212 / 290
the circumference of the upper mid-arm and MNA-SF-score were
lower among women.
Results:
Malnutrition and obesity are prevalent problems of the
geriatric population in our society and occupy a major place in
community health. Both nutritional problems are more common in
elderly women. In addition malnutrition is more prevelant compared
to other societies.
P-672
Oropharyngeal dysphagia is a prevalent problem associated with
mortality in hospitalized older adults
A. Tufan
1
, G. Bahat
2
.
1
Department of Internal Medicine, Division of
Geriatrics, Marmara University Hospital,
2
Department of Internal
Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul,
Turkey
Objectives:
Oropharyngeal dysphagia (OD) is a common but under-
diagnosed syndrome among older adults. Aim: The aim of this study
was to assess the prevalence of oropharyngeal dysphagia in hospita-
lized older adults by using ten-item Eating Assessment Tool (EAT-10)
and the relationship between mortality and OD.
Methods:
Patients aged over 65 years who applied to an internal
medicine inpatient clinic within Marmara University hospital in
Turkey enrolled in the study. The number of drugs, the number of
chronic diseases, routes of feeding (oral, parenteral, or both), length
of hospital stay, albumin level on admission day,and mortality status of
the patients were recorded by a physician. The EAT-10 questionnaire
was administered to all patients for OD.
Results:
One hundred thirty-six patients (54.4% female) were enrolled
in the study. Their mean age was 74.6 ± 6.6 years. The prevalence of
oropharyngeal dysphagia in hospitalized older adults was 23%. The
mortality rates were significantly higher in the dysphagic subjects as
compared to the non-dysphagic ones (25.8% vs. 10.5%; p = 0.041). The
number of patients with malignancy was significantly higher in the
dysphagic group as compared to the non-OD subjects (41.9% vs. 20%;
p = 0.018).
Conclusion:
OD is a geriatric syndrome and should be screened and
treated in all geriatric patients in hospitals. It will improve patient
outcomes and quality of life.
Keywords:
Keywords: hospitalization; older patients; oropharyngeal
dysphagia; screening; mortality.
P-673
Targeting the underlying causes of undernutrition. Cost-
effectiveness of a multifactorial personalized intervention in
community-dwelling older adults: a randomized controlled trial
R. van der Pols-Vijlbrief
1
, H.A.H. Wijnhoven
1
, J.E. Bosmans
1
, J.W.
R. Twisk
2
, M. Visser
1,3
.
1
Department of Health Sciences, Faculty of Earth
and Life Sciences Vrije Universiteit,
2
Department of Epidemiology and
Biostatistics, Vrije Universiteit Medical Center,
3
Department of Nutrition
and Dietetics, Internal Medicine, Vrije Universiteit Medical Center,
Amsterdam, the Netherlands
Introduction:
Undernutrition in old age is associated with increased
morbidity, mortality and healthcare costs. This study aimed to evaluate
the cost-effectiveness of a multifactorial personalized intervention
focused on eliminating or managing the underlying causes of under-
nutrition to prevent and reduce undernutrition in comparison with
usual care.
Methods:
A randomized controlled trial was performed among 155
community-dwelling older adults receiving home care with or at risk
of undernutrition. The intervention included a personalized action
plan and six months support. The control group received usual care.
Body weight, and secondary outcomes were measured in both groups
at baseline and 6 months follow-up. Multiple imputation, linear
regression and Generalized Estimated Equations (GEE) analyses were
used to analyze intervention effects.
Results:
This intervention showed no statistically significant effects
on body weight, mid-upper arm circumference, grip strength, gait
speed and Short Form Survey 12 (SF12) physical component as
compared to usual care, but there was an effect on the SF12 mental
component (0
–
100) (
β
= 8.940, p = 0.001). Borderline significant
intervention effects were found for physical function measures,
Short Physical Performance Battery (SPPB) (4
–
12) (
β
0.56, p = 0.08)
and Activities of Daily Living (ADL) Barthel-index (0
–
20) (
β
= 0.69,
p = 0.09). Societal costs in the intervention group were statistically
non-significantly lower than in the control group (mean difference
−
274; 95% CI
−
1111;782).
Key conclusions:
This multifactorial personalized intervention
showed a statistically non-significant effect and was not cost-effective
on body-weight compared to usual care. We observed consistently
beneficial treatment effects in the intervention group on all outcomes
measures.
P-674
Factors associated with diet and physical inactivity in obese
elderly
A.C.C. Freitas, M.V.G. Costa, L.R. Lima, S.S. Funghetto, C.R.G. Volpe,
W.S. Santos, T.C.M.S.B. Rehem, A.O. Silva, M.M. Stival.
University of
Brasilia, Brazil
Introduction:
Some factors are related to obesity in the elderly such as
physical inactivity and poor diet. This study aimed to identify factors
associated with eating habits and sedentary residents obese elderly
Brasilia, Brazil.
Method: Cross-sectional study of 206 elderly evaluated initially
with the household survey and later at the Health Center by
anthropometric measures and electrical impedance to obesity
classification. Descriptive analysis was performed using SPSS 20.0.
Results:
sex, education and marital status were significantly (p <
0.001) associated with diet and consumption of fruits and vegetables,
and mostly performed by female elderly, with more than 8 years of
schooling, divorced and single. Regarding physical activity was
observed that 93.2% of the elderly were sedentary, and prevalence
ratios were significantly higher for elderly men, with an average
income of 1
–
2 minimum wages and smoking habits.
Conclusion:
The results can directly influence the direction and
implementation of public policies in order to improve the quality
of life, eating habits and physical activity of the elderly population.
P-675
Construct validity of the diagnostic criteria for malnutrition from
the ESPEN Consensus Statement in older adults
H.A.H. Wijnhoven
1
, L.A. Schaap
1
, S.B. Kritchevsky
2
, T.B. Harris
2
,
A.B. Newman
2
, M. Visser
1
.
1
Department of Health Sciences and the
EMGO Institute for Health and Care Research, Faculty of Earth and Life
Sciences, VU University Amsterdam, Amsterdam, Netherlands,
2
USA
Introduction:
Recently, the ESPEN Consensus Statement launched
consensus criteria for diagnosis of malnutrition. These are for older
adults: (1) Body mass index (BMI) < 18.5 kg/m
2
; OR (2) Unintentional
weight loss AND (BMI < 22 kg/m
2
OR Fat free mass index (FFMI)
<15 kg/m
2
(women) and <17 kg/m
2
(men)). This study examined: (1)
the construct validity of these criteria; (2) the need for including BMI
and FFMI in the second criterion.
Methods:
Data were used on 2392 participants aged 76.6 Years (SD
2.9) of the fourth wave of the Health, Aging, and Body Composition
Study. Construct validity was examined through associations of
malnutrition (yes/no) with 3-year incidence of disability (needing
equipment, having severe mobility difficulty or having any ADL
difficulty) and 3-year mortality in those with a BMI <= 28 kg/m
2
(N = 1415). This was done because above a BMI of 28 kg/m
2
associa-
tions may be related to overweight.
Results:
Prevalence of malnutrition based on ESPEN criteria was 5.8%
(N = 2392) (9.8% in N = 1415). Malnutrition based on ESPEN criteria
was associated with incidence of disability (HR = 1.90 (95% CI 1.28
–
2.81), AUC = 0.53 (0.49
–
0.58)) and 3-year mortality (HR = 2.76 (2.07
–
5.40), AUC = 0.57 (0.51
–
0.62)). Leaving out FFMI and BMI from the
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S206