{"title":"[Anabolic treatment in geriatric patients with osteoporosis].","authors":"Judith Haschka","doi":"10.1007/s00391-026-02605-x","DOIUrl":"10.1007/s00391-026-02605-x","url":null,"abstract":"<p><p>Osteoporotic fractures are a major cause of morbidity, functional decline, and mortality in older adults. Despite effective treatment options, a substantial treatment gap persists in primary and secondary fracture prevention. Osteoanabolic agents stimulate bone formation and lead to a rapid improvement in bone mineral density and bone microarchitecture. Clinical trials demonstrate superiority over antiresorptive therapies in patients at very high or imminent risk of fracture; however, treatment in geriatric populations requires a differentiated balancing of the benefit-risk ratio with careful consideration of comorbidities, administration feasibility and cardiovascular safety. This CME article provides a clinically oriented overview of mechanisms of action, efficacy, safety and practical decision strategies for osteoanabolic treatment in older individuals.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"435-442"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406490","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}
Doris Detter-Biesl, Sebastian Rosendahl Huber, Seda Er, Melanie Karrer
{"title":"Assessing communication in people with dementia : A scoping review of existing tools.","authors":"Doris Detter-Biesl, Sebastian Rosendahl Huber, Seda Er, Melanie Karrer","doi":"10.1007/s00391-026-02627-5","DOIUrl":"https://doi.org/10.1007/s00391-026-02627-5","url":null,"abstract":"<p><strong>Background: </strong>Dementia is associated with progressive cognitive decline. Accompanying communication difficulties can negatively influence well-being and participation; however, individuals can retain meaningful communicative resources when adequately supported. Little is known about communication assessments that are usable across different healthcare professions and that address the full spectrum of communication behavior. This scoping review therefore maps available communication assessment instruments for people with dementia.</p><p><strong>Methods: </strong>We searched Web of Science, MEDLINE, CINAHL, and SpeechBITE for articles published between 2014 and 2024. Data on study characteristics and features of communication assessment tools (CATs) were extracted and synthesized narratively.</p><p><strong>Results: </strong>A total of 33 articles met the inclusion criteria. They were published in various languages and conducted in diverse settings (e.g., long-term care, outpatient services, acute hospitals). Within these studies, 14 CATs for use with people with dementia were identified. Most tools are applicable across dementia types, whereas some require minimal verbal abilities or are restricted to specific subgroups.</p><p><strong>Conclusion: </strong>The instruments differ in how they conceptualize and assess communication, ranging from communication skills to lived communication experiences. Careful tool selection is required based on assessment goals, target groups and available language versions. Limited language accessibility and insufficient evidence on feasibility across different healthcare professions highlight key gaps for future research.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594091","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":"Cross-sectional associations of handgrip strength and appendicular skeletal muscle mass index with frailty status in prefrail and frail older adults.","authors":"Wei Li, Qi Xiang, Xiaodan Xue, Dandan Li, Yi Pan, Wenlong Zheng, Mingyue Zhang","doi":"10.1007/s00391-026-02622-w","DOIUrl":"https://doi.org/10.1007/s00391-026-02622-w","url":null,"abstract":"<p><strong>Objective: </strong>To compare body composition and functional indicators between prefrail and frail older adults and to identify factors independently associated with frailty status.</p><p><strong>Methods: </strong>In this cross-sectional study 2088 community-dwelling adults aged ≥ 65 years who met prefrail or frail criteria were identified using the FRAIL screening scale. Body composition was measured by bioelectrical impedance analysis, and handgrip strength and calf circumference were assessed. Multivariable logistic regression and a random forest model (to corroborate variable importance rankings) were used for statistical analyses.</p><p><strong>Results: </strong>Muscle-related indicators were lower in frail participants (all P < 0.001); fat-related indicators did not differ. Lower appendicular skeletal muscle mass index (ASMI) was independently associated with frailty (odds ratio, OR = 0.89, 95% confidence interval, CI 0.80-0.99). Total body protein showed a strong association in the body composition model (OR = 0.45, 95% CI 0.21-0.96). In the clinically practical model, handgrip strength was significantly associated with frailty status (OR = 0.96, 95% CI 0.94-0.98) and remained associated with frailty in mechanistic models (OR = 0.98, 95% CI 0.97-0.99).</p><p><strong>Conclusion: </strong>In this cross-sectional comparison, muscle function showed a stronger independent association with frailty status than muscle mass alone. Frailty was associated with lower protein and mineral content, findings that require confirmation with more precise measurement methods. Handgrip strength is an efficient, low-cost indicator that was strongly associated with frailty and should be prioritized for community screening.