Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[Spatial association between air pollutants and diseases of the respiratory and cardiovascular systems in Hamburg].","authors":"Sandra Hischke, Simone Kühn, Volker Matthias, Martin Ramacher, Katharina Schulze, Jobst Augustin","doi":"10.1007/s00103-025-04122-5","DOIUrl":"10.1007/s00103-025-04122-5","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have already shown that air pollution can contribute to respiratory and cardiovascular diseases. This study investigated spatial differences in air pollution in Hamburg and their associations with respiratory and cardiovascular diseases.</p><p><strong>Methods: </strong>This ecological cross-sectional study included 9787 participants in the Hamburg City Health Study (HCHS) aged 45-74 who took part in the baseline examination between April 2016 and November 2018 and had lived at their current place of residence for at least 10 years. Model data from the Helmholtz Centre Hereon (EPISODE-CiTYCHEM) for 2018 were used to determine the concentrations of O₃, NO, NO₂, PM₁₀ and PM_2.5. In addition to descriptive analyses and cartographic representations of air pollution exposure and adjusted prevalence rates, spatial logistic regression models were used.</p><p><strong>Results: </strong>Increased particulate matter pollution is particularly evident in the centre of Hamburg, where both major traffic arteries and the port are located. In addition, there is a positive association between particulate matter concentration and diseases of the respiratory and cardiovascular systems.</p><p><strong>Discussion: </strong>The results are consistent with previous studies. The mechanisms of action require further research in order to be able to derive specific measures to reduce the risk of disease.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1155-1162"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944124","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":"[The relevance of regionalization for health].","authors":"Jobst Augustin, Uwe Koch-Gromus","doi":"10.1007/s00103-025-04127-0","DOIUrl":"10.1007/s00103-025-04127-0","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 10","pages":"1097-1099"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129995","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":"[Food supplements in the context of social media: results from a survey on use and perceptions in Germany].","authors":"Henri Obstfeld, Mark Lohmann","doi":"10.1007/s00103-025-04133-2","DOIUrl":"https://doi.org/10.1007/s00103-025-04133-2","url":null,"abstract":"<p><strong>Background: </strong>In recent years, food supplements such as vitamin or mineral preparations have gained great popularity. This is also evident on social media where influencers in particular disseminate information about or advertise food supplements. This way, consumers may get a one-sided impression of food supplements. As the intake of food supplements is associated with specific health risks and benefits, target group-specific education is necessary. The foundation for this is knowledge of perceptions and use of food supplements in the population.</p><p><strong>Methods: </strong>A representative (for age, gender, education and federal state) online survey (n = 1071) was conducted in September 2024 to investigate usage behaviour, intake motivation, and perceptions with regard to food supplements in Germany.</p><p><strong>Results: </strong>Of the respondents, 76.6% reported having taken food supplements during the past year, particularly specific micronutrients such as magnesium or vitamin D. The main reasons for their usage were health-related. In addition, 14.3% of consumers considered food supplements as food in accordance with the legal definition. There were differences in usage behaviour, intake motivation and perception of food supplements depending on whether or not respondents had perceived information about food supplements on social media. Persons who had received information about food supplements on social media took a greater number of different substances, were more likely to take food supplements at least once a week and rated their benefit higher.</p><p><strong>Discussion: </strong>The findings reveal both implications for health and risk communication and the need for further research.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198200","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":"[Dementia(associated) deaths in Bavaria-analysis of comorbidities based on multiple cause of death statistics from 2020 to 2022].","authors":"Rosanna Purrucker, Andrea Buschner","doi":"10.1007/s00103-025-04130-5","DOIUrl":"https://doi.org/10.1007/s00103-025-04130-5","url":null,"abstract":"<p><strong>Introduction: </strong>Dementia is already one of the leading causes of death in Germany. Due to the demographic change, the number of dementia-related deaths will continue to rise in the future. The diversity of \"dementia\" and the increasing importance of multimorbidity require all diseases listed on the death certificate to be included in the analyses. The aim of this article is to analyse all persons deceased \"from\" and \"with\" dementia in Bavaria (= dementia-associated deaths) with regard to their socio-demographic characteristics and to group them based on their comorbidities.</p><p><strong>Method: </strong>Since 2020, multiple causes of death statistics have been available in Bavaria. This allows for the inclusion of all other diseases contributing to death to be used in the analyses. The Bavarian dementia-related deaths from 2020 to 2022 were grouped into clusters based on their comorbidities using latent class analysis.