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P055 DENTAL AND GASTROINTESTINAL CHANGES AS INDICATORS OF MUSCLE MASS DEPLETION IN ELDERLY INPATIENTS
48 Results: Among the assessed elderly, 33.8% were classified as adequate regarding nutritional status; 37.1% were classified as being at risk of malnutrition and 29.1% were classified as malnourished. All the IADL and ADL variables assessed were significantly p-value more compromised among the malnourished individuals. Among the ADL variables, eating partial (42.9%) or complete (12.9%) dependence was found in more than half of the malnourished elderly, in 13.4% of those at risk of malnutrition and in 2.5% of those without malnutrition. Conclusion: Deterioration of the nutritional status of the elderly is accompanied by a reduction in the functional capacity. References [1] Ferreira LS, Nascimento LF, Marucci MF. Use of the mini nutritional assessment tool in elderly people from long-term institutions of southeast of Brazil. J Nutr Health Aging 2008; 12(3):213 7. [2] Tsai AC, Ho CS, Chang MC. Assessing the Prevalence of Malnutrition with the Mini Nutritional Assessment (MNA) in a Nationally Representative Sample of Elderly Taiwanese. J Nutr Health Aging 2008; 12(4):239 43. Disclosure of Interest: None declared.
P055 DENTAL AND GASTROINTESTINAL CHANGES AS INDICATORS OF MUSCLE MASS DEPLETION IN ELDERLY INPATIENTS V.A. Leandro-Merhi1 , K.C. Portero-Maclellan1 , J.L.D. Bernardi1 , P.B. Frenhani1 , J.G.T. Camargo2 , J.L.B. Aquino2 . 1 Clinical Nutrition, 2 Surgery, Puc-Campinas-University, Campinas-SP, Brazil Rationale: The objective of this study was to identify the associations between the nutritional status of elderly patients and length of hospital stay and presence of dental and gastrointestinal changes. Methods: This cross-sectional study analyzed anthropometric and food intake indicators, dental and gastrointestinal changes and length of hospital stay of 441 elderly patients of both genders. The Pearson’s correlation coefficient was used to verify the correlation between the nutritional status of the elderly patients and length of hospital stay and presence of dental and gastrointestinal changes. The significance level was set at p < 0.05. Results: Dietary and anthropometric variables as well as length of hospital stay were similar for patients with and without dental changes. Patients with gastrointestinal changes consumed less energy (p < 0.05) than patients without gastrointestinal changes. Length of hospital stay was inversely correlated with BMI (r = 0.15; p < 0.05); arm circumference was inversely correlated with presence of dental changes (r = 0.12; p < 0.05) and mid-arm muscle circumference was inversely correlated with gastrointestinal changes (r = 0.12; p < 0.05). Conclusion: Dental and gastrointestinal changes are important indicators of muscle mass depletion and dietary intake of inpatients. References [1] Gariballa S, Forster S. Associations between underlying disease and nutritional status following disease and nutritional status following acute illness in older people. Clinical Nutrition 2007; 26(4):466 473.
Poster presentations [2] Campos MAG, Pedroso ERP, Lamounier JAC. Estado nutricional e fatores associados em idosos. Rev. Assoc. Med. Bras. 2006; 52(4):214 21. Disclosure of Interest: None declared.
P056 Outstanding abstract THE INFLUENCE OF SIP FEEDING ON SPONTANEOUS FOOD INTAKE IN ACUTELY ILL GERIATRIC PATIENTS Z. Dedkova1 , P. Andelova1 , L. Sobotka1 . 1 Department of Gerontology and Metabolism, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic Rationale: Aims of our study were to assess whether a spontaneous food intake is affected by the sip feeding, to what degree the motivated sip feeding is tolerated and whether a level of plasma albumin and total protein is affected by the sip feeding in geriatric patients. Methods: Patients acutely admitted to our geriatric unit (52 patients: 28m, 24f, age 77 96 years) were randomly divided into 2 groups. Study group received the sip feed (300 kcal, 12 g proteins) twice a day together with a physiotherapy from the 2nd in-hospital day. Control group received a standard diet; the nutritional support and physiotherapy was given according to a general rules. The spontaneous food intake was recorded using a quarter plate method in both groups. The quantity of ingested sip feed was recorded daily. Plasma albumin and total protein levels were measured on admission, 3 and 6 months later. Results were expressed as the mean±SD. D’Agostino test and Student test were used for a normality and significance respectively. Results: The motivated sip feeding was well tolerated and the quantity of ingested sip feed was 81±25.9%. This did not affect the spontaneous food intake. The total intake of energy and proteins was significantly higher (p < 0.001) in the study group (study g: 2030±463 kcal/day, 77±14.4 proteins/day; control g: 1450±309 kcal/day, 57.8±11.6 proteins/day). The cumulative deficit of energy and proteins was eliminated by the sip feeding (study g: 778±5000 kcal, 30.1±151 g proteins; control g: 5560±2630 kcal, 177±108 g proteins). The sip feeding led to an increase in plasma albumin and total protein levels 3 months after discharge (p < 0.001). Conclusion: The motivated sip feeding (explanation of the purpose in feeding) is well tolerated in acutely ill geriatric patients. It increases the in-hospital energy and protein intake and improves plasma protein levels in long term interval. Disclosure of Interest: No conflict
