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P-668
Complications and risk factors associated with vertebral and
femoral fractures in postmenopausal women
Y. Somekawa, A. Osonoi, Y. Kohri, K. Sakurai, A. Odai, H. Umeki.
Toride
Medical Center, Toride, Japan
Objectives:
The purpose of this study is to analyze risk factors
affecting fractures of the femoral neck and vertebra in postmenopausal
women.
Methods:
The subjects were consisted of three groups (A: with
fracture in femoral neck, B: with fracture in vertebra, and C: age-
matched control without fracture) Bone mineral densities (BMDs)
of lumbar spines and femoral necks were measured by the DXA.
Several factors such as ages, anthropometric factors, menses-related
factors, alcohol drinking, tobacco smoking, past history of bone
fracture, biochemical test values, carotid artery intima-media thick-
ness (IMT), and the presence or absence of complications and
anamnesis were investigated.
Results:
The numbers of each groups were 160, 122, and 111, and
average ages were 74.8, 73.1, and 74.0 respectively. Past history of bone
fractures was significantly prevalent in A and B groups. Tobacco
smoking rate was higher in group B, and alcohol drinking rate was
higher in group A. Serum albumin levels were lower and blood glucose
levels were higher in group A and B. IMT was thicker in group
B. Prevalence rate of diabetes mellitus was higher in group A, and
prevalence rates of brain diseases were higher in group A and B. Blood
pressure levels were higher in group A and B.
Conclusions:
Past history of bone fractures, habit of tobacco smoking,
alcohol drinking, low BMDs, malnutrition, complication of diabetes
mellitus and brain diseases, and hypertension are risk factors of bone
fractures in these postmenopausal women. Lumbar spines may be
susceptible to metabolic effects of these diseases.
P-669
Inadequate hydration and associated factors among Portuguese
older adults
–
preliminary data from Nutrition UP 65
A.S. Sousa
1
, T.F. Amaral
1
, A. Santos
1
, N. Borges
1
, C. Afonso
1
, L. Álvares
1
,
R.S. Guerra
1
, G. Ferro
2
, C. Martins
3
, P. Padrão
1,4
, P. Moreira
1
.
1
Faculdade
de Ciências da Nutrição e Alimentação da Universidade do Porto,
2
Serviço
de Nutrição e Alimentação da Unidade Local de Saúde do Alto Minho,
E.P.E, Portugal;
3
Department of Cancer Research and Molecular Medicine,
Norwegian University of Science and Technology, Trondheim, Norway;
4
EPIUnit
–
Instituto de Saúde Pública, Universidade do Porto, Portugal
Introduction:
Data concerning the hydration status of Portuguese
elderly are scarce. Therefore, we aimed to evaluate the hydration
status and to identify factors associated with inadequate hydration
among a sample of Portuguese older adults within the Nutrition UP
65 study.
Methods:
A cluster sampling approach was used, representing
Portuguese older adults according to age, sex, education level and
regional area (NUTS II). A cross sectional study was conducted. From
a sample size of 1500 participants, data from 949 elderly people
are now available, 64.9% women, aged
≥
65 years (30.1% aged
≥
80 years). Inadequate hydration was defined as a 24 h urine
osmolality >500 mOsm/kg H
2
O. A logistic regression model was
conducted to identify factors associated with inadequate hydration
and Odds Ratios (OR) and 95% Confidence Intervals (95%CI) were
calculated.
Results:
Frequency of inadequate hydration was 32%. After adjusting
for potential confounders, being male (OR = 2.06, 95%CI:1.54
–
2.77),
living at home (OR = 3.37, 95%CI:1.39
–
8.18) and presenting 1
–
4 school
years (OR = 1.60, 95%CI:1.02
–
2.50) or 5
–
11 school years (OR = 2.00, 95%
CI:1.14
–
3.51) vs 0 years were factors associated with an inadequate
hydration. Adhering to the Mediterranean diet (OR = 0.72, 95%CI:0.54
0.96), age
≥
80 years (OR = 0.70, 95%CI:0.50
–
0.98) and presenting low
physical activity level (OR = 0.61, 95%CI:0.41
–
0.93) decreased the odds
of inadequate hydration.
