Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

[Micronutrients in old age-physiological specificities and nutritional status]. [老年人微量营养素的生理特性和营养状况]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-13 DOI: 10.1007/s00103-025-04141-2

Ha Anh Tran, Daniela Weber, Tilman Grune

{"title":"[Micronutrients in old age-physiological specificities and nutritional status].","authors":"Ha Anh Tran, Daniela Weber, Tilman Grune","doi":"10.1007/s00103-025-04141-2","DOIUrl":"https://doi.org/10.1007/s00103-025-04141-2","url":null,"abstract":"Aging is a biological and degenerative process with numerous changes in molecular and cellular mechanisms in various organ systems. These changes result in a progressive loss of anatomical structures and physiological functions. Among others, they occur in the cardiovascular system, gastrointestinal tract, skin, muscles, bones, respiratory tract, immune system, endocrine systems, and the brain. The alterations in aging can lead to diseases such as coronary heart disease, sarcopenia, osteoporosis, Alzheimer's disease, and cancer. To delay these age-related alterations and thus prevent diseases, a healthy lifestyle with a balanced diet is important. An adequate diet includes the sufficient intake of micronutrients. This article first provides an overview of physiological characteristics of aging and then addresses the supply of micronutrients in old age.In older age, the supply of vitamin D, vitamin B12, magnesium, iron, folate, and calcium may be critical. These micronutrients play a role in the immune system, bone metabolism, cell metabolism, energy production, and many other metabolic processes. Micronutrient deficiencies can enhance the aging process. Healthy older people should use the German Nutrition Society (DGE) reference values to meet their daily micronutrient needs. Older people with illnesses should follow the reference values of the guidelines for their specific illnesses to cover their micronutrient needs.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145278941","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

[Misinformation and disinformation about dietary supplements in social media: limiting the risks, seizing the opportunities, and shaping structures]. [社交媒体上关于膳食补充剂的错误信息和虚假信息：限制风险，抓住机遇，塑造结构]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-11 DOI: 10.1007/s00103-025-04138-x

Emma C Gauch, Martin Smollich

{"title":"[Misinformation and disinformation about dietary supplements in social media: limiting the risks, seizing the opportunities, and shaping structures].","authors":"Emma C Gauch, Martin Smollich","doi":"10.1007/s00103-025-04138-x","DOIUrl":"https://doi.org/10.1007/s00103-025-04138-x","url":null,"abstract":"Social media is an important and popular source of information related to dietary supplements (DSs); at the same time, social media also spreads potentially harmful misinformation and disinformation. Content on DSs is usually economically motivated without this being transparently recognizable to users. This situation is highly problematic in terms of consumer health protection. Nevertheless, social media offers excellent opportunities for evidence-based education of the population about DS-related benefits and risks.While the effects of social media information on users' health behavior, health, and nutrition have been well studied, there is a lack of specific data on DSs. This article therefore summarizes the data available on DS-related information on social media and identifies specific risks and opportunities from the perspective of consumer health protection. On this basis, concrete recommendations for action are derived that should serve to shape DS-specific structures in the context of social media that benefit both consumers and reputable DS manufacturers.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273843","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

[Food supplements and fortified foods: benefits, risks and approaches to consumer protection]. [食品补充剂和强化食品：利益、风险和消费者保护方法]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-10 DOI: 10.1007/s00103-025-04134-1

Carolin Bendadani, Nadiya Bakhiya, Evelyn Breitweg-Lehmann, Anke Ehlers, Karen Ildico Hirsch-Ernst, Birgit Liebscher, Anke Weißenborn

{"title":"[Food supplements and fortified foods: benefits, risks and approaches to consumer protection].","authors":"Carolin Bendadani, Nadiya Bakhiya, Evelyn Breitweg-Lehmann, Anke Ehlers, Karen Ildico Hirsch-Ernst, Birgit Liebscher, Anke Weißenborn","doi":"10.1007/s00103-025-04134-1","DOIUrl":"https://doi.org/10.1007/s00103-025-04134-1","url":null,"abstract":"In Germany, around two thirds of adults and 5-20% of children take food supplements, many hoping to improve their health or performance. Consumption data show that with a few exceptions the intake of micronutrients through conventional foods is adequate in Germany. Food supplements are thus generally not considered necessary for healthy people who follow a varied and balanced diet. There are thus only a few situations in which a food supplement can be useful. Routine use of high-dose supplements, above all by people with adequate nutrient supply, increases the risk of harm to health, especially if products also contain 'other substances' with a nutritional or physiological effect, such as omega‑3 fatty acids or caffeine.Micronutrients or 'other substances' may also be added to conventional foods. Discretionarily fortified foods can-often without being noticed-contribute significantly to the overall exposure. In the European Union (EU), food supplements (as well as fortified foods) are legally defined as food, not as medicine. According to the Food Law, food shall not be placed on the market if it is unsafe. It is the responsibility of the food business operator to safeguard this, while in Germany the federal states (Länder) are responsible for food control and inspection. This is increasingly challenging due to the fact that a significant proportion of food supplements is marketed via the internet. In order to facilitate monitoring and ensure consumer protection, existing regulatory gaps must be closed, for example by setting EU-harmonised maximum amounts for vitamins and minerals and by improving the regulation of 'other substances'.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273831","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

