European Geriatric Medicine - Supplement 1 - Volume 6 - September 2015

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Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156 S63
group. It is important to note that one woman with Parkinson’s
disease has two hip endoprostheses after femoral neck fractures.
Conclusion: BMD in women with Parkinson’s disease is
significantly lower than in healthy women of the same age.
P-115
Comorbidities in osteoarticular diseases in older people
G.-I. Prada1, M.B. Popescu2 , R.M. Nacu1, I.G. Fita1, I.A. Ignat1,
D.M. Andruta1, A.G. Prada2 , I.D. Alexa3 , A.M. Herghelegiu1
1National Institute of Gerontology and Geriatrics, Bucharest, Romania;
2Bucharest, Romania; 3Iasi, Romania
Objective: Osteoarticular diseases are very often seen in elderly.
Their impact is complicated by comorbidities in older people. Aim
of the study was to identify such conditions.
Material and Methods: 353 older patients consecutively admitted
were included: 68% women, 32% men, mean-age 77.06 years, 77.47
for women, 76.11 for men. Two age groups were considered:
65–75 years, and 75 years and over. It was a retrospective study
investigating various localization of degenerative joint disease
together with associated diseases and complications.
Results: Knee osteoarthritis was more prevalent in younger age
group (57%), while hip osteoarthritis was more frequent (60%)
beyond 75 years. 53% of patients had a fall, 31% having a
fall each month, more prevalent in women. Frequency of falls
was significantly higher (p < 0.01) in older age groups. 54% of
patients had a fracture secondary to walking difficulties due to
joint conditions, more prevalent in women (p< 0.01). Fractures
correlated with age. Another comorbidity was urinary incontinence
favored by altered walking patterns secondary to osteoarthritis.
Urge incontinence was most prevalent and it was most frequent
in women (62%). All types of incontinence were more prevalent
in older age groups (>80 years). There was a high prevalence
of osteoporosis, increasing with age, associated with falls and
fractures. Falls, fractures and urinary incontinence were most
prevalent beyond 80 years.
Conclusions: Osteoarthritis in older people is often complicated
or complicates a series of conditions like: urinary incontinence,
instability and falls sometimes followed by fractures. These
comorbidities should always be considered together and carefully
assessed for proper intervention.
P-116
Health risk factors linked to retirement in older people
G.-I. Prada1, I.G. Fita1, R.M. Nacu1 , I.A. Ignat1, D.M. Adruta1,
A.G. Prada2 , I.D. Alexa3 , A.M. Herghelegiu1
1National Institute of Gerontology and Geriatrics, Bucharest, Romania;
2Bucharest, Romania; 3Iasi, Romania
Objectives: Retirement represents an important moment for
elderly, associated with changes in economical-social status and
life-style that can impact on health conditions. Aim of study was to
identify influence of various factors linked to retirement on health
status in older people.
Material and Method: We analyzed 793 older patients, 34% men,
66% women, women mean-age 70.35, men 73.24 years; 75%
subjects from urban area; 46% with lower income, and 17% with
high pensions. We analyzed following factors: financial situation
before and after retirement, access to medical services, degree of
medical costs coverage, family support, social support, financial
means for social activities, health conditions around retirement,
depression, retirement adjustment duration, level of education.
Results: Prevalence of cardiovascular diseases was more prevalent
in higher pensions group, possibly also due to better access to
medical services. Osteoarticular diseases had similar frequency
in all groups. Post-retirement depression was more prevalent in
lower income group (p < 0.05), but all categories had a very high
frequency of depression (>50%). Reduced family support had an
important impact on health conditions in retired people (p< 0.01),
especially for those living alone. Prevalence of mood disorders
was significantly higher in those without social activities (13%)
as compared to those that maintained social implication (5%).
Depression was negatively correlated with duration of retirement. A
very high percentage could not cover entirely costs of their medical
needs (81%).
Conclusions: Several factors that accompany retirement have an
important influence on health conditions in older people. They
need careful attention and specific measures to counteract their
effects.
P-117
Differences of health status and determinants of health level
among robust, frail, disabled elderly in community-dwelling
Korean elderly
D. Sunwoo1, J.L. Yoon2, Y.K. Roh3
1Korea Institute of Health and Social Affairs, Seoul, Republic of
Korea; 2Department of Family Medicine, Hallym University College of
Medicine, Seoul, S. Korea, Seoul, Republic of Korea; 3 Department of
Family Medicine, Kangnam Sacred Heart Hospital. Hallym University,
Seoul, Republic of Korea
Objectives: The aim of this study was to identify the differences
in health status and determinants of health level among the
community-dwelling Korean elderly.
Methods: Subjects were 7,358 community-dwelling elderly people.
The health level of elderly was classified into 3 groups (robust, fail,
and disabled) based on the ADL, IADL disability. Data was obtained
from the 2011 Korean National Elderly Survey. We investigated
differences of health status among groups and analyzed the
determinants of health level.
Results: The frail group had the highest number who had five or
more chronic diseases (R 12.4%, F 27.4%, D 25.3%) and took five
or more medications (R 4.9%, F 14.4%, D 12.2%). The rate of fall
was 47.5% in the disabled group. The frail group had symptoms
of depression in 51.3% (vs R 24.3%) and weak muscle strength in
34.5% (vs R 7.8%). The frail group had significantly lower MMSE
scores than the robust group (F 20.0, R 23.9). In the analysis of the
determinants of the perceived health status, all the elderly showed
significantly high ratios of “bad” perceived health status when they
had higher numbers of chronic diseases (OR: R 10.8 vs F 6.4) and
higher numbers of medications (R 2.9 vs F 5.2), lower depression
scores (R 1.8 vs F 3.1). and lower level of physical activities.
Conclusions: Differences of the determinants of health status
among the three groups were not significant, but the influence
of the determinants was significantly different.
P-118
Spirometry in primary care case-identification, diagnosis and
management of COPD an urban health center in Castile and
Le ´on
R. Martinez-Fuerte1, L. Sierra-Martinez 1, N. Sanz-Gonz ´alez2
1Valladolid Este Primary Assistance Gerency, Valladolid, Valladolid,
Spain; 2JCyL Primary Assistance Gerency, Valladolid, Valladolid, Spain
Objective: Spirometry in primary care case-identification, diagnosis
and management of COPD
Method: Cross-sectional study from clinical records of Primary
Care. Setting: An urban health care center. Population and Sample:
Patients >40 years (total according to inclusion criteria, years
2012/2013, 10,109/10,144) with Chronic Obstructive Pulmonary
Disease (COPD) (years 2012/2013) (n = 510/512).
Patients with COPD should be assessed by annual spirometry.
Spirometry is the proper technique for the diagnosis of COPD and
its severity rating. COPD is a progressive disease, monitoring of