Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"title":"The distinctiveness of human aging I: Anthropological and developmental foundations.","authors":"Dale Dannefer, Jessica Kelley, Olugbenga Okunade","doi":"10.1007/s00391-026-02608-8","DOIUrl":"10.1007/s00391-026-02608-8","url":null,"abstract":"<p><p>While aging is a general phenomenon that characterizes virtually all species, human aging entails mechanisms of stability and change that comprise distinct or unique features of the species homo sapiens. Such mechanisms occur in two interrelated but analytically distinguishable domains, an ontogenetic domain encompassing distinctly flexible structural features of the human organism (world-openness, hard-wiring for flexibility), and the other focused on humans' uniquely dynamic relation to the environment, encompassing both internalizing processes (habituation) and generative activity (world-construction, imagination). Given this dynamic foundation, biological aging is an incomplete process, which requires human actors to create and sustain the life-worlds they inhabit, worlds which comprise the conditions within which their own aging is constituted and reproduced. The result is the manifest empirical reality of marked cultural and historical variations in human patterns of aging. This means that those who seek to understand human aging must carefully consider how its constitutive dynamics are embedded in culturally and historically specific contexts.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"390-398"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Journal Club].","authors":"Anna Maria Affeldt","doi":"10.1007/s00391-026-02607-9","DOIUrl":"10.1007/s00391-026-02607-9","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"443-444"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitteilungen der Jungen Geriatrie der DGG.","authors":"","doi":"10.1007/s00391-026-02624-8","DOIUrl":"https://doi.org/10.1007/s00391-026-02624-8","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 5","pages":"460-463"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is aging?","authors":"Hans-Werner Wahl","doi":"10.1007/s00391-026-02620-y","DOIUrl":"https://doi.org/10.1007/s00391-026-02620-y","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 5","pages":"363"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Participation in health services research : The development of a preliminary framework for joint research involving people living with dementia, relatives and various professional groups].","authors":"Anna Louisa Hoffmann-Hoffrichter, Christina Manietta, Mike Rommerskirch-Manietta, Martina Roes","doi":"10.1007/s00391-025-02494-6","DOIUrl":"10.1007/s00391-025-02494-6","url":null,"abstract":"<p><strong>Background: </strong>Models that actively involve people living with dementia and their relatives as well as experts from various healthcare settings in research have not yet been implemented in the context of health services research in the German language. Such models are necessary to actively involve the perspectives of \"co-researchers\" and address topics pertaining to the everyday lives of people living with dementia and their relatives as well as individuals working in healthcare practice.</p><p><strong>Objective: </strong>The aim of this study is to develop a preliminary framework for joint research.</p><p><strong>Material and methods: </strong>The procedure used in this research features a participatory approach involving stakeholders recruited from different groups of people, including people living with dementia, their relatives and experts from long-term and acute inpatient settings. A participatory research model was translated into German and discussed, debated and agreed upon in virtual meetings with the stakeholders. The results were discussed in a workshop with the goal of determining the types of support that were considered necessary for \"co-researchers\". All meetings were documented in protocols that were analyzed both deductively and inductively.</p><p><strong>Results: </strong>A total of 13 stakeholders participated in this project. The preliminary framework for joint research contains basic principles, activities and support requirements for joint research.</p><p><strong>Conclusion: </strong>In addition to experts from various healthcare settings, people living with dementia and their relatives both want to and can be actively involved in research. To refine the preliminary framework, it continues to be tested and developed in the context of participatory research projects at the German Center for Neurodegenerative Diseases (DZNE) site Witten.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"399-405"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Geriatric medicine shapes the Future : Recommendations for modern Geriatric Medicine that places older people and their needs at the centre].","authors":"Markus Gosch, J Bauer, C Bollheimer, R Dodel, M Gollasch, H J Heppner, L Hofbauer, H J Lakomek, U Müller-Werdan, M C Polidori, T Prell, S Schütze, C Sieber, K Singler, U Thiem, S Tietgen, C von Arnim, R Wirth, T Zieschang, M Denkinger","doi":"10.1007/s00391-026-02628-4","DOIUrl":"10.1007/s00391-026-02628-4","url":null,"abstract":"<p><p>Geriatric medicine is becoming increasingly more important in the context of demographic change. Older people frequently suffer from multimorbidity, functional impairments and complex psychosocial conditions that are often insufficiently addressed by a purely diagnosis-oriented medical approach. The primary aim of geriatrics is therefore not only the treatment of diseases but also with respect to individual goals, the preservation of independence, quality of life and social participation.This expert paper outlines the current state of geriatric care in Germany, its scientific evidence base and key challenges and future perspectives. Central elements of geriatric complexity medicine include comprehensive geriatric assessment, multiprofessional treatment concepts and cross-sectoral models of care. Numerous studies demonstrate that this approach improves functional outcomes, reduces the risk of long-term care dependency and reduces or shortens hospital stays.Despite established acute geriatric and rehabilitation structures, substantial deficits remain in nationwide access to care, financing, academic integration, research and professional training. Workforce shortages, insufficient outpatient services and the limited integration of geriatric principles into other medical specialties weaken the great opportunity that modern geriatric medicine offers for preventing the need for long-term care. At the same time, digitalization, telemedicine and innovative cross-sectoral care models offer new opportunities for patient-centered geriatric medicine.The authors advocate stronger structural and political support for geriatrics, the expansion of outpatient geriatric centers, financing systems that adequately reflect patient complexity and a stronger integration of geriatrics into research, teaching and medical education including a German Center for Geriatric Medicine with substantial involvement of geriatrics. In this way, geriatrics can make a major contribution to a sustainable, patient-centered and future-oriented healthcare system.