S196 Conclusion: Contrary to our expectations, the gene expression levels of certain inflammatory markers in the liver and skeletal muscle are significantly decreased in hypoxic conditions. Disclosure of Interest: None declared
Nutritional assessment 2 MON-P116 MULTIDISCIPLINARY NUTRITIONAL INTERVENTION DURING HOSPITALIZATION AND AFTER DISCHARGE IN ELDERLY PATIENTS – A META-ANALYSIS K. Lugnet1, A. Pohju2, K. Belqaid3, C. F. Brandt4, A. L. Nielsen5, N. M. Rasmussen6, H. H. Rasmussen7, A. M. Beck8. 1Department of Public Health and Caring Sciences, Uppsala, Sweden; 2 Clinical Nutrition, Helsinki University Hospital, Helsinki, Finland; 3Medical Management Centre, Dept of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden; 4Department of Medical Gastroenterology, Rigshospitalet, Copenhagen, 5Dept. of Oncology, Herlev University Hospital, Herlev, 6Department of Clinical Nutrition, Regional Hospital West Jutland, Holstebro, 7 Centre for Nutrition and Bowel Disease, Aalborg University Hospital, Aalborg, 8Clinical Nutrition Research Unit, Herlev and Gentofte University Hospital, Gentofte, Denmark Rationale: Malnutrition is common in hospitalized elderly patients and the aetiology is multifactorial. The nutritional care should involve a multidisciplinary team. The aim was to investigate the effectiveness of multidisciplinary nutritional support (MNS) on mortality, readmissions and quality of life (QoL) in elderly patients during hospitalization and after discharge compared to usual care. Methods: A systematic literature search was conducted in databases (PubMed, CINAHL, Cochrane Library) from 1/2007 to 11/2014. Additional studies were hand-searched from references in retrieved publications. Included studies were RCTs with a multidisciplinary nutritional intervention during hospitalization and after discharge in elderly (65+) patients. Multidisciplinary was defined as an intervention including a nutritional component by more than one profession. The nutritional intervention could include use of oral nutritional supplements, improved nutritional care or dietary counselling. Data from RCTs was combined and meta-analyses were conducted. Results: The search led to 63 abstracts, including 8 systematic reviews. Five studies fulfilled inclusion criteria, but varied in quality and type of interventions. Overall, 749 patients were included. Meta-analysis of two studies on readmissions during follow-up showed no statistically significant difference between MNS and control group (CG). Meta-analysis of three studies on mortality during follow-up indicated a tendency to lower mortality in MNS compared to CG (OR 0.50, 95% CI 0.22– 1.14; p = 0.10). Meta-analysis of two studies on QoL indicated a trend to improved QoL in MNS compared to CG (mean difference 0.07, 95% CI -0.02–0.15; p = 0.12). Conclusion: This meta-analysis suggests that provision of MNS could reduce mortality and improve QoL in elderly patients. More high-quality studies on the effect of MNS are needed to verify these findings. Disclosure of Interest: None declared
Poster MON-P117 COMPARISON BETWEEN DOG-OWNERS AND NON-OWNERS: ANTHROPOMETRY AND PHYSICAL ACTIVITY LEVELS K. Margaritis1, M. Perantonaki1, K. Pyrga1, I. Pagkalos1, M. Tsigga1, M. G. Grammatikopoulou1. 1Nutrition & Dietetics, Alexander Technological Educational Institute, Thessaloniki, Greece Rationale: A plethora of studies have shown health-related benefits associated with dog ownership. The aim of our study was to evaluate anthropometry and physical activity (with the use of monitors), between dog-owners and controls. Methods: A total of 112 adults participated in the study, half of which were dog-owners (responsible for walking their pets) and half non-owners. Pedometers (Fitbit) were used to record physical activity, for 3 consecutive days and anthropometric measurements were collected (body fat, skinfolds and perimeters). Data were analyzed with PASW statistics software, using Independent samples t-tests. Results: The average daily recorded steps were similar between the two groups, being 8636.8 ± 3620.3 for the dogowners and 7941.2 ± 4201.6 for the non-owners. The recorded steps were significantly higher among those walking their dogs more frequently on a daily basis ( p ≤ 0.049). Among nonowners, average daily steps were correlated to their neck perimeter (r = 0.289, p ≤ 0.031). Body fat (%BW) was significantly lower among dog owners ( p ≤ 0.021) (24.1% vs 27.0%), even after adjustment to the age, sex and BMI of participants. Additionally, dog-owners demonstrated smaller neck circumference ( p ≤ 0.001), triceps ( p ≤ 0.025) and subscapular ( p ≤ 0.003) skinfolds, compared to the non-dog owners. Conclusion: Dog ownership seems to positively affect body composition of the owners, beyond the extend of physical activity. Body muscles used during dog-walking and leash carrying (tricpes and subscapular) appear leaner compared to the controls. Disclosure of Interest: None declared
ABSTRACT WITHDRAWN