Conclusions:
Inadequate hydration is frequent among Portuguese
older adults. Being male, living at home and having education are
factors associated with an inadequate hydration whereas adhering to
the Mediterranean diet pattern, age
≥
80 years and low physical
activity level protect from this condition.
P-670
The effect of an oral nutritional supplement quality improvement
program on 30-day readmissions and hospital length of stay
among older malnourished patients
K. Sriram
1
, S. Sulo
1,2
, W.T. Summerfelt
1
, J. Partridge
2
, M. Rozo
1
,
R. Hegazi
2
, M. Ries
1
.
1
R&I, Advocate Health Care, Downers Grove, IL,
2
R&D, Abbott Nutrition, Columbus, OH, USA
Introduction:
Malnutrition prevalence in older patients (
≥
65 years
old) is high, and benefits of oral nutritional supplements (ONS) have
been consistently shown. Limited research assessing the role of ONS on
reducing readmissions and length of stay (LOS) among older patients
exists. We assessed the impact of a comprehensive, ONS quality
improvement program (QIP) in older patients on 30-day unplanned
readmissions and LOS compared to historical controls.
Methods:
Data from 1434 (55.4%) older patients (752/52.4% prospect-
ive QIP patients enrolled between October 2014 and April 2015, and
682/47.6% retrospective historical control patients admitted in the QIP
hospitals between October 2013 and April 2014) were included in the
analysis. In all four QIP hospitals, electronic medical record (EMR) was
upgraded to includeMalnutrition Screening Tool (MST) and condition-
specific ONS was administered to patients with MST score
≥
2.
Results:
Pre-QIP historical control 30-day readmission rate and LOS
were 20% and 6.5 days, respectively. Post-QIP readmission rate was
15.8%, showing an absolute rate reduction of 4.2%, as compared to pre-
QIP (21% relative risk reduction, P < 0.01). Post-QIP hospital LOS was 5.4
days, showing an absolute reduction of 1.1 days, as compared to pre-
QIP (17% relative risk reduction, P < 0.01).
Conclusion:
Implementation of a comprehensive ONS QIP that
emphasizes the need for malnutrition screening, nutrition education,
and ONS leads to a significant reduction in 30-day unplanned
readmissions and LOS for older hospitalized patients.
P-671
District of Fatih-Geriatrics Study: the nutritional problems of the
elderly people living in the community
A. Toklu
1
, M. Dokumaci
1
, G. Bahat
2
, C. Kilic
2
, S. Avci
3
, M.A. Karan
2
.
1
Istanbul Medical Faculty, Istanbul University,
2
Department of Internal
Medicine, Division of Geriatrics, Istanbul Medical Faculty, Istanbul
University,
3
Department of Internal Medicine, Division of Geriatrics,
Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Objectives:
The objective of this abstract is to investigate the
nutritional problems of the elderly population in the community.
Methods:
The elderly at the addresses that are determined by cluster
sample among the elderly living in Istanbul province, Fatih district has
been enrolled to the study. The interviewers of the study were 3rd &
4th-grade-students of Istanbul Medical Faculty. They were subjected
to a standardized education regarding the execution of the study. The
study involves participants who were between 65 and 101 years old.
Their height, BMIs, the abdominal girth, the circumference of calves
and upper mid-arms were measured. The malnutrition screening
was done with MNA-SF. The abdominal girth of men being >= 102 cm,
women being >= 88 cm was defined as metabolically risky.
Findings:
204 elder cases (94 men,110 women) participated in the
study. Themean agewas 75.4 ± 7.3. The prevalence of malnutritionwas
41.7% and higher among women at a statistically significant level
(50.9% versus 30.9%; p = 0.004). The prevalence of obesity and high
abdominal girth circumference were respectively 42.9% and 74.9% and
both conditions were more common in women. There was no
significant difference between the weights and abdominal girth
circumferences of different genders whereas the BMI, the circumfer-
ence of the hip and calves were significantly higher among women and
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S205