The Final Program is sponsored by: www.germanos-medicals.gr Mednutrition.eu is the exclusive Communication Sponsor of the Seminar "Physical Activities, Nutrition and Quality of Aging", held on April 1st-3rd, Ionic Center, Plaka. th International Seminar 4 on Preventive Geriatrics st International Seminar 1 on Geriatric Rehabilitation Final Program “Physical Activities, Nutrition & Quality of Aging” Athens Greece April 1st - 3rd, 2011, Ionic Center www.eefiap.gr www.eforvie.org Organized by: Hellenic Society of Physical & Rehabilitation Medicine Association Franco-He΄llenique pour les Etudes sur l'Athe΄roscle΄rose Held under the auspices of: The University of Nancy, Dept. of Internal Medicine & Geriatrics, Nancy, France. The Ministry of Health & Welfare The Medical Association of Athens Contents WELCOME MESSAGE COMMITTEES & INVITED FACULTY SCIENTIFIC PROGRAM CURRICULA VITAE SPEAKERS ABSTRACTS SPEAKERS INDEX ACKNOWLEDGMENTS GENERAL INFORMATION Welcome Message Geriatric medicine has focused primarily on the management of acute and chronic diseases in frail older persons, whilst recently much more emphasis is given on the promotion of health and the prevention of age - related diseases. Nowadays, a growing body of knowledge about disease prevention in later life, including important research, provides a valid basis for strengthening efforts in preventive geriatrics. The goal of preventive geriatrics is to nurture a state of somatic, mental and psychological health that allows maximal active life expectancy while maintaining high levels of function. The prevention of falls and osteoporosis can improve the patient’s health and longevity. Addressing malnutrition can promote healing and vitalize the patient to participate in a formal rehabilitation program. Physical activities have a major contribution in better aging by acting in a holistic way in the aging process. Rehabilitation of geriatric patients is imperative for the patients’ well - being and for society, so that we can thrive socially and economically. This 2 day Seminar, titled “Physical Activities, Nutrition and Quality of Aging” is planned to bring together all those concerned with aging and interested in improving the care of the growing numbers of older adults in our communities, e .g physicians, nurses, occupational therapists, physical therapists, and all professionals addressing the geriatric population. The sessions, led by experts who have experience locally and internationally, will provide an environment for the interdisciplinary team to build on requisite competencies as they provide care in all settings, to disseminate knowledge and to gain knowledge to utilize in practice. Participants will thus have the opportunity to exchange ideas and promote their work, as well as to enrich their knowledge with results from ongoing important research presented. On behalf of the two Societies involved as well as of the Organising and Scientific Committee, we welcome you to the 4th International Seminar on Preventive Geriatrics and 1st International Seminar on Geriatric Rehabilitation. We hope each delegate leaves the Seminar not only more knowledgeable or proficient in the issues pertaining to geriatric care, but also goes back home transformed when he or she sees his or her next elderly patient. Welcome to Athens! Prof. Athanase Benetos, M.D, PhD Professor of Internal Medicine and Geriatrics, Head of Geriatrics University of Nancy, Nancy, France President of the French Greek Atherosclerosis Association Prof. Xanthi Michail, M.D, PhD, SFEBPRM President of the Hellenic Society of Physical and Rehabilitation Medicine Committees Honorary Presidents: Pr. Xanthi MICHAIL, Greece Pr. Athanase BENETOS, France Organizing & Scientific Coordinators Dr. Nikolaos ROUSSOS, Greece Dr. George SPATHARAKIS, Greece Dr. Georgios TZANOS, Greece Invited Faculty Dr. Cornelius BOLHEIMER Assistant Professor of Medicine, University of Nuremberg, Germany Pr. Graziano ONDER Assistant Professor, Università Cattolica del Sacro Cuore (UCSC), Rome, Italy Pr. Patrice QUENEAU (France) Professor of Medicine and Therapeutics, Secretary General of the French National Academy of Medicine, France Pr. Agathe RAYNAUD-SIMON (France) Professor of Medicine and Geriatrics, University of Paris, France Pr. Yves ROLLAND (France) Professor of Medicine and Geriatrics, University of Toulouse, France Pr. Mauro ZAMBONI (Italy) Professor of Geriatrics and Metabolic Disease, University of Verona, Italy Scientific Program Friday, April 1st, 2011 09.00 - 09.15 Introduction Athanase BENETOS (France), Xanthi MICHAIL (Greece) 1st SESSION: PHYSICAL ACTIVITY and GERIATRIC PREVENTION Chair: Dr. George SPATHARAKIS (Greece) - Pr. Agathe RAYNAUD-SIMON (France) Physical activity and cardio - vascular prevention Pr. Graziano ONDER (Italy) 09.35 - 09.55 Physical Activity and the musculo - skeletal system and the prevention of falls Pr. Yves ROLLAND (France) 09.55 - 10.15 Physical activities and cognitive functions Pr. Magda TSOLAKI (Greece) 10.15 - 10.30 Questions - Discussion 10.30 - 11.00 COFFEE BREAK Friday, April 1st, 2011 09.15 - 09.35 2nd SESSION: EVALUATION OF DENUTRITION AND SARCOPENIA Chair: Dr. Aikaterini KOTRONI (Greece) - Dr. Cornelius BOLHEIMER (Germany) 11:00 - 11:20 Sarcopenic obesity Pr. Mauro ZAMBONI (Italy) 11:20 - 11:40 Evaluation of sarcopenia Pr. Yves ROLLAND (France) 11:40 - 12:00 How to evaluate malnutrition in the elderly? Pr. Agathe RAYNAUD-SIMON (France) 12:00 - 12:20 Evaluation of frailty Pr. Graziano ONDER (Italy) 12:20 - 12:35 Questions - Discussion 12:35 - 15:00 LUNCH BREAK - FREE TIME Chair: Dr. Nikolaos ROUSSOS (Greece) - Pr. Yves ROLLAND (France) 15.00 - 15.20 Pathophysiology of osteoporosis in the elderly Dr. George TROVAS (Greece) 15.20 - 15.40 How to assess the (fracture) risk for primary osteoporosis Dr. Cornelius BOLHEIMER (Germany) 15.40 - 16.00 Shifting the focus from osteoporosis to falls in the elderly Dr. Yannis DIONYSSIOTIS (Greece) 16.00 - 16.20 Exercise in osteoporosis Dr. Asterios PAPANIKOLAOU (Greece) 16.20 - 16.35 Questions - Discussion 16.35 - 17.00 COFFEE BREAK Friday, April 1st, 2011 3rd SESSION: OSTEOPOROSIS “PREVENTION AND TREATMENT” 4th SESSION: QUALITY OF LIFE IN THE ELDERLY POPULATION Chair: Dr. Georgios TZANOS (Greece) - Dr. Kyriaki STATHI (Greece) Practical considerations in the assessment and treatment of pain in adults with physical disability Dr. Eleftheria ANTONIADOU (Greece) 17:20 - 17.40 Fatigue in the elderly population Dr. Evaggelos MANAOS (Greece) 17.40 - 18.00 Delivery of rehabilitation services to people aging with a disability Dr. Lambrini LILI (Greece) 18.00 - 18.15 Questions - Discussion 18.15 - 18.45 KEYNOTE LECTURE: Principles of Geriatric Rehabilitation Dr. Alexandros PAPADEAS (Greece) 19.00 WELCOME RECEPTION Friday, April 1st, 2011 17.00 - 17:20 Saturday, April 2nd, 2011 5th SESSION: DENUTRITION IN THE GERIATRIC PATIENT Chair: Pr. Mauro ZAMBONI (Italy) - Dr. Konstantina KOTSIFI (Greece) 09.00 - 09.20 Denutrition in the elderly Pr. Patrice QUENEAU (France) 09.20 - 09.40 Pressure ulcers and nutritional support (prevention and treatment) Dr. George SPATHARAKIS (Greece) 09.40 - 10.15 Dysphagia: From diagnosis to treatment Patricia GIANNIKA (Greece), Dr. Anatoli PATARIDOU (Greece) 10.15 - 10.30 Questions - Discussion 10.30 - 11.00 COFFEE BREAK Chair: Pr. Patrice QUENEAU (France), Pr. Graziano ONDER (Italy) 11.00 - 11.15 Mediterranean diet and longevity Dr. George SPATHARAKIS (Greece) 11.15 - 11.30 Is Physical exercise sufficient to prevent Sarcopenia Dr. Cornelius BOLHEIMER (Germany) 11.30 - 11.45 Calorie restriction and longevity. Is it valid for humans? Pr. Athanase BENETOS (France) 11.45 - 12.00 Do elderly need vitamin supplementation Pr. Agathe RAYNAUD-SIMON (France) 12.00 - 12.15 Sexual life and longevity: Is it only mechanics? Pr. Athanase BENETOS (France) 12.15 - 13.00 Questions - Discussion 13:00 - 15.00 LUNCH BREAK - FREE TIME Saturday, April 2nd, 2011 6th SESSION: WHICH WAY OF LIFE FOR A FUTURE CENTENARIAN 7th SESSION: AGING WITH A DISABILITY Chair: Dr. Evangelia MARAGKOUDAKI (Greece) - Dr. Spyros SPYROU (Greece) Aging with cerebral palsy Dr. Zoi P. DALIVIGKA (Greece) 15.20 - 15.40 Aging with spinal cord injury Dr. Christina - Anastasia RAPIDI (Greece) 15.40 - 16.00 Aging in polio Dr. Tonia TATSIDOU (Greece) 16.00 - 16.20 The Impact of age on traumatic brain injury Dr. Aggeliki GALATA (Greece) 16.20 - 17.00 CONCLUSIVE REMARKS Pr. Xanthi MICHAIL (Greece), Pr. Athanase BENETOS (France) Saturday, April 2nd, 2011 15.00 - 15.20 Κυριακή 3 Απριλίου 2011 09.10 - 09.30 ΔΙΑΛΕΞΗ Πρόεδρος: Δρ. Γεώργιος ΣΠΑΘΑΡΑΚΗΣ Δεδομένα της Ψυχολογίας της Άσκησης για την Τρίτη Ηλικία: Λόγοι Συμμετοχής, Εμπόδια και Παράμετροι Ενίσχυσης Δρ. Εμμανουήλ ΓΕΩΡΓΙΑΔΗΣ ΕΚΠΑΙΔΕΥΤΙΚΟ ΣΕΜΙΝΑΡΙΟ ΔΙΑΤΡΟΦΗ ΚΑΙ ΥΠΕΡΗΛΙΚΕΣ: ΜΕΘΟΔΟΛΟΓΙΕΣ ΕΚΤΙΜΗΣΗΣ ΚΑΙ ΠΑΡΕΜΒΑΣΗΣ ΕΙΣΑΓΩΓΗ 09.40 - 10.10 Ευπάθεια και Διατροφικές Παράμετροι στους Ηλικιωμένους Έλληνες: Στοιχεία από την Έρευνα για την Υγεία, την Γήρανση και τη Συνταξιοδότηση (SHARE) Δρ. Ιωάννης ΚΟΜΝΗΝΟΣ Συζήτηση Εργαλεία Διατροφικής Εκτίμησης - Παρουσίαση Δρ. Ειρήνη ΟΙΚΟΝΟΜΙΔΟΥ ΔΙΑΔΡΑΣΤΙΚΗ ΣΥΝΕΔΡΙΑ Εργαλεία Διατροφικής Εκτίμησης - Παιχνίδι Ρόλων Διαχωρισμός σε 3 ομάδες εργασίας Αναφορές Ομάδων στην Ολομέλεια ΔΙΑΛΕΙΜΜΑ ΚΑΦΕ ΕΡΓΑΣΙΑ σε ΟΜΑΔΕΣ Μεθοδολογία Διατροφικής Παρέμβασης σε Ευπαθείς Υπερήλικες με Έλλειμμα Διατροφής Διαχωρισμός σε 3 ομάδες εργασίας Αναφορές Ομάδων στην Ολομέλεια ΟΜΙΛΙΑ ΕΙΔΙΚΟΥ Μεθοδολογία Διατροφικής Παρέμβασης σε Ευπαθείς Υπερήλικες με Έλλειμμα Διατροφής Δρ. Γεώργιος ΣΠΑΘΑΡΑΚΗΣ Ολομέλεια, ΔΙΑΔΡΑΣΤΙΚΗ ΣΥΝΕΔΡΙΑ Παρουσίαση και Ανάλυση Περιστατικών Παρέμβασης σε Υπερήλικες με Ελλειμματική Διατροφή Καθ. Αθανάσιος ΜΠΕΝΕΤΟΣ Λήξη Εργασιών - Απονομή Διπλωμάτων 10.10 - 10.20 10.20 - 11.00 11.00 - 11.45 11.45 - 12.00 12.00 - 12.30 12.30 - 13.15 13.15 - 13.45 13.45 - 14.00 14.00 - 15.00 15.00 Κυριακή 3 Απριλίου 2011 09.30 - 09.40 ΕΚΠΑΙΔΕΥΤΙΚΟ ΣΕΜΙΝΑΡΙΟ Ε.Ε.Φ.Ι.Απ «ΔΥΣΦΑΓΙΑ ΣΕ ΑΣΘΕΝΕΙΣ ΜΕ ΤΡΑΧΕΙΟΣΩΛΗΝΑ» Μέσα από την πολυετή εμπειρία μας, δουλεύοντας ως ομάδα με ασθενείς που πάσχουν από δυσφαγία, νιώθουμε την ανάγκη να εστιάσουμε στη μικρή υποομάδα από αυτούς που φέρουν και τραχειοστομία. Ο κύριος λόγος είναι ότι οι ασθενείς αυτοί έχουν ανάγκη από ιδιαίτερη προσέγγιση και φροντίδα, συντονισμένη από διεπιστημονική ομάδα. Στόχοι αυτού του σεμιναρίου είναι: • Η ολοκληρωμένη θεωρητική κατάρτιση αναφορικά με την αξιολόγηση και αντιμετώπιση του ασθενούς με δυσφαγία και τραχειοστομία, καθώς και με τα διαφορετικά είδη των τραχειοσωλήνων. • Εξοικείωση των συμμετεχόντων σε όλα τα στάδια αξιολόγησης και παρέμβασης και πρακτική εξάσκηση σε προπλάσματα όλων των τεχνικών αλλαγής του τραχειοσωλήνα και αναρρόφησης. Κυριακή 3 Απριλίου 2011 ΕΙΣΑΓΩΓΗ Καθ. Ξανθή ΜΙΧΑΗΛ 09:00-10:00 Ενδείξεις τραχειοστομίας - Τεχνική - Είδη τραχειοσωλήνων Επιπτώσεις της τραχειοστομίας στο μηχανισμό κατάποσης Δρ. Ανατολή ΠΑΤΑΡΙΔΟΥ 10:00 - 10:30 Μηχανική υποστήριξη της αναπνοής στη Μ.Ε.Θ: Βασικές αρχές Αν. Καθ. Παύλος ΜΥΡΙΑΝΘΕΥΣ 10:30 - 10:45 Αναπνευστική φυσιοθεραπεία Δρ. Ειρήνη ΓΡΑΜΜΑΤΟΠΟΥΛΟΥ 10:45 - 11:00 Ο ρόλος του νοσηλευτή στη Μ.Ε.