</p><p><strong>Results: </strong>Approximately 19% of all deaths were dementia related. Among these, seven clusters were found: one multimorbidity cluster, one cardiovascular cluster, two infection clusters, two clusters with neurodegenerative diseases and one vascular cluster. The deceased of the clusters differed significantly in terms of age, gender, underlying cause and comorbidities.</p><p><strong>Discussion: </strong>The results of the multiple cause of death analysis indicated a possible underestimation of more specific types of dementia such as vascular dementia. In addition, identifying different combinations of diseases in dementia-related deaths can provide information on suitable treatment methods, preventive measures and possibilities to adapt care structures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136603","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":"[Products containing Micronutrients: Medicinal Products or Food?]","authors":"Hendrik Schulze, Benjamin Conrads, Ulrike Saerbeck, Evelyn Breitweg-Lehmann","doi":"10.1007/s00103-025-04120-7","DOIUrl":"https://doi.org/10.1007/s00103-025-04120-7","url":null,"abstract":"<p><p>Food supplements play an important role in the everyday lives of many consumers, whose desire for a healthy lifestyle is supposedly fulfilled by a growing market of a variety of preparations. Although they often resemble medicinal products in their presentation, food supplements are also foodstuffs and are subject to the same legal provisions as other foodstuffs. However, the demarcation between medicinal products and foodstuffs-especially food supplements-poses a complex regulatory and practical challenge. Both product groups can be similar in terms of composition, dosage form, and effect, but they differ fundamentally in their regulatory requirements. Placing medicinal products on the market is preceded by a strict authorization procedure with proof of efficacy, safety and quality. In contrast, food supplements, which often contain identical substances in lower dosages, are subject only to a notification procedure without prior authorisation. In some cases, products are incorrectly marketed as food supplements even though they should be classified as medicinal products due to their effects or presentation. The classification as a medicinal product is always based on a case-by-case assessment of various factors, with the pharmacological effect usually being the key criterion. Despite the dynamic and diverse market, however, the authorities succeed in classifying such products in a legally compliant manner and in the interests of consumer protection.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084605","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":"Erratum zu: Messung der körperlichen Fitness in der NAKO Gesundheitsstudie – Methoden, Qualitätssicherung und erste deskriptive Ergebnisse.","authors":"Alexander Kluttig, Johannes Zschocke, Johannes Haerting, Axel Schmermund, Sylvia Gastell, Karen Steindorf, Florian Herbolsheimer, Andrea Hillreiner, Carmen Jochem, Sebastian Baumeister, Ole Sprengeler, Tobias Pischon, Lina Jaeschke, Karin B Michels, Lilian Krist, Halina Greiser, Gerhard Schmidt, Wolfgang Lieb, Sabina Waniek, Heiko Becher, Annika Jagodzinski, Sabine Schipf, Henry Völzke, Wolfgang Ahrens, Kathrin Günther, Stefanie Castell, Yvonne Kemmling, Nicole Legath, Klaus Berger, Thomas Keil, Julia Fricke, Matthias B Schulze, Markus Loeffler, Kerstin Wirkner, Oliver Kuß, Tamara Schikowski, Sonja Kalinowski, Andreas Stang, Rudolf Kaaks, Antje Damms Machado, Michael Hoffmeister, Barbara Weber, Claus-Werner Franzke, Sigrid Thierry, Anette Peters, Nadja Kartschmit, Rafael Mikolajczyk, Beate Fischer, Michael Leitzmann, Mirko Brandes","doi":"10.1007/s00103-025-04083-9","DOIUrl":"10.1007/s00103-025-04083-9","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1052-1053"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607454","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":"[Using behavioral and cultural insights to promote physical activity among university students-the \"Smart Moving\" project].","authors":"Julika Loss, Julia von Sommoggy Und Erdödy, Jana Rüter, Jessica Helten, Claas Christian Germelmann, Susanne Tittlbach","doi":"10.1007/s00103-025-04110-9","DOIUrl":"10.1007/s00103-025-04110-9","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity is widespread at universities. To promote physical activity among students, it is important to understand their needs. Behavioral and cultural insights (BCIs) help to identify barriers to physical activity and to develop appropriate interventions. The aim of \"Smart Moving\" was to use BCIs to implement measures to promote physical activity in two universities.</p><p><strong>Method: </strong>\"Smart Moving\" was carried out at the universities of Bayreuth and Regensburg between 2018 and 2021. The project was implemented in four steps: (1) the target behavior was defined as students being physically active on campus; (2) knowledge about physical activity behavior was gained using a standardized survey of students, photo voice, and expert interviews; (3) a planning group at each university developed and implemented measures to promote physical activity; and (4) acceptance and short-term effects of selected measures were evaluated in short surveys.</p><p><strong>Results: </strong>University students spent an average of 34 h per week sitting during their stay on campus. Factors influencing physical activity were assigned to the following categories: capability (cognitive/physical ability), opportunity (physical/social environment), and motivation. These included, for example, a lack of knowledge about access, poor accessibility of exercise opportunities, the prevailing norm that learning involves sitting, and shame when exercising in front of others. Various approaches to promote physical activity were developed: movement breaks in lectures, activating desk furniture with sitting/standing options, movement instructions in the outdoor area, and motivational interventions for exercise. The measures were well received by students.