SUN-P030: The European Working Group on Sarcopenia in Older People (EWGSOP) Definition of Low Muscle Mass is Associated with Functionality and Nutritional Status in Residents of a Nursing Home

Geriatrics 1 Results: 100 patients (52 male) aged 76.5 ± 4.7 years with a BMI of 27.6 ± 5.5 kg/m2 were included. The main diagnoses were gastroenterological (33%) and oncological diseases (31%). The prevalence of sarcopenia was 42%, of cachexia 32%, of frailty 33% and of malnutrition 15%. The prevalence rates were not significantly affected by the main diagnosis. 63% had at least one syndrome: 32% one, 11% two, 12% three and 8% all four. In 19% of patients sarcopenia and frailty occurred concurrently, in 20% frailty and cachexia and in 22% sarcopenia and cachexia with or without additional other syndromes. All expect one malnourished patient were also cachectic (93%) and 80% of malnourished patients were also sarcopenic. 53% of malnourished patients were in addition frail, cachectic and sarcopenic. Conclusion: In older medical inpatients of a German university hospital, sarcopenia was the most common weight loss syndrome, followed by cachexia and frailty. Malnutrition was least common and showed the largest overlap with other syndromes. Disclosure of Interest: None declared

SUN-P029 A MULTIDISCIPLINARY NUTRITIONAL INTERVENTION PROGRAM ACROSS SECTORS IMPROVED THE NUTRITIONAL STATUS AND SELF-RATED HEALTH IN GERIATRIC PATIENTS AT NUTRITIONAL RISK – A RANDOMIZED CONTROLLED TRIAL R. Terp1, K. O. Jacobsen2, P. Kannegaard2, A. M. Larsen3, O. R. Madsen4, E. Noiesen1. 1Department of Internal Medicine, 2 Department of Geriatric Medicin, 3Nutrional Unit, 4 Osteoporosis Clinic and Department of Rheumatology, University Hospital of Copenhagen, Herlev og Gentofte Hospital, Gentofte, Denmark Rationale: Undernutrition is a well-recognized and serious problem in elderly patients and is associated with several adverse clinical outcomes. The objective of this study was to investigate the effect of a multi-disciplinary, inter sectorial nutritional intervention program in geriatric nutritional at risk patients. Methods: A randomized controlled trial with 12 weeks followup after discharge. Geriatric patients (N = 144) at nutritional risk (<20.5 and/or weight loss within the last 3 months and/or a reduced dietary intake in the last week and/or severely ill) were randomly assigned to either control group (usual care) or intervention. The intervention consisted of on individual dietary plan conducted by a clinical dietician (RD) before discharge in combination with three follow-up visits after discharge (1, 4 and 8 weeks) conducted by a district nurse or a health care assistant. Before initiation of the study the follow-up personal received nutritional education of a RD. Primary outcome was nutritional status (weight change) and secondary outcomes were functional status (Barthel Index, hand-grip), readmission, mortality and quality of life (selfrated health). Outcome measurements were assessed at discharge (baseline) and after three months. Results: The intervention group (IG) improved their nutritional status compared to the (CG) (IG: mean weight change of +0.9 kg [4.2]; CG: mean weight change of – 0.8 kg [3.6] ( p = 0.03)). An improvement in self-rated health was seen in the IG compared to CG (IG: 47% vs CG: 24%; p = 0.021). No significant difference was found in functional status, mortality or readmissions rate between groups.

S55 Conclusion: A multidisciplinary and inter sectoral intervention in geriatric patients at nutritional risk led to an improvement in the nutritional status and self-rated health. Disclosure of Interest: None declared

SUN-P030 THE EUROPEAN WORKING GROUP ON SARCOPENIA IN OLDER PEOPLE (EWGSOP) DEFINITION OF LOW MUSCLE MASS IS ASSOCIATED WITH FUNCTIONALITY AND NUTRITIONAL STATUS IN RESIDENTS OF A NURSING HOME A. Tufan Cincin1, G. Bahat2, H. Ozkaya3, F. Tufan2, B. Saka2, M. A. Karan2. 1Internal Medicine, Division of Geriatrics, Marmara University Hospital, 2Internal Medicine, Division of Geriatrics, Istanbul Medical School, 3Istanbul Metropolitan Municipality, Department of Health and Social Services, Istanbul, Turkey Rationale: To determine the prevalence of low muscle mass (LMM) and the relationship between sarcopenic LMM with functionality and nutritional status as defined using the European Working Group on Sarcopenia in Older People (EWGSOP) criteria among male residents in a nursing home. Methods: Male residents aged >60 years of a nursing home located in Turkey, were included in our study. Their body mass index (BMI) kg/m2, skeletal muscle mass (SMM) kg/m2, and skeletal muscle mass index (SMMI) kg/m2 were calculated. Functional status were evaluated with Katz activities of daily living (ADL) and Lawton Instrumental Activities of Daily Living (IADL). Nutritional assessment was performed using the Mini Nutritional Assessment (MNA). The number of drugs taken and chronic diseases were recorded. Results: One hundred fifty-seven male residents were enrolled into the study. Their mean age was 73.1 ± 6.7 years with mean ADL score of 8.9 ± 2.0 and IADL score of 8.7 ± 4.6. One hundred twelve (71%) residents were aged >70 years. Thirty-five (23%) men had sarcopenic muscle mass in group aged >60 years, and twenty-eight (25%) subjects in the group aged >70 years. MNA scores were significantly lower in sarcopenic residents compared with nonsarcopenic males (17.1 ± 3.4 vs 19.6 ± 2.5, p = 0.005). BMI was significantly lower in the sarcopenic group compared with the nonsarcopenic subjects (19.6 ± 2.7 vs 27.1 ± 4.1, p < 0.001). ADL scores were significantly different between sarcopenic and nonsarcopenic subjects in those aged >70 years (8.1 ± 2.6 vs 9.1 ± 1.6, p = 0.014). Conclusion: There is a strong association of sarcopenic muscle mass with functionality and nutritional status within the nursing home setting using the EWGSOP criteria with Turkish normative reference cut-off values. Disclosure of Interest: None declared

SUN-P031 OROPHARYNGEAL DYSPHAGIA IS A PREVALENT PROBLEM ASSOCIATED WITH MORTALITY IN HOSPITALIZED OLDER ADULTS A. Tufan Cincin1, G. Bahat2. 1Internal Medicine, Division of Geriatrics, Marmara University Hospital, 2Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul, Turkey Rationale: Oropharyngeal dysphagia (OD) is a common but underdiagnosed syndrome among older adults. The aim of