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P-364: The prevalence of oral problems, malnutrition and association between oral problems and malnutrition of nursing home residents
Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
Results: A total of 314 participants (86.5±4.92 years, all male) are living in the veterans home, only 220 participants completed the Dentist assessment in 2011. The prevalence of frailty was 6.6%, pre-frailty: 86.8% and non-frailty: 6.6% in 2013. The frail condition has poor MNA-SF score (<7) compared to pre-frail and non-frail (12.5% vs 0% vs 0%, p < 0.001), poor Barthel index score (87.2±9.7 vs 93.5±9.6 vs 100±0, p < 0.001), poor MMSE score (22.4±3.2 vs 25.2±3.3 vs 26.8±2.2, p < 0.001), but not related to poor denture function. Conclusions: Frailty has the relationship among poor nutrition status, poor ADL function and poor cognitive function, but not in poor denture function in 2 years follow up in older residents living in long-term care settings. P-364 The prevalence of oral problems, malnutrition and association between oral problems and malnutrition of nursing home residents D. Loeza1 , J. Schols2 , G.-J. van der Putten3 , R. Halfens4 Amaris Gooizicht, Amsterdam, Netherlands; 2 Dept. HSR – Maastricht University, Maastricht, Netherlands; 3 Amaris Gooizicht, Hilversum, Netherlands; 4 Netherlands 1
Objectives: The aim of this study was to assess the prevalence of experienced dental/denture problems, chewing problems, swallowing problems and malnutrition and the association between these problems and malnutrition of nursing homes residents on somatic and psychogeriatric nursing home wards in The Netherlands. Methods: A secondary analysis of the data of 2013 of the National Prevalence Measurement of Care Problems (LPZ), an annually conducted cross-sectional, multi-center study in nursing homes in The Netherlands. Results: A total of 2,232 nursing home residents, 599 residing at somatic and 1,633 residing at psychogeriatric wards were assessed by health care professionals. The prevalence of dental/denture problems, chewing problems and swallowing problems in somatic wards was respectively 5.5%, 23.0% and 22.0% and 6.8%, 30.0% and 10.2% in psychogeriatric wards. The prevalence of malnutrition in somatic wards was 9.3% and in psychogeriatric wards 16.1%. In psychogeriatric wards there was a significant association between the presence of experienced dental/denture problems, chewing problems (p < 0.001 both) but not for swallowing problems (p = 0.107) and malnutrition. There was no significant association between oral problems and malnutrition in residents on somatic wards. Conclusions: Malnutrition in psychogeriatric nursing home residents was more prevalent than in nursing home residents of somatic wards. No clear association was found between oral problems and malnutrition of residents on somatic wards. Only in psychogeriatric wards experienced dental/denture and chewing problems were related to malnutrition, suggesting that oral problems of psychogeriatric residents more often lead to malnutrition. P-365 Nutritional screening of patients at a memory clinic – association between patients’ and their relatives’ self-reports 4 A.L. Lyngroth1 , S.M.H. Sørensen2 , B.-O. Madsen3 , U. Soderhamn ¨ , 5 E.K. Grov 1 Sorlandet sykehus, Arendal, Arendal, Norway; 2 Sorlandet Hospital, Arendal, Norway; 3 Sorlandet Hospital Arendal, The Memory Clinic Postbox 783 Stoa4809 Arendal, Norway; 4 University of Agder, Grimstad, Norway; 5 Oslo and Akershus University of Applied Sciences, Institute of Nursing, Oslo, Norway
Aims and Objectives: To increase knowledge of nutritional screening in cognitive impaired by comparing individual reports
S129
by patients and relatives of the Nutritional Form For the Elderly (NUFFE). Background: Undernutrition is a significant problem among people with dementia. Design: A cross sectional prospective study. Method: Application of the NUFFE-NO in addition to cognitive tests in a memory clinic. Results: A total of 213 patients, mean age 73 years, 53% females, 32% single home-dwellers and 15% below the age of 65 were included in the study. The mean MMSE score was 23.2 and 50% failed the five-point Clock Drawing Test. Patients’ and relatives’ NUFFE-scores yielded comparative results, however the patients were inclined to report higher nutritional state compared to their relative’ scores. By self-reported NUFFE-scores, 32% were at medium to high risk of undernutrition. NUFFE-scores from their closest relatives revealed 43% of the patients at medium to high risk. Involuntary weight loss was reported by 42% of the patients, and in 26% of the sample BMI-values were below 22 kg/m2 . Conclusion: The study demonstrates that a significant proportion of patients at the memory