Θ. Θεόδωρος ΚΑΤΣΟΥΛΑΣ 11:00 - 11:45 Κλινική αξιολόγηση κατάποσης Πατρίτσια ΓΙΑΝΝΙΚΑ 11:45 - 12:00 ΕΡΩΤΗΣΕΙΣ - ΣΥΖΗΤΗΣΗ 12:00 - 12:30 ΔΙΑΛΕΙΜΜΑ ΚΑΦΕ 12:30 - 13:00 Ακτινοσκοπικός έλεγχος κατάποσης Πατρίτσια ΓΙΑΝΝΙΚΑ Ενδοσκοπικός έλεγχος κατάποσης - Live demonstration Δρ. Ανατολή ΠΑΤΑΡΙΔΟΥ 13:00 - 15:00 WORKSHOP Αίθουσα Α Video FEES & MBS Πατρίτσια ΓΙΑΝΝΙΚΑ Αίθουσα Β Είδη τραχειοσωλήνων-Τεχνική αλλαγής και αναρρόφησης Δρ. Ανατολή ΠΑΤΑΡΙΔΟΥ 15:00 Λήξη Εργασιών - Συμπεράσματα Κυριακή 3 Απριλίου 2011 08:45 - 09:00 CURRICULA VITAE Prof. ATHANASE BENETOS Professor of Internal Medicine and Geriatrics, and Chairman of Geriatrics, University of Nancy, France Honorary Presidents Curricula Vitae Athanase Benetos was born in Athens, Greece in 1956. He is married and the father of four children. He is Professor of Internal Medicine and Geriatrics, and Chairman of Geriatrics, at the University of Nancy, France. He is also a Senior Researcher at INSERM (National Institute of Biomedical Research) Unit 961, as well as Chief of the University Centre for Research and Education on Ageing (Centre EFORVIE, University of Nancy) and Head of the Clinical Investigation Center on Aging at the University Hospital of Nancy, France. Prof. Benetos is the Treasurer of the International Association of Gerontology and Geriatrics (IAGG) for the period 2009-2013, member of the Board of the European Academy for Medicine of Aging (EAMA) since 2006, and member of the National Center of the French Universities (CNU), Commission 53-01 Internal Medicine, Geriatrics and Biology of Aging, since 2004. Prof. Benetos received his PhD from the University of Paris VI and was a Research Fellow at the Boston University from 1984 to 1987. He was Senior Consultant in Hypertension at the Broussais Hospital, Paris, from 1988 to 2002. He was also Chief of the Epidemiology Department of the Centre Médical d’Investigations Préventives et Cliniques, Paris, from 1995 to 2002. His research interests include biomarkers of ageing, telomere dynamics, epidemiology, genetics and treatment of the age-related changes in large arteries, as well as the role of hypertension and other risk factors on cardiovascular morbidity and mortality. Prof. Benetos is member of several French national and international medical societies and has positions in several international peerreviewed journals. Prof. Benetos has authored more than 240 papers published in peerreviewed international scientific journals and has participated in several scientific books on the topics of telomeres, hypertension, cardiovascular risk and arterial aging. Prof. XANTHI MICHAIL, ΜD, PhD Adress: 2 Serifou str,.151 27, Melissia, Athens, GREECE Born in Piraeus. Graduated from Medical school of Athens University (1972) Specialist in Physical and Rehabilitation Medicine after exam, following 5 years training in K.A.T Accident and Orthopaedic Hospital, Athens (1974-1978) PhD diploma from Medical school of Athens University, 1985 Nominated as Senior fellow of European Board of PRM (Title since 1994) Post specialization training in Great Britain a) Oswestry Spinal Cord Injuries Center on 1978,b) Dundee Limb Fitting Centre on 1980 and Suisse (University dept. of PRM in Geneve) on 1983. President of the Hellenic Society of Physical and Rehabilitation Medicine (elected since 1998) Past President of UEMS,/European Board of Physical and Rehabilitation Medicine), 2006-2008 • President of European Society of PRM, 2011-2015 • Vice President of European Academy of Rehabilitation Medicine, 2011-2015 Honorary member of many National Societies of PRM in Europe. Languages: English, French, Italian Honorary Presidents Curricula Vitae Professor of Rehabilitation Medicine since 1987 in the Dept. of Physiotherapy studies, School of Allied Health Professions, ATEI-Athens Visiting Professor in Master degree courses of the University of Athens and of the Public School of Health. PD Dr. med. LEO CORNELIUS BOLLHEIMER DOB / POB 06.28.1967 / Karlsruhe, Germany 1988 - 1995 Study of medicine, University of Heidelberg, Germany 1991 - 1995 Graduate student, Department of Biochemistry II, University of Heidelberg, Germany - Doctoral degree in Medicine Postdoc in Experimental Diabetology, Joslin Diabetes Center Harvard Medical School, Boston and Southwestern Medical School, Dallas, U.S.A. 1997 - 2008 Intern / Resident / Attending Physician Department of Internal Medicine I, University of Regensburg, Germany - Qualification in Nutritional Medicine - Board Certification in Internal Medicine - Board Certification in Endocrinology - Senior lecturer (Habilitation) in Experimental Internal Medicine 2008 - Present Attending Physician, Department of Internal Medicine I, University of Regensburg and Department of Internal Medicine 2 - Geriatrics, Klinikum Nuremberg, University of ErlangenNuremberg, Germany [each at part-time] - Scholar of the Forschungskolleg Geriatrie of the Robert Bosch Foundation - Fellow of the European Academy for Medicine of Ageing (EAMA) Invited Faculty Curricula Vitae 1995 - 1997 Ass. Prof. GRAZIANO ONDER CURRENT APPOINTMENT: 2004 - current: Assistant Professor, Università Cattolica del Sacro Cuore (UCSC), Rome, Italy. DATE OF BIRTH: November 15, 1972 PLACE OF BIRTH: Rome, Italy EDUCATION: M.D., UCSC, Roma, Italy 1999 - 2002: Ph.D. in Preventive Geriatric Medicine, UCSC, Roma, Italy. 2000 - 2001: Research Fellow, J. Paul Sticht Center on Aging - Wake Forest University, Winston Salem, NC, USA. June-July 2001: Courses in Principles of Epidemiology and Statistical Reasoning in Public Health I and II - Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. 2002 - 2004: Geriatric Clinical Fellow, UCSC, Rome, Italy. 2004 - 2007: Advanced Postgraduate Course of the European Academy for Medicine of Aging, Institut Universitarie Kurt Bosch, Sion, Switzerland. PROFESSIONAL EXPERIENCE: Aug-Sept 1993: Guest Researcher, Pittsburgh Transplantation Institute, Pittsburgh. Aug-Sept 1996: Guest Researcher, Nuclear Medicine Dept., National Institute of Health, Bethesda, MD. 2001 - 2002: Research Associate, J. Paul Sticht Center on Aging - Wake Forest University, Winston Salem, NC, USA. 2004 - present: Assistant Professor, UCSC, Rome, Italy. ACADEMIC DUTIES: 2004 - present: Teacher of ‘Geriatrics’ - Course for Physical Therapists - University of Cassino, Italy 2007 - present: Teacher of ‘Geriatrics’ - Course for Physical Therapists - UCSC, Roma, Italy 2008 - present Teacher of ‘Epidemiology’ - Course for Occupational Therapists - Università Claudiana, Bolzano, Italy Invited Faculty Curricula Vitae 1992 - 1997: Prof. PATRICE QUENEAU Member of the French Medical Academy (since 2003), Patrice QUENEAU was teacher of Therapeutics in the Medical School of Saint-Etienne. He was the President of the National Association of Teachers in Therapeutics (Association Pédagogique Nationale pour l’Enseignement de la Thérapeutique : APNET [1985-2005]) and the President of the European Network of Therapeutics Teachers (ENOTT). Patrice QUENEAU is author of books for large public : - Soulager la douleur (Ed. Odile Jacob, 1998), - Le malade n’est pas un numéro ! Sauver la Médecine (Odile Jacob Ed., 2004), - La douleur à bras-le-corps (G. Ostermann, P. Grandmottet, PIEM, Médicis, 2007), - Etre médecin à Villiers-le-Bel, une éthique au quotidien - Hommage au Docteur Lionel Bécour, (Ed. L’Harmattan, 2010). P. QUENEAU has also published 2 books of poems: S’il te plaît, décroche-moi la lune (2009) and La douceur du piano de ma mère (Ed. L’Harmattan, 2011). Patrice QUENEAU is named in the National Order of Légion d’Honneur. Invited Faculty Curricula Vitae He was: - the head of the Internal Medicine and Therapeutics Department in the Universitary Hospital of Saint-Etienne (1979-2003), - the Dean of the Medical School of Saint-Etienne (1979-1997), - the President of the section of Therapeutics in the National Council of Universities (1991-2001), - the President of the National College of Medical Teachers of Pain. Patrice QUENEAU was in charge of a Report for the Ministry of the French Health Government about “Iatrogenic diseases and their prevention” (Report given to Jacques Barrot and Bernard Kouchner, ministers) (1998). Patrice QUENEAU wrote as first author many pedagogic books of Therapeutics for students and medical doctors. Two of them: Le médecin, le malade et la douleur (4th Ed., 2004) and Thérapeutics for General Practictioners (2009). Prof. AGATHE RAYNAUD-SIMON Professional address Geriatrics department, Bichat Hospital APHP 46, rue Henri Huchard, 75877, Paris 18, France Tel : 33(1) 40 25 87 48 e-mail : [email protected] Invited Faculty Curricula Vitae I. Diplomas - Medical Doctor, specialization in Endocrinology and Metabolism, in Nutrition and in Geriatrics. - PH D. in Biology of Aging - European Academy for Medecine of Aging. II. Hospital and faculty - Head of the Geriatrics Department in Bichat Hospital APHP, Paris. - Professor in Geriatrics, Faculty of Medecine Denis Diderot, Paris III. Laboratory Work Member of the Laboratory of Biology in Nutrition (EA 4466) Pr. L. Cynober, Faculty of Pharmacy Paris Descartes, Paris. Prof. YVES ROLLAND Date of birth: 04/07/66 Address: Centre de Gériatrie - Gérontopôle de Toulouse; 170 Avenue de Casselardit, CHU Purpan France Telephone: W: 00 33 561 77 74 65 Email: [email protected] [email protected] 1987 - 93 University of Paris VII, College of Medicine. QUALIFICATIONS 1994 - 98 «Diplôme d’Étude Spécialisée de Rhumatologie (D.E.S. de Rhumatologie)», Rheumatology thesis. 2000 «Capacité de Gériatrie», Post graduate diploma in geriatrics 2001 «Diplôme d’Étude Spécialisée Complémentaire de Gériatrie (D.E.S.C. de Gériatrie)», Post graduate advanced diploma in geriatrics 2001 «Capacité de Biologie et de Médecine du Sport », Post graduate diploma in Sports Medicine. 2002 «Diplôme d’Etudes Approfondies de Biologie du Vieillissement (D.E.A.)», Diploma in Biological Sciences. 2005 «Doctorat de Sciences », PhD. 2006 «Habilitation à Diriger des Recherches, HDR » Hability to supervise research. Invited Faculty Curricula Vitae UNIVERSITY EDUCATION Ass. Prof. MAURO ZAMBONI, MD Date and place of birth: 24 June, 1956 Verona (Italy) Professional Education 1981 M.D. (University of Padova) 1986 Board Certified Specialist in Internal Medicine (University of Verona) 1990 Board Certified Specialist in Geriatric Medicine (University of Padua) 1981-83 Research Fellow, Department of Internal Medicine, University of Verona, Italy 1983-87 Assistant Division of Geriatric Medicine, Negrar Hospital (Verona) 1987-96 Assistant Professor, Department of Internal Medicine, University of Verona. 1997-02 Assistant Professor, Department of Geriatric Medicine, University of Verona. 