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"406-419"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Nutritional management in orthogeriatrics : Current evidence and recommendations for the practice].","authors":"R Speer, K Singler, R Eckardt-Felmberg, P Lechler, M Gosch","doi":"10.1007/s00391-026-02586-x","DOIUrl":"10.1007/s00391-026-02586-x","url":null,"abstract":"<p><strong>Background: </strong>Orthogeriatric patients show a high prevalence of malnutrition or risk thereof. This is associated with increased complication rates, delayed wound healing, functional decline and higher mortality. A structured nutritional assessment and treatment are therefore essential but are still insufficiently implemented in daily practice.</p><p><strong>Aim of the work: </strong>Presentation of evidence-based strategies for optimizing nutritional management across the entire orthogeriatric care pathway, from preoperative assessment to perioperative interventions and continuation after discharge.</p><p><strong>Material and method: </strong>Narrative review of current guidelines, studies and practice-oriented care concepts. A clinical case illustrates screening, Global Leadership Initiative on Malnutrition (GLIM)-based diagnostics and nutritional interventional measures in the context of proximal femoral fractures.</p><p><strong>Results: </strong>Malnutrition arises from multifactorial mechanisms and is diagnosed using validated screening tools and the GLIM criteria. Early individualized nutritional therapy, including energy-rich and protein-rich diets, oral nutritional supplements and systematic monitoring, improves mortality, functional outcomes and rehabilitation trajectories. Additional measures such as prehabilitation, carbohydrate loading and standardized postoperative nutritional regimens further enhance the probability of a successful outcome.</p><p><strong>Discussion: </strong>Despite clear guideline recommendations, gaps persist in screening coverage, interdisciplinary collaboration and integration of qualified dietitians. A continuous, cross-sectoral nutritional care concept can significantly positively influence the clinical course and should be an integral component of orthogeriatric treatment.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"420-428"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The nervous system and communication: polyneuropathy and the role of the peripheral nervous system].","authors":"Bernhard Iglseder","doi":"10.1007/s00391-026-02593-y","DOIUrl":"10.1007/s00391-026-02593-y","url":null,"abstract":"<p><p>The central nervous system (CNS) processes information, coordinates movements, and enables communication-both within the body and with the environment: Perception and response to sensory impressions are controlled by the brain, with afferent and efferent pathways passing through the spinal cord. The peripheral nervous system (PNS) mediates between the environment and the CNS. As we age, the PNS undergoes changes, resulting in a weakening of muscle reflexes and proprioception. This must be distinguished from polyneuropathies (PNP), which are pathological changes in the PNS. The causes are manifold: in addition to metabolic, immune-mediated, hereditary, toxic, and infectious etiologies, polyneuropathies can be a manifestation of systemic diseases. Neuropathies associated with diabetes, monoclonal gammopathies, and malignancies are more common in older people, and the proportion of cryptogenic neuropathies also increases with age. PNPs contribute to impaired mobility and an increased risk of falls, which necessitates the assessment of functional abilities. Pain and sensory disturbances have a negative impact on activities of daily living. As a result, communication with the living environment is impaired. A geriatric approach enables not only an accurate diagnosis but also comprehensive therapy tailored to individual needs.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"370-376"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Attribution processes of the fourth age: strategies of distinction and self-enhancement in dealing with the social devaluation].","authors":"Rebekka Steinlechner","doi":"10.1007/s00391-026-02610-0","DOIUrl":"10.1007/s00391-026-02610-0","url":null,"abstract":"<p><strong>Background: </strong>The fourth age refers to a stage of life characterized by dependency, need for care and loss of identity. Due to the negative connotations associated with this stage of life, those affected reject identifying with it. Therefore, Gilleard and Higgs describe it as a social imaginary that is realized only through attribution by others.</p><p><strong>Objective: </strong>This paper addresses the following questions: how do people in the fourth age deal with social devaluation and maintain a positive self-image?</p><p><strong>Methods: </strong>In this stud 16 problem-centered interviews were conducted between 2019 and 2020 with older Austrians (aged 78-98 years) who had multiple health impairments and were analyzed using the documentary method.</p><p><strong>Results: </strong>Older people with multiple impairments try to distance themselves from the negatively connoted group of care-dependent people in the fourth age and to maintain a positive social identity for themselves. In this context four strategies were identified: (1) comparing themselves with other older people in order to enhance their own situation, (2) reinterpreting autonomy in relation to support from others, (3) emphasizing their own capabilities and (4) selectively communicating their own well-being.</p><p><strong>Conclusion: </strong>These strategies enable respondents to remain part of a positively valued group of dependent yet autonomous older people. The fourth age can therefore also be identified among people in the fourth age as a social imaginary.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"377-382"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eine Geschichte der DGG, keine der gesamten Geriatrie.","authors":"W Hofmann, H-J Naurath, R Wirth, H J Heppner, U Thiem, K Becher, P Benzinger, M Gosch, G Kolb, A Kwetkat, M Meisel, H G Nehen, C Lucke, D Lüttje, K Singler, W Swoboda, W Vogel, M Denkinger","doi":"10.1007/s00391-026-02614-w","DOIUrl":"10.1007/s00391-026-02614-w","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"447-448"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}