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SUN-PP240: Body Dissatisfaction Among Students from University
S112
Poster presentations
poor outcome in the long-term following TPN. In case there is clinical doubt for beneficial use of TPN, a high CRP shouldn’t be a criterion to withhold TPN use in critically ill patients.
SUN-PP239 NUTRITIONDAY IN NURSING HOMES CHARACTERISTICS OF RESIDENTS RECEIVING TUBE FEEDING
Disclosure of Interest: None declared
M. Streicher1 , M. Themessl-Huber2 , M. Mouhieddine2 , S. Kosak3 , R.E. Roller4 , K. Schindler2 , C.C. Sieber1 , M. Hiesmayr2 , D. Volkert1 . 1 Friedrich-Alexander Universit¨ at Erlangen-N¨ urnberg, Institute for Biomedicine of Aging, Nuremberg, Germany; 2 Medical University of Vienna, 3 nutritionDay Office, Vienna, 4 Medical University of Graz, Graz, Austria
SUN-PP238 POOR DIET AND PHYSICAL INACTIVITY AS RISK FACTORS FOR THE DEVELOPMENT OF OSTEOPENIA IN PORTUGUESE FEMALE ADULTS M.-R.G. Silva1,2 , C. Fonseca1 , H. Silva3 . 1 Faculty of Health Sciences, University Fernando Pessoa, Oporto, Portugal, Oporto, 2 Research Centre for Anthropology and Health, University of Coimbra, Coimbra, 3 Ministry of Education, Lisbon, Portugal Rationale: Modifiable factors (lifestyle, dietary intake, smoking) and non-modifiable factors (gender, race) may cause changes in bone mass by decreasing bone mineral density and increasing the risk of bone fractures. Therefore, the aim of this study was to evaluate the bone mineral density in adults, as well as their eating habits, including in calcium-rich food and other risk factors, such as smoking habits and caffeine and alcohol consumption. Methods: Eighty-seven Caucasian subjects (55 female and 32 male) who studied or worked at a Portuguese university aged from 32 years old to 60 years old were evaluated. A selfadministered questionnaire was applied for data collection, as follows: socio-demographic data; anthropometric data; history of bone fractures; eating habits, including calciumrich food; medication; physical activity; smoking habits; and alcohol consumption. Calcaneal broadband attenuation (BUA), speed of sound, and QUS index were obtained by using a Hologic Sahara Clinical Bone Sonometer. Written informed consent was obtained from all participants. Descriptive and inferential statistics were performed using SPSS, version 20. Results: Most participants (55%) presented osteopenia, 7% suffered from osteoporosis and 33% suffered at least one bone fracture. Participants’ diet was monotonous and inadequate in calcium-rich food (p < 0.05). No significant difference (p > 0.05) was found among gender groups in terms of smoking habits and caffeine and alcohol consumption. However, two risk factors were observed for the development of osteopenia, such as physical inactivity and a poor diet in calcium (p < 0.01); females were at a greater risk for suffer from osteopenia than males (p < 0.05). Conclusion: The adoption of a healthy diet and an active lifestyle, including physical exercise of impact might be helpful to prevent bone mineral density loss. Longitudinal studies are needed.