2002- Associate Professor Geriatric Medicine, Department of Internal Medicine, University of Verona 2007- Chief of the Master in “Advanced Nursing in Geriatric Patients” University of Verona 2008- Chief of the Geriatric School of the University of Verona Scientific Societies Italian Society of Obesity (SIO) Italian Society Geriatric and Gerontology (SIGG) Referee for: Obesity Research Aging Clin Exp Research American Journal Clinical Nutrition International Journal of Obesity Nutrition, Metabolism and Cardiovascular Disease Atherosclerosis Lancet oncology Referee for the Italian Ministry of health Invited Faculty Curricula Vitae Positions ELEFTHERIA ANTONIADOU, MD PMR Specialist FEBPMR Graduated from the University of Ferrara in 1997 with 110/110 and lode Specialized in the National Rehabilitation Center in Athens in PMR in 2007 Received the Europpean Board Certification in 2006. Actually working in a Private Practice. Interest in - Pain medicine - Stroke Rehabilitation - Spastcity managment - Injection procedures Rehabilitation Medicine, in a Rehabilitation Center for cerebral palsy patients, Spastic Society of Athens, “Porta Anoixti”. I am a Research Fellow in the 3rd Paediatric Clinic of the University of Athens, responsible physiatrist of the Outpatient department for Spasticity and Paediatric Movement Disorders management, since 2008. I am also member of the team of the Outpatient Clinic for Spasticity and Movement Disorders Management, in the Neurosurgery Clinic of the University of Athens, Evaggelismos Hospital, since 2004. In my private practice, I am responsible of the PMR Department and Outpatients Clinic in Mediterraneo Hospital, Glyfada, Athens, Greece. As a practitioner, I specialize in paediatric and neurological rehabilitation (spasticity and movement disorders management, orthotics) but I am also especially interested in neurogenic bladder and bowel and dysphagia due to neurological problems, in children and adults. ZOI P. DALIVIGKA, MD Correspondence: 1, Panionias str, 165 61, Ano Glyfada, Greece Mob. 0030 6974489209 e-mail: [email protected] I was born in Athens, Greece and obtained my degree in Medicine from Aristoteleion University of Thessaloniki, in 1995 and the title of PMR Specialist in 2002. I specialized in Paediatric Rehabilitation at the “Université de la Méditerranée», Marseille, France. I obtained a University Degree in Orthotics and Prosthetics, Université de la Méditerranée, in 2002. I specialized in Spinal Injury patients in National Spinal Injuries Center, Stoke Mandeville Hospital, Aylesbury, United Kingdom, in 2003. Since September 2003, I work as a Consultant in Paediatric & Adult YANNIS DIONYSSIOTIS, MD, PhD, FEBPRM Dr. med. Yannis Dionyssiotis was born in Athens in 1970 and studied Medicine at the University of Athens. He finished his specialization in National Rehabilitation Center in Athens “EIAA” and obtained the title of specialized in Physical Medicine and Rehabilitation. He worked as research fellow in the Laboratory for Research of the Musculoskeletal System at the University of Athens, where he completed his thesis and as consultant Physiatrist in the Rehabilitation department of KAT Hospital and head of Physical Medicine and Rehabilitation Department in Rhodes General Hospital in Greece. Actually is the Director of Physical and Social Rehabilitation Center Amyntæo, Florina, Greece. He is elected member of the board of International Society of Musculoskeletal & Neuronal Interactions (ISMNI) and has written medical books and papers for osteoporosis in spinal cord injury, exercise, spinal orthoses, jumping mechanography and falls. He is also editor of the online Rehabilitation magazine: www.medreha.com, http://publicationslist.org/y.dionyssiotis Speakers Curricula Vitae Rehabilitation Medicine Specialist (PRM) Fellow of the European Board of Physical & Rehabilitation Medicine ANGELIKI GALATA, MD Education: - Ιn medical school of National and Kapodistrian University of Athens (1992-1998). - National Board of Physical and Rehabilitation Medicine (PRM) certification in 2006. - European Board of PRM certification in2006. Employment history: - PRM Physician in “FILOKTITIS”-Rehabilitation Centre in Athens (January 2007- October 2007) - PRM Physician in “OLYMPION”-Rehabilitation Centre in Patras (October 2007- June 2010) - Scientific Director of “AROGI”- Thessalikon Rehabilitation Centre in Kardtitsa (since June 2010) Speech Language Pathologist Mrs. Giannika studied in the USA where she received her Masters in Speech and Language Pathology in 1995. She worked for several years in the USA in hospitals and rehab centers with a main interest in adult neurologic language disorders and dysphagia. She has been working in Greece for the past 10 years privately and in Hygeia Hospital as a consultant Speech Language Pathologist in the Physical Medicine and Rehabilitation Department. She has been conducting Modified Barium Swallow examinations in conjunction with the Radiology department and Fiberoptic Endoscopic Evaluation of Swallowing along with the ENT doctors. She has delivered presentations in many national and international conferences on the topic of dysphagia as well as taught classes and overseen students. Fellow Member of European Board of Physical and Rehabilitation Medicine (FEBPRM) M. Patsalia 4 & Antonopoulou, 47100 Arta 2681023196, 6972299873, [email protected], www.rehabartas.gr CV. M.D. University of Ioannina 13/11/1997 Greek Certificate of PMR 22/11/2005. European Board Certificate of PMR 27/11/2004 MSc Applied Dietetics and Nutrition, Harokopeio University (15/09/06). MSc Healthcare Management, School of Social Science, Hellenic Open University (remains dissertation). Private Outpatient Clinic of PMR at Arta from June 2007 till now and Private Rehabilitation Center. I have attended many Congresses, Seminars, Workshop and I have written many papers and presentations for congresses in Greece and worldwide. I am member of many societies. I am interested in areas like healthcare management - quality, quality of life, sports, child and cardiac rehabilitation, clinical nutrition, spinal cord injuries. EVANGELOS MANAOS, MD, FEBPRM ● Physiatrist, Specialized in Physical and Rehabilitation Medicine ● Awarded the Fellowship of the European Board of Physical and Rehabilitation Medicine ● Medical office address: Kifisias Avenue 373 & Ionias 15, Nea Erythrea, 14671 ● Rehabilitation Doctor in Physical and Rehabilitation Medicine Centre “Filoktitis”, Koropi, Athens ● Acquisition of specialty in: - Physical and Rehabilitation Medicine Clinic of ΚΑΤ Hospital, Athens - Midlands Centre for Spinal Injuries, Oswestry, UK. ● Specialized in Medical Acupuncture Speakers Curricula Vitae PATRICIA GIANNIKA LAMPRINI LILI, MD, MSC, ALEXANDROS G. PAPADEAS ANATOLI PATARIDOU, MD ENT Surgeon, Ygeia Hospital Contact: Hygeia Hospital: Office 304 Β - 3rd floor Tel: +30 210 6867206 -+30 6932291793 Private practice: Saphous 105, Kallithea Tel: +30 210 9575252, Fax: +30 210 9596556 E-mail: [email protected] EDUCATION: Medical School of Aristotle University of Thessaloniki Clinical & Research field of Interest Clinical: - Endoscopic Surgery with CO2 Laser - Dysphagia -Endoscopic evaluation of deglutition - Endoscopic Surgery of the paranasal sinuses. Research: - Research of dyspagia and deglutition disorder with endoscopic evaluation and video Speakers Curricula Vitae Personal Information: Age: 53 years old Place of Birthday: Athens Family Status: Married, four children Professional Address 20, Katechaki Str., N. Psychiko, 115 25, Athens Tel. Number: 210-6728411, Fax Number: 210-6728413 e-mail address: [email protected] Education - Studies: 1976 - 1982 Medical School, Aristotelian University of Thessaloniki 1982 - 1984 Practice School of the Medical Corp. Hellenic Army, Athens, Trainee on Surgery, Internal Medicine and Anesthesiology 1986 - 1990 Trainee on Physical & Rehabilitation Medicine Specialty, PRM Dept, General Hospital KAT, Athens SEPT - DEC 1995, School of Staff Officers on Instructional System Development and for Trainers, Headship of Instruction, General Army Staff (GAS) Practice Experience: 1984 - 1986 General Army Staff (GAS) / Special Forces Unit (Commando), Cyprus, Commander of the Health Squad, Trainer of orderlies 1990 - 1993 GAS / Deputy Commander, Medical Battalion of Chios, President of the Army Health Committee and the Committee for Disabled of Chios 1993 - 1995 GAS / Head Director of the Physical & Rehabilitation Medicine (PRM) Dept., 414 Military Hospital, Athens 1995 - 2000 GAS / Head Director of the PRM Dept., 401 General Military Hospital of Athens 2000 - 2003 GAS / A’ Member of the Army Health Committee of Athens 2003 - 2006 GAS / Head Director of the PRM Dept., 401 General Military Hospital of Athens 1990 - till today Medical Director in “Epiphany”, Private Medical Rehabilitation Unit, Athens SPECIAL QUALIFICATIONS AND EXPERIENCE EMG and Nerve Conduction Studies Botulinum Toxin injections under EMG guidance Injection Techniques (intra-articular, intrathecal, epidural, transforaminal, facets’ joints) Static and Dynamic Foot Analysis Extracorporeal Shockwave Therapy DISTINCTIONS 10/08/1994, Golden Cross of the Battalion of Phoenix (from the President of the Greek Republic) 19/08/1994, Meritorious Command Medal for significant service Management 09/07/1996, Military Merit Medal for the valuable services rendered to the Country in the circle of my actions. 13/05/1998, Golden Cross of the Battalion of Merit (from the President of the Greek Republic) MEMBER ΙΝ SOCIETIES Hellenic Society of Physical & Rehabilitation Member (Secretary General) European Society of Physical & Rehabilitation Medicine - ESPRM International Society of Physical & Rehabilitation Medicine - ISPRM International Spinal Cord Society - ISCOS Hellenic Society of the Studies on Bone Metabolism - EEMMO 4. 2002: PhD: “Sacral evoked potentials and conduction velocity of peripheral nerves in the study of peripheral neuropathy in diabetic patients with urination dysfunction”. 5. 7/2003 - 7/2004: post graduation studies in the Neurological Department of children’s Hospital “Penteli”. 6. 2008: European Board Trainer of Physical and Rehabilitation Medicine. Dr. George C. SPATHARAKIS, M.D Geriatrician- Gerontologist Clinical Director of the Public Primary Health Care Center of Itea, Phokida, Greece Lectures in Geriatrics in the Schools of Physiotherapy and Nurses, T.E.I, Lamia National Representative for Greece in the European Council of EURACT (European Academy of Teachers in General Practice/Family Medicine) EAMA (European Academy for the Medicine of Aging) TATSIDOU SOULTANA CHRISTINA-ANASTASIA RAPIDI, MD, PhD, Senior Fellow of European Board of PRM Hospital Address: National Rehabilitation Center “EKA”, 8th bus stop Hassias Avenue, 1,Spyrou Theologou, Ilion, Athens, Greece. Scientific responsible of Neuropathic Bladder Unit, National Rehabilitation Center “EKA” Tel: +30210 2314112, mobile: +306942404275 E-mail: [email protected] Brief CV 1. 1992: Diploma in Physical and Rehabilitation Medicine , Athens Greece. 2. 1993 - till now, Department of PRM, National Rehabilitation Center “EKA”, Ilion, Athens, Greece. 3. 1997: European Board of Physical & Rehabilitation Medicine. Address: Chania, Crete, Greece E-mail: [email protected] PROFESSIONAL EXPERIENCE Head of Rehabilitation unit “Olympion Chanion” 10/2008-present: “Olympion Chanion” Rehabilitation center, Chania, Crete, Greece Attending Physician-PRM 2007-08/2008: “Filoktitis” Rehabilitation center, Athens, Greece EDUCATION 1992-1998: Medical School of Thessaloniki, MD BOARD CERTIFICATION 21/03/2006: National Board of Physical and Rehabilitation Medicine 13/01/2006 : European Board of Physical and Rehabilitation Medicine Speakers Curricula Vitae - Application of endoscopic surgery with CO2 Laser in managing malignancies of larynx - pharynx. - Transoral Robotic Surgery Memberships - Panhellenic Society of Otolaryngology - Head & Neck Surgery - National Society of Otolaryngology - Head & Neck Surgery of Northern - Scientific Dysphagia group, under the auspices of the National Society of Logopedists - European Study Group for Dysphagia and Globus (EGDG) - European Rhinologic Society Professional Experience Children’s Hospital Aglaia Kyriakou, 2nd Peadiatric Surgeon Department - ENT dpertament, General Athens Hospital “Evaggelismos” - Postgraduate education in ENT dept, University Hospital of Edinburg, Scotland - ENT dept, “Hygeia” Hospital - ENT dept, ATHENS THERAPEUTIC CLINIC - ENT - Dyspagia dept, “Filoktitis”Recovery & Rehabilitation Center Books - Participation in the writing of the book “Into deep neck infections” GRADUATE TRAINING Residency 06/2002-12/2005: Physical and Rehabilitation Medicine National Rehabilitation Center, A’ Clinic, Athens, Greece MEMBERSHIPS AND ASSOCIATIONS Hellenic Society of Physical and Rehabilitation Medicine Hellenic Society of Wound Healing and Chronic Ulcers International Spinal Cord Society (ISCoS) with 201 abstracts in English International or European Conferences, she is the first author or co-author in 154 Papers in Greek Journals, and in 126 International Journals (with more than 2000 citations), she has been reviewer for Conferences and Journals (57). She has organized 13 National Conferences on AD and six International. She was one of the three advisory members