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594101","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":"Relationships between self-perceptions of aging and different technology-related factors : Availability, acceptance and competence.","authors":"Ines Simbrig, Felix Piazolo, Hans-Werner Wahl","doi":"10.1007/s00391-026-02618-6","DOIUrl":"https://doi.org/10.1007/s00391-026-02618-6","url":null,"abstract":"<p><strong>Background: </strong>Self-perceptions of aging (SPA) influence self-regulatory behavior, e.g., through technology use, but have rarely been linked to attitudes toward technology or technology competence in later life.</p><p><strong>Objective: </strong>To test predictions addressing associations between two SPA indicators, subjective age (SA), and gains-oriented and losses-oriented awareness of age-related change (AARC) and several technology-related factors (technology availability, technology acceptance, technology competencies), using baseline data from the i‑evAALution randomized controlled trial (RCT).</p><p><strong>Method: </strong>The analytical sample consisted of 272 community-dwelling older adults aged 65-97 years (mean age 77.8 years; 70% women) assessed at baseline. Technology-related measures were based on established instruments.</p><p><strong>Results: </strong>Higher AARC gains, lower AARC losses, and a younger SA were related to greater technology availability, acceptance, and competence. In regression analyses including all SPA indicators and covariates. Only AARC gains consistently maintained positive associations with all technology-related factors.</p><p><strong>Conclusion: </strong>The SPA may be important to consider in future technology education with older adults. Having a more positive awareness of one's own aging could help to accept technology and improve technology-related skills.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551123","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":"[Strengthening of care provision in rural areas : A case study analysis of innovative care provision concepts in Germany and Austria].","authors":"Svenja Wirries","doi":"10.1007/s00391-026-02621-x","DOIUrl":"https://doi.org/10.1007/s00391-026-02621-x","url":null,"abstract":"<p><strong>Background: </strong>The provision of nursing care is at risk, especially in rural areas. For ensuring nursing care there is a need for innovative care provision concepts that consider the specific conditions and specific needs of care in rural areas.</p><p><strong>Objective: </strong>The aim of the study is to determine how innovative care provision concepts can strengthen/ensure local care provision in rural areas.</p><p><strong>Material and methods: </strong>For the analysis three care provision concepts based on seven criteria were selected. A document analysis with selected studies, professional articles and authority documents was conducted for the three care provision concepts. Key factors for the provision of nursing care in rural areas were identified.</p><p><strong>Results: </strong>Innovative care provision concepts have to comply with three key prerequisites to ensure care provision: 1. the parallel practice of case management and care management in one local service concept, 2. the local arrangement of care provision concepts, 3. the link at regional level (municipality) of care provision concepts.</p><p><strong>Discussion: </strong>The parallel practice of case and care management in one care provision concept, the local arrangement and the link at regional level (municipality) of care provision concepts enable a continuing interdigitation of the analysis and targeted development of the local care provision infrastructure and strengthen the access to professional support for older persons (in need of care) and relatives respectively caregivers in rural areas.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551185","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":"[Exploring the potential of the socially assistive robot \"Moflin\" in institutional aged care].","authors":"Cora Pauli, Samira-Salomé Hüsler, Simone Eicher","doi":"10.1007/s00391-026-02616-8","DOIUrl":"https://doi.org/10.1007/s00391-026-02616-8","url":null,"abstract":"<p><strong>Background: </strong>The study examined the potential use of the socially assistive robot (SAR) Moflin in nursing care homes, as seen by care professionals. Despite proven positive effects, SARs have not been widely implemented to date. This study therefore investigated the use scenarios developed by care professionals and their assessment of their impact.</p><p><strong>Methods: </strong>A qualitative exploratory study was conducted in three nursing care homes in Switzerland. It involved guided interviews and structured observations. The data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>Moflin demonstrated its potential for use in nursing care homes. It was employed to calm, stimulate and encourage communication with residents. The fact that care staff could use it at their discretion fostered a person-centered approach and its ease of use facilitated long-term use.</p><p><strong>Discussion: </strong>The findings emphasize the importance of taking a practical, open-ended approach when evaluating SARs in long-term care. Rather than prescribing standardized usage scenarios, actively involving care staff provided valuable insights into the practical considerations of everyday use. Thus, the study contributes to our understanding of the role of care staff in integrating SARs into their daily work.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473866","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}
Christine Kessler, Anja Kwetkat, Franziska Meissner, Ingo Krusche, Jutta Bleidorn, Michael Hartmann, Katrin Farker