Rationale: Tube feeding (TF) in nursing homes (NH) is an option for nutritional support when residents cannot meet their nutritional needs by oral intake. The aim of this analysis was to determine characteristics of residents who receive TF. Methods: Adult NH residents participating in the nutritionDay (nD) project between 2007 and 2013 with complete data on 29 variables were included (n = 23,448). Unit characteristics (4 variables), resident characteristics (19), nutritional status (3) and nutritional intake/support of residents (3) were of interest as potential predictors of the use of TF (no vs. yes). Univariate logistic regression (LR) analyses were performed for all variables, and significant predictors (p < 0.10) subsequently included in a multivariate analysis (backwards LR, with Bonferroni correction). Results: Prevalence of TF was 2.7%. Univariate analysis identified 23 variables as predictors. After multivariate analysis 5 variables remained in the model (Nagelkerke’s R2 = 0.560, p < 0.003). Odds ratios (OR [95% CI]) of receiving TF were highest in residents receiving “no oral diet” (45.5 [31.1 66.6]), “special diet” (2.98 [1.99 4.48]) or “fortified diet” (2.88 [1.87 4.44]) (each vs “normal diet”). Residents with “dysphagia” (9.83 [7.27 13.3]) or “chewing problems” (1.62 [1.21 2.16]) also were more likely to receive TF. The odds of receiving TF were 14.9 [9.65 23.05] and 3.4 [2.11 5.42] times higher in “immobile” or “partially mobile” residents compared to “mobile” residents, respectively. Conclusion: In nursing homes participating in the nD, residents receiving tube feeding are often in a poor physical condition and not able to eat at all or to eat adequate amounts due to dysphagia or chewing problems. Disclosure of Interest: None declared
SUN-PP240 BODY DISSATISFACTION AMONG STUDENTS FROM UNIVERSITY M.D.S. Santana1 , J.A.D.B. Campos1 , on behalf of Analise e Valida¸ ca ˜o Metrica. 1 Universidade Estadual Paulista “J´ ulio Mesquita Filho”, Araraquara, Brazil
Disclosure of Interest: None declared
Rationale: The study was performed to assess body dissatisfaction and its association with sample characteristics in Brazilian students from university. Methods: The sample consisted of 981 Health Sciences students (36.8%) and Human/Social Sciences (73.1%) of a public university. We used Figure Rating Scale and a questionnaire to characterize the sample. Participants reported their weight and height and the corresponding figure about their “current body” and “desired body”. Body dissatisfaction was obtained by the difference between body mass index (BMI) of “desired body” and the “current body” being considered dissatisfied
Nutritional epidemiology 1 when the difference was found =0. / The correlation between BMI “current body” and the self-reported BMI was estimated by Pearson’s correlation coefficient (r). The association between body dissatisfaction and sample characteristics was evaluated using the chi-square test. Results: The average age was 21.5 (SD = 3.7) years, and 63.8% were women. Among students from university, 30.6% had labor activity, 13.4% used medicine to change the body mainly for weight loss (50.6%) and 22.8% used dietary supplements specially for lean mass gains (63.1%). 68.8% were eutrophic, 24.5% overweight and 6.7% were underweight. The average self-reported BMI for women and men was 22.5 kg/m2 (SD = 3.8) and 24.2 kg/m2 (SD = 4.0), respectively. It was found a strong and significant correlation between self-Reported BMI and BMI “current body” for men (r = 0.81, p < 0.05) and women (r = 0.76, p < 0.05). Among the participants, 83.2% had body dissatisfaction. A significant association between body dissatisfaction and sex (p = 0.002), nutritional status (p = 0.002) and medication use to change the body (p = 0.004). Conclusion: There was a high prevalence of body dissatisfaction among students. The most affected were women, people with overweight/obesity people and others reported relaram drugs use to change the body. Disclosure of Interest: None declared
