Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第6页

What is aging? 什么是衰老？

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-08-03 DOI: 10.1007/s00391-026-02620-y

Hans-Werner Wahl

引用次数: 0

[Nutritional management in orthogeriatrics : Current evidence and recommendations for the practice]. [骨科的营养管理：目前的证据和实践建议]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-05-21 DOI: 10.1007/s00391-026-02586-x

R Speer, K Singler, R Eckardt-Felmberg, P Lechler, M Gosch

{"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":"Background: 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.Aim of the work: 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.Material and method: 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.Results: 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.Discussion: 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.","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}

引用次数: 0

[The nervous system and communication: polyneuropathy and the role of the peripheral nervous system]. [神经系统和通讯：多发性神经病和周围神经系统的作用]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-05-18 DOI: 10.1007/s00391-026-02593-y

Bernhard Iglseder

{"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":"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.","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}

引用次数: 0

[Attribution processes of the fourth age: strategies of distinction and self-enhancement in dealing with the social devaluation]. [第四时代的归因过程：应对社会贬值的区分与自我提升策略]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-07-13 DOI: 10.1007/s00391-026-02610-0

Rebekka Steinlechner

{"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":"Background: 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.Objective: This paper addresses the following questions: how do people in the fourth age deal with social devaluation and maintain a positive self-image?Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Eine Geschichte der DGG, keine der gesamten Geriatrie. DGG的历史，而不是整个老年病学。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-07-14 DOI: 10.1007/s00391-026-02614-w

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

引用次数: 0

[Anabolic treatment in geriatric patients with osteoporosis]. 老年骨质疏松患者的合成代谢治疗。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-08-01 Epub Date: 2026-07-08 DOI: 10.1007/s00391-026-02605-x

Judith Haschka

引用次数: 0

Assessing communication in people with dementia : A scoping review of existing tools. 评估痴呆症患者的沟通：对现有工具的范围审查。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-07-27 DOI: 10.1007/s00391-026-02627-5

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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Cross-sectional associations of handgrip strength and appendicular skeletal muscle mass index with frailty status in prefrail and frail older adults. 握力和阑尾骨骼肌质量指数与体弱和体弱老年人虚弱状态的横断面关联。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-07-27 DOI: 10.1007/s00391-026-02622-w

Wei Li, Qi Xiang, Xiaodan Xue, Dandan Li, Yi Pan, Wenlong Zheng, Mingyue Zhang

{"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":"Objective: To compare body composition and functional indicators between prefrail and frail older adults and to identify factors independently associated with frailty status.Methods: 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.Results: 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).Conclusion: 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.","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}

引用次数: 0

Relationships between self-perceptions of aging and different technology-related factors : Availability, acceptance and competence. 老龄化自我感知与不同技术相关因素的关系：可得性、接受性和能力。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-07-22 DOI: 10.1007/s00391-026-02618-6

Ines Simbrig, Felix Piazolo, Hans-Werner Wahl

{"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":"Background: 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.Objective: 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).Method: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

[Strengthening of care provision in rural areas : A case study analysis of innovative care provision concepts in Germany and Austria]. [加强农村地区的医疗服务：德国和奥地利创新医疗服务理念的案例研究分析]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-07-22 DOI: 10.1007/s00391-026-02621-x

Svenja Wirries

{"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":"10.1007/s00391-026-02621-x","url":null,"abstract":"Background: 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.Objective: The aim of the study is to determine how innovative care provision concepts can strengthen/ensure local care provision in rural areas.Material and methods: 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.Results: 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.Discussion: 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.","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}

引用次数: 0