clinic were at nutritional risk. Corresponding results exist between patients’ and their relatives’ NUFFE-scores, however patient assessed scores were somewhat more well-nourished than their relatives. The discrepancies seem to increase with more severe cognitive impairment. In our sample, females and single dwelling individuals are at a higher risk of undernutrition compared to males and cohabitants. Scores from the MMSE-test and CDT might predict the probability of weight loss. P-366 Uric acid as negative marker of endothelium-independent vasodilation in older women M. Maggio1 , C. Ruggiero2 , F. Lauretani3 , R. Aldigeri1 , A. Nouvenne4 , T. Meschi4 , A. Ticinesi4 , F. De Vita1 , T. Cederholm5 , L. Lind6 , G.P. Ceda7 1 University of Parma Dpt Clinical and Experimental Medicine, Parma, Italy; 2 University of Perugia, Perugia, Italy; 3 Geriatrics Unit, Parma University Hospital, Parma, Italy; 4 Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy; 5 Uppsala University, Uppsala, Sweden; 6 Uppsala University Hospital, Uppsala, Sweden; 7 Italy Objective: Uric acid (UA) is an inflammatory agent and potential mediator of human diseases. Endothelial dysfunction is thought to be the key event in the development of cardiovascular events in older population. Despite the potential contribution of UA to endothelial dysfunction most studies have been conducted in few adult subjects in specific diseases, with no objective test of endothelial function. Thus, we evaluated the relationship between UA and Endothelial vasodilation in older persons of Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) Study. Methods: This cross-sectional study involved 852 communitydwelling men and women aged 70 years with data on vascular function and uric acid. We evaluated endothelium-dependent vasodilation (EDV), endothelium-independent vasodilation (EIDV), flow-mediated vasodilation (FMD). We used multivariate regression models adjusted for BMI (Model 1) and for confounders (BMI, highsensitivity CRP, HDL-cholesterol, smoking, SHBG, hypertension; Model 2). Results: In men, in Model 1, log (uric acid) was not associated with log(EDV) (b±SE = 0.16±0.70, P = 0.82), log(EIDV) (−0.77±0.68; P = 0.23), log(FMD) (−0.38±0.67; P = 0.58). In women, in Model 1, uric acid levels were negatively associated with EIDV (−0.89±0.44; P = 0.04). However, no significant relationship was found between uric acid and EDV (−0.38±0.40, P = 0.35), and FMD (0.39±0.46, P = 0.40). Interestingly, the significant relationship between uric
Results: A total of 314 participants (86.5±4.92 years, all male) are living in the veterans home, only 220 participants completed the Dentist assessment in 2011. The prevalence of frailty was 6.6%, pre-frailty: 86.8% and non-frailty: 6.6% in 2013. The frail condition has poor MNA-SF score (<7) compared to pre-frail and non-frail (12.5% vs 0% vs 0%, p < 0.001), poor Barthel index score (87.2±9.7 vs 93.5±9.6 vs 100±0, p < 0.001), poor MMSE score (22.4±3.2 vs 25.2±3.3 vs 26.8±2.2, p < 0.001), but not related to poor denture function. Conclusions: Frailty has the relationship among poor nutrition status, poor ADL function and poor cognitive function, but not in poor denture function in 2 years follow up in older residents living in long-term care settings. P-364 The prevalence of oral problems, malnutrition and association between oral problems and malnutrition of nursing home residents D. Loeza1 , J. Schols2 , G.-J. van der Putten3 , R. Halfens4 Amaris Gooizicht, Amsterdam, Netherlands; 2 Dept. HSR – Maastricht University, Maastricht, Netherlands; 3 Amaris Gooizicht, Hilversum, Netherlands; 4 Netherlands 1
Objectives: The aim of this study was to assess the prevalence of experienced dental/denture problems, chewing problems, swallowing problems and malnutrition and the association between these problems and malnutrition of nursing homes residents on somatic and psychogeriatric nursing home wards in The Netherlands. Methods: A secondary analysis of the data of 2013 of the National Prevalence Measurement of Care Problems (LPZ), an annually conducted cross-sectional, multi-center study in nursing homes in The Netherlands. Results: A total of 2,232 nursing home residents, 599 residing at somatic and 1,633 residing at psychogeriatric wards were assessed by health care professionals. The prevalence of dental/denture problems, chewing problems and swallowing problems in somatic wards was respectively 5.5%, 23.0% and 22.0% and 6.8%, 30.0% and 10.2% in psychogeriatric wards. The prevalence of malnutrition in somatic wards was 9.3% and in psychogeriatric wards 16.1%. In psychogeriatric wards there was a significant association between the presence of experienced dental/denture problems, chewing problems (p < 0.001 both) but not for swallowing problems (p = 0.107) and malnutrition. There was no significant association between oral problems and malnutrition in residents on somatic wards. Conclusions: Malnutrition in psychogeriatric nursing home residents was more prevalent than in nursing home residents of somatic wards. No clear association was found between oral problems and malnutrition of residents on somatic wards. Only in psychogeriatric wards experienced dental/denture and chewing problems were related to malnutrition, suggesting that oral problems of psychogeriatric residents more often lead to malnutrition. P-365 Nutritional screening of patients at a memory clinic – association between patients’ and their relatives’ self-reports 4 A.L. Lyngroth1 , S.M.H. Sørensen2 , B.-O. Madsen3 , U. Soderhamn ¨ , 5 E.K. Grov 1 Sorlandet sykehus, Arendal, Arendal, Norway; 2 Sorlandet Hospital, Arendal, Norway; 3 Sorlandet Hospital Arendal, The Memory Clinic Postbox 783 Stoa4809 Arendal, Norway; 4 University of Agder, Grimstad, Norway; 5 Oslo and Akershus University of Applied Sciences, Institute of Nursing, Oslo, Norway
Aims and Objectives: To increase knowledge of nutritional screening in cognitive impaired by comparing individual reports
S129
by patients and relatives of the Nutritional Form For the Elderly (NUFFE). Background: Undernutrition is a significant problem among people with dementia. Design: A cross sectional prospective study. Method: Application of the NUFFE-NO in addition to cognitive tests in a memory clinic. Results: A total of 213 patients, mean age 73 years, 53% females, 32% single home-dwellers and 15% below the age of 65 were included in the study. The mean MMSE score was 23.2 and 50% failed the five-point Clock Drawing Test. Patients’ and relatives’ NUFFE-scores yielded comparative results, however the patients were inclined to report higher nutritional state compared to their relative’ scores. By self-reported NUFFE-scores, 32% were at medium to high risk of undernutrition. NUFFE-scores from their closest relatives revealed 43% of the patients at medium to high risk. Involuntary weight loss was reported by 42% of the patients, and in 26% of the sample BMI-values were below 22 kg/m2 . Conclusion: The study demonstrates that a significant proportion of patients at the memory clinic were at nutritional risk. Corresponding results exist between patients’ and their relatives’ NUFFE-scores, however patient assessed scores were somewhat more well-nourished than their relatives. The discrepancies seem to increase with more severe cognitive impairment. In our sample, females and single dwelling individuals are at a higher risk of undernutrition compared to males and cohabitants. Scores from the MMSE-test and CDT might predict the probability of weight loss. P-366 Uric acid as negative marker of endothelium-independent vasodilation in older women M. Maggio1 , C. Ruggiero2 , F. Lauretani3 , R. Aldigeri1 , A. Nouvenne4 , T. Meschi4 , A. Ticinesi4 , F. De Vita1 , T. Cederholm5 , L. Lind6 , G.P. Ceda7 1 University of Parma Dpt Clinical and Experimental Medicine, Parma, Italy; 2 University of Perugia, Perugia, Italy; 3 Geriatrics Unit, Parma University Hospital, Parma, Italy; 4 Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy; 5 Uppsala University, Uppsala, Sweden; 6 Uppsala University Hospital, Uppsala, Sweden; 7 Italy Objective: Uric acid (UA) is an inflammatory agent and potential mediator of human diseases. Endothelial dysfunction is thought to be the key event in the development of cardiovascular events in older population. Despite the potential contribution of UA to endothelial dysfunction most studies have been conducted in few adult subjects in specific diseases, with no objective test of endothelial function. Thus, we evaluated the relationship between UA and Endothelial vasodilation in older persons of Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) Study. Methods: This cross-sectional study involved 852 communitydwelling men and women aged 70 years with data on vascular function and uric acid. We evaluated endothelium-dependent vasodilation (EDV), endothelium-independent vasodilation (EIDV), flow-mediated vasodilation (FMD). We used multivariate regression models adjusted for BMI (Model 1) and for confounders (BMI, highsensitivity CRP, HDL-cholesterol, smoking, SHBG, hypertension; Model 2). Results: In men, in Model 1, log (uric acid) was not associated with log(EDV) (b±SE = 0.16±0.70, P = 0.82), log(EIDV) (−0.77±0.68; P = 0.23), log(FMD) (−0.38±0.67; P = 0.58). In women, in Model 1, uric acid levels were negatively associated with EIDV (−0.89±0.44; P = 0.04). However, no significant relationship was found between uric acid and EDV (−0.38±0.40, P = 0.35), and FMD (0.39±0.46, P = 0.40). Interestingly, the significant relationship between uric