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

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Conclusions: Tendency to use more number of drugs was observed
among elderly patients with better nutritional status and functional
capacity.
Keywords: malnutrition; elderly; nutritional status; polypharmacy;
functional status.
P-652
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
Introduction: 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.
Methods: 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.
P-653
Effect of vitamin D supplementation on serum 25-hydroxyvitamin
D level in the elderly
M. Kupisz-Urbańska 1, E. Kozak-Szkopek 1, K. Galus1, K. Broczek1.
1Department of Geriatrics, Medical University of Warsaw, Poland
Introduction: 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
supplementation.
Methods: The study group consisted of 28 women and 11 men aged
75 –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.
Results: 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.
P-654
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. Internal
Medecine
Introduction: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: 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%).
P-655
Prevalence of hospital malnutrition in patients with heart disease:
sub-analysis of the PREDyCES® study
J. Álvarez Hernandez1, M. León Sanz2, A. García de Lorenzo3, S. Celaya
Pérez4, M. Layola Brias5, K. Araujo Torres5, M. Planas Vila 6. 1Hospital
Universitario Príncipe de Asturias, Alcalá de Henares, 2Hospital
Universitario 12 de Octubre, 3Hospital Universitario La Paz, Madrid,
4Hospital Clínico Universitario Lozano Blesa, Zaragoza, 5Medical Affairs,
Nestlé Health Science, 6Escola de Ciències de la Salut, Universitat de Vic,
Barcelona, Spain
Objectives: 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.
Methods: This study was carried out as a subanalysis of the
PREDyCES® study, a nationwide, cross-sectional, observational, multi-
centre study that assessed the prevalence and economic consequences
of HM using the NRS®-2002 screening tool.
Results: 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®-2002 ≥ 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 ≤70
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).
Conclusion: 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
costs.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S201