SUN-PP241 OBSTRUCTION OF A NASOGASTRIC TUBE by Ascaris lumbricoides: A CASE REPORT R.T. Prete1 , P. Ramos1 , S. Fonseca1 , C.S. Andrade1 , V.P. Scarpato1 . 1 Hospital Bandeirantes, S˜ ao Paulo, Brazil Rationale: Obstruction of nasoenteric tubes (NET) is relatively common in clinical practice. Usually this event is related retention will enteral feeding of waste in its lumen or complex formation -medication formula. This study is a case of unusual obstruction caused by Ascaris lumbricoides. Methods: This is a case study which analyzed the medical records of a patient in ward by head trauma. Due to the clinical installed a NET in the second duodenal portion. Results: It was reported during hospitalization a loss of probe by obstruction. After many attempts at unblocking the NET was removed and identified adult worm cylindrical appearance with about 30 cm obstructing the lumen of the catheter. Infestation was diagnosed by A. lumbricoides. Conclusion: The creation of barriers to prevent loss of NET is the most effective means of ensuring an adequate supply of nutrients to the patient. The probe obstruction by A. lumbricoides is an extremely rare event and the early identification of infestation can be a barrier to prevent loss of NET. Disclosure of Interest: None declared
SUN-PP242 NUTRITIONAL RISK SCREENING IN FAROE ISLANDS: AN AUDIT P. Patursson1 , S. Gaini1 , K.R. Nielsen1 . 1 Medical Department, National Hospital of Faroe Islands, Torshavn, Faroe Islands Rationale: A great proportion of patients in hospitals are malnourished. Currently, the prevalence of patients at nutritional risk in Faroe Islands is unknown. The National
S113 Hospital of Faroe Islands has a nutritional risk screening policy, but little is known about the nutritional practice at the wards. The aim of this study is to investigate whether somatic wards are fulfilling the hospital policy regarding nutritional risk screening at admission. Methods: A cross-sectional study including all patients hospitalized >24 hours at six wards (three medical, two surgical, one intensive care unit) on two randomly selected days, six months apart. The audits were carried out by reviewing patient records in accordance with guidelines from the Danish Health Care Quality Program. Reason for missing data was only acceptable if patients met the exclusion criteria. Results: A total of 135 patients records were examined of which 99 patients were eligible for screening. Audit data showed that in total 14 of 99 patients (12.4%) were screened by the staff at admission, 24.7% at medical wards and none at surgical or intensive wards. In total 71% of screened patients were found to be at nutritional risk (score 3) of which 40% had a nutrition plan. Large variations in the frequency of screening were recorded between wards, ranging from none to 70%. Body weight at admission was documented in 38 of 99 patients (38%), including 93% in screened and 29% in patients not screened, which was significantly different (p < 0.001). Conclusion: Hospital guidelines prescribe that all hospitalized patients should be screened for nutritional risk within 24 hours after admission. However, only 12.4% of patients were screened at admission. It seems that body weight is more routinely used. The audit data highlights the need for proper implementation strategies in order to make nutritional risk screening a part of the staff’s routine tasks. Disclosure of Interest: None declared
SUN-PP243 INCIDENCE AND CHARACTERISTICS OF HOME ARTIFICIAL NUTRITION IN A HEALTH AREA OF GALICIA (SPAIN) ´ . Martínez-Olmos2 , D. Bellido-Guerrero3 , R. Villar-Taibo1 , M.-A R. Pein´ o-García2 , A. Martís-Sueiro2 , E. Camarero-Gonz´ alez2 , 2 2 2 V. Ríos-Barreiro , P. Cao-S´ an-Martínez , anchez , R. Dur´ M.-J. Rodríguez-Iglesias2 , B. Rodríguez-Blanco4 , J. Rojo-Vald´ es4 . 1 Endocrinology and Nutrition, Complejo Asistencial Universitario de Le´ on, Le´ on, 2 Endocrinology and Nutrition, Complejo Hospitalario Universitario of Santiago de Compostela, Santiago de Compostela, 3 Endocrinology and Nutrition, Hospital Arquitecto Marcide, Ferrol, 4 Hospital Pharmacy Department, Complejo Hospitalario Universitario of Santiago de Compostela, Santiago de Compostela, Spain Rationale: Home artificial nutrition (HAN) has developed over the past decades to fight malnutrition. However, there is a notable lack of information due to the absence of obligatory registries Our aim was to assess the state of HAN in our area. Methods: An observational, prospective, two-year study was designed, including all patients who initiated HAN in our area from October 2009 until October 2010. After inclusion, the patients were followed for at least another year. We evaluated their epidemiological, functional, and nutritional evolution. Results: The incidence of HAN in our area was 229 cases per 100,000 inhabitants per year. HAN population (n = 573) was characterized by the aged (78.6% of the patients 65 years), a high frequency of comorbidity and functional limitations (80%). Neurological and oncological diseases accounted for
Poster presentations
poor outcome in the long-term following TPN. In case there is clinical doubt for beneficial use of TPN, a high CRP shouldn’t be a criterion to withhold TPN use in critically ill patients.