for 11 doctora theses. She has organised 4 day centres from which two were funded by European Union. She was participant in many European Projects. She is married with four children (three daughters 30, 28 and 26 years and one son of 23 years old) and she has three grandchildren. GEORGE TROVAS M.D. Endocrinologist MAGDA TSOLAKI, MD. PhD She was born in Thessaloniki, Greece and she has spent most of her time in Thessaloniki, Greece. She is now Professor of Aristotle University of Thessaloniki, Neuropsychiatrist since 1983, and she has worked at Aristotle University of Thessaloniki since 1982 and at the 3rd Department of Neurology of Aristotle University of Thessaloniki since 1988. She has created the Greek Alzheimer Association in 1995 and Greek Federation of Alzheimer Disease in 2007 and she is chair of this Federation. She has been the main author or co-author of 24 Books, she has participated with 310 abstracts in Greek Conferences, Ο Δρ. Εμμανουήλ Γεωργιάδης έχει πραγματοποιήσει Προπτυχιακές σπουδές στην Φυσική Αγωγή και τις Αθλητικές Επιστήμες (Καποδιστριακό Πανεπιστήμιο Αθηνών) καθώς και στην Εφαρμοσμένη Ψυχολογία (City University of Seattle, U.S.A.). Είναι κάτοχος Μεταπτυχιακού Τίτλου στην Αθλητική Ψυχολογία και στην Ψυχολογία της Άσκησης (University of Exeter, U.K.) και Διδάκτορας Αθλητικής Ψυχολογίας και Ψυχολογίας της Άσκησης (Loughborough University, U.K.). Έχει πιστοποιηθεί ως Σύμβουλος Αθλητικής Ψυχολογίας από την Εταιρία Αθλητικής Ψυχολογίας (www.sportpsychology.gr), είναι Μέλος της Αμερικανικής Ψυχολογικής Εταιρίας (www.apa.org) καθώς και Εκπαιδευμένο Μέλος της γνωστικής θεραπευτικής μεθόδου EMDR (www.emdr.com). Έχει πολυετή εμπειρία στη συμβουλευτική της άσκησης και του αθλητισμού, καθώς και σε θέματα υγείας και ευεξίας, ανθρώπινης απόδοσης και ψυχικής διάθεσης. ΕΙΡΗΝΗ ΓΡΑΜΜΑΤΟΠΟΥΛΟΥ • Φυσικοθεραπεύτρια, Επίκουρος Καθηγήτρια στο Τμήμα Φυσικοθεραπείας του ΤΕΙ Αθήνας, με γνωστικό αντικείμενο ‘Αναπνευστική Φυσικοθεραπεία- Αναπνευστική Αποκατάσταση’ • Κάτοχος MSc και Διδακτορικού διπλώματος του ΤΕΦΑΑ, Πανεπιστήμιο Αθηνών • Τίτλος διατριβής: «Η επίδραση της επανεκπαίδευσης της αναπνοής στον έλεγχο του άσθματος» Speakers Curricula Vitae Married with 2 children ACTUAL POSITION: Laboratory for Musculoskeletal Research -University of Athens MAIN INTEREST: Male osteoporosis - Risk factors and Nutritional aspects of osteoporosis -Calcium and vitamin D. Publications in national and international journals in the bone field and also books and monocrafies on the subject of male osteoporosis Reviewer and member of the editorial board in several journals Active member of several International Societies ,Past president of the Hellenic Society for the Study of Bone Metabolism and also member in the Board of Hellenic Foundation of Osteoporosis. ΕΜΜΑΝΟΥΗΛ ΓΕΩΡΓΙΑΔΗΣ • Εξειδίκευση στη ΜΕΘ του ΝΝΘΑ • Reviewer στο Journal of Asthma • Συμμετοχή σε ερευνητικά προγράμματα του Πανεπιστημίου Αθηνών • Δημοσιεύσεις ερευνητικών εργασιών σε έγκριτα ξενόγλωσσα επιστημονικά περιοδικά • Citations • Συγγραφή βιβλίου Αναπνευστικής Φυσικοθεραπείας, που διανέμεται στο ΤΕΙ-Α καθώς και κεφαλαίων σε επιστημονικά βιβλία • Συμμετοχή σε συνέδρια της ημεδαπής και της αλλοδαπής • μέλος της ERS • επιστημονική σύμβουλος στο ΔΟΑΤΑΠ Μητροδώρου 22, Ακαδημία Πλάτωνος [email protected] ΘΕΟΔΩΡΟΣ ΚΑΤΣΟΥΛΑΣ IOANNIS KOMNINOS SHORT CV Mr Ioannis Komninos is a medical doctor in Family Medicine, (qualified in 2005) and a PhD candidate in the area of public health at the University of Crete, under the supervision of Associate Professor A. Philalithis. His research is taking place at the University of Crete and it is based on the SHARE project, (50 + in Europe, Cross-European Survey of Health, Ageing and Retirement in Europe, SHARE, www.share-project.org) which started in 2002. The topic of his research focuses on frailty among the aging population in Europe and the impact of medical, social, psychological and economic factors from the perspective of family medicine and primary health care. In this context, part of his research is accomplished at the University College of London (UCL, 2009), Department of Public Health, under the supervision of Sir prof M.Marmot on the subject of frailty in the aging population of the English Longitudinal Study of Aging (ELSA, www.ifs.org. uk/elsa/index.php ). He is a member of the National Educational Committee of the Hellenic Association of General Practitioners (ELEGEIA) since 2003 and Assistant Educational Coordinator of trainees in Family Medicine at the University Hospital of Herakleion, Crete since 2006. E-mail: [email protected], [email protected] ΠΑΥΛΟΣ Μ. ΜΥΡΙΑΝΘΕΥΣ Πνευμονολόγος - Εντατικολόγος Αναπληρωτής Καθηγητής Ε.Κ.Π.Α Πανεπιστημιακή Μ.Ε.Θ, Γ.Ο.Ν.Κ «Άγιοι Ανάργυροι» Ο Δρ Παύλος Μυριανθεύς γεννήθηκε στην Κύπρο το 1965 και σπούδασε Ιατρική στο Πανεπιστήμιο Αθηνών. Το 1997 έλαβε τον τίτλο της Speakers Curricula Vitae Ο κ Κατσούλας Θεόδωρος είναι πτυχιούχος του Τμήματος Νοσηλευτικής του Πανεπιστημίου Αθηνών από το 1996. Το 2000 έλαβε Μεταπτυχιακό δίπλωμα ειδίκευσης στην Κλινική Νοσηλευτική από το Τμήμα Νοσηλευτικής του Πανεπιστημίου Αθηνών και το 2006 υποστήριξε τη διδακτορική του διατριβή. Μετά τη λήψη του πτυχίου του εργάστηκε σε ερευνητικό πρόγραμμα του Πανεπιστημίου Αθηνών στην Πανεπιστημιακή Χειρουργική κλινική του Τμήματος Νοσηλευτικής. Ακολούθως εργάστηκε σε ιδιωτικές κλινικές και το 2005 διορίστηκε στο Πανεπιστημιακό Γενικό Νοσοκομείο «ΑΤΤΙΚΟΝ» όπου τοποθετήθηκε στο γραφείο εκπαίδευσης. Από το Μάρτιο του 2010 υπηρετεί ως Καθηγητής Εφαρμογών στο Τμήμα Νοσηλευτικής του ΑΤΕΙ Αθήνας. Επιπλέον, από το ακαδημαϊκό έτος 2009-10 έως σήμερα διδάσκει το μάθημα «Επείγουσα Νοσηλευτική και Εντατική Νοσηλεία» στους προπτυχιακούς φοιτητές του Τμήματος Νοσηλευτικής του ΕΚΠΑ με σύμβαση εργασίας σύμφωνα με τις διατάξεις του Π.Δ. 407/80. Επίσης του έχει ανατεθεί η αυτοδύναμη διδασκαλία του μεταπτυχιακού μαθήματος «Εντατική Νοσηλευτική - Πολυοργανική Δυσλειτουργία». Διδάσκει επίσης στο πρόγραμμα μεταπτυχιακών σπουδών της Ιατρικής Σχολής ΕΚΠΑ «Εργαστηριακή και κλινική νοσηλευτική καρδιολογία» από το 2007. Την 1-12-2010 εκλέχθηκε στη βαθμίδα του Λέκτορα με γνωστικό αντικείμενο «Νοσηλευτική Μονάδων Εντατικής Θεραπείας» στο Τμήμα Νοσηλευτικής του ΕΚΠΑ. ειδικότητας της Πνευμονολογίας και το 2001 τον τίτλο της εξειδίκευσης στην Εντατικολογία. Το 2002-2003 μετεκπαίδευση στις Η.Π.Α (Σικάγο, Northwestern University) στο χώρο της Πνευμονολογίας και Εντατικής Θεραπείας. Υπηρέτησε στο ΕΣΥ από το 2001 μέχρι το 2005 οπότε εντάχθηκε στο Πανεπιστήμιο Αθηνών ως Επίκουρος Καθηγητής. Από το 2010 είναι αναπληρωτής Καθηγητής Εντατικολογίας στο Τμήμα Νοσηλευτικής του Πανεπιστημίου Αθηνών και εργάζεται στην Πανεπιστημιακή Μ.Ε.Θ του Γ.Ο.Ν.Κ «Άγιοι Ανάργυροι» στη Νέα Κηφισιά. Έχει 225 Ανακοινώσεις σε Ελληνικά και Διεθνή Συνέδρια, 115 Δημοσιεύσεις σε Ελληνικά Περιοδικά και Πρακτικά Συνεδρίων, 70 Δημοσιεύσεις σε Διεθνή Περιοδικά και Πρακτικά Συνεδρίων και 80 Ομιλίες σε Συνέδρια και Ημερίδες μετά από πρόσκληση. ΟΙΚΟΝΟΜΙΔΟΥ ΕΙΡΗΝΗ Speakers Curricula Vitae • Γενική Ιατρός, Επιμελήτρια Α’ Γενικής Ιατρικής στο Π.Ι. Σίνδου Κ.Υ. Διαβατών Θεσσαλονίκης από 9/9/2001 μέχρι σήμερα. • Πτυχίο Ιατρικής Σχολής, ΑΠΘ, Ιούνιος 1996 • Ειδικότητα Γενικής Ιατρικής ΓΝΝ Βεροίας • Τίτλος ειδικότητας Γενικής Ιατρικής, 8/6/2001 • Yποψήφια διδάκτωρ Πανεπιστημίου Κρήτης, Θέμα Διδακτορικής Διατριβής: «Αξιολόγηση της διαχείρισης ασθενών με συμπτώματα του ανώτερου πεπτικού στην Π.Φ.Υ» Αριθμός πρωτοκόλου:342/4-5-2006 • Φοιτήτρια διετούς μεταπτυχιακού προγράμματος ΕΣΔΥ στη Διοίκηση Υπηρεσιών Υγείας • Επικουρική Συντονίστρια ειδικευομένων Γενικής Ιατρικής ΓΝΘ Παπαγεωργίου από το 2005 μέχρι σήμερα • Εξειδίκευση με άδεια του ΚΕΣΥ επί εξαμήνου στη Μονάδα Πρόληψης και Πρώιμης Διάγνωσης του Πεπτικού Καρκίνου ΓΝΘ ΘΕΑΓΕΝΕΙΟΥ • Εξειδίκευση με άδεια του ΚΕΣΥ επί διμήνου «Οργάνωση και Διοίκηση Υπηρεσιών Πρωτοβάθμιας Φροντίδας Υγείας (Αναμόρφωση στον οργανισμό Π.Φ.Υ. και Νομολογία για την υγεία και ανθρωποκεντρικά συστήματα υγειονομικής πληροφόρησης» Εκπαιδευτικό κέντρο: Portuguese National School of Public Health, New University of Lisbon • Συμμετοχή σε 12 ελληνικά και ευρωπαϊκά ερευνητικά πρωτόκολλα • Συμμετοχή με ανακοινώσεις σε πολλαπλά ελληνικά και διεθνή συνέδρια • Μέλος της Ελληνικής Εταιρείας Γενικής Ιατρικής (ΕΛΕΓΕΙΑ) • Εθνική εκπρόσωπος της ΕΛΕΓΕΙΑ στο πανευρωπαϊκό δίκτυο EURIPA • Εκπρόσωπος της ΕΛΕΓΕΙΑ για την επιτροπή του ΚΕΣΥ για την εξειδίκευση στην επειγοντολογία Mέλος της WONCA (Παγκόσμια Εταιρεία Γενικής Ιατρικής) • Μέλος της Μεσογειακής Ιατρικής Εταιρείας • Μέλος της δεκαμελούς διοικούσας επιτροπής της Μεσογειακής Ιατρικής Εταιρείας • Μέλος της Επιτροπής Διασύνδεσης της ΕΛΕΓΕΙΑ με το SIG (Special Interests Group) της WONCA για Νευροψυχιατρικές Διαταραχές (Neuropsychiatric disorders) από τον Απρίλιο 2006 • Μέλος της Συντακτικής Επιτροπής της ΕΛΕΓΕΙΑ για το περιοδικό «Πρωτοβάθμια Φροντίδα Υγείας» από 12/6/2006 ABSTRACTS Physical Activity and the musculo - skeletal system and the prevention of falls Physical activities and cognitive functions Magda TSOLAKI Yves ROLLAND Inserm, U1027, Toulouse, France, University of Toulouse III, Toulouse, F-31073, CHU Toulouse, Department of Geriatric Medicine, F-31059 Toulouse, France Sarcopenic Obesity Mauro ZAMBONI With aging body composition changes with increase in fat mass and decrease in muscle mass. Further, older subjects, even if stable weight across ages, show higher amount of fat and lower amount of muscle mass than when they were younger. In developed Countries the majority of people gain weight with aging. Thus the prevalence of obesity increased even in old ages in the last decades; some of these obese old subjects are characterized by high level of fat and low level of muscle mass: therefore they have been recently defined Sarcopenic-obese. Sarcopenic-obesity was first defined as Abstracts Among the multiple factors that contribute to the development of sarcopenia, physical inactivity has been widely reported to be an important risk factor. In treatment for sarcopenia, physical activity and particularly resistance training is actually the most relevant treatment for improving muscle strength, mass and power but also to slow down if not prevent the muscle mass and muscle strength decline throughout lifetimes. Sarcopenia is an important risk factor for falls. This has led to the develop exercise programs to reduce the risk of falling by maximizing muscle function in older people. Strong evidences in several studies indicate that resistance training such as weight lifting increases myofibrillar muscle protein synthesis, muscle mass and strength even in the frail elderly. Strength gains result from a combination of improved muscle mass and quality and neuronal adaptation (innervations, activation pattern). However, the same exercise intensity results in a lower myofibrillar synthesis response in older subjects than in young ones. Clinical researches demonstrate that resistance training result in an improvement of the neuromuscular system without an increase in muscle mass. The American Heart Association council recommended 1 set of 10 to 15 repetitions for older people. The resistance training should be performed 2 to 3 times a week with 8 to 10 different exercises each time. Aerobic training may also slow down the process of sarcopenia. No pharmacological or behavioral intervention to reverse sarcopenia has proven to be as efficacious as resistance training. However, only 12% of the United-States elderly population performs strength training at least twice a week. Literature data. Long-term aerobic exercise improves cognition in both human -Normal older persons and Dementia- and nonhuman animals and induces plastic changes in the central