[Health inequalities in a health system with two full insurance schemes? : Secondary analyses of the microcensus survey among insured persons of the statutory and private health insurance in Germany]. [两个全面保险计划的卫生系统中的卫生不平等？：对德国法定和私人医疗保险投保人微观普查调查的二次分析]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-10 DOI: 10.1007/s00103-025-04142-1

Alfons Hollederer

{"title":"[Health inequalities in a health system with two full insurance schemes? : Secondary analyses of the microcensus survey among insured persons of the statutory and private health insurance in Germany].","authors":"Alfons Hollederer","doi":"10.1007/s00103-025-04142-1","DOIUrl":"https://doi.org/10.1007/s00103-025-04142-1","url":null,"abstract":"Introduction: The German healthcare system is characterised by the parallelism of private health insurance (PKV) and statutory health insurance (GKV). This constellation of two full insurance systems with simultaneous mandatory health insurance is unique worldwide. This study aims to gain new scientific findings on health inequalities.Method: The secondary data analysis of the representative 2021 and 2022 microcensus survey (including the European Union Statistics on Income and Living Conditions) uses correlation and regression analyses.Results: Comparative analyses reveal significant differences in socio-demographic characteristics and employment history between PKV and GKV and verify health inequalities between the two groups. Considering socio-demographic factors, logistic regression analyses show that the probability of very good or good self-rated health is twice as high for those with PKV compared to those with GKV (OR = 2.09). The likelihood of health impairments (OR = 0.53) and chronic diseases (OR = 0.64) is reduced by almost half. Despite having similar subjective needs for healthcare, those with PKV consulted medical specialists and dentists more frequently, while those with GKV consulted family doctors or general practitioners more frequently. People with PKV displayed healthier behaviours than those with GKV with regard to tobacco consumption, exercise and diet. However, they consumed more alcohol. People with GKV were more likely than those with PKV to report health expenditure and out-of-pocket payments as a \"major burden\", especially for dental care (10.0% vs. 4.1%).Discussion: The results have implications for the design of healthcare systems and are relevant for prevention and health reporting.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273850","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

[Micronutrient requirement in sports and exercise]. [运动和锻炼中的微量营养素需求]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-07 DOI: 10.1007/s00103-025-04132-3

Anja Carlsohn

{"title":"[Micronutrient requirement in sports and exercise].","authors":"Anja Carlsohn","doi":"10.1007/s00103-025-04132-3","DOIUrl":"https://doi.org/10.1007/s00103-025-04132-3","url":null,"abstract":"This narrative review provides a literature-based overview of micronutrient requirements in sports and exercise. It takes into account potentially increased requirements, increased losses and the effects of micronutrient deficiencies on health and performance.Athletes with a diet that meets their energy requirements are generally adequately supplied with micronutrients, but unfavourable diets combined with increased losses, for example through sweat, can lead to micronutrient deficiencies. Risks of deficiencies exist primarily in cases of restrictive energy intake, an unbalanced diet and high training loads. Depending on individual diet and training load, critical nutrients for athletes may include the minerals iron, sodium, zinc and calcium as well as vitamin D.The diagnosis of a micronutrient deficiency should be laboratory-based. A balanced diet that meets energy requirements with nutrient-preserving storage and preparation methods based on the food-first principle (i.e. food intake that meets requirements should be prioritised over dietary supplements) is the most important measure for ensuring that athletes receive the micronutrients they need.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238180","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

[HCV microelimination in prison: so close and yet so far-data and experiences from the Berlin prison system]. [监狱中的HCV微消除：如此接近但迄今为止，来自柏林监狱系统的数据和经验]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-06 DOI: 10.1007/s00103-025-04139-w