P055 DENTAL AND GASTROINTESTINAL CHANGES AS INDICATORS OF MUSCLE MASS DEPLETION IN ELDERLY INPATIENTS V.A. Leandro-Merhi1 , K.C. Portero-Maclellan1 , J.L.D. Bernardi1 , P.B. Frenhani1 , J.G.T. Camargo2 , J.L.B. Aquino2 . 1 Clinical Nutrition, 2 Surgery, Puc-Campinas-University, Campinas-SP, Brazil Rationale: The objective of this study was to identify the associations between the nutritional status of elderly patients and length of hospital stay and presence of dental and gastrointestinal changes. Methods: This cross-sectional study analyzed anthropometric and food intake indicators, dental and gastrointestinal changes and length of hospital stay of 441 elderly patients of both genders. The Pearson’s correlation coefficient was used to verify the correlation between the nutritional status of the elderly patients and length of hospital stay and presence of dental and gastrointestinal changes. The significance level was set at p < 0.05. Results: Dietary and anthropometric variables as well as length of hospital stay were similar for patients with and without dental changes. Patients with gastrointestinal changes consumed less energy (p < 0.05) than patients without gastrointestinal changes. Length of hospital stay was inversely correlated with BMI (r = 0.15; p < 0.05); arm circumference was inversely correlated with presence of dental changes (r = 0.12; p < 0.05) and mid-arm muscle circumference was inversely correlated with gastrointestinal changes (r = 0.12; p < 0.05). Conclusion: Dental and gastrointestinal changes are important indicators of muscle mass depletion and dietary intake of inpatients. References [1] Gariballa S, Forster S. Associations between underlying disease and nutritional status following disease and nutritional status following acute illness in older people. Clinical Nutrition 2007; 26(4):466 473.
Poster presentations [2] Campos MAG, Pedroso ERP, Lamounier JAC. Estado nutricional e fatores associados em idosos. Rev. Assoc. Med. Bras. 2006; 52(4):214 21. Disclosure of Interest: None declared.
P056 Outstanding abstract THE INFLUENCE OF SIP FEEDING ON SPONTANEOUS FOOD INTAKE IN ACUTELY ILL GERIATRIC PATIENTS Z. Dedkova1 , P. Andelova1 , L. Sobotka1 . 1 Department of Gerontology and Metabolism, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic Rationale: Aims of our study were to assess whether a spontaneous food intake is affected by the sip feeding, to what degree the motivated sip feeding is tolerated and whether a level of plasma albumin and total protein is affected by the sip feeding in geriatric patients. Methods: Patients acutely admitted to our geriatric unit (52 patients: 28m, 24f, age 77 96 years) were randomly divided into 2 groups. Study group received the sip feed (300 kcal, 12 g proteins) twice a day together with a physiotherapy from the 2nd in-hospital day. Control group received a standard diet; the nutritional support and physiotherapy was given according to a general rules. The spontaneous food intake was recorded using a quarter plate method in both groups. The quantity of ingested sip feed was recorded daily. Plasma albumin and total protein levels were measured on admission, 3 and 6 months later. Results were expressed as the mean±SD. D’Agostino test and Student test were used for a normality and significance respectively. Results: The motivated sip feeding was well tolerated and the quantity of ingested sip feed was 81±25.9%. This did not affect the spontaneous food intake. The total intake of energy and proteins was significantly higher (p < 0.001) in the study group (study g: 2030±463 kcal/day, 77±14.4 proteins/day; control g: 1450±309 kcal/day, 57.8±11.6 proteins/day). The cumulative deficit of energy and proteins was eliminated by the sip feeding (study g: 778±5000 kcal, 30.1±151 g proteins; control g: 5560±2630 kcal, 177±108 g proteins). The sip feeding led to an increase in plasma albumin and total protein levels 3 months after discharge (p < 0.001). Conclusion: The motivated sip feeding (explanation of the purpose in feeding) is well tolerated in acutely ill geriatric patients. It increases the in-hospital energy and protein intake and improves plasma protein levels in long term interval. Disclosure of Interest: No conflict