nervous system (CNS), including neurogenesis and angiogenesis. Additionally, fitness correlates with brain volume in persons who are cognitively normal and those with Alzheimer’s disease. Mechanisms of action: There is a study which supports that CNS neuronal apoptosis is a consequence of exercise in the adult rat and suggests that this process is a potential mediator of rapid exercise-induced plasticity. There is also a reticular-activating hypofrontality (RAH) model of acute exercise which suggests that exercise engages arousal mechanisms in the reticular-activating system, which involves a number of neurotransmitter systems. Exercise, also, disengages the higher-order functions of the prefrontal cortex. Our studies: Our data support that structured Cognitive Motion Therapy improved cognitive and ADL performances in MCI patients after 6 months, while control patients with MCI remained stable. Patients with AD remain stable for more than six months. However, the early and immediate effects of exercise on the CNS have not been adequately explored and more prospective studies are needed to prove the neuroprotective effects of physical exercise. Such a program is the Long Lasting Memories which is European project. relative skeletal muscle index (muscle mass adjusted by squared height) less than 2 SD below the sex-specific mean of a young reference group, and percent body fat greater than the median value for each sex group (27% of body fat in men and 38% of body fat in women, corresponding to a BMI of approximately 27 kg/m2). Alternative definition of Sarcopenic-obesity has been also suggested. The prevalence of Sarcopenic-obesity increases with age in each sex, from 13.5% in men younger than 70 years to 17.5% in those older than 80 years and from 5.3% in women younger than 70 years to 8.4% in those older than 80 years. Cross-sectional as well as longitudinal studies show that subjects classified as sarcopenic-obese show significantly higher prevalence of physical impairment and disability, as well as higher prevalence of metabolic syndrome. Evaluation of sarcopenia Yves ROLLAND Inserm, U1027, Toulouse, France, University of Toulouse III, Toulouse, F-31073, CHU Toulouse, Department of Geriatric Medicine, F-31059 Toulouse, France How to evaluate malnutrition in the elderly? Agathe RAYNAUD-SIMON The prevalence of malnutrition is about 4 - 10 % in independently living elderly, 15 - 38 % in nursing homes and 30-70 % in the hospital. Malnutrition leads to an increased risk of infections, gait disorders and falls, fractures, pressure sores, postoperative complications, disability and death. Thus, screening for malnutrition and a correct evaluation of nutritional status is mandatory in the elderly. Screening for malnutrition needs to look for clinical situations that are associated to malnutrition, such as chronic or acute diseases, disability, dementia, depression… and many others. Appetite and food intake must be assessed. Regular weight measurement will allow to detect weight loss, and calculation of BMI. The Mini Nutritional Assessment® (MNA) may be used to screen for malnutrition, and a shorter version of the MNA® is now proposed. Many definitions, tools and thresholds for the diagnosis of malnutrition are being used all over the world. The French Health Authorities have proposed the following criteria for the diagnosis of malnutrition in subjects aged 70 and over: - Weight loss ≥ 5 % in 1 month or ≥ 10% in 6 months. - BMI ≤ 21 - Albuminemia < 35 g/l - MNA < 17 These criteria will allow to diagnose and then to treat malnutrition in clinical settings. However, an evaluation of body composition (muscle mass, fat mass) would give better insight of functional and metabolic consequences of malnutrition. Bioelectrical impedance and absorptiometry are not of routine use but will contribute to a better evaluation of consequences of malnutrition and efficacy of renutrition in clinical research. Abstracts On-going and future clinical trials on sarcopenia may radically change our preventive and therapeutic approaches of mobility disability in older people. Irwin Rosenberg defined sarcopenia in 1989 to describe a recognized age-related decline in muscle mass among the elderly. Since 1989, various definitions of sarcopenia have evolved as our understanding of the aging process and the changes that occur therein progress along with improved body composition measurement techniques and the availability of large representative data sets. However, despite increasing knowledge and improved technology, a worldwide operational definition of sarcopenia applicable across racial/ethnic groups and populations lacks consensus. This results in inconsistencies in the literature and paucity of clinical trials of interventions which primarily target sarcopenia. Currently, the European Working Group on Sarcopenia in older people (EWGSOP), the International Academy of Nutrition and Aging (IANA), and the International Association of Gerontology and Geriatrics-European Region [IAGG-ER] recommend using the presence of both low muscle mass and low muscle function (strength or physical performance) for the diagnosis of sarcopenia. Pathophysiology of osteoporosis in the elderly George TROVAS Shifting the focus from osteoporosis to falls in the elderly How to assess the (fracture) risk for primary osteoporosis? Cornelius BOLHEIMER Osteoporosis is a crucial risk factor for low energy-fractures of the spine, Yannis DIONYSSIOTIS Given the close interaction between osteoporosis and falls, prevention of fractures in a geriatric population should be based on factors related to bone strength and risk factors for falls. Pharmacologic therapy should be added Abstracts Age-related bone loss is associated with progressive changes in bone remodeling characterizedby decreased bone formation relative to bone resorption. Both trabecular and periosteal bone formation decline with age in both sexes, which contributes to bone fragility and increased risk of fractures. Studies in rodents and humans revealed that, independent of sex hormone deficiency,the age-related decline in bone formation is characterized by decreased osteoblast numberand lifespan and reduced boneforming capacity of individual osteoblasts. An important clinical question is to identify the mechanisms involved in the age-related defective bone formation. There have been considerable advances in our understanding of the pathogenesis of bone loss and osteoporosis in women and in men. Thus, a better understanding of estrogen and androgen signaling in bone has set the stage for the development of selective estrogen and androgen receptor modulators to prevent and treat osteoporosis. Identification of the role of increased RANKL production in the setting of estrogen deficiency has provided a basis for blocking this pathway as a new approach to potently inhibiting bone resorption. The key role of Wnt signaling in bone metabolism and possibly in age-related bone loss has led to the development of specific activators of this pathway in treating osteoporosis. The role of SIRTUIN -1 (SIRT-1) in skeletal aging may also lead to new compounds regulating this pathway as a means to both stimulate bone formation and inhibit bone resorption. As these examples illustrate, the collective basic and translational effort to understand the pathogenesis of osteoporosis has formed a firm foundation on which to build various therapeutic strategies to prevent and cure this important public health problem. the hip, the shoulder, and the wrist. Therefore, the assessment of primary age-related - osteoporosis is seen equal to the assessment of the impeding fracture risk. The DXA-test for bone mineral density is not sufficient to properly assess the (fracture) risk of osteoporosis. Also from an economical point of view, it is unrealistic to offer a DXA-test to everybody. This has led to a two step approach. In the first step, assessment for fracture risk is solely based on gender, age and clinical risk factors. Only when the calculated fracture risk in this pre-assessment exceeds a certain degree it triggers a DXA-test as second step. Most attention in this field has been given to the so-called FRAX-algorithm which stands for “WHO fracture risk assessment tool”. FRAX can be downloaded as freeware under http://www.shef.ac.uk./FRAX and includes the following clinical risk factors: (i.) BMI (the lower the higher the risk of fracture), (ii.) history of previous low energy fractures, (iii.) history of a parent hip fracture, (iv.) current smoking, (v.) alcohol consumption, (vi.) use of oral glucocorticoids, (vii.) history of rheumatoid arthritis as well as (viii.) a catalogue of other risk factors which might aggravate primary osteoporosis. The individual clinical information together with the individual results of the DXA-test is then compared and adjusted with the population-based data-set of the FRAX-tool. This computer-based approach then allows the calculation of the individual 10-year risk of a major osteoporotic fracture (see above) or exclusively of the 10-year risk of hip fracture. A 10-year probability of a major osteoporotic fracture between 20 and 30% and a specific 10-year risk of hip fracture of 3 % should lead to a treatment by antiosteoporotic drugs (e.g. bisphosphonates). However, these threshold levels are primarily driven by public health care considerations and not by the individualized care of the patient. for those at high risk of fracture and vitamin D / calcium supplementation is essential in all prevention strategies. The strongest single risk factor for fracture is falling and not osteoporosis, meaning that the focus of rehabilitation in elderly subjects with osteoporosis and/or fractures should be to prevent falls. Based on published evidence in elderly communitydwelling and hospitalized subjects falls can be prevented, regardless of the type of intervention. Exercise in Osteoporosis Asterios PAPANIKOLAOU Eleftheria ANTONIADOU Aging with central and periferal nervous system trauma, diseases and degenerative muscle diseases nowdays is the rule and not the exception. People who are living and aging with these underlying medical conditions often experience pain secondary to their physical impairment that may worsen over time, resulting in increased disability and decreased quality of life. The frequency and severity of persistent pain, can be expected to increase because of the reduced biologic, psycological, and social reserves associated with aging. A broad array of biological and psycosocial factors may contribute to the development and the impact of pain, including general medical status, underlying pathophysiological meccanism, emotional and psycosocial factors, intrinsic and personal characteristics, and interactions with the broader physical and social environment. The rates of persistent pain varies between different studies for the same condition generally being higher than the ablebodied aged adults. Efforts are made to standardized pain assesments in physically impaired populations under the recommendations of the IMMPACT group. Treatment strategies in the elderly population is always a challenge, because of polipharmacy and other conditions that can interact with the traetment plan. Fatigue in the elderly population Evangelos MANAOS Fatigue is defined as a subjective lack of physical and/ or mental energy that is perceived by the individual or caregiver to interfere with usual or desired activities. Despite the fact that this “lack of energy” is believed to be a common complaint among elderly population, in multiple studies of self-reported fatigue older adults report fatigue less often than their