Nutritional assessment II 77

were oral nutritional supplements (ONS) (35%), periphericparenteral nutrition (PPN) (17.5%), total parenteralnutrition (9%), combined nutrition (ONS+PPN) (17.5%),only hydration (3.5%). Nine patients (39%) have malignascites at their admission to inpatient clinic. The weightloss range is less in patients with ascites when comparedto patients without ascites formation (0.13% and 0.17%respectively, p: 0.25 Mann Whitney U test).Conclusion: We give nutritional support to almost everypatients in our palliative care center. According toour results which showed high rates of malnutrition.If nutritional status is evaluated only by weight loss,malnutrition can be underestimated in patients withascites. In this group of patients, food intake should bequestioned closely.

Disclosure of Interest: None Declared

PP139-SUNNUTRITIONAL ASSESSMENT IN ELDERLY PATIENTS MIDUPPER-ARM MUSCLE AREA AND MNAD. Mendes1, A. Silva2, R. Borrego2, M. Cebola2,L. Mendes2. 1Unidade de Nutricao e Dietetica, Chlc EpeHospital de Santa Marta, 2Dietetica, ESTESL, Lisboa,Portugal

Rationale: Mini nutritional Assessment (MNA) is one ofthe most commonly tools to assess nutritional status asthe mid upper-arm muscle area (MUAMA) to estimate fatfree mass. The aim of our study was to compare thecorrelation between MNA and MUAMA to assess nutritionalstatus at an elderly hospital population.Methods: It was an observational transversal study at acentral hospital. MUAMA and MNA were determinate in aelderly patients (>65 years old) at Cardiology, InternalMedicine, Thoracic Surgery and Pulmonology. Patientswho couldn’t be mobilize or communicate were exclude.Results: The sample (n = 32), presented a mean age of75 years old. A mean MUAMA of 22.9 cm and the MUAMAadequacy shows a normal nutritional status. By the MNAmost of patients were at risk of malnutrition (mean 20points, s = 4.7). The sample presented a positive andsignificative Spearman’s correlation between MUAMA andMNA for �75 years old (r = 0.600 p = 0.030).Conclusion: In our elderly population, age can affect thecorrelation between the MNA and MUAMA and at oldestages the best the correlation.

Disclosure of Interest: None Declared

PP140-SUNNUTRITIONAL STATUS OF CHILDREN FROM AN EARLYCHILDHOOD EDUCATIONAL CENTER IN SAO PAULO(BRAZIL)

D. Akamine1, C.A. Satiro1, E. Nascimento1, C.M. Peres1,M.F. Kfouri1. 1Farmoterapica, Sao Paulo, Brazil

Rationale: Many studies related to metabolic program-ming have shown that nutrition and nutritional statusduring intrauterine life and the first years of life have amajor impact on future life. The monitoring of nutritionalstatus in childhood can identify growth deviations andthus act in a preventive manner.

Methods: This project is part of a cohort study conductedin an early childhood education center in Sao Paulo,with approximately 160 children aged 1 to 5 years fora period of one year. Anthropometric data indicatorswere collected monthly, weight and height, which wereanalyzed according to the criteria of the World HealthOrganization 2006, by the indicators of body mass index(BMI) and height for age (E/I) Anthro and using thesoftware Epi Info version 3.5.2. During the study, theschool staff, parents and children received nutritionalcounseling.Results: At baseline, according to BMI, 65% were normalweight, 23% at risk of overweight, 11% were obese and2% in a state of thinness. At the end of the study, 55% ofchildren were eutrophic, 31% at risk of overweight, 10%overweight and 4% were obese. Is Important to note, atthe end of the study no child was in a state of malnutritionand that there was a 7% reduction in the number of obesechildren. Only 15.4% of children engaged in some sort ofphysical activity.Conclusion: The significant number of overweight chil-dren may be the result of a sedentary lifestyle andimproper diet, for this reason is essential a sequentialand periodic monitoring of growth and development inthis age group because, as it was observed after inter-vention with nutrition education, there was a significantimprovement in the nutritional status of children.

Disclosure of Interest: None Declared

Nutritional assessment IIPP141-SUN Outstanding abstractHANDGRIP STRENGTH BY DYNAMOMETRY DOES NOTIDENTIFY MALNUTRITION IN INDIVIDUAL PREOPERATIVEOUTPATIENTSE.B. Haverkort1,2, J.M. Binnekade3, R.J. de Haan4,M.A. van Bokhorst1. 1Nutrition and Dietetics, VUUniversity Medical Center, 2Dietetics, AMC, Amsterdam,3Intensive Care, AMC, Amsterdam, 4Clinical ResearchUnit, AMC, Amsterdam, Netherlands

Rationale: Low handgrip strength by dynamometry hasbeen associated with increased postoperative morbidityand mortality, and reduced quality of life. The aim ofthis study was to evaluate the accuracy of handgripstrength (HGS) measurements in diagnosing malnutritionin individual adult preoperative elective outpatients.Methods: Cross sectional diagnostic study in 504 con-secutive preoperative outpatients. Reference standardfor malnutrition was based on percentage involuntaryweight loss and low BMI. We applied 4 algorithms todiagnose malnutrition by HGS: Alvares-da-Silva, Klidjan,Matos, Webb, each with its own cut-off points/referencevalues. Diagnostic characteristics of the algorithms wereexpressed by sensitivity, specificity, PPV, NPV, FNR andFPR.Results: Prevalence of malnutrition based on the ref-erence standard was 5.8% (n = 29). The accuracy of the4 algorithms is depicted in the table. The algorithm ofKlidjian showed the highest sensitivity but the lowestspecificity (41%, 95% CI 37%-46%), PPV (8%, 95% CI 5%-11%)