Geriatrie für Nichtgeriater

Die Zahl älterer Patienten>60 Jahre in Deutschland wächst kontinuierlich. Diese werden im Rahmen verschiedener Erkrankungen neben der hausärztlichen Versorgung häufig von unterschiedlichsten Fachdisziplinen behandelt. Im folgenden Beitrag wird gezeigt, woran man einen geriatrischen Patienten erkennt und welche Besonderheiten es bei der Behandlung zu berücksichtigen gilt.

Publication History

Article published online:
17 February 2023

• Literatur

• 1 López-Otín C, Blasco MA, Partridge L. et al. The Hallmarks of Aging. Cell 2013; 153: 1194-1217
• 2 Gems D, de Magalhães JP. The hoverfly and the wasp: A critique of the hallmarks of aging as a paradigm. Ageing Res Rev 2021; 70: 101407
• 3 Cunningham C, O’ Sullivan R, Caserotti P. et al. Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scand J Med Sci Sports 2020; 30: 816-827
• 4 Ross M, Lithgow H, Hayes L. et al. Potential Cellular and Biochemical Mechanisms of Exercise and Physical Activity on the Ageing Process. Subcell Biochem 2019; 91: 311-338
• 5 Grande G, Qiu C, Fratiglioni L. Prevention of dementia in an ageing world: Evidence and biological rationale. Ageing Res Rev 2020; 64: 101045
• 6 Frishman WH. Ten Secrets to a Long Life. Am J Med 2019; 132: 564-566
• 7 Li P-S, Hsieh C-J, Tallutondok EB. et al. The Dose-Response Efficacy of Physical Training on Frailty Status and Physical Performance in Community-Dwelling Elderly: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Healthcare (Basel) 2022; 10: 586
• 8 Slimani M, Ramirez-Campillo R, Paravlic A. et al. The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis. Front Physiol 2018; 9: 1564
• 9 Holick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 2004; 80: 1678S-1688SS
• 10 Rubenstein LZ, Josephson KR, Wieland GD. et al. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med 1984; 311: 1664-1670
• 11 Krupp S, Frohnhofen H. S1-Leitlinie, Geriatrisches Assessment der Stufe 2, Living guideline. 2021 www.awmf.org/uploads/tx_szleitlinien/084-002LGl_S1_Geriatrisches-Assessment-Stufe_2_2022-01.pdf; Stand 09.10.2022
• 12 Olde Rikkert MGM, Rigaud AS, van Hoeyweghen RJ. et al. Geriatric syndromes: medical misnomer or progress in geriatrics?. Neth J Med 2003; 61: 83-87
• 13 Kane RL, Shamliyan T, Talley K. et al. The association between geriatric syndromes and survival. J Am Geriatr Soc 2012; 60: 896-904
• 14 Morley JE, Vellas B, van Kan GA. et al. Frailty Consensus: A Call to Action. J Am Med Dir Assoc 2013; 14: 392-397
• 15 Fried LP, Tangen CM, Walston J. et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56: M146-M156
• 16 Rockwood K, Song X, MacKnight C. et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005; 173: 489-495
• 17 Cruz-Jentoft AJ, Bahat G, Bauer J. et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16-31
• 18 Cederholm T, Jensen GL, Correia MITD. et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community. Journal of Cachexia, Sarcopenia and Muscle 2019; 10: 207-217
• 19 Evans WJ, Morley JE, Argilés J. et al. Cachexia: a new definition. Clin Nutr 2008; 27: 793-799
• 20 Volkert D, Bauer J, Frühwald T. et al. Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der GESKES, der AKE und der DGG. Aktuel Ernahrungsmed 2013; 38: e1-e48