134 / 210
S126
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
measured by ion exchange chromatography from 1994 and 2007
blood samples.
Results:
In 13 years, plasma Cit decreased from 35.9
±
7.6 to
33.9
±
7.7
m
mol/L (p
<
0.001) and the main determinant was renal
function (p = 0.005). In 2007, and in women only, plasma Cit was
negatively associated with weight (p = 0.001), waist circumference
(p = 0.01) and fat mass (p = 0.001). The variations in plasma
Cit between 1994 and 2007 were positively associated with
waist circumference (p = 0.03). There was no association between
functional or cognitive status and plasma Cit in 1994 or 2007.
Conclusions:
Our study shows for the first time that plasma Cit
decreases with aging in healthy volunteers, even if the clearance
of the creatinine decreases. However, there was no association
with functional or cognitive function in this healthy population.
Additional studies are required to further clarify the connection
between plasma Cit and body composition.
P-353
Prevalence of malnutrition in 274 elderly diabetic patients
in different geriatric structures
A. Cloppet-Fontaine
1
, F. Dib
2
, C. Fernet
3
, J. Lazimi
4
, S. Delpierre
1
,
D. Haguenauer
5
, C. Szekely
5
, P. Charru
6
, Y. Wolmark
7
, O. Drunat
8
,
C. Estellat
2
, A. Raynaud-Simon
1
1
D´epartement de G´eriatrie, Hˆopital Bichat-Beaujon-Secteur
Ambulatoire de Bretonneau, APHP, Paris, France;
2
D´epartement
d’Epid´emiologie et Recherche Clinique, AP-HP, HUPNVS, Hˆopital
Bichat-Claude, Paris, France;
3
D´epartement de G´eriatrie, Hˆopital
Bichat-Beaujon-Secteur Ambulatoire de Bretonneau, APHP, Clichy,
France;
4
Unit´e de G´eriatrie, Service de M´edecine Interne, Hˆopital
Louis Mourier, APHP, Colombes, France;
5
Service de G´eriatrie, Hˆopital
Charles Richet, APHP, Villiers-le-Bel, France;
6
Service de G´eriatrie,
Hˆopital Louis Mourier, APHP, Colombes, France;
7
Service de G´eriatrie,
Hˆopital Bretonneau, APHP, Paris, France;
8
Service de Psychog´eriatrie,
Hˆopital Bretonneau, APHP, Paris, France
Objectives:
Diabetes is highly prevalent in elderly subjects and the
risk of malnutrition too. The objective of this study is to determine
the prevalence of malnutrition in the diabetic patients.
Methods:
Multicentric descriptive study. 274 patients with
diabetes were included in the consultations, day hospitals,
acute care, rehabilitation care, nursing homes, and long term
care of five geriatric departments. The collected data included
comprehensive assessment of geriatric evaluation, nutritional status
and diabetes. Malnutrition was defined as weight loss, BMI
<
21,
albuminemia
<
35 g/l or MNA-SF
<
7.
Results:
According to the structure patients were aged 83
±
6 to
85
±
6. Diabetes was known for 15.7
±
13 years, and last measured
HbA1c was 7.1
±
1.5%. Macrovascular complications were ischemic
cardiopathy (35%), lower limbs arteritis (18%), and cerebrovascular
disease (35%). Microvascular complications were retinopathy (30%),
nephropathy (39%) and neuropathy (17%). Ten % had skin ulcers.
Treatment for diabetes was none in 48%, 37% had oral treatment,
26% had insulin and 18% had both oral drugs and insulin. The
prevalence of malnutrition was 27% in consultation, 23% in day
hospital, 53% in acute care, 66% in rehabilitation, 9% in nursing
homes and 21% in long-term care.
Conclusions:
Malnutrition is highly prevalent in elderly diabetic
patients. Systematic screening for malnutrition in older patients
should not overlook diabetic patients, because prescriptions for
diet and drugs may have to be adapted.
P-354
Relationship between institutionalization, nutritional
parameters and mortality
S. Elosegi
1
, M. Enriquez
2
, A. Salaberria
3
, I. Navaridas
3
, O. Bueno
Ya˜nez
3
1
SESOSGI, Hendaia, Spain;
2
Family and Community Medicine (General
Practitioner), Paseo Gabierrota, Spain;
3
Geriatric Nursing, Residencia
Sagrado Coraz´on, Paseo Gabierrota, Spain
Objective:
To evaluate the repercussion of institutionalization in
nutritional parameters and mortality amongst elderly people.
Method:
A descriptive study was carried out by monitoring new
entries in a nursing home with capacity for 140 residents during
3 years. Weight, age, body mass index (BMI) and Barthel Index
(BI) were logged on admission; weight loss percentage (≥4%) and
mortality after 12 months.
Results:
101 new entries were recorded between 2011 and 2013. All
new residents were monitored, except for 3 that failed to register
all data on admission.
With an average of 81.4 years of age, a total or severe (0–39) BI is
observed on 61.6% of cases and moderate, minor or independent BI
on 34.4% of cases.
On admission 71.4% registered a BMI ≥22 and 28.6% a BMI
<
22.
In the group with BMI ≥22, 54.2% showed a more severe BI score.
Of these, 14.2% passed away after 12 months and 15.7% showed
weight loss ≥4%. For the remaining 45.7% with a lower BI, mortality
was 4.2% and weight loss ≥4%.
In the group with BMI
<
22, 71.4% showed severe or total
dependency BI. 14.3% of these died and 3.5% showed weight
loss ≥4%. From the lower dependency group 3.5% died and
7.1% registered weight loss ≥4%.
Conclusions:
Mortality is greater for high dependency individuals
in both BMI groups. Higher weight loss in the better BMI group
may be due to a more exhaustive intervention on those with worse
BMI.
High dependency individuals should be closely monitored,
regardless of BMI.
P-355
Relationships among the levels of care needs, dysphagia and
malnutrition
H. Enoki
1
, M. Sugiyama
2
, M. Kuzuya
3
1
Aichi Shukutoku University, Nagakute-city, Japan;
2
Kanagawa
University of Human Services, Yokosuka, Japan;
3
Japan
Objective:
This study was aimed to evaluate the relationships
among the levels of care needs, dysphagia, and malnutrition in
community-dwelling disabled older people who were eligible for
Long-Term Care Insurance in Japan.
Methods:
A cross-sectional study of baseline data of
1142 community-dwelling older people (81.2
±
8.7 years) from
KANAGAWA-AICHI Disabled Elderly Cohort (KAIDEC) study
was conducted. Data included the participants’ demographic
characteristics, nutritional status (Mini Nutritional Assessment
short-form: MNA-SF), dysphagia severity (Dysphagia Severity scale:
DSS), and the levels of care needs of participants which were
classified into seven levels according to the Long-Term Care
Insurance program in Japan. Statistical analysis used the chi square
test and jonckheere-terpstra trend test.
Results:
We found that only 27.8% participants were classified as
being well-nourished (MNA-SF ≥12). According to the DSS classifica-
tion, 65.8% of the participants were assessed as normal swallowing
function. The higher prevalence of malnutrition was associated with
severer levels of DSS. Moreover, DSS, MNA-SF, and the levels of care
needs had significant relationships among each other.
Conclusion:
The findings suggest that the majority of the disabled
community-dwelling older people with the higher levels of care
needs were associated with dysphagia and malnutrition.