European Geriatric Medicine - Supplement 1 - Volume 7

P-617

Nursing diagnoses associated of functional capacity in elderly

people in a geriatric ambulatory clinic of Brazil

M.M. Stival, A.C.C. Freitas, L.R. Lima, W.S. Santos, S.S. Funghetto,

C.R.G. Volpe.

University of Brasilia, DF, Brazil

This study aimed to identify the most prevalent nursing diagnoses in

elderly patients in a geriatric outpatient clinic of the Federal District,

Brazil, according to NANDA Taxonomy II, relating them to the

functional capacity scales. This is a descriptive, observational study

of 40 elderly people over 65 years attended at the geriatric clinic. Data

collection took place in March 2010 for 60 days. the scales of Lawton

and Barthel were used. The Pearson

’

s chi-square were used for

associations and the significance level of p < 0.05. This study was

approved by the Ethics Committee of the Department of Health of the

Federal District. The most prevalent nursing diagnoses identified

were: Sensory Perception disturbed vision and hearing; decreased

cardiac output; dentition, ambulation and impaired memory and risk

of falls. Diagnoses related to the scales of Lawton and Barthel were

impaired physical mobility; risk of falls; impaired ambulation;

decreased cardiac output; intolerance activity; insomnia; fatigue and

ineffective peripheral tissue perfusion. Older people tend to have

decreased functional capacity, especially older ones, and dependence

on the performance of activities of daily living. The risk of falls

was related to factors such as the use of assistive devices, mobility

difficulties, impaired balance and physical mobility, decreased

strength in the extremities and history of falls.

P-618

The influence of blockade of the renin angiotensin system on the

occurrence of orthostatic hypotension

E.L. Wilson

, H.E. Andersen

, L.S. Mössinger

, P. Hovind

, B.R. Nielsen

L. Usinger

Amager Hvidovre Hospital,

Herlev Gentofte Hospital,

Rigshospitalet Glostrup Hospital, Denmark

Introduction:

Antihypertensive medication and orthostatic hypoten-

sion (OH) are frequent in elderly patients. The latter may result in fall

incidents and therefore important to prevent. The relationship

between antihypertensive medication and orthostatic hypotension is

complex and is presumably dependent on drug class.

Methods:

A retrospective observational study including patients

referred to a specialized fall clinic in 2015 in Copenhagen, Denmark

was conducted. Patients who underwent tests for OH with active

stand and head-up tilt were included. Blood pressure was monitored

continuously during 5 minutes of supine rest and 3 minutes of active

standing. After a short supine rest, the patients underwent head-up tilt

to 60°, for up to 30 minutes. Drug use was collected from the medical

record.

Results:

The study population included 48 patients with a mean age of

77.4 years (SD 7.3) with a light overweight of female patients (64.6%).

OH was present in 19 (39.6%), 15 (31.3%) and 31 (64.4%) patients when

tested by either active stand, head-up tilt or both, respectively. Twenty

participants (41.7%) were treated with Angiotensin Converting

Enzyme Inhibitors/Angiotensin II Receptor Blockers (ACEI/ARB).

Applying logistic regression analyses a borderline significant trend

was present indicating that treatment with ACEI/ARB lowered the

prevalence of OH (OR: 0.33; CI 0.10

–

1.13; P = 0.08). Adjustment for age

and gender did not alter the result.

Conclusion:

ACEI/ARB seemed to be associated with a lower

prevalence of OH in elderly fallers. In this small-sized study the

influence was not significant, although the size of the estimate was

clinical relevant.

P-619

Association of biomarkers with sedentary behaviour in older

adults: a systematic review

K.J. Wirth

, J. Klenk

, S. Brefka

, K. Faehling

, D. Rothenbacher

M. Denkinger

, B. Stubbs

Agaplesion Bethesda Hospital, Geriatric

Research Unit, Ulm University and Geriatric Centre Ulm/Alb-Donau,

Ulm

University, Institute of Epidemiology and Medical Biometry, Ulm;

King

’

College, London

Introduction:

Sedentary Behaviour (SB) is an independent risk factor

for several chronic diseases and mortality [1]. The underlying

pathomechanisms are, however, unclear yet. Data are especially rare

in older adults. We conducted a systematic review to investigate the

association between SB and various biomarkers (BM) in older adults.

Methods:

Two independent authors searched major electronic

databases with specific search terms and with the following exclusion

criteria: sample size n < 50, mean age < 60 years, and accelerometer

wear time

≤

2 days.

Results:

A total of 12,701 abstracts were retrieved and 275 full text

articles were further explored. 249 articles were excluded. In the final

sample (26 articles) most BM were of cardiovascular or metabolic

origin. Main markers were: body mass index (BMI, n = 15), waist

circumference (n = 15), blood pressure (n = 11), triglycerides (n = 12)

and high density lipoprotein (n = 15). Some inflammatory markers

were also identified (i.e. IL-6, CRP, TNF-a). There was a lack of renal,

muscle or bone BM. A significant positive association of SB with BM

was found throughout all studies. Furthermore, randomized con-

trolled trials found a positive correlation for SB with BMI, neck

circumference, fat mass, HbA1c, cholesterol and insulin levels; cohort

studies additionally for leptin, C-peptide, ApoA1 and LDL and a

negative correlation with HDL.

Key conclusion:

There is a paucity of high quality studies investigating

SB and BM in older adults. Most focused on the cardio-metabolic

system. A few markers of systemic inflammation also showed positive

association. High quality longitudinal studies are necessary to

elucidate the pathophysiological consequences of SB in older adults.

References

[1] Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS,

et al.

Sedentary Time and Its Association With Risk for Disease

Incidence, Mortality, and Hospitalization in Adults: A Systematic

Review and Meta-analysis.

Ann Intern Med

. 2015;162:123

–

132.

doi: Prospero registration: CRD42015023731

Area: Metabolism and nutrition

P-620

Trunk fat and visceral fat ratio for predicting metabolic syndrome

in elderly: COMeS Study

J.R. Alvero-Cruz

, R. Fernández Vázquez

, J. Martínez Blanco

Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana,

Histología Humana, Anatomía Patológica y Educación Física y Deportiva,

Unidad de Residencias, Distrito Sanitario Costa del Sol, Junta de

Andalucía, Málaga, Spain

Introduction:

Obesity has become one of the most important threats

to human health worldwide. Abundant scientific evidence supports

the associations between obesity and various diseases including

diabetes mellitus, hypertension, coronary artery disease, cancer or

sleep apnea. The most commonly used anthropometric method to

diagnose obesity is body mass index (BMI). Other techniques as

bioelectrical impedance analysis emerged as measures of central

obesity.

Objective:

The aim of this study was to evaluate the relation of

bioelectrical impedance analysis for predicting metabolic syndrome in

elderly population of both sexes.

Methods:

Two hundred and ten subjects participate in the study (131

female and 79 male). MS was defined as International Diabetes

Federation criteria. Trunk fat (TF) and visceral fat ratio (VFR) was

measured by bioelectrical abdominal impedance analysis with Viscan

(Tanita, Japan). Receiver operating characteristic curves (ROC)analyses

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

–

S259

S192