Erfahrungsheilkunde 2023; 72(01): 53-59
DOI: 10.1055/a-1997-7091
Praxis

Patienten mit ersten Anzeichen nachlassender geistiger Leistungsfähigkeit: Was der Hausarzt nicht vergessen sollte

Peter Emmrich

Zusammenfassung

Noch immer wird die leichte kognitive Störung zu selten diagnostiziert und ärztlich behandelt. Dabei haben Forschungen der letzten Jahre gezeigt, dass verschiedene Maßnahmen das Risiko nachlassender geistiger Leistungsfähigkeit und einer eventuellen sukzessiven Demenzerkrankung mindern können. Erste Gedächtnisverluste, Verhaltensänderungen oder neuropsychiatrische Störungen im Alter sollte der Arzt nicht nur mit dem Ziel ernst nehmen, weitere Einbußen zu verzögern. Vielmehr können Patienten lange vor demenziellen Stadien bereits unter diesen Beeinträchtigungen leiden. Zu den modifizierbaren Risikofaktoren für Demenzen zählen u. a. Hörverlust, Bluthochdruck, übermäßiger Alkoholkonsum, Übergewicht, Rauchen, Depressionen, Einsamkeit, körperliche Inaktivität und Diabetes. Zur symptomatischen Behandlung altersbedingter kognitiver Beeinträchtigungen und demenzieller Erkrankungen trägt der Ginkgo-biloba-Extrakt EGb 761 bei. Aufgrund der guten Verträglichkeit von EGb 761 empfiehlt sich daher der frühzeitige Einsatz im Rahmen eines ganzheitlichen Therapiekonzepts.

Abstract

Mild cognitive impairment is still diagnosed and treated by doctors too rarely. Yet research has shown in recent years that various measures can reduce the risk of declining mental performance as well as possible successive dementia. Physicians of elderly patients therefore should take first signs of memory loss, changes in behavior or neuropsychiatric disorders seriously. This is important not only to slow down further cognitive losses. Rather, patients may be negatively impacted by said impairments long before reaching the first stage of dementia. Modifiable risk factors for dementia include hearing loss, hypertension, excessive alcohol consumption, obesity, smoking, depression, loneliness, physical inactivity and diabetes. Ginkgo biloba extract EGb 761 contributes to the symptomatic treatment of age-related cognitive impairment and dementia. Due to the good tolerability of EGb 761, its early use as part of a holistic therapy concept is therefore recommended.



Publication History

Article published online:
20 February 2023

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