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Tendency to use more number of drugs was observed

among elderly patients with better nutritional status and functional



malnutrition; elderly; nutritional status; polypharmacy;

functional status.


Comparison of nutritional intake among older Japanese people,

with recommendations for preventing sarcopenia

K. Ishikawa-Takata, H. Takimoto, S. Kono.

National Institutes of

Biomedical Innovation, Health and Nutrition


Several expert groups have suggested that older people

should consume amounts appropriate to their body weight, and

sufficient amounts of protein at each meal, in particular, high-quality

protein or a leucine-enriched diet, to prevent sarcopenia. We

evaluated protein intake among older Japanese people with regard

to how it compares with several recommendations.


We used data on nutritional intake from the Japan National

Health and Nutrition Survey, 2012. This was a survey of 24,555 families

from 475 areas of Japan, with available nutritional data for 32,284

subjects aged between 1 and 104 years. Nutritional surveys were

conducted using 1-day semi-weighed household dietary records. We

calculated protein intake, amino acid intake, and protein intake per

meal for subjects older than 65 years (n = 9,591).

Results and key conclusions:

The median protein intakes per day

were 72.9 and 61.6 g for males and females, respectively. Protein

intake based on body weight was calculated for only those subjects for

whom there were available body weight data (n = 7,671; 1.2 g for both

males and females). Daily leucine intake and protein intake at

breakfast and lunch did not meet the recommendations. Most older

Japanese subjects in our study consumed sufficient amounts of

protein, but there is a need to enhance the quality of protein and

suitable distribution over breakfast, lunch, and dinner.


Effect of vitamin D supplementation on serum 25-hydroxyvitamin

D level in the elderly

M. Kupisz-Urbańska


, E. Kozak-Szkopek


, K. Galus


, K. Broczek




Department of Geriatrics, Medical University of Warsaw, Poland


Vitamin D deficiency is common among elderly people.

The aim of the present study was to evaluate 25-hydroxycholecalci-

ferol (25(OH)D) serum level, before and after vitamin D



The study group consisted of 28 women and 11 men aged


98 years (mean age 84,5 years)

nursing home residents. Study

has been performed from July 2015: 25(OH)D and calcium serum

concentration has been measured at the beginning of the study, than

after three months supplementation (vitamin D from 2000 IU to 4000

IU and calcium from800 to 1200 mg

depending on primary 25(OH)D

serum concentration). Third time 25(OH)D serum level concentration

has been measured after three consecutive months without vitamin D

supplementation. CLIA method and Liaison analyser has been

performed to measure 25(OH)D serum concentration.


Initial mean 25(OH)D serum concentration was 10,1 ng/mL

±6,07; calcium serum level

2,3 mmol/L ±0,10, after three months

vitamin D supplementation mean 25(OH)D serum level was signifi-

cantly higher

32,05 ng/mL (SD ±6,61), p < 0,001; calcium serum level

2,28 mmol/L SD ±0,11, p = 0,28. 25(OH)D serum level after three

consecutive months (without vitamin D supplementation) was

significantly lower 21,65 ng/mL ±6,28, p < 0,001.

Key conclusions:

Among all the subjects three months vitamin D

supplementation has been sufficient to achieve normal range of 25

(OH)D serum level. Taking into account lower 25(OH)D concentration,

after consecutive three months without supplementation, the suffi-

cient vitamin D supplementation should be systematically applied.


Anemia in elderly hospitalized in an internal medicine unit after

an acute illness

Lamloum Mounir, Tougorti Molkathouraya Ben Salem, Imed

Ben Ghorbel, Said Fatma, Khanfir Monia Houman Habib.




Prevalence of anemia in the elderly varies greatly from a

report to another, according to the degree of heterogeneity of the

cohort studied and age limits fixed.

Materiel and methods:

Our paper is about the frequency of anemia in

old people, aged 65 and above, hospitalized in an internal medicine

unit of the Rabta Hospital of Tunis, after an acute illness or aworsening

of a chronic condition.


Results are compared with those of a group of elderly, aged 65

or more, seen in an ambulatory setting, during the same time. The

mean age of the patients is 76.3. 57% are women. Mean rate of

hemoglobin is 11.1 g/dL, vs 12.5 in ambulatory patients. Among the

hospitalized, 48 (57.1%) have anemia (hemoglobin was below 10 g/L in

35.7%) vs 17 in the group of non hospitalized patients (9% with

hemoglobin rate less than 10 g/L). 27 patients hospitalized (55.1%),

aged more than 75 years have anemia, vs 7 in the ambulatory setting

(20.6%). Patients repartition according to hemoglobin concentration,

sex and group, shows that the number of patients with hemoglobin

rate lower than 10 g/L is much higher in women (19) than in men (10).

The same observation is true in the ambulatory group. Hospitalized

patients have two fold more people with anemia and polypathology

than the no hospitalized (36 patients (60%), vs 12 (30.7%).


Prevalence of hospital malnutrition in patients with heart disease:

sub-analysis of the PREDyCES



J. Álvarez Hernandez


, M. León Sanz


, A. García de Lorenzo


, S. Celaya



, M. Layola Brias


, K. Araujo Torres


, M. Planas Vila





Universitario Príncipe de Asturias, Alcalá de Henares,



Universitario 12 de Octubre,


Hospital Universitario La Paz, Madrid,


Hospital Clínico Universitario Lozano Blesa, Zaragoza,


Medical Affairs,

Nestlé Health Science,


Escola de Ciències de la Salut, Universitat de Vic,

Barcelona, Spain


Malnutrition is a prevalent condition among hospitalized

patients, especially among older subjects with chronic diseases. The

aim of this study was to determine the prevalence of hospital

malnutrition (HM) and its economic consequences in patients with

heart disease hospitalized in Spanish centres.


This study was carried out as a subanalysis of the



study, a nationwide, cross-sectional, observational, multi-

centre study that assessed the prevalence and economic consequences

of HM using the NRS


-2002 screening tool.


Eight hundred nine patients with heart disease were

included. Of them, 496 (61.30%) were aged >70 years old. The

prevalence of nutritional risk at admission (NRS



3) was

28.3% among all patients and 38.8% among those >70 years old. HM

was significantly more prevalent among older patients (>70 vs


years; p < 0.001), among urgent admittances (vs programmed; p =

0.01) and in small centers (vs mediumor large; p < 0.001). 277 patients

(40.7%) had significant or severe weight loss during hospitalization.

Mean length of stay (LOS) and related costs were significantly

higher among patients who were at nutritional risk at discharge

than among those who were not (LOS: 11.7 ± 7.3 vs 8.3 ± 5.4 days;

p < 0.001; Costs:

8316.2 ±

5944.9 vs

6130.1 ±

4549.4; p < 0.001).


HM is a highly prevalent condition among patients

with heart disease aged >70 years. In patients with heart disease,

nutritional risk is associated with longer LOS and higher related


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