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Oral presentations / European Geriatric Medicine 6S1 (2015) S5
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malnourished, and consumed more drugs. After adjustment for age,
BMI, cognitive status, nutritional status, number of comorbidities
and number of drugs, sarcopenic subjects had a worse physical
health-related quality of life (SF-36) for the domain of physical
functioning, were at higher risk of falls (Timed Up and Go test),
were more frail (Fried), presented more often tiredness for the
achievement of activities of daily living (Mobility-test), presented
less fat mass and obviously less lean mass. Sarcopenic women
were also more dependent for housekeeping and handling finances
(Lawton scale) than non-sarcopenic ones.
Conclusion:
Sarcopenia seems associated with many harmful
clinical components making this geriatric syndrome a real public
health burden.
O-011
Persistent decline over 3 y in physical function predicts 12 y
mortality in ambulatory older men
S. De Buyser
1
, M. Petrovic
2
, Y. Taes
1
, B. Lapauw
1
, K. Toye
1
,
J.-M. Kaufman
1
, S. Goemaere
1
1
Ghent University, Ghent, Belgium;
2
Dept. of Geriatrics, Ghent
University Hospital, Ghent, Belgium
Objectives:
Physical function measurements can predict important
adverse outcomes in older persons, but little is known about the
predictive value of longitudinal changes in these measurements.
This study evaluated the effects of transient and persistent decline
over three years from baseline in physical function on 12 year
mortality.
Methods:
This community-based cohort study included ambulatory
men aged ≥71, living in the community of Merelbeke (municipality
of Ghent, Belgium).
Participants’ physical function and decline from baseline
were assessed annually over three years using the following
measurements and cut-off points: Timed Up and Go (2 sec),
Chair Rise (1 sec), Balance (1 point), Grip strength (6 kg), General
Health (Short Form-36 item; 15 points), Physical Function (Short
Form-36 item; 20 points) and Activities of Daily Living (ADL;
Rapid Disability Rating Scale-2 questions; 2 points). Decline was
considered persistent or transient based on whether the decline
was still present at the end of year three.
Results:
Of 162 older men with complete annual physical function
assessments from 1997 until 2000, 107 (66%) died within the
subsequent 12 years.
Mortality risk increased with persistent decline in Timed Up and Go
(HR = 2.15, 95% CI=1.24–3.73), Grip strength (HR = 3.39, 95% CI=1.45–
7.93), Physical Function (HR = 2.51, 95% CI=1.43–4.41), General
Health (HR = 3.07, 95% CI=1.69–5.60), and ADL score (HR = 3.30,
95% CI=1.43–7.63), compared with no decline. Decline in the last
year in Chair Rise time (HR = 2.63, 95% CI=1.39–4.98) and Balance
(HR = 2.39, 95% CI=1.10–5.18) also predicted death.
Conclusions:
Persistent decline in physical function affects
mortality risk in ambulatory older men.
O-012
Effectiveness of follow-up telephone calls to improve
vitamin D +/
−
calcium compliance in elderly patients with
hip fracture. a randomized study
M. Oviedo Briones
1
, T. Salgado
1
, F. Argentina
1
, P. Condorhuaman
1
,
C. Mauleon
1
, A. Martin-Vega
1
, T. Alarcon
1
1
Hospital Universitario La Paz, Madrid, Spain
Objective:
To assess the effectiveness of follow-up telephone calls
(FUTC) to increase compliance of vitamin D +/− calcium after
discharge from the hospital in elderly patients with hip fracture.
Methods:
This is a prospective, randomized study in patients
aged 64 years and older, admitted with fragility hip fracture to
a university hospital from May 1, 2010 to August 31st, 2012. At
discharge, patients were prescribed vitamin D +/− calcium, adjusted
by plasma levels and clinical situation. Inclusion criteria were:
not taking vitamin D and calcium before hospital admission, and
not discharged to a nursing home. Patients were randomized at
discharge. The intervention group received a phone call at three
months after discharge reminding them of the importance of taking
their medication. In all patients, additional phone calls were made
at 6 and 12 months to determine compliance by patient report. The
data were analyzed using the statistical program SPSS/PC 20.
Results:
124 patients met inclusion criteria (59 in the intervention
group and 65 in the control group). Mean age was 84 (
±
6.4) years.
At 6 months, 84% of patients in the intervention group and 60.8%
in the control group reported taking vitamin D (p
<
0.01). At 12
months there was no difference in compliance between the two
groups (70.2% vs. 61.7%, ns).
Conclusion:
A FUTC 3 months after discharge has a positive impact
on vitamin D +/− calcium compliance at 6 months. At 12 months,
the beneficial effect disappears.
O-013
Protein drink combined with Jaques-Dalcroze Eurhythmics
improves gait speed and physical function in seniors
S.A. Bridenbaugh
1
, R.W. Kressig
1
1
Felix Platter-Hospital Basel, University Center for Medicine of Aging,
Basel, Switzerland
Objectives:
The NUDAL trial aimed to investigate the combined
effects of 6-months once daily nutritional supplementation (150
kcal/119ml, 20 g whey protein, 800 IU vitamin D), and weekly
Jaques-Dalcroze Eurhythmics training (JDE) on the physical function
in seniors as compared to the effects of 6-months JDE alone
(placebo drink: 30 kcal, no protein or vitamin D).
Methods:
Randomized parallel group trial in 110 community-
dwelling Swiss seniors aged 65 years and older. Assessments:
gait speed during normal walking (NW) and dual-tasking (DT)
(GAITRite
®
electronic system) and physical functional performance
(Continuous Scale of Physical Functional Performance (CS PFP-10
®
)
test).
Results:
Baseline NW speeds were 116.9 cm/s in the control and
119.1 cm/s in the intervention group; post-intervention 124.0 cm/s
and 128.5 cm/s, respectively. Participants with low to moderate
baseline fitness levels, according NW speed and CS-PFP-10 scores,
had faster post-intervention NW speeds than those with very low
or very high fitness levels.
Baseline DT speeds were 101.7 cm/s in the control and 106.3 cm/s
in the intervention group; post-intervention 108.1 cm/s and
123.4 cm/s, respectively.
Baseline CS PFP-10 scores were 44.9 points in the control and 43.5
points in the intervention group; post-intervention 46.9 and 50.3
points, respectively.
Conclusion:
Seniors receiving daily protein supplementation
combined with weekly JDE movement training had better physical
functional performance and faster gait speed than those who
performed the JDE alone. Seniors with low to moderate baseline
fitness levels profited more from the 6-months intervention than
those with very low or very high baseline fitness levels.
Disclosure:
Supported by an independent educational grant from
Nestl ´e Health Science