SUN-PP239 NUTRITIONDAY IN NURSING HOMES CHARACTERISTICS OF RESIDENTS RECEIVING TUBE FEEDING
Disclosure of Interest: None declared
M. Streicher1 , M. Themessl-Huber2 , M. Mouhieddine2 , S. Kosak3 , R.E. Roller4 , K. Schindler2 , C.C. Sieber1 , M. Hiesmayr2 , D. Volkert1 . 1 Friedrich-Alexander Universit¨ at Erlangen-N¨ urnberg, Institute for Biomedicine of Aging, Nuremberg, Germany; 2 Medical University of Vienna, 3 nutritionDay Office, Vienna, 4 Medical University of Graz, Graz, Austria
SUN-PP238 POOR DIET AND PHYSICAL INACTIVITY AS RISK FACTORS FOR THE DEVELOPMENT OF OSTEOPENIA IN PORTUGUESE FEMALE ADULTS M.-R.G. Silva1,2 , C. Fonseca1 , H. Silva3 . 1 Faculty of Health Sciences, University Fernando Pessoa, Oporto, Portugal, Oporto, 2 Research Centre for Anthropology and Health, University of Coimbra, Coimbra, 3 Ministry of Education, Lisbon, Portugal Rationale: Modifiable factors (lifestyle, dietary intake, smoking) and non-modifiable factors (gender, race) may cause changes in bone mass by decreasing bone mineral density and increasing the risk of bone fractures. Therefore, the aim of this study was to evaluate the bone mineral density in adults, as well as their eating habits, including in calcium-rich food and other risk factors, such as smoking habits and caffeine and alcohol consumption. Methods: Eighty-seven Caucasian subjects (55 female and 32 male) who studied or worked at a Portuguese university aged from 32 years old to 60 years old were evaluated. A selfadministered questionnaire was applied for data collection, as follows: socio-demographic data; anthropometric data; history of bone fractures; eating habits, including calciumrich food; medication; physical activity; smoking habits; and alcohol consumption. Calcaneal broadband attenuation (BUA), speed of sound, and QUS index were obtained by using a Hologic Sahara Clinical Bone Sonometer. Written informed consent was obtained from all participants. Descriptive and inferential statistics were performed using SPSS, version 20. Results: Most participants (55%) presented osteopenia, 7% suffered from osteoporosis and 33% suffered at least one bone fracture. Participants’ diet was monotonous and inadequate in calcium-rich food (p < 0.05). No significant difference (p > 0.05) was found among gender groups in terms of smoking habits and caffeine and alcohol consumption. However, two risk factors were observed for the development of osteopenia, such as physical inactivity and a poor diet in calcium (p < 0.01); females were at a greater risk for suffer from osteopenia than males (p < 0.05). Conclusion: The adoption of a healthy diet and an active lifestyle, including physical exercise of impact might be helpful to prevent bone mineral density loss. Longitudinal studies are needed.
