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15. Impact of Reactive Balance Training on a Perturbation Treadmill on Physical Performance in Geriatric Patients:Results of a Single-Center, Assessor Blinded Randomized Controlled Trial.

Author

Petrovic, Alexander, Wirth, Rainer, Klimek, Christiane, Lueg, Gero, Daubert, Diana, Giehl, Chantal, and Trampisch, Ulrike Sonja

Subjects
*ACCIDENTAL fall prevention, *LENGTH of stay in hospitals, *PHYSICAL mobility, *OLDER people, *RANDOMIZED controlled trials
Abstract

Background/Objectives: Falls and related injuries are a frequent and serious health problem in older persons. Among the various strategies, different forms of active physical training, in particular, have demonstrated success in reducing fall risk. A task-specific training approach is perturbation-based training of reactive balance. Performing this training modality on a perturbation treadmill, secured with a safety harness, is an innovative new approach facilitating task-specific training with unannounced perturbations in a safe environment. The aim of this study was to investigate the feasibility and effectiveness of this specific training in multimorbid older hospitalized patients with prefrailty and frailty. Methods: The trial was conducted as a prospective single-center, assessor-blinded randomized controlled trial. A total of 127 acute-care geriatric hospitalized patients were enrolled in a program either involving a minimum of 60 min perturbation-based treadmill training or treadmill training without perturbations on the identical device and for a comparable training period. Results: Participants were 81 ± 6 years old (64% female) with a baseline FRAIL Scale, SPPB, and MoCA scores of 3.5 ± 1.6, 8.3 ± 2.6, and 21 ± 5 points, respectively. The training was performed on six occasions with an average total training period of 89 min during a mean hospital stay of 17 ± 3 days. Between the baseline and up to 2 days after the last training, the Short Physical Performance Battery score, which was considered the primary endpoint, improved by 1.4 ± 2.1 points in the intervention group compared to 0.5 ± 1.7 in the control group, with a 0.9-point difference between the groups (p < 0.001). Conclusions: a relatively short training period of approximately 90 min on a perturbation treadmill led to a significant and clinically meaningful increase in the physical performance of frail and prefrail hospitalized geriatric patients. However, its effectiveness in reducing fall risk is yet to be proven in this population. [ABSTRACT FROM AUTHOR]

Published
2024
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24. Is There an Association Between Inflammation and Serum-Vitamin D? – Results of a Retrospective Analysis of Hospitalized Geriatric Patients

Author

Funk,Lukas, Trampisch,Ulrike, Pourhassan,Maryam, Wirth,Rainer, Funk,Lukas, Trampisch,Ulrike, Pourhassan,Maryam, and Wirth,Rainer

Abstract

Lukas Funk, Ulrike Sonja Trampisch, Maryam Pourhassan, Rainer Wirth Department of Geriatric Medicine, Marien Hospital Herne, Herne, GermanyCorrespondence: Lukas Funk Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum, Herne, Hölkeskampring, 4044629, Deutschland, Tel +49 (0) 2323 499 5822, Email Lukas.Funk@rub.dePurpose: Vitamin D deficiency is a common finding in geriatric patients. The ESPEN micronutrient guideline states that vitamin D serum levels significantly decrease in the presence of inflammation and should be interpreted with caution. This is of great interest for hospital care and would imply a significant change to the current approach to hospitalized patients with suspected vitamin D deficiency.Patients and methods: To evaluate the association of vitamin D and inflammation, we reanalyzed the data set of serum 25(OH)D-Levels of 687 consecutive geriatric hospitalized patients of a previously published study.Results: We found that vitamin D deficiency (< 20 ng/dl) was prevalent in 78.0% and vitamin D insufficiency (20– 30 ng/dl) in 9.9% of patients. Sperman’s correlation showed a significant but very weak correlation (R = − 0.100, P < 0.01) of serum vitamin D and C-reactive protein. However, linear regression with the inclusion of age and gender revealed no significant association (beta-coefficient − 0.070; p=0.067).Conclusion: In this study, we could not confirm a significant and clinically relevant association between serum vitamin D levels and inflammation, contrasting with a previous study. However, longitudinal studies need to be performed to draw a final conclusion.Keywords: Vitamin D, 25-hydroxyvitamin D, inflammation, older, C-reactive protein, geriatric

Published
2024

25. Guide pratique de la Société européenne de nutrition clinique : nutrition clinique et hydratation en gériatrie 1.

Author

Volkert, Dorothee, Beck, Anne Marie, Cederholm, Tommy, Cruz-Jentoft, Alfonso, Hooper, Lee, Kiesswetter, Eva, Maggio, Marcello, Sieber, Cornel, Sobotka, Lubos, Asselt, Dieneke, Wirth, Rainer, Bischoff, Stephan C., Benoit, Florence, De Breucker, Sandra, Raynaud-Simon, Agathe, Annweiler, Cédric, and Sanchez-Rodriguez, Dolores

Abstract

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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26. Mangelernährung

