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S118
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
Longevity and prevention
P-324
Successful aging in the elderly. The HUNT study
I. Bosnes
1
, O. Almkvist
2
, E. Stordal
3
, O. Bosnes
4
, H.M. Nordahl
5
,
U. Romild
6
1
Norwegian University of Science and Technology (NTNU), and
Namsos hospital, NAMSOS, Norway;
2
Karolinska Institutet, Stockholm,
Sweden;
3
Namsos hospital and Norwegian University of Science and
Technology, NAMSOS, Norway;
4
Namsos hospital, NAMSOS, Norway;
5
Norwegian University of Science and Technology, Trondheim,
Norway;
6
Hospital Levanger, Levanger, Norway
Objectives:
Normal aging can be described as successful aging (SA)
or usual aging (UA), as suggested by Rowe and Kahn (1987, 1997).
Aims of this study were to investigate the prevalence of SA, the
relative importance of the three components of Rowe and Kahn’s
successful aging model across age, and to study correlates of SA.
Methods:
Subjects aged 70 to 89 from the cross-sectional
population-based Nord-Trøndelag Health Survey (HUNT3) in
Norway participated in the study. The subjects were divided
into four different age cohorts and individuals with complete
datasets for variables of interest were included (N = 5154 of 8040,
64.1%). SA was operationalized according to Rowe and Kahn’s three
components. Multiple logistic regression analysis was performed to
investigate the most important correlates of successful aging.
Preliminary results:
10.5 percent of the total sample was
“successful” in all three components. 12.3 percent of the 70–74-
year-olds fulfilled all three criteria, whereas only 6.1 percent of
the 85–89-year-olds. The criteria of absence of disease/disability
was met by 23 percent of the total sample, 41.8 percent met the
criteria of high physical and cognitive function and 80.7 percent
reported being actively engaged with life. The importance of disease
and disability for SA status decreased with age. Results regarding
the most important correlates of SA will be presented at the
conference.
Conclusions:
Prevalence of successful aging varies across studies. In
this study 10.5 percent of the sample was SA in all three criteria. The
most demanding criterion was absence of disease and disability.
P-325
Telemedicine systems used for early detection of heart failure
in elderly
M. ´A. Caballero Mora
1
, M. Vald ´es-Aragon ´es
2
, R. Petidier
Torregrossa
1
, C. Alonso Bouzon
1
1
Hospital Universitario de Getafe, Getafe, Spain;
2
Hospital Universitario
de Getafe, Madrid, Spain
Objectives:
It has been suggested that the use of telemedicine
systems (TS) in monitoring patients with heart failure after
admission, improve their prognosis, reducing mortality and
readmissions. However there are no data in specific populations
such as elderly patients because of their difficulty to use them. Our
objective is to identify the more predictive variables of readmission
and length of stay between traditional vital signs, clinical symptoms
and functional items en order to simplify these systems
Methods:
Unblended clinical trial.
Results:
90 patients. After follow up, the intervention group had
fewer worsening events assessed by visits to the emergency room
and/or readmissions (OR 0.411, 95% CI 0171–0993). Between all
vital signs evaluated, oxygen saturation was the only predictor of
exacerbation (0.743, 95% CI 0566–0976). Variability of gait speed
was the functional item that showed good ability to predict
worsening (OR 1.34, 95% CI 1.04–1.72). None more variables were
useful.
Conclusions:
We tested the feasibility and effectiveness of a
telemedicine system shorting the readmissions rate and length
of stay in elderly patients with heart failure. From the collected
variables, only the variability of gait velocity and the mean oxygen
saturation were risk factors of clinical worsening. Further studies
are needed to evaluate the efficacy of a simple system with only
these two variables to predict readmission.
P-326
Medico-social problems of the elderly population in Manisa,
Turkey
B. Cengiz ¨Ozyurt
1
, B. Bilgin
2
1
Celal Bayar University and Ege University Elderly Health, Manisa,
Turkey;
2
Celal Bayar University, Manisa, Turkey
Objectives:
The aim of this study was to determine the
demographic features, socio-economic status, health problems, and
daily living activities of the elderly population in two different
settlement regions (rural and urban) of Manisa
Methods:
The population of this cross-sectional study was 3163
elderly individuals who were leaving at the region of two randomly
selected primary medical services (one at rural area, other at
urban area) in April 2015. The sample size was calculated using
the software of Epi info 7.0; thereby, 480 elderly individuals were
enrolled. Each individual was randomly selected from registration.
All data were collected by face-to-face interview and a standardized
questionnaire form, that involved sociodemographic characteristics,
health and social status, Katz index and was used. The rate of
participation was 88.9% (n = 427). All data were evaluated using
descriptive analysis and chi square test
Results:
The mean age of the study group was 72.9
±
6.7. The
majority of individuals (86.4%) had a chronic disease for which
continuous drug administration was required, 49.6% was women,
35.1% was graduated from elementary school and 23.4% was living
alone. More than 79.4 of elderly could have done daily living
activities easily, less than 5% were depent in one or more basic
activities of their daily life. 30.4 percent of elderly have injured last
one year period. Home accidents were the most common cause of
report injuries.
As a result; elderly people are have to been accepted as one of the
preceding groups in the planning of the health service
P-327
Smoking versus non-smoking European older people:
differences in diseases, disabilities and life satisfaction
J. Damen-Thissen
1
, F. Thissen
2
, P. Dekker
1
1
Rode Kruis ziekenhuis, Beverwijk, Netherlands;
2
Universiteit van
Amsterdam, Amsterdam, Netherlands
Objectives:
Decline in quality of life is commonly associated with
old age, because older people suffer at least part of this period
from one or more diseases and resulting disabilities. Presumably a
good life style can help reduce diseases and disabilities which may
result in a higher life satisfaction. However, research on smoking
behaviour of older people and the association with diseases,
disabilities and opinions about quality of life is lacking.
Methods:
Data about smoking, diseases, disabilities and life
satisfaction of 12,478 EU-inhabitants in the age band of 50–90
are obtained from the European Study on Adult Well-being
(ESAW). This study was conducted in 2002 and 2003 in six EU-
countries. Cross-sectional analysis and analysis of variance is used
to understand individual differences in life satisfaction in relation
to smoking behaviour, diseases and disabilities.
Results:
In general the findings show a higher level of life
satisfaction across non-smoking older people in the six EU-
countries. In addition we describe differences in reported
diseases and disabilities between non-smoking and smoking older
Europeans.