younger counterparts. This strange finding can be explained if the activity level in which the fatigue occurs is taken into consideration. Thus, a new term called “fatigability” is used as a phenotype characterized by the relationship between self-reported fatigue and the level of activity with which the Abstracts Preventive exercise: A lifelong dedication to physical activity and exercise is recommended (60 min. daily for all children aged 8 and older, and 30 min. for adults). Therapeutic exercise: Is an essential element of the rehabilitation program for patients with osteoporosis and should be tailored to the patient’s level of fitness and anticipated propensity to fracture. Exercise increase muscle and bone strength, joint flexibility, and balance, and prevent falls SPEED: Spinal Proprioception Extension Dynamic Exercise program for women with osteoporosis - kyphosis). Functional exercises. Exercise principles: Specificity, Reversibility, Progression, Initial Values, Diminishing Returns. Osteoporosis is a disease that is progressive and if unchecked can cause severe disability. In patients with physical disabilities: inactivity, can be especially harmful because of a propensity for further deterioration with aging and concomitant healthy problems. The PASIPD questionnaire: (Physical Activity Scale for Individuals with Physical Disabilities) can be useful in assessing levels of activity in the persons with disability, such as home maintenance function, moderate and vigorous sport and recreational activities, occupation and transportation. Patient’s education: Concerning proper posture, body mechanics, and increasing strength and aerobic capacity is an essential component of both short-term and long-term interventions. Practical considerations in the assessment and treatment of pain in adults with physical disability fatigue is associated. Measurement of fatigability may be done by self-report measures of fatigue combined with objectively measured activity. This allows meaningful and objective comparisons between studies. There is a variety of potential mechanisms of increased fatigability with aging including agerelated alterations in energy production or utilization, functional disabilities that decrease efficiency and inflammatory processes. Many clinical studies have reported on attempts to decrease fatigue in older adults through a variety of pharmacologic and non-pharmacologic interventions even if they did not focus on increased fatigability. Fatigue may be a symptom that can serve as a physiologic warning signal and additionally in older adults with multiple conditions increased fatigability may reflect greater underlying disease burden. Consequently, a shifting of the focus of attention to fatigability may benefit our interventions for improving both symptoms and function of the tired elderly population. Delivery of rehabilitation services to people aging with a disability Lamprini LILI Principles of Geriatric Rehabilitation Alexandros PAPADEAS The aging of our population is an undoubted fact. Due to this, it has become imperative to maximize and maintain the function of all patients in order to preserve quality of life and decrease healthcare costs. With timely intervention, the rehabilitation team can help restore function close to preinsult, pre-morbid functional level and attempt to preserve the functional level for the remainder of the patient’s life span. This restoration of function should help reduce the total healthcare cost. Geriatric Rehabilitation can be defined as medical treatment plus prevention, restoration plus accommodation, and education. The accommodation is to irreversible effects of normal and pathological aging and requires an associated education of the patient and his or her family. The rehabilitation team can teach new ways to accomplish the functional tasks that can no longer be executed as previously because of the effects of aging. The team can teach these techniques to the patient or educate the family, depending on the patient’s ability to learn. A second component of geriatric rehabilitation is the prevention of disability and the restoration of function. Many impairments combine reversible and irreversible components. Therapeutic exercise, for example, can be used to prevent or reserve the effects of disuse caused by inactivity or injury. The preventive concept should be broadened to include all geriatric patients by remembering the “use it or lose it” concept. Medical treatment of impairment is the third integral part of geriatric rehabilitation. Treatment is needed to cure when possible, or at least to stabilize the disease process when cure is not possible. Many of the impairments of the elderly are chronic and incurable but manageable, thus Abstracts Individuals with disabilities access health care in a variety of ways depending on health care system, causing disease or disease phase, finances or even geography or cultural differences. Also, as one ages, the systems of care needed may change. Systems of care for disabled elderly are vast, ranging from inpatient facilities to outpatient programs and home programs. Recent advances in technology allow us to reach patients in their homes through telemedicine. Support services within the community are growing, and case managers are becoming more necessary as it becomes more difficult to navigate the health care system. Providers of rehabilitative services must help patients find the most appropriate setting to receive care and advocate for patients and caretakers. Nowadays, there is a trend the focus of care to shift from inpatient to outpatient care and to home services. Additionally, there has been a shift in focus from achieving short-term functional performance goals in a therapy gym or inpatient rehabilitation unit to setting and achieving long-term functional goals at home (for instrumental activities of daily life), including goals addressing quality of life. Significant research questions remain, and health care policy requires development. As the population ages and the disabled elderly population becomes a focus of fiscal experts, there must be an emphasis on providing the most cost-effective yet functionally productive health care. We must work to promote the strengths of the elderly population by addressing preventative strategies while maintaining as long as possible functional independence. preventing or delaying progression, complications and associated disability is reasonable. In this presentation we will discuss about the factors, either age or diseaserelated, that may affect the rehabilitation plan. We will also discuss about the optimal level of intensity or medical service needed to achieve significant functional goals in the most cost-effective manner. Finally, we should frame our definition of outcome. in higher serum concentrations at equal dosage, hence possibility of adverse effects. Therefore, drugs with narrow therapeutic margin are those whose dosage must be carefully adjusted to achieve efficacy without side effects Diagnosis and management of denutrition should always be the case in elderly patients. Pressure ulcers and nutritional support (prevention and treatment) Patrice QUENEAU George C. SPATHARAKIS Definition of Iatrogenesis: Any disease or adverse event caused by a medical intervention within the health care system. The term does not prejudge in any way an error, fault or negligence: some risks are unavoidable, others not. In Geriatrics, the mere decision to hospitalize can lead to undue loss of autonomy. The drug-induced iatrogenesis my be related to the adverse effects without therapeutic misuse, or with therapeutic misuse. This “misuse” is caused by by the physician and by extension, other caregivers (notably the pharmacist or the nurse) or the patient himself, through inappropriate selfmedication or poor compliance with treatment. Oral anticoagulants, NSAIDs, aminoglycosides, corticosteroids, opiates, antihypertensives and antipsychotics are the most frequent used drugs in the elderly and the drugs that give the most important iatrogenic problems. The adverse effects of drugs in the elderly are: More frequent from 3 to 20 % and are involved in 5 to 10 % of hospitalizations They adverse effects are preventable in part: inadequate dosage, drug interactions, interactions with diseases > concept of misuse or inappropriate prescriptions. Nutritional problems in the elderly can promote iatrogenesis by several mechanisms: - Hypoalbuminemia will cause a decrease in acidic binding (aspirin, warfarin, phenytoin) leading to a risk of overdosing. - Increase in fat mass at the expense of muscle mass (1/3 greater at age 75 than at age 30) increase volume of lyphophilic molecules due to a greater distribution in (fat, adipose) tissue (antidepressant, anaesthetic, CNS) and decrease volume of hydrophilic molecules (paracetamol, digoxin), resulting Epidemiological and experimental data have shown that Pressure Ulcers(PUs) enhance insufficient nutritional state and vice versa. PUs affect 0.5% of the total population. Their distribution is clustered into 2 groups: a)Younger individuals, mostly neurologically impaired(30%), b) Geriatric Population(70%). Undernutrition affects 9-47.1% of the elderly while malnutrition is present in 0.7-3.2% of the geriatric population. In a prospective study (Thomas, 1996) with high-risk patients, undernutrition was present in 29% of patients at hospital admission. At 4 weeks, 17% of the undernourished patients had developed a pressure ulcer, compared to 9% of the non-undernourished patients. In a long-termcare setting (Pinchcofsky-Devin, 1986) 59% of residents were diagnosed as undernourished on admission. Among these residents, 7.3% were classified as severely undernourished. Pressure ulcers occurred in 65% of these severely undernourished residents. No pressure ulcers developed in the mildto-moderately undernourished or well-nourished groups In a study of survival among residents in long-term care with severe cognitive impairment, 135 residents were followed for 24 months. The relative risk of death in the presence of a PU was 1.49 at the onset versus 1.06 after two years. PUs mediate this effect through a generalized inflammatory response creating thus the necessity of a nutritional supplementation. This supplementation should focus on an increased caloric charge, a high protein content and, possibly, addition of specific nutrients. The protocols for caloric supplementation quote for requirements of 25 kcal/ kg/day for sedentary adults and 40 kcal/kg/day for stressed adults with 1.6 Abstracts Denutrition in the elderly times coverage of the Basal Energy Expenditure. Current recommendations for protein intake in PUs are 1.5-1.8 gm/kg/day. Comments are presented on the supplemantation of electrolytes, arginine, glutamine, vitamin C and zinc. Dysphagia: From diagnosis to treatment Patricia GIANNIKA, Anatoli PATARIDOU The normal mechanism of swallowing and its stages will be described as well as the changes of the biomechanics of swallowing as they evolve because of age and disease. Different means of diagnostics will be described, both clinical and instrumental, such as the Modified Barium Swallow (MBS) and the Fiberoptic Endoscopic Evaluation of Swallowing (FEES). A variety of treatment techniques will be explored, both in the form of exercises and swallowing maneuvers as well as surgical and medical procedures. Mediterranean diet and longevity George C. SPATHARAKIS Although most people believe that the Mediterranean diet is just a unique one, reality shows that this consists of a series of diets, related to different cultures and people around the Mediterranean Sea