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

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Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156 S91
Conclusions: Frailty syndrome was diagnosed more often among
the patients with PTSD than reported for general population in
literature. There was a relationship between the CSHA-CFS results
and the muscle strength and mobility.
P-222
Food intake score as an elderly laymen’s screening tool for
nutritional intake
S. Perkisas1, M. Vandewoude2
1University Department of Geriatrics, Antwerp, Belgium; 2 Belgium
Objectives: There are many nutritional screening tools. Many
require measurements (BMI) or uncertain information (weight loss).
If the elderly are to be sensitized to do a nutritional screening
themselves, a more user-friendly tool needs to be presented. The
food intake score (FIS) is introduced and screened for correlations
with various outcomes of sarcopenia and survival. The comparison
will be done with the Mini Nutritional Assessment-Short Form
(MNA-SF).
Methods: All patients admitted to the geriatric wards of the
University Department of Geriatrics between 01/08/2012 and
31/01/2013 were included. FIS was measured by a three-day-
observation of nutritional intake (9 meals). For each meal, a
maximum score of 1 was given if the whole plate was eaten. Muscle
mass (CT-scan of the upper leg), strength (Jamar dynamometer)
and functionality (SPPB) were measured. At least one year after
admission, survival was checked. Correlations were calculated using
the Pearson’s correlation coefficient (PCC).
Results: Cohort totalled 300 patients. The mean FIS was 7.0±2.0
(median 8.0, range 0–9). It had a small but positive correlation
with the MNA-SF (p< 0.001, PCC 0.222). When compared the FIS
with the MNA-SF, correlations where as followed: muscle mass
(p < 0.001, PCC 0.317 versus PCC 0.238), muscle strength (p < 0.001,
PCC 0.236 versus PCC 0.200), SPPB (p< 0.001, PCC 0.318 versus
PCC 0.171) and one-year survival (p< 0.001, PCC 0.285 versus PCC
0.278).
Conclusions: FIS had better correlations with muscle mass,
strength, functionality and one-year survival than MNA-SF in a
hospitalized elderly population. FIS seems a promising easy tool
for self assessment in the elderly.
P-223
Sarcopenia in Ukrainian women: assessment and
determination of lean body mass deficiency
V. Povoroznyuk1 , N. Dzerovych 1, R. Povoroznyuk1
1D.F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine
The aim of this study was to evaluate the normative data of lean
mass in the healthy Ukrainian women.
Materials and methods. 301 women aged 20–87 years (mean age
57.6±0.9 yrs; mean height 1.62±0.004m; mean weight 63.5±0.5 kg)
were examined. No subject had any systemic disorders or took
medications known to affect the skeletal and muscle metabolism.
The lean and fat masses, bone mineral density (BMD) were
measured by the DXA method (Prodigy, GEHC Lunar, Madison,
WI, USA). Appendicular skeletal mass (ASM) was measured at all
the four limbs with DXA. We’ve also calculated the appendicular
skeletal mass index (ASMI) according to the formula: ASM/height
(kg/m2). Low muscle mass values conform to the following
definitions: European guidelines (ASMI <5.5 kg/m2) [Cruz-Jentoft
A.J. et al., 2010], less than 20% of sex-specific normal population
and two SD below the mean of the young adult Ukrainian females
(20–39 yrs).
Results: We observed a significant decrease of ASM with age (F=2.7;
p = 0.01). The ASMI values corresponding to a cutoff of low muscle
mass by the definitions used were as follows: <5.5 kg/m 2 (European
guidelines), <5.7 kg/m2 (<20th percentile of sex specific population),
<4.8 kg/m2 (two SD below the mean of young Ukrainian females
aged 20–39 yrs). The prevalence of low muscle mass in women
aged 65 yrs and older based on the above three criteria was 12%,
16% and 1.7%, respectively.
Conclusion: Peak muscle mass among the Ukrainian women is
achieved in the fifth decade.
P-224
Bone mineral density, spinal micro-architecture (TBS data)
and body composition in the older Ukrainian women with
vertebral fragility fractures
V. Povoroznyuk1 , N. Dzerovych 1
1D.F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine
The aim of this study is to evaluate the bone mineral density (BMD),
trabecular bone score (TBS) and body composition in women taking
into account the presence of vertebral fragility fractures (VFF).
Materials and Methods: We examined 171 women aged 65–89
years (mean age 73.12±0.39 yrs). The patients were divided into
groups depending on the VFF presence: A, no VFF (n = 105);
B, present VFF (n = 66). BMD, lateral vertebral assessment,
trabecular bone score (L1-L4), lean and masses were measured
by DXA densitometer (Prodigy, GE). Appendicular skeletal mass
(ASM) was measured at all the four limbs with DXA. We’ve also
calculated the appendicular skeletal mass index (ASMI) according
to the formula ASM/height2 (kg/m2).
Results: We have found the following parameters to be significantly
lower in women with VFF compared to women having no VFF:
BMD of total body (A 0.859±0.01 g/cm2 , B 0.764±0.02 g/cm2 ;
p < 0.05), spine (A 1.038±0.02 g/cm2, B 0.927 ±0.03 g/cm2; p < 0.05),
femoral neck (A 0.787±0.01 g/cm2 , B 0.711±0.01 g/cm2; p < 0.05),
33% forearm (A 0.690±0.01 g/cm2 , B 0.600±0.01 g/cm2 ; p < 0.05),
TBS (A 1.171±0.01, B 1.116±0.02; p < 0.05), whole-body fat mass
(A 30,736.87±939.92 g, B 25,877.45±966.90 g; p< 0.05), whole-
body lean mass (A 41,202.44±498.18 g, B 39,440.77±594.78 g;
p < 0.05), ASM (A 16.47±0.22 kg, B 15.81 ±0.22 kg; p < 0.05) and ASMI
(A 6.59±0.07 kg/m2, B 6.34±0.09 kg/m2; p < 0.05). The frequency of
presarcopenia was 2% in women with no VFF and 14% – in women
with the VFF.
Conclusion: Women with the VFF have the BMD, TBS, lean and fat
masses data significantly lower in comparison to women with no
VFF.
P-225
The functional autonomy measurement system in relation
with dynapenia in elderly patients
D. Kondakci1 , S. Savas2 , A. Kilavuz3 , F. Sarac3 , F. Akcicek3
1Ersan Kirazoglu Mesleki ve Teknik Anadolu Lisesi, Izmir, Turkey; 2Ege
University Medical Faculty, Internal Medicine Department, Geriatrics
Section, Izmir, Turkey; 3Ege University Medical Faculty, Izmir, Turkey
Objective: Functional independence loss leads to an increased
risk of mortality and morbidity and decreased quality of life and
autonomy. The aim of this study was to investigate the functional
autonomy (FA) by ‘The Functional Autonomy Measurement System
(SMAF)’ and to evaluate its relation with dynapenia in elderly
patients.
Materials and Methods: This study was carried out in Internal
medicine outpatient clinic of Ege University Faculty of Medicine,
between January 1st, 2015 and March 31th, 2015. All of the patients
65 years and older admitted to outpatient clinic who gave informed
consent formed the study sample. Grip strength measurement was
performed by hand grip strength (HGS) measurement. Personal
information form and SMAF is filled with face to face interviews.
Older individuals with total points −5.0 or smaller, are at risk of
losing their functional independence. Statistical analysis of the data
were obtained by SPSS 15.0 software package.
Results: The mean age of 71 elderly individuals taken into the
study were 73.97±7.1. 59.2% of the study sample were women.