Rationale: Tube feeding (TF) in nursing homes (NH) is an option for nutritional support when residents cannot meet their nutritional needs by oral intake. The aim of this analysis was to determine characteristics of residents who receive TF. Methods: Adult NH residents participating in the nutritionDay (nD) project between 2007 and 2013 with complete data on 29 variables were included (n = 23,448). Unit characteristics (4 variables), resident characteristics (19), nutritional status (3) and nutritional intake/support of residents (3) were of interest as potential predictors of the use of TF (no vs. yes). Univariate logistic regression (LR) analyses were performed for all variables, and significant predictors (p < 0.10) subsequently included in a multivariate analysis (backwards LR, with Bonferroni correction). Results: Prevalence of TF was 2.7%. Univariate analysis identified 23 variables as predictors. After multivariate analysis 5 variables remained in the model (Nagelkerke’s R2 = 0.560, p < 0.003). Odds ratios (OR [95% CI]) of receiving TF were highest in residents receiving “no oral diet” (45.5 [31.1 66.6]), “special diet” (2.98 [1.99 4.48]) or “fortified diet” (2.88 [1.87 4.44]) (each vs “normal diet”). Residents with “dysphagia” (9.83 [7.27 13.3]) or “chewing problems” (1.62 [1.21 2.16]) also were more likely to receive TF. The odds of receiving TF were 14.9 [9.65 23.05] and 3.4 [2.11 5.42] times higher in “immobile” or “partially mobile” residents compared to “mobile” residents, respectively. Conclusion: In nursing homes participating in the nD, residents receiving tube feeding are often in a poor physical condition and not able to eat at all or to eat adequate amounts due to dysphagia or chewing problems. Disclosure of Interest: None declared
SUN-PP240 BODY DISSATISFACTION AMONG STUDENTS FROM UNIVERSITY M.D.S. Santana1 , J.A.D.B. Campos1 , on behalf of Analise e Valida¸ ca ˜o Metrica. 1 Universidade Estadual Paulista “J´ ulio Mesquita Filho”, Araraquara, Brazil
Disclosure of Interest: None declared
Rationale: The study was performed to assess body dissatisfaction and its association with sample characteristics in Brazilian students from university. Methods: The sample consisted of 981 Health Sciences students (36.8%) and Human/Social Sciences (73.1%) of a public university. We used Figure Rating Scale and a questionnaire to characterize the sample. Participants reported their weight and height and the corresponding figure about their “current body” and “desired body”. Body dissatisfaction was obtained by the difference between body mass index (BMI) of “desired body” and the “current body” being considered dissatisfied
Nutritional epidemiology 1 when the difference was found =0. / The correlation between BMI “current body” and the self-reported BMI was estimated by Pearson’s correlation coefficient (r). The association between body dissatisfaction and sample characteristics was evaluated using the chi-square test. Results: The average age was 21.5 (SD = 3.7) years, and 63.8% were women. Among students from university, 30.6% had labor activity, 13.4% used medicine to change the body mainly for weight loss (50.6%) and 22.8% used dietary supplements specially for lean mass gains (63.1%). 68.8% were eutrophic, 24.5% overweight and 6.7% were underweight. The average self-reported BMI for women and men was 22.5 kg/m2 (SD = 3.8) and 24.2 kg/m2 (SD = 4.0), respectively. It was found a strong and significant correlation between self-Reported BMI and BMI “current body” for men (r = 0.81, p < 0.05) and women (r = 0.76, p < 0.05). Among the participants, 83.2% had body dissatisfaction. A significant association between body dissatisfaction and sex (p = 0.002), nutritional status (p = 0.002) and medication use to change the body (p = 0.004). Conclusion: There was a high prevalence of body dissatisfaction among students. The most affected were women, people with overweight/obesity people and others reported relaram drugs use to change the body. Disclosure of Interest: None declared
