Nutritional assessment S195 postoperative infectious and wound complications: comparison of methods in presence of risk adjustment. Nutrition. 2005; 21(6): 691 697. [2] Stratton RJ, King CL, Stroud MA, Jackson AA, Elia M. Malnutrition Universal Screening Tool predicts mortality and length of hospital stay in acutely ill elderly. British Journal of Nutrition. 2006; 95(2): 325 330. Disclosure of Interest: None Declared. PP177-MON NUTRITIONDAY IN HOSPITALS: EVOLUTION OF BRAZIL PARTICIPATION FROM 2009 TO 2013 M.C. Gonzalez 1 , S. Orlandi 2 , J.V. Spolidoro 3 , C. Cukier 3 , O.R. Junior 3 , on behalf of SBNPE Sociedade Brasileira de Nutri¸c˜ ao Parenteral e Enteral. 1 Post Graduation Program in Health and Behavior, Universidade Cat´ olica de Pelotas, 2 Nutrition College, Federal University of Pelotas, Pelotas, 3 Sociedade Brasileira de Nutri¸c˜ ao Parenteral e Enteral, S˜ ao Paulo, Brazil Rationale: The nutritionDay is an international multicenter study that aims to evaluate nutrition factors and food intake of hospitalized patients. In Brazil the project is called nutriDia Brasil and had its first edition in 2009. This paper show the evolution of the scope of the project in the country and some parameters of nutritional care obtained in the last five years of audit. Methods: A multinational one-day cross-sectional survey was performed from 2009 to 2013 in Brazil, using standardized questionnaires. Data was collected by the staff and entered into an online database and the feedback report was generated. Results: The first edition included data from 718 patients from 25 Brazilian hospitals increased to 47 hospitals and 1350 patients in 2013. During those five years 4132 patients were included. The ratio of dietitians per hospitalized patient in each unit rose from 0.06 in 2009 to 0.10 in the next three years, reaching to 0.11 in 2013. The proportion of units using the national nutritional protocol in the evaluation of patients rose from 33% to 80%. The measurement of weight at admission significantly increased in these five years, and the frequency increased from 33% to 59%. Conclusion: We observed that the project has involved a large number of Brazilian states and increased awareness of caregivers about the importance of nutritional care of their patients. Disclosure of Interest: None Declared. PP178-MON HOW PHYSICAL ACTIVE ARE HOSPITALIZED ELDERLY MEDICAL PATIENTS, AND HOW WELL IS IT MEASURED BY SENSEWEAR ARMBAND? M. Køhler 1 , L.A. Pedersen 2 , P.L. Hansen 2 , C.D. Valentinsen 2 , S. Paulsen 2 , M. Holst 1,2 . 1 Center for Nutrition and Bowel Disease, Aalborg University Hospital, 2 Department of health Sciences, Aalborg University, Aalborg, Denmark Rationale: Physical activity (PA) in hospitalized patients may optimize strength, appetite, and outcome. PA is seldom measured in elderly medical patients, which makes it difficult for departments to know whether focus needs optimizing. Objective: To examine PAin elderly medical patients, and test how SenseWear measures PA in this group. Methods: Patients >60 years of age were recruited at dept. of haematology and dept. of kidney disease at Aalborg University Hospital during one week. Three SenseWear armband monitors were used to measure daily steps and Metabolic Equivalent of Task (MET), for 24 hours in each participant. Results: The study comprised 11 patients, five female and six male, age 57 87 years, mean 73 (SD 9); BMI 19.4 32.1, mean 25.2 (SD 3.7) and MET, mean 1.1 (SD 0.2). Half of the participants walked less than 50 steps a day. The majority of the tested patients were bedridden between 9 and 15 hours a day. Measured by MET, 5/11 patients had very low activity, with less than 20 minutes/day of moderate activity (3 6 MET). Four patients were moderately active for 19 38 minutes. Five of the 11 patients sleep less than 6 hours and 22 minutes a day, mean 9 hours (SD 3 hrs 25 min). Lying down was recorded for a mean of 11 hours (SD 3 hrs 53 min). A comparison between resting time, moderate and high activity and steps taken in this study shows that MET could be elevated due to metabolic changes related to disease rather than to physical activity, since patients are mainly inactive. SenseWear might have problems separating elevated back rest from lying down and sitting. Conclusion: This study shows that the majority (9/11) of this group of elderly patients were quite inactive. SenseWear might not be able to separate elevated back rest from lying down or sitting. Furthermore, MET measured by SenseWear, needs supplementation by other factors, i.e., steps and metabolic information. Disclosure of Interest: None Declared. PP179-MON IMPROVING NUTRITIONAL RISK MANAGEMENT AT OUR TERTIARY CENTER C. Aeberhard 1 , M. Joray 1 , M. Perrig 2 , S. M¨ uhlebach 3 , Z. Stanga 1,2 . 1 Department of Endocrinology, Diabetes and Clinical Nutrition, 2 Department of General Internal Medicine, University Hospital, Bern, 3 Division of Clinical Pharmacy and Epidemiology and Hospital Pharmacy, University, Basel, Switzerland Rationale: Managing patients’ nutritional risk is important in the hospital setting. Malnutrition often goes undetected and therefore untreated. The general goals of the present study is to improve malnutrition management at our Department. The objectives are to assess whether an electronic easylearn ed- ucational program leads to a better knowledge in nutritional basics and management, and therefore to an improvement in nutritional therapies (10% more prescriptions). Methods: Prospective pre-post intervention study. Nutritional screening (NRS 2002) and prescription of nutritional therapies were assessed in the pre and post intervention phase. Parallel, all physicians of the Department of General Internal Medicine had to fill in a questionnaire about basic nutritional knowledge before and after absolving the easylearn program (intervention). Results: 342 patients were included in the pre intervention and about 300 in the post intervention phase. In the pre intervention phase 157 patients were at nutritional risk and 185 patients were not. Of these patients (n = 342) only