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second criterion resulted in respective AUCS of 0.53 (0.49

0.58) and

0.59 (0.53


Key conclusions:

The ESPEN criteria for diagnosis of malnutrition

show good construct validity in older adults based on significant

associations with relevant adverse health outcomes. The criteria

may be simplified by leaving out FFMI and BMI (in those with a

BMI < 28 kg/m


) from the second criterion as similar validity was



What is the most reliable obesity index in Korean elderly


J. Kim.

Sanggye Paik Hospital Inje University


Obesity is a major risk factor for cardiovascular diseases.

However, there is no confirmed index for diagnosing obesity in elderly

population. Thus, we examined the accuracy of the currently used

obesity indices and tried to find the most reliable index reflecting

obesity among elderly Korean population.


We analyzed the data from the Fourth Korean National

Health and Nutrition Examination Survey. The subjects of this study

included elderly population of 1,193 people over 60 years of age. We

analyzed the correlations among the appendicular skeletal muscle

mass, truncal fat mass, total muscle mass, waist circumference, BMI,

and total body fat percentage, The relevance between each obesity

index was evaluated with each metabolic markers, such as fasting

plasma glucose, total cholesterol, HDL-C, triglycerides, LDL-C, and



No significant correlation was found between BMI and total

body fat percentage although significant correlation was noted

between BMI and waist circumference. Total body fat percentage

correlated with appendicular skeletal muscle mass, truncal fat mass,

and total muscle mass, Waist circumference showed significant

correlations with fasting plasma glucose, HDL-C, triglycerides, and

HOMA-IR. BMI correlated with HDL-C, triglycerides, and HOMA-IR.

In females, BMI had significant correlations with fasting plasma

glucose and total cholesterol. Total body fat percentage, appendicular

skeletal muscle mass, truncal fat mass, and total muscle mass failed

to show any significant correlations with metabolic indices.


Waist circumference and BMI were the most reliable

obesity indices regarding metabolic markers among the elderly

Korean population.


The relationship between obesity and thyroid nodules in healthy

Korean adults

J. Yoon.

Inju University Sanggye Paik Hospital


Thyroid nodules are common disease in Korean

population and their presentations are important in the public

health aspects. Previous studies have provided an evidence for the

association between thyroid cancer and obesity, but little is known

about the relationship between thyroid nodules and obesity. We

investigated the relation of thyroid nodules and obesity in healthy

Korean adults.


We obtained data from 2922 subjects (Male: 1883, Female:

1039) who underwent a routine health checkup at the Health

Screening and Promotion Center of Sanggye Paik Hospital. We

reviewed their height, weight, obesity indices (Body mass index:

BMI, Total body fat: TBF), and thyroid ultrasonography results. Obesity

indices are divided into four groups.


Both men and womenwho have a higher BMI had a increased

prevalence of thyroid nodules (p = 0.004 in men, p < 0.001 in women).

In addition, thyroid nodules increased significantly with higher TBF in

men and women (p = 0.001 in men, p < 0.001 in women).


We observed positive relationship between obesity

indices (BMI, TBF) and thyroid nodules in both men and women.

Our results suggest that obesity might be important in the prevalence

of thyroid nodules as well as thyroid cancer.

Area: Miscellaneous


Prevalence of anemia in elderly population in Qatar: a cross

sectional study

M. Al Obaidely, N. Nadukkandiyil, M. Asim, M. Rafie, F. AbuNajma,

A.S. Santhosh, B.B. Shaulhammed, A. Augustin, N. George, B. Varghese,

H. Vincent, R.A. Hernandez, A. Jayatharanandan


Anemia is a common concern in geriatric health,

but its exact incidence and prevalence are unclear. In United States,

10.2% of women aged 65 and older are anemic. Several other cross-

sectional studies in the elderly persons have reported the asso-

ciation of anemia with functional disability and poorer physical

performance, decreased muscular strength, fall injury events at home,

and increased frailty risk. Interestingly, cognitive impairment has

also been shown to be linked with anemia. Anemia may result

from chronic infectious disease, chronic inflammatory disease,

chronic renal failure, and endocrine disease. The present study

investigates the prevalence of Anemia among the elderly in Qatar.

Research design and methods A cross sectional review of electronic

Cerner and medical record from January 2013-december 2013 of

individuals were used to identify studies that reported on prevalence

of anemia in cohorts of at least 450 individuals predominantly

aged 60 years and over living in Qatar, together with criteria used

to define anemia, the level below 12 g/dL inwomen and below 13 g/dL

in men. The study has been approved by the medical research

institutional ethics committee. Measurements: Patient characteristics

and outcomes were analyzed and compared according to the severity

of Anemia. Patient population included both males and females.

Patients who underwent baseline hemogram profile on study period

were included for the study. Laboratory parameters collected include

hemoglobin, hematocrit value, mean corpuscular volume (MCV),

mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin

concentration (MCHC), reticulocyte count, iron profile, serum folate,

and serum creatinine. Charlsons comorbidity index, Activity of Daily

Living and Bergs Balance Scoring level were compared with severity

of Anemia.


A total of 447 elderly patients with mean age 77.9 ± 8.6 years

were studied. The females (68.5%) are participated more than males

(31.5%) in this study. The 78% of populations are Qatar nationalities

compared to expatriates (22%). The index hemoglobin concentration

in elderly was 10.9 ± 1.6 g/dL and lowest hemoglobin concentrations

were 9.7 ± 1.6 g/dL. The severity of anemia was classified as mild

deficiency was 17.0%, moderate 61.1% and severe anemia 21.9% among

total cases. The severity in the hemogram values among patients

showed statistical significance only for hematocrit (p = 0.001), Serum

Iron (p = 0.001) and Serum Ferritin (p = 0.02). There was significant

negative correlation between hemoglobin level and creatinine level

(p = 0.001) among elderly patients.


Among the elderly patients 98 (21.7%) had severe

anemia (hemoglobin below 8 g/dL), but majority of elderly suffering

from moderate anemia 273(61%). The common type of anemia

was diagnosed as normocytic normochromic anemia (72.7%) than

microcytic anemia (26.8%), it indicates that anemia of chronic disease

is highly prevalent than iron deficiency anemia in elderly. Further

population based studies are warranted to evaluate the point pre-

valence of anemia and its prevention among the elderly.


Influence of the deficit of vitamin D in the functional gain of

patients admitted to a unit of functional recovery

I. Artaza


, R. Valera


, O. San Juan


, M. Urien


, N. Fernandez



V. Malafarina




Functional Recovery Unit, Igurco Servicios

Sociosanitarios, Bilbao,


Department of Geriatriacs, Complejo

Hospitalario de Navarra, Pamplona, Spain

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