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Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S55
FSST and cognitive function. Multiple linear regression analysis was
used to examine whether the FSST can predict cognitive function.
Results:
TYM showed significant correlations with step start
time (r = −0.27, P = 0.023) rather than completed time (r = −0.16,
P = 0.183). A multiple regression analysis revealed that TYM was
also associated with step start time (
b
= −0.257, P = 0.019), adjusted
for education.
Conclusion:
These results suggest step start time may slow in
conjunction with cognitive function for older women. The FSST
may contribute to the evaluation of cognitive status in community-
dwelling older women.
P-085
A variety of cognitive activities in a single lesson leads to
improved cognitive functions in MCI patients
N. Trushkova
1,2
, G. Zelano
3
1
Astrakhan State University, Astrakhan, Russian Federation;
2
Aprilia,
Italy;
3
Department of Neuroscience, Catholic University, Rome, Italy
Objectives:
There are different strategies of cognitive training. Many
medical reports confirms that multi domain cognitive training is
effective in improving cognitive functions in patients with Mild
Cognitive Impairment (MCI). In strategies of cognitive training is
often used lesson “mono activities” where activities do not vary
during lesson. The purpose of our study is to determine if cognitive
activities vary during a single lesson brings the best results in
improving cognitive functions.
Methods:
We created two groups each of 36 participants aged
≥73 years, who scored between 24 and 26 on the Mini-Mental State
Examination (MMSE). We established the four cognitive activities.
Group A used these activities one at a time per lesson; Group B
varied four cognitive activities chosen by us during single lesson. It
was proposed to them to perform an hour of activity twice a week
for 16 weeks.
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: 2.7–3.3; Rey Auditory Verbal Learning Test
(first attempt): 3.8–5.1; TMT-A: 86.6–75.4. Group B: Digit Span
Forward: 2.9–4.3; Rey Auditory Verbal Learning Test (first attempt):
3.9–5.7; TMT-A: 84.1–70.5. Group B participants showed significant
improvement on MMSE (mean 1.91, p
<
0.001) compared to Group A
(mean 1.18, p = 0.07).
Conclusion:
A variety of cognitive activities inside a single lesson
leads to greater improvement in cognitive functions in patients
with Mild Cognitive Impairment.
P-086
Executive dysfunction and falls. The Toledo study and healthy
aging
M. Vald ´es-Aragon ´es
1
, M. ´A. Caballero Mora
1
, V. Calder ´on
1
,
C. Palumbo
1
, J. Carnicero-Carre˜no
2
, R. Petidier
1
, L. Rodriguez-
Ma˜nas
1,2
1
Geriatric Department, Hospital University of Getafe, Madrid, Spain;
2
Fundaci´on para la Investigaci´on Biom´edica, Hospital University of
Getafe, Madrid, Spain
Introduction:
The association of falls and dementia is well known.
Nevertheless, the association between executive dysfunction and
falls have not been evaluated.
Our hypothesis is that executive dysfunction, assess with Luria and
Go-no-Go test is associate with recurrent falls.
Methods:
We used data from the Toledo Study for Healthy Aging a
prospective Spanish cohort study.
Recurrent falls was defined as two or more falls in the past year.
The motor cortex function was assessed by the Luria’s test and
Go-no-Go test. Mild motor cortex dysfunction was stated as the
disability to complete at least 3 series by himself for the Luria’s
test and do 3 or more mistakes for the Go-no-Go test.
Two logistic regression models were used to assess the relationship
between recurrent falls and each of the two frontal tests using BMI,
age and sex as possible confounders.
Results:
1744 subjects, 771 (44.2%) men and 973 (55.8%) women
completed the psychological and nursing interviews.
After adjustment by confounders, both test were significant risk
factors for recurrent falls, OR (95% CI), 1.650 (1.131–2.408) and 1.692
(1.139–2.515) for the Luria’s test and Go-no-Go test, respectively.
Conclusions:
Executive dysfunction measured by Luria and Go-
no-Go test are independent risk factors of recurrent falls. Further
studies, including longitudinal analysis, should evaluate these
findings.
P-087
The Balance and the Mind study: baseline data
V. van der Wardt
1
, P. Logan
2
, V. Booth
1
, V. Hood
2
, T. Masud
2
,
R. Harwood
3
1
University of Nottingham, Nottingham, United Kingdom;
2
United
Kingdom;
3
Nottingham University Hospitals NHS Trust, Nottingham,
United Kingdom
Objectives:
The purpose of the study was to establish falls risk
factors for people with mild cognitive impairment and mild
dementia.
Methods:
Survey of 76 people recruited from Memory Clinics
(n = 56), Falls Services (n = 12), Community Geriatricians (n = 4),
Cognitive Stimulation Therapy groups (n = 2), and a Rehabilitation
Unit (n = 2). The assessments included falls risk, the Falls Efficacy
Scale International (FESi), the Montreal Cognitive Assessment
(MoCA) as well as neuropsychological tests.
Results:
Mean age was 80.9 years (SD 6.5, age range: 67–94 years).
The sample included 45% men, 98% had a white ethnic background
and 48% lived alone. Mean MoCA score was 20.95 (SD 3.6), and
26 people (34%) had between 1 and 24 falls (mean 3.04; SD 4.65).
Regarding any fall participants had in the past, 41% sustained an
injury, 36% needed medical attention and 32% had been admitted
to hospital as a consequence of a fall.
The mean FESi score was 27 (SD 10.6) with 59% scoring
>
23, which
is associated with a high fear of falling. The mean Timed Up and
Go score was 16.0 seconds with 44% scoring ≥13.5 seconds, which
is associated with high risk of falling. The mean Berg Balance
score was 46 with 28% scoring ≤40, which is associated with a
100% chance of future falls. All assessments were acceptable to the
particpants.
Conclusions:
The proportion of falls and falls risk factors was quite
high in this population, which reflects findings from similar studies.
Specialized falls prevention intervention should take these factors
into account.
P-088
Recruitment of people with dementia in primary care
–
experiences from the HIND study
V. van der Wardt
1
, S. Conroy
2
, W. Tomas
1
, P. Logan
3
, J. Harrison
2
,
J. Taggar
1
, J. Gladman
1
1
University of Nottingham, Nottingham, United Kingdom;
2
University
of Leicester, Leicester, United Kingdom;
3
United Kingdom
Objectives:
A purpose of the Hypertension in Dementia feasibility
study was to explore recruitment of people with dementia and
essential hypertension in primary care practices to prepare a
withdrawal study of their antihypertensive medication.
Methods:
Primary care practices were invited by phone to support
the study, which would entail screening their databases to identify
people with diagnoses of both dementia and essential hypertension,
and sending out letters to these people asking them to indicate their
willingness participate in the feasibility withdrawal study. Practice