Table of Contents Table of Contents
Previous Page  218 / 812 Next Page
Information
Show Menu
Previous Page 218 / 812 Next Page
Page Background

S214

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.405

EW288

Physical activity, salivary cortisol and

psychological well-being in

institutionalized elderly women –

A preliminary study

M. Figueiredo-Braga

1 ,

, G. Furtado

2

, M. Uba-Chupel

2

,

J.P. Ferreira

2

, A.M. Botelho

2

1

Faculty of Medicine, University of Porto, Clinical Neurosciences and

Mental Health, Porto, Portugal

2

Faculty of Sport Science and Physical Education, University of

Coimbra, Portugal, Centro de Investigac¸ ão do Desporto e da

Actividade Física, Coimbra, Portugal

Corresponding author.

Introduction

Aging is a process of morphologic and physiologic

changes that naturally predisposes elderly persons to progressive

health decline. Vulnerability to poor resolution of homoeosta-

sis after a stressor event may represent the common pathway

of elderly cognitive, physical and psychological fragility. Regular

physical activity (RPA) has been shown to have positive effects in

cognitive performance, stress and mood state.

Aims

We aimed to study the relationship between RPA, salivary

cortisol, emotional and cognitive state in institutionalized elderly

women.

Methods

A cross-sectional study was performed in 35 institu-

tionalized women (mean age of 81.5 [7.5] years). Participants were

divided in active (ACT,

n

= 20) and insufficiently active (IACT,

n

= 15)

according with the International Physical Activity Questionnaire

(IPAQ-sv). The Center for Epidemiological Studies Depression Scale

(CES-D), Subjective Happiness Scale (SHS) and Mini-mental State

Exam (MMSE) were applied. Salivary levels of Cortisol were ana-

lyzed by Elisa. The

t

-student test was used to compare groups and

associations between variables were detected using Pearson’s cor-

relation coefficients.

Results

Participants from the ACT group presented higher MMSE

(

P

= .037) and lower CES-D scores (

P

= .028). Although Cortisol pre-

sented similar levels in both groups, a negative correlation was

detected between cortisol and the CES-D score. A negative associa-

tion was also found between the presence of depressive symptoms

and MMSE.

Conclusion

A higher physical activity was associated with lower

cognitive impairment and less depressive symptoms, reinforcing

the positive influence of RPA in the elderly. Furthermore, higher

subjectivewell-being is associatedwith themaintenance of cortisol

levels and an adequate stress response.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.406

EW289

Screening for metabolic syndrome in

older patients with severe mental

illness: Two-years observational study

F. Franza

1 ,

, K. Aquino

2

, L. Calabrese

1

, A. Cervone

3

,

N. Fiorentino

1

, S. De Guglielmo

1

, M. Iandoli

1

, A. Soddu

1

,

B. Solomita

1

, V. Fasano

1

1

Neuropsychiatric Centre Villa dei Pini, Psychiatry, Avellino, Italy

2

ASL 4 Friuli Centrale, Mental Health Department, Tarcento UD, Italy

3

ASL Foggia, Mental Health Department, Foggia, Italy

Corresponding author.

Introduction

Patients with serious psychiatric illness (SMI)

have a reduced quality of life and life expectancy than the

general population. Metabolic syndrome (MS) is a clinical aspect

determining who should be considered to reduce the risk of seri-

ous and chronic organic factors, even more significant in the

elderly.

Objectives

To evaluate metabolic screening of elderly patients

with severe mental illness (SMI).

Aims

To evaluate the importance of routine screening of

metabolic parameters in elderly guests of residential facilities with

or without SMI; metabolic screening at baseline and after two of

hospitalization.

Methods

Elderly inpatients (44 Tot) with Severe Mental Illness

(SMI: bipolar disorder: 34%; schizophrenia: 46%; other: 20%) vs

elderly inpatients (78 Tot). Data collected at baseline: psychiatric

diagnosis; any previous diagnosis of hypertension, diabetes, dys-

lipidemia; ECG. At baseline and for two years were administered

following scale: BPRS; PANSS; Qli; MMSE, ADL.

Results

After two years metabolic screening has recorded at least

one of the new interactions between the five factors of MS (ATP III)

in 50% of patients with: one (34%); two (21%); three (11%); four (3%)

new altered parameters. In MS inpatients, 53% of new metabolic

alterations were recorded in 53% (MS inpatients) vs 23% without

MS after two years.

Conclusions

Our results showed a higher frequency of MS in

patients with SMI than comparison subjects. Haloperidol was the

antipsychotic medication that caused minor impact on the devel-

opment of metabolic disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

Further readings

Vancampfort D., et al. World Psychiatry 2015;14(3):339-47.

Robles Bayón A, et al. Am J Geriatr Psychiatry 2014;22(11):1116-20.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.407

EW290

Cognitive deterioration and

depressive symptoms in elderly

people living in the community

M.D.C. García Mahía

, Á. F

ernández Quintana , M. Vidal Millares

CHU A Coru˜na, Psychiatry, A Coru˜na, Spain

Corresponding author.

Introduction

Depression is a prevalent illness in elderly people.

Cognitive deterioration associated to depressive symptoms is fre-

quently considered as Dementia, especially in primary care. The

study of the relation between both pathologies is necessary to cor-

rect treatment of mental illness in elderly people.

Aims

The aim of this study is to investigate whether depressive

symptoms are related to certain areas of cognitive decline in elderly

people.

Methods

The sample included community people older than 65

years (

n

= 927), mean age 72.9; 55.1% were women and 44,9% men.

Instruments used were Beck Depression Inventory (BDI), Blessed

Dementia Scale (BDS), Mini Mental State Examination (MMSE), ver-

bal fluency test, clock drawing task, Wechsler digit substitution test

and Wechsler similarity test.

Results

Of the sample, 15,2% presented cognitive deterioration

in Blessed Dementia Scale, with statistical significance in rela-

tion between growing age, female sex and cognitive deterioration

(

P

< 0.005). Twenty-eight percent of the sample present cognitive

decline, finding the same relation between sex, age and cogni-

tive condition. Of the sample, 33.5% presented mild depression,

9.1% moderate depression and 1.4% presented severe depression

using BDI. Correlations between depression and cognitive tests

were analyzed. In demographic factors, social support was signif-

icantly correlated with depression but marital status, occupation

and education were not correlated.

Conclusions

There is a high prevalence of depressive symp-

toms and cognitive deterioration in elderly people. High levels of