Table of Contents Table of Contents
Previous Page  205 / 290 Next Page
Show Menu
Previous Page 205 / 290 Next Page
Page Background


GNRI as a complement to MNA in nutrition study

M. Freixa, A. Simões, J. Rodrigues, S. Úria, G. Silva.

Department of

Internal Medicine, Pulido Valente Hospital, Lisbon, Portugal


Geriatric Nutritional Risk Index (GNRI) identify the risk

of nutrition-related complications in elderly. Malnutrition is common

in this population, higher in those hospitalized, and is frequently

evaluated by Mini Nutritional Assessement (MNA).


Investigate the correlation between MNA and GNRI.


Cross-sectional study with 66 hospitalized elderly patients


65 years) divided into two groups according to MNA-Short Form

G1 malnourished (

7; n = 11); G2 without malnutrition (>7). There

was also used anthropometric measures (bodymass index (BMI); mid-

arm muscle circumference (MUAMC)

71% severe, 70

80% moderate

and 80

90% mild nutrition) and albumin (normal

3 g/dL). GNRI: >98

no risk, 92

98 low, 92

82 moderate, <82 severe.


(1) Mean age was similar (82,2 ± 4.5 vs 83.1 ± 6.2 years;

p = 0.6). (2) G1 had lower mean MNA (5.3 ± 1.8 vs 11.9 ± 2.2; p < 0.01).

(3) G1 had lower BMI (20.05 ± 2.05 vs 25.1 ± 4.34; p < 0.01) and positive

relation with MUAMC in both groups (69,5 ± 9,3 vs 83,9 ± 14,02;

p < 0,01). (4) Higher prevalence of hypoalbuminaemia in G1 (45,5

vs 19,6%; p = 0,069). (5) Both groups had mean GNRI <98, but G1

had lowest value (80,7 ± 16,4 vs 96.72 ± 13.4; p < 0.01). (6) In G2, 15,4%

had GNRI <82 (vs 45,5%) and 9,6% between 82 and 92 (vs 27,3%;

p = 0,010).


Some patients classified with no malnutrition may be

at risk to develop nutrition-related complications. It is essential to

determine the GNRI in hospitalized patients, predicting complications

and planning an effective nutritional intervention.


The metabolic syndrome in very elderly

M. Freixa, A. Simões, J. Rodrigues, S. Úria, G. Silva.

Department of

Internal Medicine, Pulido Valente Hospital, Lisbon, Portugal


The metabolic syndrome (MS) is defined as a cluster of

cardiometabolic risk factors, and elderly have highest prevalence.

However, few studies have directed attention to the MS in this



To evaluate metabolic syndrome in the elderly.


A retrospective observational study with analysis of 144

clinical process of patients with MS, from admission in consultation to

the last clinical evaluation. Mean follow-up time was 5,7 ± 3,6 years.

SM was defined according to the AHA/NHLB2005 criteria. We defined

two groups: G1 <80 years (n = 123, 74,1%) and G2 > 80 years.


(1) In G1, males were superior (66,7 vs 42,9%;p = 0,050) while

in G2 was the female gender (57,1 vs 33,3%;p = 0,050). (2) The mean

age in G1 was 60,9 ± 10,4 years (vs 85 ± 3,8). (3) On admission, in G2

therewas a higher prevalence of dyslipidemia (100 vs 75,2%; p = 0,007),

hypertension (85,1 vs 71,4%; p = 0,127), chronic kidney disease (23,8

vs 8,3%;p = 0,05), heart failure (42,9 vs 20,7%; p = 0,049), ischemic

cardiopathy (33,3 vs 7,4%; p = 0,003), atrial fibrillation (42,9 vs 5,8%;

p < 0,001) and stroke (30 vs 8,9%; p = 0,016). (5) G2 hadworse LDL levels

(127,2 ± 85,6 vs 114,5 ± 43,1 mg/dL) and glycaemia (126,8 ± 56,1 vs

116,8 ± 42,9 mg/dL) but better triglycerides level (127,7 ± 121,5 vs

168,8 ± 127,9 mg/dL) and total colestherol (192,43 ± 48,4 vs 193,7 ±

52,2 mg/dL). In both groups, patients were overweight (BMI 30,4 ± 6,3

vs 29,6 ± 6,4). (6) During follow-up, G1 had developed more hepatic

steatosis (37,4 vs 4,8%;p = 0,002) and diabetes (20 vs 9,5%; p = 0,365).

