127 / 210
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S119
Conclusions:
To the best of our knowledge this is the first study
that presents data on the relationship between smoking and life
satisfaction of older people in EU countries living independently.
Non-smoking older people report a higher level of life satisfaction
compared to smoking older people. The relation between smoking
behaviour, diseases, disabilities and life satisfaction is complicated
because smoking is related to diseases with a high mortality rate
and sometimes a relatively short period with disabilities before
death.
P-328
Predictors of long-term mortality in oldest old patients (90+)
hospitalized in medical wards via the emergency department
P. de Boissieu
1
, R. Mahmoudi
1
, J.-L. Novella
2
, F. Blanchard
1
, D. Jolly
1
,
M. Dram´e
1
1
Reims Teaching Hospitals, Reims, France;
2
France
Objectives:
The objective of the study was to identify risk factors for
long-term mortality in patients aged 90 years and over who were
admitted to medical wards through the emergency department.
Methods:
A prospective cohort study (SAFES Cohort) was set
up in nine French hospitals. Among the 1306 patients in the
SAFES cohort, the 291 patients who were aged 90 or over
were analysed. At inclusion, demographic data (age, sex, level of
education, living alone or in an institution, number of children,
presence of helper/caregiver), as well as data from comprehensive
geriatric assessment (dependence status, risk of depression,
dementia, delirium, nutritional status, walking disorders, risk of
falls, comorbidities, risk of pressure sores) were recorded. Vital
status at 36 months was obtained from the treating physician, the
general practitioner, administrative registers, or during follow-up
consultations. Relationship between patients’ characteristics and
36-month mortality was studied using Cox regression modelling.
Results:
Average age was 93
±
3 years, and patients had 2
±
2 children
on average. Among the 291 patients included, 190 (65%) had died
at 36 months. Risk factors for mortality at 36 months identified
by multivariable analysis were risk of malnutrition (HR 1.6, 95% CI
1.1–2.3, p = 0.004) and delirium (HR 1.6, 95% CI 1.1–2.3, p = 0.01).
Conclusion:
Our study shows that malnutrition and delirium have
a negative impact on survival in acutely ill oldest-old population.
Both these factors can easily be identified and treated early during
hospitalisation using geriatric assessment tools that are widely
available in daily practice.
P-329
Modifiable lifestyle factors and independent ageing
–
a 15-year
follow-up in 70 year old men
K. Franzon
1
, L. Byberg
1
, B. Zethelius
2
, T. Cederholm
1
, L. Kilander
1
1
Uppsala University, Uppsala, Sweden;
2
Department of Public Health
and Caring Sciences/Geriatrics, Uppsala University, Uppsala, Sweden
Objectives:
To examine relationships between modifiable lifestyle
factors at the age of 70 and subsequent independent ageing.
Methods:
The Uppsala Longitudinal Study of Adult Men (ULSAM)
was first examined at the age of 50. In 1991–95, 1221 men (age
70) took part in a re-investigation, and 405 men were again
re-investigated in 2008–09. Modifiable lifestyle factors like BMI,
smoking, leisure time physical activity and dietary intake were
registered at age 70. Independent ageing was defined as survival to
the age of 85, not living in an institution, no diagnosis of dementia,
Mini Mental State Examination ≥25/30 p, independency in personal
care and being able to walk outdoors without assistance. Logistic
regression analyses were performed with adjustments for age at
baseline, education, smoking and adherence to a healthy dietary
pattern.
Results:
The criteria of independent ageing were fulfilled by
73% (297/405) of the participants. Normal weight, i.e. BMI
18.5–25 (OR = 2.61, 95% CI 1.22–5.58) and overweight, i.e. BMI
25–30 (OR = 2.89, 95% CI 1.41–5.94) were positively associated
with independent ageing (vs. obesity). There were also positive
associations with never (OR = 2.23, 95% CI 1.09–4.57) and having
quit smoking (OR = 1.63, 95% CI 0.84–3.14) (vs. current smoking).
Leisure time physical activity was not associated with subsequent
independent ageing.
Conclusions:
The possibility to reach age 85 with preserved
independency was highest among the men that at 70 years of
age were not obese and did not smoke, while leisure time physical
activity did not associate with independent ageing.
P-330
Phenomenological and psycho-dynamical analysis of sexuality
with ageing: a qualitative study in France
G. Gavazzi
1
, L. Meyrignac
1
, A.-C. Zipper
1
, N. Bouati
1
1
University of Grenoble Alpes, Grenoble, France
Background:
Although according to World Health Organisation,
sexual well-being is part of global well-being, sexuality in older
age is rarely mention by general practitioner (GP) or by older
people to GP. The main objective of this study was to better
understand representations older people may have regarding their
own sexuality.
Method:
Qualitative study through partially guided conversations
with 15 French patients older than 65 years.After data saturation,
triangulation of both phenomenological and psycho-dynamical
analysis of the verbatim integrally transcribed.
Results:
May 1968 is a key period that distinct older people views
about their sexuality, a period of riot in France against a rigidly
conservative society; for a first group, sexuality is in accordance
with the societal standards existing before “May 68”, is still taboo
and linked to procreation, and, sexuality is no longer part of an
ageing body. The interchange with GP is difficult as resistances
mechanisms are activated. The second group have managed to free
themselves from those earlier societal standards. With ageing, the
thought of pleasure is still present but accepting their altered body
is not always simple because of actual societal standards reserving
sexuality to younger people. The interchange with GP is not obvious
but still possible.
Conclusions:
Understanding the representations that the elderly
have of their sexuality allows the GP to come into a better dialogue.
His role then would be to help patients to overcome societal
standards about sexuality and to revitalize their ageing body.
P-331
Baseline characteristics of a two-year prospective study aiming
to link clinical components, cognitive and gait performances
in healthy old people
S. Gillain
1
, V. Wojtasik
2
, C. Schwartz
2
, M. Boutaayamou
2
,
M. Demonceau
2
, X. Schmitz
2
, N. Dardenne
2
, O. Bruy `ere
2
,
G. Garraux
2
, J. Petermans
2
1
Geriatric department, CHU de Li`ege, Belgium, Li`ege, Belgium;
2
University of Li`ege, Li`ege, Belgium
Objectives:
Introduce the protocol of the GABI (Gait Analysis and
Brain Imagery) study developed to highlight the links between
clinical components, gait performances, brain changes and cognitive
and functional status in a cohort of healthy old people to promote
successful aging.
Methods:
131 community-dwelling older were recruited (including
75 women). Mean age is 71.3 years, mean CIRS-g is 9.8/45,
mean mini nutritional status is 12.8 and mean body mass
index is 25.8, mean physical activity on Jackson scale is 2.8/7,
mean Katz scale is 6.3/24 and mean geriatric depression scale
is 0.8/4. Mean walking speed is
>
1m/s. Timed up and go tests
remain
<
20 s and mean SSPB is higher than 9/12. Finally, 112
volunteers are robust (and 19 mild or moderate frail) according
the Edmonton scale. No cognitive disorders are already diagnosed.