample was sedentary and only 16.7% (5 females) were active
(more than 3 times a week of moderate intensity physical activity).
At second assessment, results showed an increment in distance
walked of 6.6 ± 65.0 m which was not expected (percentage of
estimated distance was 82.4% ± 19.3%). Only 5 females decreased
distance walked. However this sample was more active. Only 46.7%
were sedentary and active woman were increase for 26.7% (8 females).
This increments of LPA were probably due to counselling in first
moment of assessment.
Conclusions: Our results seems to show the capital importance of
physical activity and namely the walking activity for counter the
effects of ageing, namely on functional exercise capacity.
P-614
Characteristics of inpatient centenarians
R. Tourais Martins1, E. Doutel Haghighi1, J. Barata1. 1Hospital Vila Franca
de Xira, Vila Franca de Xira, Portugal
Introduction: The prevalence of the very elderly adults is increasing
and so is their use of the healthcare system. Among them, centenarians
represent a small group that is also growing. It is important to know its
particular characteristics in order to adapt our care to their needs. We
aimed to characterize the centenarian patients hospitalized in our
hospital.
Methods: A retrospective observational study of patients (pts) with
≥ 100 years old hospitalized in our hospital from January 2013 to
March 2016. Demographic information, comorbidities, reason of
admission, length of hospital stay and destination after discharge
were recorded from each patient.
Results: 18 pts with a mean age of 100.9 years, of which 16 were
females, were admitted for hospitalization, for a total of 24
hospitalizations. In 25% and 16.7% of hospitalizations, the pts were
totally dependent and bedridden, respectively. Also, in 54.6% of
hospitalizations, the pts came from a nursing home. 17 pts had 2 or
more comorbidities. The most commonly identified comorbidities
were hypertension (50%), atrial fibrillation (33.3%) and heart
failure (31.5%). 82.6% were admitted to the Internal Medicine ward
and 13% to the Orthopaedics ward. The main reasons for admission
were infection (47.8%), mainly respiratory infection (39.1%), and heart
failure (17.3%). 65% of hospitalizations occurred during the Autumn/
Winter period. There was an average stay of 7 days and the mortality
rate of 39%.
Conclusion: Despite probably having certain characteristics that
improve their life expectancy, centenarians tend to be dependant of
others and have various comorbidities. So, when in face of acute
illness, their frailty can be revealed and there is an increased likelihood
of a poor outcome.
P-615
The associations of personal values in midlife with frailty and
health-related quality of life in old age
A. Urtamo1, T. Strandberg2, K. Pitkälä1, H. Kautiainen 1. 1Department of
General Practice and Primary Health Care, University of Helsinki, Helsinki
University Central Hospital, Unit of Primary Health Care, Helsinki,
2University of Helsinki, Clinicum, Helsinki University Hospital, Helsinki,
and University of Oulu, Center for Life Course Health Research, Oulu,
Finland
Introduction: Personal values are associated with individual behav-
iour and decision making, but their effect on health-related quality of
life (HRQoL) and in long-term is less clear. We studied these effects in a
26-year follow-up.
Methods: This is a follow-up of the Helsinki Businessmen Study (HBS)
cohort (born in 1919–34). In 1974, personal values were assessed using
a 11–item questionnaire in 1320 men. In 2000, HRQoL was assessed
with the 8 domains of the RAND -36 (SF-36) instrument. Mortality
between 1974 and 2000 was verified fromnational registries, and 1025
survivors responded to queries both in midlife and old age and form
the analytical sample for the present study. In addition, diseases were
asked in the questionnaire in 2000, and the presence of frailty was
assessed using modified Fried criteria (Sirola et al JNHA 2011). For the
analyses, personal values were loaded on three factors: valuing health
(“Health”), valuing enjoyable and varying life (“Enjoyment”) and
valuing comfort and work-oriented life (“Work”).
Results: We found a significant positive association between the
“Health” factor and RAND-36 domains of Physical functioning (p =
0.032) and Vitality (p = 0.005) after adjusted age. Moreover, this factor
also predicted less frailty (P = 0.008). The “Enjoyment ” factor predicted
mortality (p = 0.017).
Conclusions:The personal values of men assessed inmidlife had long-
term associations with HRQoL and frailty in old age, and may also
predict mortality.
P-616
Health at late in life: active ageing and the role of ambient assisted
living devices
S.V. Almeida, P.P. Barros. NOVA Health Care Initiative
With a rising life expectancy and an ageing population there is a need
to improve quality of living at the later stages of life and avoid
marginalization of the elderly population. Fostering healthy and active
ageing is thus indispensible to ensure the prosperity of future
generations. But if countries actually manage to promote active
ageing, what would be the impact on health? In this project we
propose a construction of an individual Active Ageing Index (AAI),
using the micro-level data collected from the Ambient Assisted
Living for All project (AAL4ALL). Our sample is constituted by 1174
Portuguese over the age of 49, distributed across 18 regions in the
country. To construct the individual indicator we adapt the framework
of the AAI developed by the European Commission (EC) and the
United Nation Economic Commission for Europe (UNECE). After
analysing the determinants of the individual AAI and health using
OLS estimations, we develop a 3 equations system to study the
relationship between Self-Assessed Health, the AAI and the use of AAL
devices. The results show a positive and significant effect of using AAL
devices on the AAI, which in turn has a positive effect on the self-
assessed health indicator. Policy design should focus on preventing of
physical activity complications, potentially by providing financial
support for the use of new Ambient Assisted Living devices. The
investment must focus the quality of the opportunities provided so
that there is a true incentive for people to continue engaged in society
after entering retirement.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S191