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

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Social and community networks in obese elderly
A.C.C. Freitas 1, L.R. Lima1, S.S. Funghetto1, C.R.G. Volpe1, W.S. Santos1, T.
C.M.S.B. Rehem1, A.O. Silva2, M.M. Stival2. 1Nursing Course, College of
Ceilandia, University of Brasilia, 2Physical Education Course, Center of
University UniCeub, Brazil
Introduction: social and community networks are forms from social
ties made by relatives, neighbors, friends and when established in the
life of the elderly working in health promotion, disease protection and
even increased survival. This study aimed to evaluate the social and
community networks of obese elderly in Brasilia, Brazil.
Methods: Cross-sectional study with 206 obese elderly classified by
anthropometry and bioimpedance. Household Survey was applied to
investigate the social and community networks of the elderly using
the Family APGAR. Data were analyzed by SPSS 20.0. Research
approved by the Ethics Committee of SES Research 451/10.
Results: The mean BMI was 31.36 and body fat percentage of 40.79%.
Most were female, with 1–4 years of study, married, low income, were
not diet, not smoking, not using alcohol, sedentary and had no leisure.
82.0% Family APGAR pointed out the family as highly functional, 42.7%
did not offer help, 84.0% lived with children, 82.5% were not
community support, 76.7% provided no voluntary service in the
community, 76.7% livewith people of the same age and 92.2% livewith
young people. Factorial Analysis of Family APGAR: Bartlett: x² = 1024.0
and p < 0.000; KMO 0.896. After extraction of the factors, the values
remained less than one, with explained variance of accumulation of
82.4%, demonstrating unifactorial instrument.
Conclusion: It is very important the role of Social and Community
Networks in elderly life as regards their health and quality of life.
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Integrated continuous glucose monitoring/insulin Pump System in
elderly: the impact on self-perception of health status and
glycemic control
M.G. Borda 1,2, E.A. Morros1,2, D. Patino-Hernandez1,2, M.
U. Pérez-Zepeda 3, A.M. Gómez4, L. Marín4, D.A. Chavarro-Carvajal1,2,
C.A. Cano-Gutiérrez 1,2. 1Semillero de Neurociencias y Envejecimiento,
Instituto de Envejecimiento. Facultad de Medicina, Pontificia Universidad
Javeriana. Bogotá, Colombia, 2Geriatrics Unit, Hospital Universitario San
Ignacio. Bogotá, Colombia, 3Geriatric Epidemiology Research Department,
Instituto Nacional De Geriatría. Mexico City, 4Endocrinology Unit,
Hospital Universitario San Ignacio. Bogotá, Colombia
Introduction: The main purpose of the study was to evaluate the
effects of insulin pump therapy integrated with continuous glucose
monitoring (SAP) in metabolic control and self-rated perception of
health among older adults.
Methods: Patients with type 1 and 2 Diabetes Mellitus with preserved
basic functionality, an adequate social support network and who had
been using SAP for at least a year were included for analysis. HbA1c was
measured prior to initiation of therapy with further monthly follow-
up. Recruitment took place from 2008 to 2014 with continuous
monitoring until October 2015 when measurements were taken again
and the self-rated health perception (SPH) was evaluated.
Results: 50 patients were included, 26 of which were younger than 60
years-of-age and 24were older. The average agewas 38 and 69.7 years-
of-age for younger and older adults respectively. Type 1 DM was
more prevalent in younger patients (84% vs.41.7%). In older adults after
SAP, the number of hospitalizations(12.85% vs.33%*), severe hypogly-
cemia (66.67% vs. 0%*) and HbA1c (9.06 ± 1.69 vs. 7.27 0.87*) decreased
and a significant improvement of SPH was found (46.08 ± 24.30 vs.
82.69 ± 18.86) (p < 0.05%*). No statistically significant differences were
found in terms of SRH (87.92 ± 12.98 vs. 82.69 ± 18.86*) or HbA1c
(p > 0.05*) comparing older and younger adults.
Conclusions: Age should not be considered an exclusion criterion for
initiation of therapy with continuous glucose monitoring. This study
does not display significant differences between younger and older
adults, nevertheless, further investigation is required in order to aid
decision making in this field for geriatricians and endocrinologists.
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Does Mini Nutritional Assessment predict disability among elderly
people?
D. Concu, A. Errigo, G.M. Pes. University of Sassari
Introduction: Nutritional status has been hypotesized to be a major
predictor of functional ability in elderly people. Assessment of nutri-
tional status in clinical practice is obtained by the Mini-Nutritional
Assessment (MNA) questionnaire. However, the reliability of MNA
for predicting functional decline and disability in older persons needs
further evidence. The aim of this study was to assess whether MNA
(30-items) in subjects aged 80 and over correlates with functional
status measured by the Activities of Daily Living (ADL) score.
Methods: We recruited 562 Sardinian subjects (227 men, 335 women,
aged 80 and older). Age, ADL, Body Mass Index (BMI), MNA, Mini-
Mental State Examination (MMSE), Geriatric Depression Scale (GDS)
were collected in each participant. The association of predictors with
disability was performed by multiple linear regression analysis with
ADL as dependent variable.
Results: Mean value of ADL score was 4.12 ± 2.0. Mean value of MNA
score was 18.9 ± 5.6. Multiple regression analysis gave the following
coefficients: Age (r = −0.127, p = 0.043) BMI (r = −0.250. p < 0.0001);
MNA (r = 0.352, p < 0.0001); MMSE (r = 0.299, p < 0.0001) and GDS
(r = −0.274, p < 0.0001).
Conclusions: Nutrition is a key determinant of geriatric health, and
MNA is useful for nutritional assessment. Our analysis in subjects over
80 confirmed that MNA score is among the strongest predictors of
disability when compared to similar indicators. However, our data do
not allow to determine whether there is a real cause-effect releation-
ship between nutritional status and ADL, and which one is the primary
determinant.
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Osteoporosis in Parkinson’ s disease: a review
J. Correia1, T. Sequeira2, J. Caçoilo1, I. Calvinho1, C. Bento1, I. Venâncio1.
1USF Oriente, 2UCSP Marvila, Lisboa, Portugal
Introduction: Parkinson’s disease (PD) and osteoporosis are chronic
diseases associated with aging. Several studies have reported
associations between these two entities, particularly regarding to
increased risk of fractures. The objectives of this work were to review
the existing evidence about the relationship between PD and
osteoporosis and to review the pathophysiological mechanisms
involved.
Methods: Research guidelines, meta-analysis (MA), systematic
reviews (SR) and randomized controlled trials (RCT) in English
and Portuguese, in PubMed and medical databases based on
evidence. MeSH terms used: “Parkinson’s disease ” and “osteoporosis”.
Articles published between January 2006 and January 2016 were
selected.
Results: Four articles were obtained, but only three met the inclusion
criteria. One MA, one SR and one RCT showed a relation between PD
and osteoporosis, bone mineral density (BMD) and fracture risk.
Patients with PD have an increased risk for osteoporosis when
compared to the general population. It was also evident in PD: lower
BMD, lower vitamin D levels and an increased risk of fractures. The
reduction of bone mass in PD seems to be mainly caused by limited
mobility. Endocrine (such as vitamin D deficiency), nutritional and
iatrogenic factors also play an important role in the depletion of bone
mass.
Conclusions: The available evidence supports an increased risk of
osteoporosis among PD patients. This fact should alert the clinician
about the importance of osteoporosis screening in PD patients.
However, more studies are needed in order to demonstrate the
health benefit of osteoporosis screening/early treatment in PD
patients.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S196