{"title":"Polypharmacy and unit dose dispensing system (UDDS) in geriatric care : Challenges from the perspective of healthcare staff.","authors":"Christine Kessler, Anja Kwetkat, Franziska Meissner, Ingo Krusche, Jutta Bleidorn, Michael Hartmann, Katrin Farker","doi":"10.1007/s00391-026-02595-w","DOIUrl":"https://doi.org/10.1007/s00391-026-02595-w","url":null,"abstract":"<p><strong>Background: </strong>Multimorbid geriatric patients often require complex treatment. Effective management of polypharmacy has become one of the greatest challenges in patient care. Nevertheless, there is little information on how unit-dose dispensing systems (UDDS) can be adapted for the care of geriatric patients and well-integrated into the daily routine of clinical units.</p><p><strong>Objective: </strong>We evaluated the acceptance rate and feasibility of unit-dose care of prescribed drugs, including perspectives of doctors and nurses in a geriatric clinic of a university hospital.</p><p><strong>Material and methods: </strong>An entire ward staff (20 nurses, 11 doctors) was surveyed on 8 topics including safety of drug treatment and handling of blistered medication packages. We employed a mixed-method design using a questionnaire with a unipolar 5‑point Likert scale.</p><p><strong>Results: </strong>The response rate to the survey was 74%. Most respondents (82%) agreed that unit dose delivery increases the safety of drug treatment and 77% agreed that unit dose supply reduces administration errors. The approval rate was 100% from doctors and 55% from nurses. However, most respondents (95%) did not consider dispensing of blister-packed medicines to geriatric patients to be appropriate, owing to impaired fine motor skills, cognitive deficits, dementia and delirium.</p><p><strong>Conclusion: </strong>This study found a high level of acceptance (87% of doctors and nursing staff) of unit dose dispensing systems for geriatric patients; however, unit-dose care was not considered to be universally applicable to all hospitalized patients. Successful implementation of UDDS for geriatric patients in particular needs a thorough evaluation and some modifications prior to implementation.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473877","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":"[Digital legacy in hospice and palliative care : An online survey of professionals and volunteers aged 50 and above].","authors":"Anne Meißner, Jennifer Pengel","doi":"10.1007/s00391-026-02617-7","DOIUrl":"https://doi.org/10.1007/s00391-026-02617-7","url":null,"abstract":"<p><strong>Background: </strong>With ongoing digitalization, questions concerning the management of digital legacies are becoming increasingly relevant for older adults, yet remain insufficiently addressed. There are legal, technical, and psychosocial challenges as well as gaps in research and support structures.</p><p><strong>Objective: </strong>The study examines attitudes and precautionary behaviours regarding digital legacy among professionals and volunteers aged 50 and above in hospice and palliative care.</p><p><strong>Methods: </strong>Quantitative and qualitative data from a nationwide online survey of 293 participants from hospice and palliative care were analysed. Descriptive statistics were performed using SPSS, while free-text responses were analysed according to Mayring's qualitative content analysis.</p><p><strong>Results and conclusion: </strong>Although the importance of digital legacies is acknowledged, concrete precautionary actions are rarely taken. Varied attitudes and needs indicate a demand for accessible, practice-oriented information and counselling services. Further research should pursue more diverse approaches to enhance supportive structures in practical contexts.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450216","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":"[Protein intake and preservation of function in old age : Current evidence and present research gaps].","authors":"Annette Eidam, Petra Benzinger, Jürgen M Bauer","doi":"10.1007/s00391-026-02598-7","DOIUrl":"10.1007/s00391-026-02598-7","url":null,"abstract":"<p><p>In the past, large observational cohort studies suggested that a higher protein intake might slow the age-associated loss of muscle mass and muscle strength. This observation led to the conclusion that a higher protein intake may contribute to a preservation of function and to the prevention of sarcopenia. Therefore, the German Nutrition Society increased their recommendation for daily protein intake in adults aged ≥ 65 years from 0.8 to 1.0 g/kg body weight (estimated value); however, current data indicate that a higher protein intake has no beneficial effect on muscle mass or muscle strength in healthy older adults. Yet, in patients with sarcopenia a beneficial effect on muscle health can be assumed for an increase in protein intake when combined with resistance exercise, while the evidence for an increase in protein intake alone is less convincing. Current research gaps pertain to the effect of different types of protein on muscle mass and muscle strength as well as to the relevance of a vegan diet for healthy aging.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"283-287"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057866","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":"[Respiratory infections in old age: long-term sequelae and prevention].","authors":"Lejla Sacic","doi":"10.1007/s00391-026-02591-0","DOIUrl":"10.1007/s00391-026-02591-0","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"333-334"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876366","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}