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Functional exercise capacity in a sample of elderly women; A three

years follow-up

M.T. Tomás


, A. Galán-Mercant


, B. Fernandes




Instituto Politécnico de

Lisboa-Escola Superior de Tecnologia da Saúde de Lisboa, Lisboa,



Jaén 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



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.


Six minutes

walk test (6MWT) in a 20 m distance and levels

of physical activity (LPA) were assessed.


A sample of 30 females aged 77 ± 9 yrs. (63

94 yrs.) and BMI

of 27.7 ± 3.5 kg/m


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.


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.


Characteristics of inpatient centenarians

R. Tourais Martins


, E. Doutel Haghighi


, J. Barata




Hospital Vila Franca

de Xira, Vila Franca de Xira, Portugal


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



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.


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%.


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.


The associations of personal values in midlife with frailty and

health-related quality of life in old age

A. Urtamo


, T. Strandberg


, K. Pitkälä


, H. Kautiainen




Department of

General Practice and Primary Health Care, University of Helsinki, Helsinki

University Central Hospital, Unit of Primary Health Care, Helsinki,


University of Helsinki, Clinicum, Helsinki University Hospital, Helsinki,

and University of Oulu, Center for Life Course Health Research, Oulu,



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.


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



), valuing enjoyable and varying life (


) and

valuing comfort and work-oriented life (




We found a significant positive association between the


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


factor predicted

mortality (p = 0.017).


The personal values of men assessed inmidlife had long-

term associations with HRQoL and frailty in old age, and may also

predict mortality.


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