S24 9th Congress of the EUGMS / European Geriatric Medicine 4 (2013) S20–S80

related factors, factors related to the health care system, factorsinherent to the disease and socio-economic factors.Conclusions.– According to the results, non-adherence in older peo-ple with diabetes is a problem with serious implications for theperson’s health and the world’s economy. Research focusing oninterventions to improve medication adherence, has been littledeveloped, so more research in this area is necessary, with dissem-ination of scientific knowledge.

http://dx.doi.org/10.1016/j.eurger.2013.07.076

P013Cardiovascular treatment in patient ofmore than 80 years immobilized inprimary careE. Vazquez Seijas , C. Rodriguez Fernandez ,M. Sanchez de Enciso Ruiz , M.C. Lopez SilvaServicio Galego de Saude, Lugo, Spain

Objectives.–– To know the epidemiologic characteristics of the very old patients(more than 80 years) immobilized in Primary Care (PC).– To know the cardiovascular pharmacological treatment of thesepatients.Patient and method.– Were included in this study all patient 80or more years old than figured in the “Program of people immo-bilized of the Service Galego of Saúde”, during the period from2012 September to 2013 January. To all the participants they wereapplied a questionnaire of collection of data designed that includedpharmacological data, personal antecedents of interest, as well asaspects related with the cares of the patients.Results.– It is a sample of 74 people, with a half age of 88.1 (±9.76)years, being 75.68% females and 24.32% males. 58.11% was immobi-lized because of the dementia, 21.62% because of stroke and 16.9%because of Parkinson disease. The drugs/patient mean taken by thetotal of the sample was of 8.1 (±6.9) and the units/dose/day meanof 10.5 (±5.24). Taking treatment for the cardiovascular area 75,7%of the cases, of which 72,2% received antihypertensive treatment,66,7% anticoagulant/antiplatelet agents, 22,2% drugs for the heartfailure and 11,1% for the ischemic heart disease.Conclusions.– The main immobilization cause in patient very old it isthe dementia, followed by the stroke and of the Parkinson disease.Three of each four very old people immobilized receives medicaltreatment for the cardiovascular area. The antihypertensive drugsare the cardiovascular treatment more used in these patients.

http://dx.doi.org/10.1016/j.eurger.2013.07.077

P014Self-perceived weather sensitivity andjoint pain in older people withosteoarthritis in six europeancountries: Results from the EuropeanProject on OSteoArthritis (EPOSA)E.J. Timmermans , S. van der Pas , L.A. Schaap ,D.J.H. Deeg 1

Department of Epidemiology and Biostatistics, EMGO+ Institute forHealth and Care Research, VU University Medical Center, Amsterdam,The Netherlands

Introduction.– People with osteoarthritis (OA) frequently assert thatthe severity of their pain is influenced by weather conditions. Theaims of this study were to examine whether there are differences inperceived joint pain between weather-sensitive and non-weather-sensitive people with OA in six European countries with differentclimates and to identify characteristics of older persons with OAthat are most predictive of perceived weather sensitivity.

Method.– Baseline data from the European Project on OSteoArthri-tis (EPOSA) were used. EPOSA-participants with clinical OA wereasked about their perception of weather as influencing their pain.Using a two-week pain calendar, average self-reported joint painwas assessed. Analyses were adjusted for potential confounders.Results.– The majority of participants with OA perceived theweather as affecting their pain. Compared to non-weather-sensitive participants (n = 243), the weather-sensitive participants(n = 469) reported more pain (P < 0.001). Most weather-sensitiveparticipants reported damp/rain and/or cold weather as affectingtheir pain. Hot weather conditions were less frequently reportedas influencing pain. Women and more anxious people were morelikely to report weather-sensitivity. Older people with OA fromSpain and Italy were more likely to indicate themselves as weather-sensitive persons compared to older people with OA in Sweden.Conclusions.– Older people with OA who report to be weather-sensitive experience more joint pain than non-weather-sensitiveolder people with OA. Sex, country and anxiety are independentpredictors of self-perceived weather sensitivity in older peoplewith OA. The current results emphasize the importance of consid-ering weather sensitivity in daily life in this specific group.

1For the EPOSA working group.

http://dx.doi.org/10.1016/j.eurger.2013.07.078

P015Relationship between hypothyroidismand central atherosclerosis in elderlyB. Evrenos a, T. Atli a, M.F. Erdogan b, S. Aras a,M. Varli a, A. Yalcin a, Ö. Cengiz Karaarslan a,V. Atmis a

a Ankara University School of Medicine, Internal MedicineDepartment, Geriatrics Department, Ankara, Turkeyb Ankara University School of Medicine, Internal MedicineDepartment, Endocrinology Department, Ankara, Turkey

Introduction.– Both arterial stiffness (AS) and hypothyroidismincrease with aging and relationship between atherosclerosis andboth of these conditions was shown. Measurement of AS can bepredictive for early stages of atherosclerosis. Peripheral arterialdisease (PAH) another disease linked to atherosclerosis is also com-mon in elderly. Although the relationship between hypothyroidismand atherosclerosis was known, the effect of hypothyroidism onprogress of PAH was not known. While pulse wave velocity (PWV) isan index for AS, ankle-brachial index (ABI) is an index for peripheralatherosclerosis. In this study we aim to evaluate the relationshipbetween hypothyroidism and atherosclerosis by using PWV andABI.Methods.– Twenty newly diagnosed sub-clinic and clinic hypothy-roid patients (HP) (TSH > 5 mIU/L) older than 65-years-old and 20euthyroid controls (EC) older than 65-years-old were rolled intostudy. PWV was measured between carotid and femoral arteries.ABI was measured by handheld Doppler.Results.– There was no difference between HP and EC for demo-graphic and clinic data. There are seven (35%) clinic and 13 (65%)sub-clinic hypothyroid cases in HP group. There is also no differencebetween mean PWV (HP = 11.4 ± 3.1 m/s vs. EC = 11.9 ± 2.7 m/s)(P > 0.05) and mean ABI (HP = 1.03 ± 0.18 vs. EC = 1.07 ± 0.12)(P > 0.05) for both groups but LDL cholesterol levels were higherin HP (166 ± 58 mg/dl) group than EC (122 ± 28 mg/dl) (P = 0,005).Key conclusions.– We do not find a relationship between hypothy-roidism and atherosclerosis. However, because of the evidenceshowing the relationship between hypothyroidism and early stageatherosclerosis, large-scaled prospective studies were needed.

http://dx.doi.org/10.1016/j.eurger.2013.07.079