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Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S127
P-356
Association of loneliness scale (UCLA) with drugs, smoking,
nutritional status, and gender in elderly with dementia
S. Perna
1
, A. Miccono
1
, M.A. Faliva
1
, A. Isu
1
, M. Naso
1
, F. Guerriero
2
,
C. Sgarlata
1
, M. Rondanelli
1
1
University of Pavia, Pavia, Italy;
2
Azienda di Servizi alla Persona,
S. Margherita Institute, Pavia, Italy
Loneliness is an important indicator of well-being. However,
we have limited understanding of loneliness in minority aging
populations. The UCLA, Loneliness Scale, is a commonly used
measure of loneliness. It is applicable to patients with dementia of
different origin.
The aim of this study is to investigate the effect of drugs, smoking,
nutritional status and gender on loneliness scale (UCLA) with
dementia.
Methods:
It was conducted a cross-sectional study on 144
elderly subjects (mean 80.72: ds 7.71); (106 females, 38 males).
Questionnaire was used to evaluate subjectively the number and
severity of disease states, and loneliness index was computed using
the revised UCLA Loneliness Scale (mean 26.59: ds 15.934). We
found a number of items such as smoking, gender, nutritional status
in particularly using the Mini nutritional assessment (mean 17.877:
ds 3.71), and it was assessed the number of drugs.
Results:
The regression model showed significant evidence on
Loneliness Scale for gender (B = 4.7, P
<
0.05), in fact men have a
score of 4.7 points more than women. Intriguing but no significant
relationship among smoking (B = 5.9; P = 0.185), drugs (B = 0.78;
P = 0.22), and nutritional status (B = −0.61; P = 0.13) were found.
Conclusion:
There were several factors that influenced loneliness in
particular smoking, number of drugs, male gender, and malnutrition
its play a negative role.
P-357
Osteoporosis in elderly women during hospitalization.
Intention to treat following FRAX index cutoff
S. Perna
1
, C. Bologna
1
, A. Isu
1
, A. Miccono
1
, V. Infantino
1
,
M.A. Faliva
1
, F. Guerriero
2
, C. Sgarlata
1
, I. Degli Agosti
3
,
M. Rondanelli
1
1
University of Pavia, Pavia, Italy;
2
Azienda di Servizi alla Persona,
S. Margherita Institute, Pavia, Italy;
3
ASP Pavia, Pavia
Objectives:
In the evaluation of risk fractures with FRAX index,
is considered the cut-off estabilished from the study of Nakatoh
S. et al., in 2013, that underline that patient need a treatment
when FRAX index is greater than 10.5%. The aim of the study was
to identify the prevalence osteoporosis and osteopenia and assess
the patients that must be effectively treated with a fitting therapy
following the FRAX index.
Methods:
The sample is made by 358 subjects (women; mean
81.2
±
7.8), BMI 24.1
±
5.3 kg/m
2
, T-score (−2.34
±
1.31) and FRAX
index (18.85
±
11.5) are evaluated. An analysis of frenquencies
was performed to assess the prevalence of normal bone
density, osteopenia, and osteoporosis, following the OMS criteria
(≥−1 normal, −2.5 to
<
−1 osteopenia;
<
−2.5 osteoporosis).
Results:
This study underlined that 46.1% of subjects had
osteoporosis (T-score
<
−2.5), 41.2% is affected by osteopenia
(T-score −2.5 to
<
−1) and 12.7% presented a condition of normality
(T-score ≥−1).
About FRAX index, the percentage of patients that need a treatment
are 87.3% (FRAX
>
10.5%), instead of patients with normal condition
(FRAX
<
10.5%) that are 19.7%.
Conclusions:
The 87.3% of present a condition of reduction bone
mineral density (osteopenia and osteoporosis), but if consider
factors that are associated with risk fractures, only the 80.3% really
require a therapy with Vit.D integration, calcium or pharmacological
support.
