137 / 210
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S129
Results:
A total of 314 participants (86.5
±
4.92 years, all male) are
living in the veterans home, only 220 participants completed the
Dentist assessment in 2011. The prevalence of frailty was 6.6%,
pre-frailty: 86.8% and non-frailty: 6.6% in 2013. The frail condition
has poor MNA-SF score (
<
7) compared to pre-frail and non-frail
(12.5% vs 0% vs 0%, p
<
0.001), poor Barthel index score (87.2
±
9.7 vs
93.5
±
9.6 vs 100
±
0, p
<
0.001), poor MMSE score (22.4
±
3.2 vs
25.2
±
3.3 vs 26.8
±
2.2, p
<
0.001), but not related to poor denture
function.
Conclusions:
Frailty has the relationship among poor nutrition
status, poor ADL function and poor cognitive function, but not in
poor denture function in 2 years follow up in older residents living
in long-term care settings.
P-364
The prevalence of oral problems, malnutrition and association
between oral problems and malnutrition of nursing home
residents
D. Loeza
1
, J. Schols
2
, G.-J. van der Putten
3
, R. Halfens
4
1
Amaris Gooizicht, Amsterdam, Netherlands;
2
Dept. HSR
–
Maastricht
University, Maastricht, Netherlands;
3
Amaris Gooizicht, Hilversum,
Netherlands;
4
Netherlands
Objectives:
The aim of this study was to assess the prevalence
of experienced dental/denture problems, chewing problems,
swallowing problems and malnutrition and the association between
these problems and malnutrition of nursing homes residents
on somatic and psychogeriatric nursing home wards in The
Netherlands.
Methods:
A secondary analysis of the data of 2013 of the National
Prevalence Measurement of Care Problems (LPZ), an annually
conducted cross-sectional, multi-center study in nursing homes
in The Netherlands.
Results:
A total of 2,232 nursing home residents, 599 residing at
somatic and 1,633 residing at psychogeriatric wards were assessed
by health care professionals. The prevalence of dental/denture
problems, chewing problems and swallowing problems in somatic
wards was respectively 5.5%, 23.0% and 22.0% and 6.8%, 30.0% and
10.2% in psychogeriatric wards. The prevalence of malnutrition in
somatic wards was 9.3% and in psychogeriatric wards 16.1%.
In psychogeriatric wards there was a significant association
between the presence of experienced dental/denture problems,
chewing problems (p
<
0.001 both) but not for swallowing problems
(p = 0.107) and malnutrition. There was no significant association
between oral problems and malnutrition in residents on somatic
wards.
Conclusions:
Malnutrition in psychogeriatric nursing home
residents was more prevalent than in nursing home residents
of somatic wards. No clear association was found between
oral problems and malnutrition of residents on somatic wards.
Only in psychogeriatric wards experienced dental/denture and
chewing problems were related to malnutrition, suggesting that
oral problems of psychogeriatric residents more often lead to
malnutrition.
P-365
Nutritional screening of patients at a memory clinic
–
association between patients’ and their relatives’ self-reports
A.L. Lyngroth
1
, S.M.H. Sørensen
2
, B.-O. Madsen
3
, U. S ¨oderhamn
4
,
E.K. Grov
5
1
Sorlandet sykehus, Arendal, Arendal, Norway;
2
Sorlandet Hospital,
Arendal, Norway;
3
Sorlandet Hospital Arendal, The Memory Clinic
Postbox 783 Stoa4809 Arendal, Norway;
4
University of Agder,
Grimstad, Norway;
5
Oslo and Akershus University of Applied Sciences,
Institute of Nursing, Oslo, Norway
Aims and Objectives:
To increase knowledge of nutritional
screening in cognitive impaired by comparing individual reports
by patients and relatives of the Nutritional Form For the Elderly
(NUFFE).
Background:
Undernutrition is a significant problem among people
with dementia.
Design:
A cross sectional prospective study.
Method:
Application of the NUFFE-NO in addition to cognitive tests
in a memory clinic.
Results:
A total of 213 patients, mean age 73 years, 53% females, 32%
single home-dwellers and 15% below the age of 65 were included
in the study. The mean MMSE score was 23.2 and 50% failed the
five-point Clock Drawing Test. Patients’ and relatives’ NUFFE-scores
yielded comparative results, however the patients were inclined to
report higher nutritional state compared to their relative’ scores.
By self-reported NUFFE-scores, 32% were at medium to high risk of
undernutrition. NUFFE-scores from their closest relatives revealed
43% of the patients at medium to high risk. Involuntary weight
loss was reported by 42% of the patients, and in 26% of the sample
BMI-values were below 22 kg/m
2
.
Conclusion:
The study demonstrates that a significant proportion
of patients at the memory clinic were at nutritional risk.
Corresponding results exist between patients’ and their relatives’
NUFFE-scores, however patient assessed scores were somewhat
more well-nourished than their relatives. The discrepancies seem
to increase with more severe cognitive impairment. In our sample,
females and single dwelling individuals are at a higher risk of
undernutrition compared to males and cohabitants. Scores from
the MMSE-test and CDT might predict the probability of weight
loss.
P-366
Uric acid as negative marker of endothelium-independent
vasodilation in older women
M. Maggio
1
, C. Ruggiero
2
, F. Lauretani
3
, R. Aldigeri
1
, A. Nouvenne
4
,
T. Meschi
4
, A. Ticinesi
4
, F. De Vita
1
, T. Cederholm
5
, L. Lind
6
,
G.P. Ceda
7
1
University of Parma Dpt Clinical and Experimental Medicine,
Parma, Italy;
2
University of Perugia, Perugia, Italy;
3
Geriatrics Unit,
Parma University Hospital, Parma, Italy;
4
Department of Clinical and
Experimental Medicine, University of Parma, Parma, Italy;
5
Uppsala
University, Uppsala, Sweden;
6
Uppsala University Hospital, Uppsala,
Sweden;
7
Italy
Objective:
Uric acid (UA) is an inflammatory agent and potential
mediator of human diseases. Endothelial dysfunction is thought
to be the key event in the development of cardiovascular events
in older population. Despite the potential contribution of UA to
endothelial dysfunction most studies have been conducted in
few adult subjects in specific diseases, with no objective test of
endothelial function. Thus, we evaluated the relationship between
UA and Endothelial vasodilation in older persons of Prospective
Investigation of the Vasculature in Uppsala Seniors (PIVUS) Study.
Methods:
This cross-sectional study involved 852 community-
dwelling men and women aged 70 years with data on vascular
function and uric acid. We evaluated endothelium-dependent
vasodilation (EDV), endothelium-independent vasodilation (EIDV),
flow-mediated vasodilation (FMD). We used multivariate regression
models adjusted for BMI (Model 1) and for confounders (BMI, high-
sensitivity CRP, HDL-cholesterol, smoking, SHBG, hypertension;
Model 2).
Results:
In men, in Model 1, log (uric acid) was not associated
with log(EDV) (
b
±
SE = 0.16
±
0.70, P = 0.82), log(EIDV) (−0.77
±
0.68;
P = 0.23), log(FMD) (−0.38
±
0.67; P = 0.58). In women, in Model 1,
uric acid levels were negatively associated with EIDV (−0.89
±
0.44;
P = 0.04). However, no significant relationship was found between
uric acid and EDV (−0.38
±
0.40, P = 0.35), and FMD (0.39
±
0.46,
P = 0.40). Interestingly, the significant relationship between uric