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Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S123
were obtained from Center for Disease Control datasets. Time series
analysis (every 2 weeks) was performed on search query data
to determine both search volume (normalized to overall search
intensity) and seasonality (cosinor analysis).
Results:
As expected, the seasonality of both weight loss and
exercise searches showed a peak near the start each year. Strong
seasonality for exercise searches was associated with a lower state-
by-state diabetes prevalence (Standardized
b
−0.33
±
0.15, p = 0.030),
while strong seasonality for weight loss searches showed no no
association with any cardiovascular outcome. Overall state-by-state
search volume for both weight loss and exercise was associated
with higher rates of all outcomes.
Conclusions:
Overall interest in both weight loss and exercise is
associated with higher rates of negative cardiovascular outcomes,
suggesting that interest in health promotion (at least as measured
by Google search data) does not necessarily translate into reduced
risk. Cyclic increases in interest in exercise, however was assocated
with a lower statewide rate of diabetes.
P-343
Psychological wellbeing and loneliness among Finnish older
people living in Spain compared to those in Finland
M. Raivio
1
, H. Kautiainen
2
, K. Antti
3
, K. Pitk¨al¨a
4
1
University of Helsinki, Espoo, Finland;
2
University of Helsinki,
University of Helsinki, Finland;
3
Department of Social Research,
Helsinki, Finland;
4
University of Helsinki, Helsinki, Finland
Objectives:
Many older people choose to spend their winters in
temporary homes in Southern European countries. Little is known
about their psychological wellbeing or
loneliness.Weinvestigated
psychological wellbeing, feelings and reasons loneliness among
Finnish older people living in Spain compared to those living
permanently in the southern part of Finland.
Methods:
A structured questionnaire was mailed to a random
sample of older people 65–75 years in town of Espoo (N = 562),
Finland 2007 and a questionnaire with same items was delivered
to retired older people living mainly seasonally in Costa del Sol
area (N = 261) Spain, 2011. Questionnaire included demographics,
physical, psychological and social issues.
Results:
Older people living in Spain had higher education, better
income, better self-rated health and lived more often with a partner
compared to their counterparts. There were no differences in the
number of comorbidities. A larger proportion of those living in
Spain (98%) were satisfied with life than those living in Finland
(92%) (p = 0.002, adjusted for age, gender). Respectively, they felt
more often needed (96% vs. 90%, p = 0.008), had plans for the future
(86% vs. 66%, p
<
0.001), zest for life (100% vs. 97%, p = 0.045), felt
less often lonely (12% vs. 19%, p = 0.006) and depressed (22% vs. 31%,
p = 0.004). Those living in Spain felt more often that comorbidities,
the lack of relatives and family concerns were reasons for loneliness
than those living in Finland.
Conclusions:
Finnish retired people living in Spain report
better psychological wellbeing than their counterparts in Finland.
However, they also had specific reasons for loneliness.
P-344
Motor learning training is the most effective tool in fall
prevention
N. Trushkova
1
, G. Zelano
2
1
Astrakhan State University.Astrakhan, Russian Federation, Aprilia,
Italy;
2
Department of Neuroscience, Catholic University, Rome, Italy,
Rome, Italy
Objectives:
Several studies confirm that the cause of falls in the
elderly often related not only to physical but also to cognitive
functions. Training to prevent falls must be complex and that’s
why is used dual task training. The aim of our work is to verify
that training based on motor learning with small tools leads to
greater results in the fall prevention. Motor learning training allows
creating working strategies to respond to the multiple causes of
falls
Methods:
We created two groups, each of 36 participants aged
≥71 years, who scored between 24 and 25 on the Tinetti Test.
It was proposed to them to perform an hour of activity twice a
week for 3 months. Group A performed dual task training, Group B
performed motor learning training. At the beginning and at the
end of treatment participants received a clinical and cognitive
examination that included Mini-Mental State Examination (MMSE),
Forward Digit Span Test, Tinetti Test, and Timed “Up-and-Go”.
Results:
All participants in both training groups showed
improvement in all tests. The average values obtained before and
after treatment in the following tests in each group: Group A:
Digit Span Forward 2.7–3.8: Timed “Up-and-Go” 13.1–11.2. Group B:
Digit Span Forward 2.9–4.3; Timed “Up-and-Go” 12.9–10.5. Group B
participants showed significant improvement on Tinetti Test
(mean 2.1, p
<
0.001) compared to Group A (mean 1.38, p = 0.07).
Conclusion:
Motor learning training has proved to be more effective
that dual task to improve motor and cognitive functions and fall
prevention.
Metabolism and nutrition
P-345
Distribution of a snack in the evening to reduce the overnight
fast in an acute geriatric ward
S. Allepaerts
1
, C. Peeters
2
, I. Narynx
2
, C. Maes
2
, J. Petermans
3
1
University Hospital, Geriatric Ward, Chen´ee, Belgium;
2
CHU de Li`ege,
Chen´ee, Belgium;
3
Belgium
Background:
After ten to twelve hours fasting, liver glycogen
store are depleted and muscular proteins become the energy
substrates of the organism, that could lead to a deterioration of the
nutritional status and accelerate sarcopenia. During hospitalization,
the organization of nursing work and the time distribution of meal
often lead to prolong the overnight fast.
Method:
In February 2015, the time of overnight fasting was
observed before and after the distribution of a snack before night.
During 14 days, four types of collation were proposed: yogurt,
homemade milkshake, solid or liquid dietary supplement industry.
The time between the last food consumption day and breakfast the
next day was measured at study inclusion. Treatment compliance
was also evaluated in all patients.
Results:
Sixty-two patients were observed (age of 84
±
4 years),
87% lived at home (13% in a nursing home). 16% did not need
external help to eat while 74% required logistical help and 10%
required the presence of the nurse. About one third of the patients
were malnourished. The duration of the night fasting without
distribution of evening snack was about 14H. It was reduced to
10 h 45 to 12 h 30 after the distribution of the snack. 70% of the
snacks were eaten, 77% were not eaten because of a lack of appetite
or taste, 19% because a medical condition and 4% because a logistic
organization.
Conclusions:
In an acute geriatric ward, the introduction of an
evening snack is well accepted and reduces significantly the
duration of the night fasting.