(7) Mortality was higher in G2 (28,6vs9,8%; p = 0,027).


In our study, the older people have more cardiovascular

risk factors, but the younger group developed more hepatic steatosis

and diabetes. MS is a risk factor for cardiovascular morbidity, whereby

it is important to diagnose and prevent its development.


Cross-sectional analysis of fasting blood glucose and cognition in

geriatric inpatients

M. Gogol.

Department of Geriatrics, Lindenbrunn Hospital,

Coppenbruegge, Germany


Diabetes mellitus affecting increasingly aging persons,

alters mirco- and macrocirculation and foster ateriosclerosis, which

play a role in accelerating aging and cognitive decline. Diabetes

nowadays is recognized as a metabolic and vascular risk factor for

cognitive decline including Alzheimer

s and vascular dementia.


To prove the hypothesis that diabetes mellitus is an

independent risk factor for cognitive decline.


Geriatric inpatients were tested in a prospective, cross-

sectional design for cognition using the Mini Mental Status

Examination (MMSE, range 0

30 points, higher results inidcating

better cognitive function) and blood sugar day profiles. In accordance

to guidelines we used following cut-offs: normal fasting blood glucose

(NFG) < 100 mg%, impaired fasting blood glucose 100

125 mg%,

and elevated fasting blood glucose (EFG)

126 mg%. Pearson


correlation and Student

s t-test were used for statistical calculations,

p values were set to 0.05 or lower for significance.


We examined 478 consecutive geriatric inpatients with a

mean age of 78.89 ± 8.06 years (197 men (m), 77.23 ± 8.19, 287 women

(w) 81.71 ± 8.19, p = 0.000). NFG were detected in 171 (67 m, 104 w,

mean 91 ± 6.8 mg%), IFG in 208 (80 m, 128 w, mean 110.7 ± 7.3 mg%),

and EFG in 99 (49 m, 50 w, mean 153.1 ± 38.9 mg%) patients. Cognitive

testing with MMSE revealed mean scores of 22.93 ± 5.45

(m 23.25 ± 5.54, w 22.71 ± 5.39, p = 0.28). Total MMSE scores and

subscores for immediate and delayed recall as well as attention/

calculation task revealed no correlation with fasting blood glucose

levels. Pearson

s r for MMSE total was 0.0578 (m 0.0601, w 0.0558).

In stratified groups for NFG, IFG, EFG including stratification for sex we

found no significant correlation too.


In a cross-sectional analysis of geriatic inpatients we

revealed no correlation between fasting blood glucose levels including

stratification for NFG, IFG, and EFG and cognitive testing using the



Comparison of mini nutritional assessment short and long form

and serum albumin as predictors of short- and long-term hip

fracture outcomes

H. Helminen


, T. Luukkaala


, J. Saarnio


, M. Nuotio




Seinäjoki Central

Hospital, Seinäjoki,


Science Center of Pirkanmaa Hospital District,



Oulu University Hospital, Oulu, Finland


Malnutrition is common among older hip fracture

patients and associated with adverse outcomes. The aim here was

to examine Mini Nutritional Assessment short (MNA-SF) and long

form (MNA-LF) and serum albumin as predictors of mobility, living

arrangements and mortality after hip fracture.


Population-based prospective data were collected on 536

hip fracture patients aged 65 year and over. MNA-SF, MNA-LF and

serum albumin were assessed on admission. The outcomes were

declined mobility level, moving into a more assisted living accommo-

dation and mortality one month, four months and one year after the

fracture. Logistic regression analyses for mobility and living arrange-

ments with odds ratios (OR) and Cox proportional hazards model for

mortality with hazard ratios (HR) and 95%conficence intervals (CI)

were used, adjusted for age, gender, ASA grade and fracture type.


All measures predicted mortality at all time-points. Both risk

of malnutrition and malnutrition as measured by the MNA-LF

predicted mobility and living arrangements within four months of

the hip fracture. At one year, risk of malnutrition predicted mobility

and malnutrition predicted living arrangements, when measured by

the MNA-LF. Malnutrition, but not risk of malnutrition, as measured by

the MNA-SF predicted significantly living arrangements at all time-

points. One-month mobility was not predicted by any of the measures.

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