SUN-PP241 OBSTRUCTION OF A NASOGASTRIC TUBE by Ascaris lumbricoides: A CASE REPORT R.T. Prete1 , P. Ramos1 , S. Fonseca1 , C.S. Andrade1 , V.P. Scarpato1 . 1 Hospital Bandeirantes, S˜ ao Paulo, Brazil Rationale: Obstruction of nasoenteric tubes (NET) is relatively common in clinical practice. Usually this event is related retention will enteral feeding of waste in its lumen or complex formation -medication formula. This study is a case of unusual obstruction caused by Ascaris lumbricoides. Methods: This is a case study which analyzed the medical records of a patient in ward by head trauma. Due to the clinical installed a NET in the second duodenal portion. Results: It was reported during hospitalization a loss of probe by obstruction. After many attempts at unblocking the NET was removed and identified adult worm cylindrical appearance with about 30 cm obstructing the lumen of the catheter. Infestation was diagnosed by A. lumbricoides. Conclusion: The creation of barriers to prevent loss of NET is the most effective means of ensuring an adequate supply of nutrients to the patient. The probe obstruction by A. lumbricoides is an extremely rare event and the early identification of infestation can be a barrier to prevent loss of NET. Disclosure of Interest: None declared
SUN-PP242 NUTRITIONAL RISK SCREENING IN FAROE ISLANDS: AN AUDIT P. Patursson1 , S. Gaini1 , K.R. Nielsen1 . 1 Medical Department, National Hospital of Faroe Islands, Torshavn, Faroe Islands Rationale: A great proportion of patients in hospitals are malnourished. Currently, the prevalence of patients at nutritional risk in Faroe Islands is unknown. The National
S113 Hospital of Faroe Islands has a nutritional risk screening policy, but little is known about the nutritional practice at the wards. The aim of this study is to investigate whether somatic wards are fulfilling the hospital policy regarding nutritional risk screening at admission. Methods: A cross-sectional study including all patients hospitalized >24 hours at six wards (three medical, two surgical, one intensive care unit) on two randomly selected days, six months apart. The audits were carried out by reviewing patient records in accordance with guidelines from the Danish Health Care Quality Program. Reason for missing data was only acceptable if patients met the exclusion criteria. Results: A total of 135 patients records were examined of which 99 patients were eligible for screening. Audit data showed that in total 14 of 99 patients (12.4%) were screened by the staff at admission, 24.7% at medical wards and none at surgical or intensive wards. In total 71% of screened patients were found to be at nutritional risk (score 3) of which 40% had a nutrition plan. Large variations in the frequency of screening were recorded between wards, ranging from none to 70%. Body weight at admission was documented in 38 of 99 patients (38%), including 93% in screened and 29% in patients not screened, which was significantly different (p < 0.001). Conclusion: Hospital guidelines prescribe that all hospitalized patients should be screened for nutritional risk within 24 hours after admission. However, only 12.4% of patients were screened at admission. It seems that body weight is more routinely used. The audit data highlights the need for proper implementation strategies in order to make nutritional risk screening a part of the staff’s routine tasks. Disclosure of Interest: None declared
SUN-PP243 INCIDENCE AND CHARACTERISTICS OF HOME ARTIFICIAL NUTRITION IN A HEALTH AREA OF GALICIA (SPAIN) ´ . Martínez-Olmos2 , D. Bellido-Guerrero3 , R. Villar-Taibo1 , M.-A R. Pein´ o-García2 , A. Martís-Sueiro2 , E. Camarero-Gonz´ alez2 , 2 2 2 V. Ríos-Barreiro , P. Cao-S´ an-Martínez , anchez , R. Dur´ M.-J. Rodríguez-Iglesias2 , B. Rodríguez-Blanco4 , J. Rojo-Vald´ es4 . 1 Endocrinology and Nutrition, Complejo Asistencial Universitario de Le´ on, Le´ on, 2 Endocrinology and Nutrition, Complejo Hospitalario Universitario of Santiago de Compostela, Santiago de Compostela, 3 Endocrinology and Nutrition, Hospital Arquitecto Marcide, Ferrol, 4 Hospital Pharmacy Department, Complejo Hospitalario Universitario of Santiago de Compostela, Santiago de Compostela, Spain Rationale: Home artificial nutrition (HAN) has developed over the past decades to fight malnutrition. However, there is a notable lack of information due to the absence of obligatory registries Our aim was to assess the state of HAN in our area. Methods: An observational, prospective, two-year study was designed, including all patients who initiated HAN in our area from October 2009 until October 2010. After inclusion, the patients were followed for at least another year. We evaluated their epidemiological, functional, and nutritional evolution. Results: The incidence of HAN in our area was 229 cases per 100,000 inhabitants per year. HAN population (n = 573) was characterized by the aged (78.6% of the patients 65 years), a high frequency of comorbidity and functional limitations (80%). Neurological and oncological diseases accounted for