P-358
Micronutrient status change in institutionalized elderly
patients receiving an oral nutritional supplement (ONS)
O. Bouillanne
1
, J. Gautry
2
, L. Cynober
3
, A. Raynaud-Simon
4
,
A. Capdepon
2
, C. Aussel
5
1
Department of Gerontology, Emile Roux Hospital, Henri-Mondor
University Hospital, AP-HP, Limeil-Br´evannes, France;
2
Nestl´e Health
Science France, Marne-la-Vall´ee, France;
3
Department of Clinical
Chemistry, Cochin Hospital, AP-HP, Paris, France;
4
Department of
Geriatrics, Bichat-Claude Bernard University Hospital, AP-HP, Paris,
France;
5
Nutrition Unit, PUI, Henri Mondor Hospital, AP-HP, Cr´eteil,
France
Objectives:
The ONS Renutryl
®
Booster has been specifically
formulated to meet the need of elderly in terms of energy, proteins
and micronutrients. This work evaluates the micronutrient status
change after 28 days of daily supplementation.
Methods:
Open-label, interventional, prospective, multicenter
study performed between 2012 and 2014 in 16 nursing homes and
long-term care with non-severely malnourished patients ≥70 years.
Primary endpoint: change in a composite endpoint including
micronutrient plasma concentrations of magnesium, selenium, zinc,
vitamin A, E, C, B9 and B12. Statistics were performed using O’Brien
rank sum test, paired Student’s test and rank sum test.
Results:
67 patients were included [age (mean
±
SD): 84.9
±
8.6
years, BMI: 22.5
±
3.8 kg/m
2
, women: 69%]. 36 patients had BMI ≤21,
20 had MNA-SF ≤7, 12 had lost weight (5% in one month or
10% in six months) and 12 had albuminemia ≤35 g/L. At inclusion,
85% of the patients had at least one micronutrient deficiency.
50 patients completed the study. After 4 weeks of supplementation,
the following criteria had significantly improved between day 1
and day 28: micronutrient composite endpoint (250
±
12; 352
±
12*),
body weight (kg) (57.9
±
10.7; 58.4
±
10.1*), dry lean body mass (kg)
(8.2
±
10.8; 9.1
±
11.7**) and transthyretinemia (g/l) (0.22
±
0.05;
0.24
±
0.06**) (mean
±
SD, *p
<
0.0001; **p
<
0.001).
Conclusion:
One month of this ONS improves the global and mi-
cronutrient status of non-severely malnourished institutionalized
elderly.
Financial support:
Olivier Bouillanne, Luc Cynober, Agathe
Raynaud-Simon and Christian Aussel receive honorarium from
Nestl ´e Health Science France. Julien Gautry and Audrey Capdepon
are employees of Nestl ´e Health Science France.
P-359
Evaluation of nutrition-related measures in the case of the
elderly people using the home-meals delivery service provided
by the Local Government of Vitoria-Gasteiz
F. Gomez Busto
San Prudencio, Vitoria-Gasteiz, Spain
Introduction:
The home-meals delivery service is provided by the
municipal social services department and the data that it handles
on service users are exclusively administrative.
Aims:
To verify the nutritional state of the users, optimise resources
using nutrition-related measures and evaluate their effects in
improving the nutritional state of this group of people.
Methods:
1. Evaluation of nutritional status in user’s home using MNA-SF.
2. Nutrition-related measures: Dietetic guidelines, educational
material, increase in portions and calorie content of the meals
provided. Further evaluation of nutritional status using MNA-SF,
3 months later.
Results:
1st. evaluation: 80 service-users (35 M; 45 F); average age:
83.6 (
±
5.5). Malnutrition was found in 10% (8 users), 37.5% were
at risk of malnutrition (30 users) and the remaining 61.5% had a
normal nutritional state.
2nd. evaluation: 39 elderly people (21 M; 18 F); average age
84.7 (
±
4.5). The remaining users had died, were out of town, no