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Results: 13.1% of the participants were at risk of MN.Frailty was found in 15.5%, IPP in 38.8% of the subjects.46.9% of the subjects at risk of MN were frail and 6.9% ofthose not at risk (p < 0.001). PII was found in 27.5% of thesubjects at risk of MN and in 4.0% not at risk (p < 0.001).With an MNA-score 17 23.5 the chances for frailty (OR13.2 (4.8 36.0)) and an IPP (OR 10.7 (3.54 32.04)) weresignificantly increased.Conclusion: A risk of malnutrition seems strongly associ-ated with frailty and physical impairment in community-dwelling older adults and should therefore be monitoredand adequately treated.

Disclosure of Interest: None Declared

PP038-MONNUTRITION TREATMENTS IN A SWEDISH NURSINGHOME LONG-TIME FOLLOW UPJ.E. Johannesson1, F. Slinde1, E. Rothenberg2.1Sahlgrenska Academy, Dept of Clinical Nutrition,University of Gothenburg, 2Clinical Nutrition,Sahlgrenska University Hospital, Gothenburg, Sweden

Rationale: Long term follow-up of nutrition treatmentwithin a nursing home population in Sweden, with weightchange and BMI as main outcome.Methods: A systematic follow-up regarding medical andnutrition diagnosis, nutrition prescription e.g. energy andprotein enriched diets, energy and protein dense sip feedsand energy modules, body weight (BW) and BMI wasundertaken. Inclusion criteria were >70 yrs, not obese,�3follow-ups and passed away. All information was collectedfrom medical records.Results: N = 116 subjects were included (20% males),mean age for females 92±5.9 and males 87±5.2 yr(p < 0.05). Mean number of follow-ups 14±9.4 and followup-time 19±12 months. For 12% no medical diagnosis wasidentified, 25% suffered from dementia, 16% circulatorydiseases and 7% Parkinson’s disease. 43% were diagnosedat risk for malnutrition, 25% with mild protein-energymalnutrition and 13% with moderate. 28% needed awheel chair and 10% were fed. 70% (n = 82) were givena nutrition prescription, in mean 584±268 kcal per day.The rest (n = 34) were prescribed energy- and proteinrich meals and/or other energy rich drinks. In the totalgroup 40% gained weight over time (mean weight gain3.7±3.7 kg). Baseline weight was negatively correlatedwith age (r = 0.27, p < 0.01). There was no differencebetween weight gainers and losers in age or baselineBMI. Within nutrition diagnosis, the “mild malnourished”participants were more likely to lose weight and the“risk for malnutrition” participants were more likely togain weight. Medical diagnosis had no effect on weightdevelopment.Conclusion: This database makes it possible to obtainlong term follow-up of nursing home residents at riskfor or diagnosed with malnutrition regarding outcomesof nutrition prescriptions. It is shown that even in thisold and sick population weight maintenance and weightgain are achievable over a long period.

Disclosure of Interest: None Declared

PP039-MONMNA AND 24H RECALL IN ELDERLY PEOPLE AT HOSPITALADMISSIONM. Cebola1, M. Franca2, C. Fernandes2, J. Sebastiao2,M.A. Botelho3, L. Mendes1. 1Scientific Area of Dietetics,2Technology School of Lisbon, 3University Departmentof Medicine II, University of Medical Sciences of Lisbon,Lisbon, Portugal

Rationale: The aging normal process implicates manychanges that often lead to the development changes inthe food intake. The aim of this study was to assess thenutritional status and the dietary intake in elderly athospital admission.Methods: It was a transversal analytic study at a CentralLisbon Hospital; Central Cascais Hospital; Central AlgarveHospital and one Central Hospital in Madeira Island.The nutritional assessment of elderly was evaluated by:Mini Nutritional Assessment MNA® and food intake with24 h recall.Results: The sample (n = 305) had an average age of75.68±6.85 (65 100) years and 55.4% were man. By MNA12.5% of elderly suffered from undernutrition and 43.6%of elderly had risk of malnutrition. According to the24 h recall it was found 21.1% of elderly had a severediminution and 43.3% had a moderately diminution offood intake, before hospital admission.A correlation was found between the MNA and foodintake, higher levels scores of MNA corresponding asituations of no changes in food intake.The analysis by gender according 24 h recall it was found18.36% of elderly men and 22.72% of elderly woman had asevere diminution and 45.65% of elderly men and 40.90%of elderly woman had a moderately diminution of foodintake. A correlation was found between the MNA andfood intake (r = 0.409 p = 0.006 in female; non correlationwas found in man).Conclusion: The majority of elderly present undernutri-tion/risk at hospital admission. Is it important the MNAapplication tool and adequate de hospital food to thepatient to treat/ prevent undernutrition status.Disclosure of Interest: None Declared

PP040-MONMINI NUTRITIONAL ASSESSMENT USE AT HOSPITALADMISSION OF ELDERLY POPULATION IS IT IMPORTANT?M. Cebola1, M. Franca2, C. Fernandes2, J. Sebastiao2,D. Mendes3, M. Gouveia4, L. Geada5, F. Borges6,L. Mendes1, M.A. Botelho7. 1Scientific Area of Dietetics,2Technology School of Lisbon, 3Unit of Nutritionand Dietetics, Central Lisbon Hospital, Lisbon, 4Unitof Nutrition and Dietetics, Central Islan Hospital,Madeira, 5Unit of Nutrition and Dietetics, CentralAlgarve Hospital, Algarve, 6Unit of Nutrition andDietetics, Central Cascais Hospital, Cascais, 7UniversityDepartment of Medicine II, University of MedicalSciences of Lisbon, Lisbon, Portugal

Rationale: The aging processes influence the live andhave impact on nutritional status of elderly. The aim ofthis study was to assess the nutritional status in an elderlypopulation group at hospital admission through the MiniNutritional Assessment®.