Author

von Arnim, Christine, Wirth, Rainer, Maetzler, Walter, editor, Dodel, Richard, editor, Jacobs, Andreas H., editor, Bauer, Jürgen, Foreword by, Deuschl, Günther, Foreword by, and Morley, John E., Foreword by

Published
2019
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27. Iron deficiency, fatigue and muscle strength and function in older hospitalized patients

Author

Neidlein, Sophia, Wirth, Rainer, and Pourhassan, Maryam

Subjects
Aged patients -- Health aspects, Fatigue -- Risk factors, Iron deficiency diseases -- Risk factors -- Complications and side effects, Food/cooking/nutrition, Health
Abstract

Background/Objectives Iron deficiency is common in older patients. We investigated whether iron deficiency is an independent risk factor for functional impairment, low muscle function, fatigue, and rehabilitation progress in older hospitalized patients. Subjects/Methods Two hundred twenty-four patients (age range 65-95 years; 67% females) who were consecutively admitted to a geriatric acute care ward participated in this prospective longitudinal observational study. Ferritin, iron, transferrin in serum, and blood hemoglobin were measured and current iron supplementation was recorded. Fatigue and comorbidity were measured using the fatigue severity scale and Charlson Comorbidity Index, respectively. Barthel Index, handgrip strength, and isometric knee extension strength were conducted at the time of hospital admission and before discharge. Results Ninety-one (41%) patients had iron deficiency in which the majority had functional iron deficiency (78/91, 86%). Absolute iron deficiency with and without anemia was diagnosed in 12 (13%) and one patients, respectively. Barthel Index and handgrip and knee extension strength significantly improved during hospitalization in iron deficiency and non-iron deficiency groups. Knee extension strength showed better improvement in iron-deficient patients receiving iron supplementation and iron supplementation during hospital stay was the main predictor for improvement in knee extension strength. Comorbidity, iron deficiency, and changes in handgrip strength were the major independent risk factors for poor improvement in Barthel Index during hospitalization. There were significant associations between patients' fatigue and iron deficiency, comorbidity, and female gender. Conclusion Iron deficiency is an independent risk factor for fatigue and poor functional recovery among older hospitalized patients. Iron supplementation seems to be capable of improving functional performance., Author(s): Sophia Neidlein [sup.1] , Rainer Wirth [sup.1] , Maryam Pourhassan [sup.1] Author Affiliations: (1) Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany Introduction Iron deficiency is [...]

Published
2021
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29. Neurogeriatrics—a vision for improved care and research for geriatric patients with predominating neurological disabilities

Author

Jacobs, Andreas H., Emmert, Kirsten, Baron, Ralf, Bartsch, Thorsten, Bauer, Juergen, Becker, Clemens, Berg, Daniela, Bergmann, Philipp, Boetzel, Kai, Bollheimer, Cornelius, Deuschl, Guenther, Djukic, Marija, Drey, Michael, Durwen, Herbert, Ebersbach, Georg, Elshehabi, Morad, Geritz, Johanna, Gisinger, Christoph, Guennewig, Thomas, Hauptmann, Bjoern, Heppner, Hans-Juergen, Hobert, Markus A., Hofmann, Werner, Huellemann, Philipp, Jahn, Klaus, Klucken, Jochen, Kurth, Roland, Lindner, Reinhard, Lingor, Paul, Lukas, Albert, Maetzold, Sara, Mokrusch, Thomas, Mollenhauer, Brit, Nau, Roland, Plate, Annika, Polidori, Maria Cristina, Prell, Tino, Schellinger, Peter, Spira, Dominik, Stephani, Ulrich, Studt, Simone, Trenkwalder, Claudia, Unger, Heinz L., Urban, Peter, von Arnim, Christine A. F., Warnecke, Tobias, Weiss, Michael, Wiedemann, Andreas, Wirth, Rainer, Witt, Karsten, Dodel, Richard, and Maetzler, Walter

Published
2020
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31. Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Author

Dziewas, Rainer, Allescher, Hans-Dieter, Aroyo, Ilia, Bartolome, Gudrun, Beilenhoff, Ulrike, Bohlender, Jörg, Breitbach-Snowdon, Helga, Fheodoroff, Klemens, Glahn, Jörg, Heppner, Hans-Jürgen, Hörmann, Karl, Ledl, Christian, Lücking, Christoph, Pokieser, Peter, Schefold, Joerg C., Schröter-Morasch, Heidrun, Schweikert, Kathi, Sparing, Roland, Trapl-Grundschober, Michaela, Wallesch, Claus, Warnecke, Tobias, Werner, Cornelius J., Weßling, Johannes, Wirth, Rainer, and Pflug, Christina

Published
2021
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40. ESPEN guideline clinical nutrition in neurology

Author

Burgos, Rosa, Bretón, Irene, Cereda, Emanuele, Desport, Jean Claude, Dziewas, Rainer, Genton, Laurence, Gomes, Filomena, Jésus, Pierre, Leischker, Andreas, Muscaritoli, Maurizio, Poulia, Kalliopi-Anna, Preiser, Jean Charles, Van der Marck, Marjolein, Wirth, Rainer, Singer, Pierre, and Bischoff, Stephan C.

Published
2018
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