</p><p><strong>Discussion: </strong>The BCI data helped implement needs-based physical activity promotion at universities. Further studies are needed to investigate the long-term effects on physical activity behavior.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"994-1005"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820667","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":"[Understanding behaviour in order to ensure health for all: the behavioural and cultural insights approach].","authors":"Julika Loss, Anke-Christine Saß, Cornelia Betsch","doi":"10.1007/s00103-025-04112-7","DOIUrl":"https://doi.org/10.1007/s00103-025-04112-7","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 9","pages":"969-970"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944119","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":"[Citizens as public health sentinels: understanding study participation in an adaptive and context-sensitive real-time cohort study during times of crisis].","authors":"Stephanie Zintel, Hannah Z Hennig, Christopher M Jones, Vera Araújo-Soares, Marike Andreas, Kristina Hoffmann, Birgit Kramer, Björn Mergarten, Sven Schneider, Falko F Sniehotta, Anna K Kaiser","doi":"10.1007/s00103-025-04108-3","DOIUrl":"10.1007/s00103-025-04108-3","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has highlighted the need for high-resolution evidence on the social and contextual conditions as well as health outcomes of such emergency events. The PULS (Populationsbasierte Umfrage zur Lebenssituation und Sozialen Gesundheit, i.e., Population-Based Survey on Living Conditions and Social Health) study aims to provide such evidence with an agile and responsive real-time cohort. Here, we examine the determinants of participation in such a study.</p><p><strong>Methods: </strong>A qualitative study using seven semi-structured focus groups (between 16 December 2024 and 14 February 2025), each with 4 to 7 participants (total of 22 men, 17 women, 2 non-binary individuals; diverse backgrounds). Statements were deductively coded along the 14 domains of the Theoretical Domains Framework.</p><p><strong>Results: </strong>Participants primarily emphasized the importance of various aspects associated with the domains of Reinforcement, Beliefs about Consequences, Environmental Context and Resources, and Goals, and Beliefs about Capabilities. However, participants did not only mention distinct aspects but also weighed them against each other. For example, participants were more willing to invest resources such as time if the resulting political and social implications of the study aligned with their personal goals, thus demonstrating a subjective contribution to the common good.</p><p><strong>Discussion: </strong>Participation in an agile, responsive, and long-term cohort study is viewed acceptable and feasible under certain conditions. The perceived impact on society and politics as well as the translation of research into policy seem to be key incentives for citizens and can outweigh personally invested resources. These results have implications not only for the implementation of the PULS study but also for the related translation pathways.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1035-1044"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728117","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":"[Enlightenment through official vaccination communication: an experimental study comparing evidence-based fact boxes with nudges and advertising].","authors":"Felix G Rebitschek, Mirjam A Jenny, Gert G Wagner, Christin Ellermann","doi":"10.1007/s00103-025-04109-2","DOIUrl":"10.1007/s00103-025-04109-2","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-based health information is a key tool in health communication to support informed decision-making. In contrast, there are behavioural approaches. The suitability of the different approaches seems to depend on the initial willingness to vaccinate and the information needs (e.g. of undecided people, sceptics).</p><p><strong>Methods: </strong>Using the longitudinal Corona Online Opinion Panel Survey Special (COMPASS) survey panel, we conducted a preregistered experiment (N = 2944) in May 2021 involving information presentations on vaccination: evidence-based tabular and graphical fact box vs. norm and moral nudge vs. vaccination advertising. Before and after vaccination education, vaccination intentions, understanding of vaccination, and attitudes toward and trust in vaccines were measured among those willing, inclined, sceptical, opposed and undecided.</p><p><strong>Results: </strong>Fact boxes supported understanding of vaccination. Graphical fact boxes reinforced vaccination intention of undecideds without information needs. The moral nudge, but not the norm nudge, increased the vaccination intention of vaccination sceptics and undecided people without information needs. No negative influence on trust in vaccines could be identified.</p><p><strong>Discussion: </strong>Evidence-based information does not counteract the social goal of high immunisation coverage of the population. Depending on the intention to vaccinate and the need for information, different target groups react differently to vaccination communication. Questions of ethical and legal responsibility should be discussed with regard to nudging and vaccination advertising.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1024-1034"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783591","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}