that share common nutritional characteristics. The first proofs of a beneficial effect of these diets on the health outcomes came in the early sixties with the “Seven Countries’ Study” conducted by the American nutritionnist Ancel Keys. These beneficial effects seem to be related to different biological factors and pathways, most noticeable of which are: the fall of different inflammation markers, especially the IL-8, a reduced oxidative stress and increased Is physical exercise sufficient to prevent sarcopenia? Cornelius BOLHEIMER Sarcopenia does not only denote a reduction of (age-related) muscle mass it also encompassess a compromised muscle strength and a reduced functional performance. The anti-sarcopenic potential of resistance training (both strength and power resistance) has been reviewed by several meta-analyses. Accordingly, resistance training works in principle but mainly on the components of muscle mass and muscle strength. Its effect on performance however is weak. Other types of exercise (such as aerobic endurance training) and - more generally speaking - voluntary physical activity do neither contribute to muscle strength nor to performance. Nutritional interventions are supposed to support the anti-sarcopenic effects of resistance training. These encompass the consumption of (i.) protein above the usual RDA-recommendation, (ii.) adequate amounts of leucine, (iii.) high-quality protein immediately after exercise, and (iv.) nutritional supplements such as creatine and hydroxymethylbutyrate. Whether with or without nutritional support - there is the general problem that for the majority of all seniors exercise is unfamiliar and too tedious. Hence, science and pharamceutical companies are looking up for the “exercise pill” which could replace the unpleasant life-style modifications and easily prevent sarcopenia. But here we are only at the beginning of the possibilities... Abstracts Since then, multiple observational -mostly- studies has relied Mediterranean diet to longevity, although the adherence of each people to it seems to differ importantly. This influence is mostly due to a significant decrease of mortality due to cardiovascular dissease but also to a decline of cancer mortality. insulin sensitivity and all these some times although the presence of obesity and / or a sedentary way of life. On the nutritional level these findings are mostly correlated to higher consumption of wholegrain cereals, foods rich in polyunsaturated fatty acids, and a limited amount of alcohol. The observed effects of longevity, however, should not only be attributed to the diet itself but to other concomitants like low smoking habit (smoking cessation at the advanced age), mid-day naps (siestas), active social and family life and possibly religion. Caloric restriction, sexual life and way of life for a future centenarian Athanase BENETOS Aging with cerebral palsy Zoi P. DALIVIGKA Medicine’s success in treating children with cerebral palsy (CP) and other developmental disabilities creates many new challenges when these individuals reach adulthood. Aging with spinal cord injury Christina-Anastasia RAPIDI Many factors can influence the biological aging and the decline in organ system functioning, including genetics and lifestyle factors. A specific impairment, such as spinal cord injury (SCI), may also influence the rate of biological aging. Individuals with long term SCI report new declines in function or increased disability. Twenty years or more duration of injury, and age ranging from mid-40s to early 50s, have been identified as common time frames for functional changes related to aging and SCI. Abstracts The demographic expansion of the elderly population, including those over 80 years of age, will be constant over the next forty years. If this segment of the population represented 3.8% of Europe’s total in 2006, it is expected to reach 9.5% in 2050, an increase of approximately 130%. Can we fight off or at least slow down the weakening of the elderly? Can we prolong life without getting old and weak? Are there interventions that alter the course of aging? Can we be a centenarian in a good shape? These questions are at the heart of an intense debate amongst clinicians, researchers and public authorities alike who face problems of aging on a collective basis, as well as their medical, social and economic consequences. Every day we are bombarded by “scientific and medical revolutions” that boast the miraculous effects of a new diet, a molecule, a new genetic manipulation or a new method for achieving the objective of youth and longevity. The fantasy of immortality has always been part of human history and of the collective imaginary. Environmental factors and way of life play an important role in the evolution of aging and the possibility to be centenarian. In this session we will discuss among others different question concerning: - Caloric restriction: Luigi Cornaro’s recipe for longevity that made him live to be 102 back in the 15th century? Fruit-flies, rats, monkeys and humans: variant effects of surveyed starvation? How not to obese, how not to be a hungry bore? - Sexual activity. Is it all about physical activity or there is more to it? The decrease of libido and how the hormones are not involved? The benefits of afternoon naps in combination (or not) to sex? The aging process interacts with the motor disorder in the adult with CP, increasing the incidence of secondary musculoskeletal or neurological complications and resulting in deterioration or loss of mobility, chronic pain, fatigue and decline in functioning and participation. The natural history of mobility in CP is one of early decline, mostly due to: muscle weakness and sarcopenia, the effects of spasticity on the musculoskeletal system, lever-arm disease of the lower limbs, neuromuscular scoliosis, osteoporosis, early onset of osteoarthritis and pain, spinal stenosis and spondylisthesis, overuse syndromes. Adults with CP also experience pain associated with contractures, spasticity, othopaedic deformity, fractures, pressure from sitting on bony prominencies, fatigue or gastroindestinal issues. Despite the lack of systematic, large-scale follow-up studies, it is a common acknowledgement that about one third of adults with CP experience modest-to-significant decreases in walking or self-care tasks, partly due to musculoskeletal issues. Nonetheless, there is a consensus that all these problems may be lessened or even prevented by early recognition and intervention. Specialized care addressing the needs of cerebral palsy adults should involve an interdisciplinary team of specialists, providing interventions for rehabilitation but also for disease- or not-related medical issues. What is also very important is the efficient transition from paediatric to adult care, as this is now thought to be more of a process of gradual adoption of new roles, than just a service approach. There are international differences in outcomes associated with aging and spinal cord injury. These differences may reflect differences in sociopolitical, health care system and cultural factors. Women report more often pain, fatigue, and skin problems and more transportation problems. Men experience more health problems, more diabetes, and more adaptive equipment changes. High rates of impaired glucose metabolism are found in persons with SCI and this fact might help to explain other findings common in SCI, such as the high rates of fatigue and weight gain. The loss of bone mineral in persons with SCI, especially women but also in men, is accelerated. This finding is part of “premature aging”. The risk factors for the development of cardiovascular disease appear to occur more often and earlier in life for persons with SCI. The presence of SCI increases the risk of cardiovascular disease by 16% overall. The risk increases further for persons with tetraplegia versus paraplegia as well as for complete versus incomplete lesion. Aging and duration of SCI influence urological complication rates, and bladder management method. The long-term planning from the time of injury is important in order to minimize late complications. New needs for specially health care services develop as individuals aging with SCI in order to maintain their health and function and preserve their independence level in activities of daily living. Aging in polio Tonia TATSIDOU The impact of age on traumatic brain injury Angeliki GALATA The number of elderly persons has increased dramatically along with the number of people with disabilities who are aging. The overall death rate from traumatic brain injury decreased with advances in long-term medical care, rehabilitation and social support. However, successful aging is more than simply living longer. It involves maintaining physical, cognitive and social functions. Older individuals with traumatic brain injury (TBI) differ from younger adults with TBI in several ways, including their incidence rates, etiology of injury, nature of complications, lengths of hospitalization, functional outcomes and mortality. Despite the greater likelihood of poorer functional outcomes, older adults with TBI often achieve good functional outcomes and can live in community settings after receiving appropriate rehabilitation services, although at higher costs and longer hospitalizations than younger individuals. Little is known regarding the long- term impact of TBI on individuals as they age, but this is an important issue as the population ages. Specific issues that should be addressed in research include long-term disposition, causes of mortality many years post TBI, long-term medical complications Abstracts Aging in polio is a definition of Post-Polio syndrome (PPS). Although the number of cases of acute poliomyelitis has decreased, late effects of poliomyelitis continue to be a source of disability. PPS is a collection of musculoskeletal and neuromuscular symptoms occuring several decades after a patient has recovered from the initial infection with the poliovirus. There are no diagnostic tests to confirm the diagnosis of PPS. The definition is based on a confirmed history of paralytic polio, neurologic and functional recovery followed by a period of stability, the onset of unaccustomed fatigue, new weakness, muscle and joint pain, functional loss , muscular atrophy and the exclusion of other medical diagnosis. Fatigue, both general and muscular, and weakness are the most common sequelae of polio with aging. Usual findings are musculoskeletal deformities such as scoliosis, pain, muscular atrophy, increase in fractures due to osteopenia. The ventilatory limitation and dysphagia are also important. The cognitive and the psychologic function after polio are affected. The most accepted theory of the mechanism of PPS is “neural fatigue”. The normal aging process may also play a role. An interdisciplinary evaluation is essential. The use of pharmacologic agents is limited. Management includes careful strengthening, conservative pain treatment, appropriate assistive devices, energy conservation measures and pacing of daily activities with frequent rest periods, referral to a pulmonologist if needed, speech therapy and attention to psychological issues. It should also include the identification and treatment of conditions like hyperlipidemia, cardiac risk factors, osteoporosis. in institutionalized and community-dwelling individuals and the long-term impact on families and caregivers of aging individuals with TBI. As with all aging individuals, those with TBI require routine primary medical care. After a person sustains TBI, routine preventative care should be provided in addition to the