Nutritional assessment II 153 composition are in spite of a comparable dietary intake with HC. Disclosure of Interest: None declared PP331 UNDERNUTRITION IN OLDER ADULTS: DATA FROM THE NUTRIACTION PROJECT IN BELGIUM M. Arvanitakis 1,2 , M. Vandewoude 3 , A. Van Gossum 1,2 , and VVKVM (Vlaamse Vereniging voor Klinische Voeding en Metabolisme), SBNC (Soci´ et´ e Belge de Nutrition Clinique), Domus Medica and SSMG (Soci´ et´ e Scientifique de M´ edecine Generale). 1 Gastroenterology, 2 Nutrition Team, Hopital Universitaire Erasme, ULB, Brussels, 3 Geriatrics, Ziekenhuisnetwerk Antwerpen, Antwerpen, Belgium Rationale: NutriAction is a screening project for assessing the risk and the prevalence of malnutrition among community dwelling older adults (CD) as well as in nursing home residents (NH). Methods: During 1 week a questionnaire was completed in 70 general practices and in 70 nursing homes. The questionnaire was based on items from validated screening instruments such as the MNA (Mini Nutritional Assessment; short form), the SNAQ (Short Nutritional Assessment Questionnaire) and some additional relevant parameters (mobility, independence, social isolation and co-morbidities). Results: The study sample consisted of 5334 subjects (3969 women, 1335 men) of which 975 lived at home. Mean age was 79.5±7.2 yr (CD) and 84.0±7.8 (NH). Sixteen percent was older than 90. The overall risk for undernutrition (MNA  11) was 57%, and was significantly higher in NH, among women and in the older age groups. Actual undernutrition was present in 15.9% (BMI < 20), 17.1% (SNAQ) and 17.6% (clinical evaluation). The prevalence was higher in Wallonia than in Flanders (SNAQ 21% vs 15%, p < 0.01). A new nutritional problem was found in±22%, independent from age category. More mobility problems were seen in the older cohorts and in those who were malnourished. Diabetes was present in 19%, previous stroke in 11.4%, active malignancies in 7%, swallowing problems in 12% and pressure ulcers in 6%. Social isolation was more prevalent in CD than in NH subjects (25% vs 15%). Conclusion: The overall risk of and the prevalence of undernutrition is common in older people. The prevalence is highest among the oldest, in women and in NH residents. The incidence of new nutritional problems, however, seems to be independent from age category. Undernutrition and worsening mobility are interrelated. Disclosure of Interest: None declared PP332 NUTRITIONAL RISK SCREENING (NRS 2002) IN HOSPITALIZED PATIENTS: FOCUS ON FOOD INTAKE DECREASE M. Arvanitakis 1,2 , A. Lintermans 3 , M. Raedemaeker 3 , A. Coudray 3 , S. Vereecken 2,3 , A. Van Gossum 1,2 . 1 Gastroenterology, 2 Nutrition Team, 3 Dietary, Hopital Universitaire Erasme, ULB, Brussels, Belgium Rationale: Screening tools such as the Nutritional Risk Screening (NRS 2002) are recommended for screening hospitalized patients. The aim was to assess the ability of the NRS 2002 in predicting outcome, as well as to focus on the group of patients presenting with decreased food intake. Methods: Patients admitted in the Gastroenterology Medico-surgical department between 1/11/2009 and 24/12/2009 (7 weeks) were prospectively screened with the NRS 2002. Patients presenting with food intake decrease filled up a questionnaire focusing on dietary habits, lifestyle and socio-economic background. Results: 137 patients were included. The majority (73%) was admitted on a non-emergency basis and 78.1% were less than 70 years old. The NRS 2002 was positive in 102 patients (74%) and 61/102 had a total score of 3. A positive NRS 2002 was associated with a longer length of stay (8.6 vs 4.8 days, p = 0.02) and decreased autonomy after discharge. A decrease of food intake was observed in 63 (46%) patients and 59 filled in the questionnaire. 16/59 (27%) were 70 years old and 22/59 (37%) lived alone. The majority (64%) prepared their meals themselves. The most common cause of decreased food intake was loss of appetite (73%), followed by swallowing difficulties (15%) and dental problems (7%). Furthermore, decreased food intake seemed to be associated with higher CRP levels (p = 0.010). In this subgroup of patients presenting with decrease food intake, many experienced fatigue (83%), as well as difficulty coping with everyday life (64%). Older age (70 years) appears to be associated with the fact of living (62% vs 28%, p 0.017) and eating alone (75% vs 30%, p = 0.003). Conclusion: The majority of hospitalized patients are at risk for undernutrition as detected by the NRS 2002. Furthermore, in patients with decreased food intake, other socio-psychological factors might play in role in appetite loss, especially in older patients. Disclosure of Interest: None declared PP333 ARE C REACTIVE PROTEIN AND PHASE ANGLE DETERMINANT FACTORS FOR HANDGRIP STRENGTH IN ONCOLOGIC PATIENTS? M.C. Gonzalez 1 , C.A. Pastore 1 , M.A.B. Lang 2 , R.R. Glufke 2 , C.D.M. Penno 2 , A. Formigheri 2 . 1 Post Graduation Program in Health and Behaviour, 2 Universidade Cat´ olica de Pelotas, Pelotas, Brazil Rationale: Malnutrition modifies muscular function even before anthropometric modifications and this could be early detected in nutritional assessment. Phase angle and C reactive protein (CRP) are also associated with malnutrition, although they can’t be considered specific nutritional markers. Their relationship with muscular function is not well known. The objective of this study is to evaluate the relationship among malnutrition, phase angle, CRP and muscular function, assessed by handgrip strength (HS), in oncology patients receiving chemotherapy. Methods: Patients receiving chemotherapy were studied before their first chemotherapy course. Nutritional status was assessed by Patient-Generated Subjective Global Assessment (PG-SGA) and body composition by BIA (RJL Systems ® Quantum 101, using VCORP ® program). Muscular