European Geriatric Medicine - Supplement 1 - Volume 7

leisure activities, depression and anxiety, sense of control) were

assessed by questionnaire.

Results:

At baseline, better diet quality was related to a range of social

factors, including increased confiding/emotional social support (men

and women), practical support (men), and a larger social network

(women) (all p < 0.05). For bothmen and women, greater participation

in social and cognitive leisure activities was related to better diet

quality (p < 0.001). There were few associations between measured

psychosocial factors at baseline and change in diet score over 10 years.

However, greater participation in leisure activities, especially cognitive

activities, at baseline was associated with smaller declines in diet

quality over the 10-year follow-up period for both men (p = 0.021) and

women (p = 0.006).

Conclusion:

In community-dwelling older adults, participation in

leisure activities may be protective with respect to quality of diet.

P-625

Multi language and multi-cultural education for older patients

with diabetes. A call to participate

I. Bourdel-Marchasson

–

, A. Zeyfang

4,5

, D. Tessier

CHU of Bordeaux,

Clinical Gerontology, F-33604 Pessac Cedex,

CNRS, RMSB, UMR 5536,

University of Bordeaux, RMSB, UMR 5536, F-33000 Bordeaux, France;

AGAPLESION Bethesda Krankenhaus Stuttgart, Hohenheimerstr. 21,

70184, Stuttgart,

Institut für Epidemiologie, Universität Ulm, Albert-

Einstein-Allee 41, 89081, Ulm, Deutschland;

Geriatric Division

Diabetes mellitus is an ageing-related disease and about 15% of older

people are affected with a peak of prevalence in the 70

–

74 year old

subjects. Heterogeneity in health status (from robustness to depend-

ency) and metabolism impairments (diverse combinations of insulin

resistance and insulin secretion failure) is very high. The complexity is

even higher when considering comorbidity and social factors. The

challenge we are facing is adaptation; we have to find the adequate

care for a given subject with shared objectives considering diabetes in

the frame of general health. The aim is to care the patient with diabetes

and not only the diabetes of the patient. Two directions for work are

ahead of us: the implementation of current guidelines and the

production of evidences to improve to care the older people with

diabetes. Education is thus a challenging task. Education has to be built

to address the needs of professionals, patients and their support.

Europe is a Multilanguage and multicultural continent. Educational

material has to be adapted with respect to language, culture and health

care systems. Multilanguage Massive Online Open Courses (MOOC) is

one tool to address this need. The construction of an international

Master of health care in older peoplewith diabetes is a complementary

option. Providing new clinical evidences relies on the intensification of

observational epidemiological cohorts and the implementation of

clinical trials, both with multidisciplinary research. The first aim of the

Task & Finish Group devoted to diabetes in older people is to construct

Multilanguage educational material directed toward professionals. We

will take advantage of this network to build future research studies to

support the evolution of guidelines.

P-626

Quality of life outcomes in older people treated with

chemotherapy for cancer at risk for malnutrition and included in a

randomized control trial of nutritional advices

S.C. Regueme

, N. Monéger

, I. Bourdel-Marchasson

–

Clinical

Gerontology Department, CHU Bordeaux,

RMSB, UMR 5536, CNRS,

RMSB, UMR 5536, Bordeaux University, Bordeaux, France

Introduction:

Frailty and malnutrition are known to be prognosis

factors in older patients with cancer. The objectives here were to

investigate a randomized intervention (RCT) based on dietary advices

and the protein intake and on the quality of life (HrQoL) in older

patients undergoing chemotherapy.

Methods:

Patients with cancer at risk for malnutrition (MNA 17

–

23.5)

and older than 70 y were proposed a RCT during their treatment to

evaluate a diet counselling intervention consisting in face to face talk

during 6 sessions of chemotherapy compared to usual care. It was

previously shown that this intervention had no effect on mortality.

They were assessed at baseline and at the end of intervention.

The effect of intervention, protein intake and the MNA item score

assessing the appetite for protein-rich food (question K) on HrQoL

outcomes were analyzed with baseline and end of intervention

univariate associations and mixed linear models. The outcomes were

functional status (ADL; IADL), depression symptoms (GDS-15) and

according to QLQ-C30 HrQoL scale fatigue symptom and physical

functioning.

Results:

Among the 332 included patients, HrQoL was assessed in 279.

At baseline association between physical functioning and question K

and protein intake not including supplement was found with lower

HrQoL scores for lower intake or appetite. At the end of intervention in

the 178 survivors, ADL, IADL fatigue and physical functioning were

worse in those with poorer appetite for protein-rich food. The

intervention had no effect on any of the outcomes but depressive

symptoms, IADL, fatigue and physical functioning worsened according

time. A poor appetite for protein-rich food and a low protein intake at

baseline were associated with a worsening of IADL and fatigue at the

end of intervention.

Conclusion:

The dietary intervention had no effect on quality of life

whatever time. Baseline poor protein intake items were associated

with worse quality of life at the end of intervention.

P-627

Influence of environmental factors on food intakes of nursing

home residents: a survey combined to a video approach

F. Buckinx

, A. Morelle

, S. Adam

, J.Y. Reginster

, N. Labeye

M. Locquet

, O. Bruyère

Department of Public Health, Epidemiology

and Health Economics, University of Liège,

Nutrition and Dietetics, Haute

Ecole de la Province de Liège,

Psychology of Senescence, University of

Liège, Belgium

Introduction:

The aim of this study was to assess the influence of the

environment on food intakes in nursing home.

Methods:

Meals, in 9 distinct nursing homes, were filmed and the food

intakes of a sample of randomly selected residents were measured by

the precise weighing food method. Then, residents responded to a

questionnaire related to their perception of the environment during

meals. Finally, a panel of volunteer experts were asked to answer a

questionnaire related to their own perception of themeal environment

after having watched a video of the lunch in each nursing home. The

relationship between food intakes and perception of the environment,

by the residents and by the experts, was assessed.

Results:

A total of 88 residents, aged 79.9 ± 15.7 years (65.9% of

women) from 9 different nursing homes were included in this study.

The perception of the environment during meals in the institution by

the residents was assessed by different indicators (i.e. noise, space,

comfort, light, smelling, perceived satisfaction of meals, taste of meal,

presentation of meals, service, setting). It was not associated with food

intakes of the elderly. However, a pleasant setting, as judged by the

experts through the video analysis, was associated with greater food

consumption by the resident.

Conclusion:

To the best of our knowledge, our results are the first

highlighting the fact that a pleasant dining room setting is positively

associated with food intake of nursing home residents.

P-628

Assessment of energy expenditure of nursing home residents with

indirect calorimetry

F. Buckinx

1,2

, N. Paquot

, M. Fadeur

, L. Bacus

, J.Y. Reginster

1,2

S. Allepaerts

, J. Petermans

, S. Biquet

, O. Bruyère

–

Department of

Public Health, Epidemiology and Health Economics, University of Liège,

Department of Public Health, Support Unit in Epidemiology and

Biostatistics, University of Liège,

Diabetes, Nutrition and Metabolic

Diseases, CHU of Liège,

Nutrition and Dietetics, Haute Ecole de la

Province de Liège,

Geriatrics Department CHU of Liège, Belgium

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

–

S259

S194