services required as a result of TBI. Δεδομένα της ψυχολογίας της άσκησης για την τρίτη ηλικία: Λόγοι συμμετοχής, εμπόδια και παράμετροι ενίσχυσης Εμμανουήλ ΓΕΩΡΓΙΑΔΗΣ Παρά τις πολυάριθμες έρευνες σχετικά με τα οφέλη της άσκησης, πολλοί άνθρωποι παραμένουν σωματικά ανενεργοί. Στην περίπτωση των ατόμων της τρίτης ηλικίας, η σωματική άσκηση μπορεί να αποτρέψει νόσους και να ενισχύσει την σωματική, την γνωστική και την ψυχική υγεία, βελτιώνοντας ουσιαστικά την ποιότητα διαβίωσης. Παρά τις προτροπές των ειδικών, η ηλικιακή αυτή κατηγορία συμμετέχει όλο και λιγότερο σε προγράμματα άσκησης, αδυνατώντας έτσι να καρπωθεί σημαντικά οφέλη. Μέσα από τις νεώτερες έρευνες, ερευνώνται τα αίτια της ελλιπούς συμμετοχής στα προγράμματα άσκησης και παρουσιάζονται προτάσεις για την αποτελεσματική αντιστροφή αυτού του φαινομένου. Η κατανόηση της ανθρώπινης συμπεριφοράς μέσα από τα δεδομένα της ψυχολογίας, μπορεί να βοηθήσει σημαντικά την εφαρμογή της νέας γνώσης στην ιατρική, ιδιαίτερα σε πληθυσμούς που εμφανίζουν μεγάλες ανάγκες φροντίδας. Ιωάννης ΚΟΜΝΗΝΟΣ Στο χώρο της γηριατρικής είχε περιγραφεί από καιρό το «σύνδρομο» που αποτελείται από «πολλαπλές συνυπάρχουσες καταστάσεις όπως αδυναμία, Abstracts Ευπάθεια και διατροφικές παράμετροι στους ηλικιωμένους έλληνες: Στοιχεία από την Έρευνα για την Υγεία, την Γήρανση και την Συνταξιοδότηση στην Ευρώπη (SHARE) μειωμένη κινητικότητα και ελαττωμένη αντοχή σε σωματικούς ή ψυχικούς στρεσσογόνους παράγοντες». Ο όρος «ευπάθεια» (frailty) χρησιμοποιήθηκε για να περιγράψει αυτό το σύνδρομο. Πρόκειται για έναν πολυδιάστατο όρο, ευρέως διαδεδομένο, που χρησιμοποιείται για να περιγράψει ένα σύνδρομο απώλειας αποθεμάτων (ενέργειας, φυσικής ικανότητας, γνωστικής ικανότητας, υγείας), το οποίο καθιστά τον ηλικιωμένο όχι μόνο περισσότερο «ευάλωτο», σε νόσους ή κλινικά ψυχικά και οργανικά σύνδρομα, αλλά καθορίζει και την έκβαση των καταστάσεων υγείας, την ανταπόκριση στη θεραπεία καθώς και τον βαθμό αποκατάστασης και επανόδου σε σταθερότερη κατάσταση υγείας. Αυτή η απώλεια φυσικών αποθεμάτων θέτει τα βιολογικά συστήματα του οργανισμού σε φθίνουσα πορεία, ενώ ως «κατώφλι» για την κατάσταση ευπάθειας θεωρείται η φθορά περισσότερων από δύο συστήματα. Οι ευπαθείς ηλικιωμένοι παρουσιάζουν αυξημένο κίνδυνο εγκατάστασης λειτουργικής ανικανότητας, κοινωνικής απομόνωσης και ιδρυματοποίησης. Συνοψίζοντας όλες εκείνες τις παραμέτρους που εμπλέκονται στην εγκατάσταση της ευπάθειας, οι Fried και Walston το 1998 παρουσίασαν ένα μοντέλο στο οποίο νοσολογικοί και μεταβολικοί παράγοντες σχετιζόμενοι και με την ηλικία αλληλεπιδρούν σε μια δυναμική σχέση λειτουργικής και ενεργειακής έκπτωσης καθορίζοντας τον βαθμό της ευπάθειας σε έναν άνθρωπο που γερνά. Το μοντέλο αυτό ακολούθησε ένας ευρέως διαδεδομένος φαινοτυπικός προσδιορισμός της ευθραυστότητας από την Fried το 2001 που περιλαμβάνει παραμέτρους όπως η αναίτια απώλεια βάρους, το υποκειμενικό συναίσθημα εξάντλησης, τα επίπεδα φυσικής δραστηριότητας, η ταχύτητα βάδισης (walking speed) και η φυσική αδυναμία (low grip strength). Η συμπερίληψη της απώλειας βάρους στα κριτήρια της ευπάθειας είναι άρρητα συνδεδεμένη με την κοινά αποδεκτή αντίληψη της ευπάθειας ως ένα σύνδρομο «φθίνουσας πορείας», ή και «φθαρτότητας», με την σαρκοπενία να αποτελεί μία από τις κυρίαρχες εκφράσεις της . Ωστόσο, σε ολοένα και περισσότερες μελέτες από την διεθνή βιβλιογραφία περιγράφεται το θεωρητικό υπόβαθρο στο οποίο η ευπάθεια συνδέεται και με την παχυσαρκία: Καθώς η παχυσαρκία εκτός των άλλων αποτελεί προδιαθεσικό παράγοντα και για κατάσταση χαμηλής λειτουργικότητας με την οποία είναι συνδεδεμένη η ευπάθεια, διαφαίνεται ότι στο μοντέλο του ευπαθούς ηλικιωμένου, η διατροφή και η άσκηση αποτελούν μείζονες συνιστώσες. Μελετώντας τα δεδομένα από το ελληνικό δείγμα της Έρευνας για την Υγεία, την Γήρανση και την Συνταξιοδότηση στην Ευρώπη (SHARE Survey), περιγράφεται το προφίλ του ευπαθούς ηλικιωμένου σε σχέση με διατροφικές παραμέτρους (όπως είναι ο Δείκτης Μάζας Σώματος) και δίνεται έμφαση στους παράγοντες εκείνους που μπορούν να περιγράψουν αλλά και να επηρεάσουν αυτήν τη σχέση όπως είναι οι δραστηριότητες, η άσκηση και η διατροφή. ξεκινούν νωρίς στην ζωή των υπερηλίκων ατόμων, ο κάθε ιατρός, ειδικά ο γενικός / οικογενειακός ιατρός της πρωτοβάθμιας φροντίδας υγείας, αλλά και ο ιατρός της φυσικής ιατρικής / αποκατάστασης θα πρέπει να μπορούν να παρεμβαίνουν με απλά, πρακτικά και φθηνά μέσα για την βελτίωση της διατροφικής κατάστασης των υπερηλίκων που διαβιούν στην κοινότητα. Συζητάται και ο ρόλος της άσκησης στην παρέμβαση αυτή. Μεθοδολογία διατροφικής παρέμβασης σε ευπαθείς υπερήλικες με έλλειμμα διατροφής Γεώργιος Χρ. ΣΠΑΘΑΡAΚΗΣ Abstracts Ως «Ευπάθεια (Frailty)» ορίζεται η αδυναμία του ηλικιωμένου ατόμου / οργανισμού να ανταποκριθεί κατάλληλα σε κάθε φυσικό, βιολογικό ή ψυχολογικό stress. Μετά την έκθεση ενός ευπαθούς ηλικιωμένου ατόμου σε ένα ισχυρό stress, η αποκατάσταση απαιτεί πολύ χρόνο και δεν είναι πλήρης, σε αντίθεση με τα εύρωστα άτομα. Μια άλλη έκφραση της ευπάθειας είναι η εξάντληση των ψυχο-βιολογικών εφεδρειών, οπότε το άτομο για να ανταποκριθεί στις συνθήκες της συνηθισμένης καθημερινής του ζωής πρέπει να χρησιμοποιεί αναγκαστικά ένα υψηλό ποσοστό των δυνατοτήτων του (80-90%). Υπάρχουν πολλά κριτήρια για τον ορισμό του συνδρόμου της ευπάθειας. Βιολογικοί, ψυχολογικοί και κοινωνικοί παράγοντες μπορούν να συντείνουν στην εμφάνιση του συνδρόμου. Ωστόσο, ένας κοινός παρονομαστής όλων αυτών των διεργασιών σε βιολογικό επίπεδο είναι η σαρκοπενία. Ως σαρκοπενία ορίζεται η συνολική απώλεια μυϊκής μάζας από τα ηλικιωμένα και αυτή με την σειρά της μετράται ποσοτικά από την δύναμη σφιξίματος του χεριού και την ταχύτητα βάδισης. Η κακή διατροφική κατάσταση (ποσοτικά ή / και ποιοτικά ανεπαρκής) αποτελεί μία από τις βασικές αιτίες πρόκλησης και εμφάνισης σαρκοπενίας και ευπάθειας. Είναι σημαντικό για τον κάθε ιατρό να γνωρίζει τις βασικές αρχές διατροφικής παρέμβασης, ποσοτικής και ποιοτικής, στον πληθυσμό αυτό. Καθώς η εκτίμηση, παρακολούθηση και παρέμβαση πρέπει να SPEAKERS - CHAIRS INDEX ANTONIADOU Eleftheria, MD PMR Specialist FEBPMR, GREECE LILI Lambrini MD, PhD Physical and Social Rehabilitation Center, Amyntaio, Florina, GREECE BENETOS Athanase, MD, PhD Professor of Internal Medicine and Geriatrics, Head of Geriatrics University of Nancy, FRANCE President of the French Greek Atherosclerosis Association MANAOS Evaggelos, MD, FEBPRM Physiatrist, Specialized in Physical and Rehabilitation Medicine, Rehabilitation Doctor in Physical and Rehabilitation Medicine Centre “Filoktitis”, Koropi, Athens, GREECE BOLHEIMER Cornelius, MD Department of Internal Medicine I, University Hospital of Regensburg, GERMANY MARAGKOUDAKI Evangelia, MD PRM specialist, 2nd PRM Department, National Rehabilitation Center “EKA”, Athens, GREECE DALIVIGKA P. Zoi, MD PRM Specialist, Fellow of the European Board of PRM Physiatrist of the Cerebral Palsy Greece Society, Athens, Greece Research Fellow, Cerebral Palsy and Paediatric Movement Disorders Clinic, Paediatric Department, Attikon University, Athens, GREECE MICHAIL Xanthi, MD, PhD, SFEBPRM President of the Hellenic Society of Physical and Rehabilitation Medicine, GREECE DIONYSSIOTIS Yannis, MD, PhD Physical and Social Rehabilitation Center Amyntaio, Florina, GREECE ONDER Graziano, PD Dr. Med Assistant Professor, Università Cattolica del Sacro Cuore (UCSC), Rome, ITALY GALATA Aggeliki, MD PRM Physician, Scientific Director of “AROGI” Thessalikon Rehabilitation Centre in Karditsa, GREECE PAPADEAS Alexandros, MD Senior Fellow of the European Board of PRM Secretary General of Hellenic Society of Physical & Rehabilitation Medicine ex. Head Director, Physical & Rehabilitation Dept., 401 General Military Hospital of Athens, GREECE GIANNIKA Patricia Speech Language Pathologist, Athens, GREECE PAPANIKOLAOU Asterios, MD Physical and Rehabilitation Medicine, Thessaloniki, GREECE KOTRONI Aikaterini, MD Physiatrist, General Athens Hospital “KAT”, Member of the European Board of PRM, Athens, GREECE PATARIDOU Anatoli, MD ENT Surgeon, “Ygeia” Hospital, Athens, GREECE QUENEAU Patrice Professor of Medicine and Therapeutics, Secretary General of the French National Academy of Medicine, FRANCE Index KOTSIFI Konstantina, MD Physiatrist, Athens, GREECE RAPIDI Christina-Anastasia, MD, PhD Scientific responsible of Neuropathic Bladder Unit 2nd PRM Department, National Rehabilitation Center “EKA”, Athens, GREECE RAYNAUD-SIMON Agathe Professor of Medicine and Geriatrics, University of Paris, FRANCE ROLLAND Yves Professor of Medicine and Geriatrics, University of Toulouse, FRANCE ROUSSOS Nikolaos, MD PRM specialist, PRM Unit, Asklipeion Voula Hospital, Athens, GREECE SPATHARAKIS George, MD Geriatrician- Gerontologist, Clinical Director of the Public Primary Health Care Center of Itea, Phokida, Greece SPYROU Spyros, MD, MSc Physiatrist, Head of PRM Unit, Olympic Village Polyclinic, Athens, Greece STATHI Kyriaki, MD Physiatrist, Piraeus, Greece TZANOS Georgios, MD Physiatrist, Head of PRM Unit, “Thriassio”General Hospital of Elefsina, GREECE ZAMBONI Mauro, MD Professor of Geriatric Medicine, Chief, Section of Geriatrics Medicine Department of Medicine, University of Verona, ITALY ΓΕΩΡΓΙΑΔΗΣ Εμμανουήλ Αθλητικός Ψυχολόγος, Διδάκτορας Αθλητικής Ψυχολογίας και Ψυχολογίας της Άσκησης, Loughborough University, U.K ΓΡΑΜΜΑΤΟΠΟΥΛΟΥ Ειρήνη Φυσικοθεραπεύτρια, Επίκουρος Καθηγήτρια στο Τμήμα Φυσικοθεραπείας του ΤΕΙ Αθήνας ΚΑΤΣΟΥΛΑΣ Θεόδωρος Νοσηλευτής ΠΕ, MSc, PhD Καθηγητής Εφαρμογών Νοσηλευτικής Β ΣΕΥΠ, ΑΤΕΙ Αθήνας ΚΟΜΝΗΝΟΣ Ιωάννης Γενικός Ιατρός, Υπ. Διδ. Δημόσιας Υγείας, Ηράκλειο, Κρήτη TATSIDOU Tonia, MD Physiatrist, Head of Rehabilitation unit “Olympion Chanion”, Crete, Greece ΜΥΡΙΑΝΘΕΥΣ Παύλος Πνευμονολόγος - Εντατικολόγος, Αναπληρωτής Καθηγητής Ε.Κ.Π.Α Πανεπιστημιακή Μ.Ε.Θ, Γ.Ο.Ν.Κ «Άγιοι Ανάργυροι», Αθήνα TROVAS George, MD Endocrinologist, Laboratory for the Research of Musculoskeletal Diseases, University Of Athens, GREECE ΟΙΚΟΝΟΜΙΔΟY Ειρήνη Γενική Ιατρός, Επιμελήτρια Α’ Γενικής Ιατρικής, Π.Ι. Σίνδου Κ.Υ. Διαβατών Θεσσαλονίκης Index TSOLAKI Magda, MD, PhD Neuropsychiatrist, Professor of Aristotle University of Thessaloniki, GREECE ACKNOWLEDGMENTS The Organising Committee of the 4th International Seminar on Preventive Geriatrics & 1st International Seminar on Geriatric Rehabilitation would like to thank the following for their fruitful cooperation and valuable contribution to the organisation of the congress: Τhe European Network of Teachers of Therapeutics (ENOTT) Association de Recherche et d’Information Scientifique en Cardiologie (ARISC) The Ministry of Health and Welfare The Medical Association of Athens SPONSORS COMMUNICATION SPONSOR General Information Date & Venue April 1st - 3rd 2011 Ionic Center, Athens, Greece www.ionic.gr Currency All official prices are in Euro (€) Registration Registration Type Cost Specialists, Residents €100,00 Nurses, Health Professionals €50,00 Students €20,00 Registration Fees will cover participation to the scientific program, conference material, certificate of attendance, coffee breaks, welcome reception Accreditation points CME Units The 4th International Seminar on Preventive Geriatrics & 1st International Seminar on Geriatric Rehabilitation is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide 16 European credits to medical specialists. The EACCME is an institution of the European Union of Medical Specialists (UEMS). www.uems.net Congress Language The seminar’s official language is English. Congress Organizers P.O. Box 126, 1st km Paiania - Markopoulou Ave., 190 02 Paiania Tel: 210 32 74 570, Fax: 210 33 11 021, [email protected], www.congress.goldair.gr PR & Marketing Management e-mail: [email protected], www.juste-med.com
© Copyright 2024 Paperzz