61 / 290
Conclusions:
In conclusion patients with neuropsychiatric symptoms
are more likely to have MND and to a lesser extent MNDA.
P-101
The impact of disability on long-term mortality among older men
aged 80 years and over with different cognitive status: results from
longitudinal older veterans study
Ming-Yueh Chou
1,3
, Chih-Kuang Liang
1,2,3
, Mei-Chen Liao
1
,
Hsiu-Chu Shen
1,2
, Yu-Teh Lin
1,2
, Hing-Chung Lam
1
.
1
Center for
Geriatrics and Gerontology,
2
Division of Neurology, Department of
Medicine, Kaohsiung Veterans General Hospital,
3
Aging and Health
Research Center, National Yang Ming University, Taiwan
Objective:
To evaluate the impact of disability on long-term mortality
among older men aged 80 years and over with different cognitive
status living in the retirement community.
Method:
This prospective cohort study enrolled older men aged 80
and older living in Gangshan Veterans Home (n = 305). Subjects with
confirmed diagnosis of dementia were excluded. All participants
were evaluated with comprehensive geriatric assessment including
socio-demographic data, geriatric syndromes, activities of daily living
measured by Barthel index and cognitive function assessed by Mini-
Mental State Examination (MMSE). MMSE was categorized into groups
with normal, mild, or moderate-severe cognitive impairment.
Disability was classified as Barthel index less than 85. The main
outcome measure was all-cause mortality over 3-year follow-up. Cox
proportional hazards model was conducted to examine the association
between cognitive function, disability and increased risk for mortality,
after controlling for sociodemographic characteristics and geriatric
syndromes.
Results:
During the 3 year follow-up periods, 76 participants died.
The mortality risk was signi
fi
cantly associated in disability and mild
cognitive dysfunction category [adjusted hazard ratio (HR): 2.850,
p = 0.008] and in disability and moderate cognitive dysfunction
category (adjusted HR: 5.019, p < 0.001)after adjustment for potential
confounders. But the association of cognitive impairment and
mortality was not observed in elderly without disability.
Conclusions:
Our results showed that mild and moderate-to-severe
cognitive impairments were strongly mortality predictive factors
among subjects with physical disability. However, no significant
mortality risk was identified among subjects with physical disability
without cognitive impairment and those with mild-to-severe cogni-
tive impairment without physical disability.
P-102
Prospective evaluation of the effects of group psychotherapy
among caregivers of dementia patients: a study protocol
U. Cintosun, M.I. Naharci, E. Kalinkilic, E. Bozoglu, H. Doruk.
Division of
Geriatrics, Gulhane Military Medical Academy, Ankara, Turkey
Introduction:
In addition to being a serious health issue that is more
frequently encountered worldwide, dementia is becoming a social
problem. Caregivers of those, may have to handle psychological, social
and financial issues in addition to the patient
’
s issues.
Objective:
Here we define the protocol of a study that evaluates a
group psychotherapy intervention developed for caregivers of demen-
tia patients. Our first hypothesis is that group psychotherapy
intervention will diminish the burden on the caregiver of dementia
patient. Our second hypothesis is that reducing the burden on the
caregiver will positively affect the clinical progress of the dementia
patient.
Method:
Caregivers of dementia patients will be included. Three
sessions (at the start, first and second weeks) will be held to inform
all caregivers based on current guidelines concerning the progress
of dementia, the probable problems, and their solutions. Caregivers
will be divided into three groups based on the dementia subtype.
Moreover, the subjects will be categorized according to their
participation in the psychotherapy intervention (no participation,
control group 1; 1 or 2 sessions participation, control group 2;
participation to all three sessions, study group). The characteristics of
patients and their caregivers will be recorded. The stress levels of
the caregivers prior to group therapy, at 1, 3 and 12 months after
the therapy will be evaluated using Zarit Caregiver Burden Interview,
Beck Depression Inventory and Beck Anxiety Inventory. The effects of
group psychotherapy on depression in dementia patients will be
assessed by Cornell scale for depression in dementia.
P-103
Prevalence and predictors of cognitive impairment among older
adults across Europe based on SHARE database
J. Lourenço
1,2,3
, A. Serrano
1
, A. Santos-Silva
4
, M. Gomes
4,5
, C. Afonso
2
,
P. Freitas
6
, C. Paúl
3,7
, E. Costa
4
.
1
USF Pedras Rubras, Maia,
2
Faculty of
Nutrition and Food Sciences, University of Porto,
3
CINTESIS, University of
Porto,
4
UCIBIO, REQUIMTE and Faculty of Pharmacy, University of Porto,
5
I3S - Institute of Investigation and Innovation in Health, University of
Porto,
6
Faculty of Medicine of University of Porto, Centro Hospitalar São
João, E.P.E.,
7
ICBAS, University of Porto, Porto, Portugal
Objectives:
Increased life expectancy is associated with high preva-
lence of chronic non communicable diseases, including cognitive
decline and dementia. Cardiovascular risk factors have been associated
with cognitive decline. This works aims to evaluate the prevalence
and the predictors of cognitive impairment, with a special focus on
cardiovascular risk factors, across Europe.
Methods:
Data fromparticipants inwave 4 of SHARE (Survey of Health,
Ageing, and Retirement in Europe) database were used. Perceived
memory, verbal fluency and numeracy were used to access cognitive
function. Clinical and sociodemographic variables were evaluated as
potential predictors. Age and gender standardized prevalence rates of
cognitive impairment were calculated for 16 European countries.
Results:
From 58,489 participants on wave 4, we selected those over
50 years old, who responded to all questions included in this work.
Accordingly, we included 33,580 individuals (65.4 ± 10.0 years
old, 56.4% females). The prevalence of cognitive impairment was
28.02%, 27.89% and 20.75% for perceived memory, verbal fluency and
numeracy, respectively, in the 16 evaluated countries. Age, years of
education, smoker or former, more than 2 chronic diseases, diabetes or
hyperglycemia, high blood cholesterol, heart attack and stroke were
independent variables associated with perceived memory, verbal
fluency and numeracy. We also found an independent association high
blood pressure and body mass index with perceived memory and ver-
bal fluency; and female gender with perceived memory and numeracy.
Conclusions:
Prevalence of cognitive impairment showed accentu-
ated disparities between countries. Predictors of cognitive impairment
were multifactorial, including factors that can be prevented or treated,
namely cardiovascular risk factors.
P-104
The MINDMAP consortium and its geriatric perspective on
promoting mental well-being and healthy ageing in cities
U. Dapp
1
, L. Neumann
1
, W. von Renteln-Kruse
1
, M. Avendano-Pablon
2
,
F. van Lenthe
3
, for the MINDMAP Consortium.
1
Albertinen-Haus, Centre
of Geriatrics and Gerontology, Scientific Department at the University of
Hamburg, Germany;
2
Department of Social Science, Health and Medicine,
King
’
s College, London;
3
Department of Public Health, Erasmus University,
Rotterdam
Introduction:
Major depressive disorder, dementia, anxiety disorders,
and substance abuse affect a substantial part of the European older
population. Over 70% of Europeans reside in cities, and this percentage
will increase in the next decades. Urbanization and ageing have
enormous implications for public mental health. Cities pose major
challenges for older citizens, but also offer opportunities for the design
of policies, clinical and public health interventions that promote
mental health.
Methods:
The overall aim of the MINDMAP project (2016
–
2019) is to
identify the opportunities offered by the urban environment for the
promotion of mental wellbeing and cognitive function of older
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S55