Christiane Haas, Marc Lehmann

引用次数: 0

[The assessment of dietary supplements from the perspective of food control authorities in Schleswig-Holstein]. [从石勒苏益格-荷尔斯泰因州食品管理当局的角度对膳食补充剂的评估]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-06 DOI: 10.1007/s00103-025-04136-z

Angelika Krüger, Erika Paschke

{"title":"[The assessment of dietary supplements from the perspective of food control authorities in Schleswig-Holstein].","authors":"Angelika Krüger, Erika Paschke","doi":"10.1007/s00103-025-04136-z","DOIUrl":"https://doi.org/10.1007/s00103-025-04136-z","url":null,"abstract":"Food supplements serve to provide people with additional nutrients, primarily vitamins and minerals. Currently, numerous food supplements are coming onto the market that do not comply with legal requirements and are advertised with unsubstantiated health claims. Since the Food Supplements Regulation (NemV) came into force in 2004, the Landeslabor Schleswig-Holstein has been responsible for testing and assessing food supplements and acts as a competence centre within the North German Cooperation.This article summarises the organisation of food supplement monitoring using Schleswig-Holstein as an example and then discusses the legal requirements. Particular emphasis is placed on the need to set maximum quantities and on the regulation of botanicals. The distinction between medicinal products and novel foods is also explained. Finally, the article takes a closer look at unauthorised health claims on products for advertising purposes.In practice, despite existing legal requirements, there is a need for further regulation. Legal disputes could be avoided if distributors of food supplements consistently complied with the legal requirements that serve to protect consumers from health risks.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231664","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

[Spatial health data and scientific standards for their analysis]. [空间卫生数据及其分析的科学标准]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-01 Epub Date: 2025-08-27 DOI: 10.1007/s00103-025-04121-6

Enno Swart, Jobst Augustin, Daniela Koller, Sebastian Völker

引用次数: 0

[Area-level socioeconomic deprivation, socioeconomic status, and depressive symptoms: a multilevel analysis using data from the GEDA 2019/2020 study]. [地区层面的社会经济剥夺、社会经济地位和抑郁症状：使用GEDA 2019/2020研究数据的多层次分析]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-01 Epub Date: 2025-09-09 DOI: 10.1007/s00103-025-04123-4

Lina Wollgast, Christina Kersjes, Claudia Hövener, Niels Michalski

{"title":"[Area-level socioeconomic deprivation, socioeconomic status, and depressive symptoms: a multilevel analysis using data from the GEDA 2019/2020 study].","authors":"Lina Wollgast, Christina Kersjes, Claudia Hövener, Niels Michalski","doi":"10.1007/s00103-025-04123-4","DOIUrl":"10.1007/s00103-025-04123-4","url":null,"abstract":"Background: The prevalence of mental disorders in Germany is associated with socioeconomic position. International studies further indicate area-level correlations linking higher levels of socioeconomic deprivation with increased mental health burdens. However, these area-level associations have not yet been systematically examined in Germany and it is unclear whether socioeconomic disparities in mental health outcomes are contingent upon area-level socioeconomic deprivation.Methods: Representative data from the German Health Update survey (GEDA 2019/2020-EHIS) (N = 21,876) are used to estimate and visualize depressive symptoms prevalence (Patient Health Questionnaire- 8 ≥ 10) via small-area estimation. Prevalence rates are analyzed stratified by socioeconomic position (education and income) and by the degree of area-level socioeconomic deprivation in the residential municipalities. Multiple logistic multilevel regression models are employed to adjust for confounding.Results: The prevalence of depressive symptoms does not exhibit a systematic geographical distribution across German districts. However, risk of depression is significantly higher in highly (Odds Ratio = 3.29) and moderately (Odds Ratio = 1.86) socioeconomically deprived municipalities compared to low-deprivation municipalities. Additionally, there are clear educational and income disparities to the detriment of individuals with a lower socioeconomic position. These differences are more pronounced in highly deprived regions.Conclusion: Area-level socioeconomic deprivation is a key risk factor for compromised mental health in Germany. Individuals with lower education and income in deprived areas are particularly vulnerable, highlighting the need for targeted interventions and policies.","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1118-1127"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028987","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

[The value of places and landscapes for health]. [地方和景观对健康的价值]。

IF 1.5 4区医学

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI: 10.1007/s00103-025-04116-3

Thomas Kistemann, Timo Falkenberg

引用次数: 0