222 Abstracts / Maturitas 81 (2015) 191–236 with patients to be identified and targeted via an integrated care pathway mapping and elderly patient care screening service. Objective: To assess the current evidence base for clinical medication review and falls in the elderly. Methods: Pubmed database search undertaken in and to July 2014, with search terms including ‘elderly’ and ‘falls’ and ‘medicines’ followed by review of all relevant publications in English. Results: Both medication over-use and under-use in the elderly occur frequently and can be harmful. The STOPP START tools, validated for assessment of potentially inappropriate prescribing in the elderly, offer the possibility of provision of a structured clinical medication review to patients. Conclusions: Many drugs commonly used by older persons have not been systematically studied as risk factors for falls. There is a need for more research on the impact of the STOPP START interventions on both the rates of falls and risk of falls in the elderly. http://dx.doi.org/10.1016/j.maturitas.2015.02.351 HEALTH AND SOCIAL CARE P211 Sexual and reproductive health needs of adult men in Ahwaz – Iran Mojgan Javadnoori 1,∗ , Marjan Hajizadeh 2 , Nahid Javadifar 1 1 Ahvaz Jundishapur University of Medical Sciences, Reproductive Health Promotion Research Center, Nursing and Midwifery School, Ahvaz, Islamic Republic of Iran 2 Bushehr University of Medical Sciences, Bushehr, Islamic Republic of Iran Context: Men have been neglected as a target population for sexual and reproductive health (SRH) services in Iran. Little is known about SRH knowledge and services they need. Developing appropriate strategies to meet their needs requires need assessment of the target group. Lack of attention to their own needs, reduces the effectiveness of men’s SRH programs. Objectives: This study aimed to identify SRH services men need. Methods: This descriptive study was conducted in 2014 on 1068 adult men aged 20–60 in Ahwaz, Iran. After developing and validating a questionnaire, unmet SRH needs of men were obtained using clustered randomized sampling. Felt needs, expressed needs, unmet needs and satisfaction of received services were obtained. Results: The most “unmet SRH needs” of men were diagnosis and treatment of male sexual dysfunction, Genito-urinary diseases such as prostate hypertrophy, and genital cancer. The first three “Felt needs” of men for SRH services were: screening and diagnosis of mail genital cancers, Genito-urinary diseases and STD/HIV. The most “Expressed needs” of men were: receiving contraceptive methods, diagnosis and treatment of STD/HIV and Genito-urinary diseases. The first three skills men needed were: preventing STD/HIV, resisting peer pressure and fatherhood role. Majority of men have weak SRH knowledge. The first Educational needs were: male genital cancer, STD/HIV, and psycho-sexual health. SRH needs of men were significantly correlated with sociodemographic factors such as age, education and income. Men’s satisfaction about SRH services was undesirable. Conclusions: Men have so many unmet SRH needs. The national health system must consider educational interventions and health services for men as well as implementing appropriate programs to promote SRH of men throughout the life span. http://dx.doi.org/10.1016/j.maturitas.2015.02.352 P212 Impact of former performed physical activity on body composition and physical fitness in postmenopausal Spanish women R. Aparicio-Ugarriza 1,∗ , J. Mielgo-Ayuso 1 , R. Luzardo-Socorro 1 , B. Maroto-Sanchez 1 , R. Seco 2 , E. Argelich 2 , M.M. Bibiloni 2 , G. Palacios-LeBlé 1,3 , J.A. Tur 2,3 , M. Gonzalez-Gross 1,3 1 Technical University of Madrid-INEF, ImFINE Research Group, Department of Health and Human Performance, Madrid, Spain 2 NUCOX Research Group, Universitat de les Illes Balears, Palma de Mallorca, Spain 3 CIBERobn CB12/03/30038 (Fisiopatología de la Obesidad y la Nutrición), Madrid, Spain Introduction: Physical activity (PA) guidelines emphasize the association of PA with numerous health benefits. This interaction occurs in part through components such as weight control and improved functioning of physical fitness. Women at menopause often experience body mass gain, particularly fat mass. Thus, the former PA also could enhance weight control and physical fitness. Aim: To evaluate the influence of PA performed at young age, on body composition and physical fitness in postmenopausal Spanish women population aged over 55 years. Material and methods: A battery of validated physical fitness tests (aerobic capacity, upper and lower strength, agility and walking speed) was applied to a sub-sample of a broader study (96 women, 55–88 years) living in Madrid (Spain). PA activity performed at younger ages and age of menopause was asked by means of the EXERNET questionnaire. The body composition variables analysed were body mass (kg), fat mass (%) and lean mass (%) measured by DXA (GE/LunarPRODIGY. GEHealthCare, Wisconsin, USA). Results: Postmenopausal women who practiced PA (30%) when they were young showed significantly lower body weight (yes: 61.3 ± 10.4 kg vs. no: 67.1 ± 9.3 kg; p = 0.009) and fat mass (yes: 21.7 ± 8.4% vs. no: 27.9 ± 6.9%; p < 0.001), better aerobic capacity (yes: 14.0 ± 1.4 mL kg−1 min−1 vs. no: 13.1 ± 1.7 mL kg−1 min−1 ; p = 0.032) and higher body strength (yes: 16.17 ± 3.33 rep vs. no: 14.66 ± 2.79 rep; p = 0.040) than those who did not practice PA. However, no differences were found in lean body mass (p > 0.05These results were obtained after controlling for age, age of menopause and current PA (hours/week). Conclusion: PA performed at younger ages enhances body mass and fat mass, as well as aerobic capacity and physical fitness in postmenopausal women. Supported by Instituto Salud Carlos III (PI11/01791). ImFINE and NUCOX belong to the EXERNET research network. http://dx.doi.org/10.1016/j.maturitas.2015.02.353