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DOI: 10.1055/s-0042-109861
Ist Alter eine Komorbidität?
Is Age a Comorbidity?Publication History
Publication Date:
20 July 2017 (online)
Abstract
Aging is normal process, only somehow questioned by the "anti-aging wave". Normal and pathological aging are therefore separate developments. Older adults often suffer from the frailty syndrome, partly due to diminished resilience. Aging per se is not a comorbidity.
Altern gehört zum Leben dazu, wird allerdings durch die sogenannte Anti-Aging-Welle hinterfragt; dem „normalen“ Altern wird ein „pathologisches“ entgegengesetzt. Alte Menschen haben sowohl eine erhöhte Vulnerabilität (Frailty-Syndrom) als auch eine verminderte Widerstandsfähigkeit (Resilienz). Wenn sie krank werden, laufen sie eher Gefahr, dass sich zur Grunderkrankung weitere hinzugesellen – eben Komorbiditäten. Doch das Altern an sich ist physiologisch und keine Komorbidität.
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Literatur
- 1 Fried LP. Tangen CM. Walston J. et al. Cardiovascular Health Study Collaborative Research Group. J Gerontol A Biol Sci Med Sci 2001; 56: M146-M156
- 2 Sieber CC. Frailty – from concept to clinical practice. Exp Gerontol 2017; 87: 160-167
- 3 Mahony FL. Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J 1965; 14: 61-65
- 4 Santoli G. Angleman S. Welmer AK. et al. Age-Related Variation in Health Status after Age 60. PLoS One 2015; 10: e0120077
- 5 Leopoldina. Medizinische Versorgung im Alter – Welche Evidenz brauchen wir? Stellungnahme September 2015. Als pdf zugänglich über www.leopoldina.org
- 6 Van de Pol MH. Fluit CR. Lagro J. et al. Expert and patient consensus on a dynamic model for shared decision-making in frail older patients. Patient Educ Couns 2016; 99: 1069-1077
- 7 Farrell TW. Widera E. Rosenberg L. et al. AGS position statement: making medical treatment decisions for unbefreinded older adults. J Am Geriatr Soc 2016 (Epub ahead of print)
- 8 Tinetti ME. Naik AD. Dodson JA. Moving from disease-centered to patient goals-directed care for patients with multiple chronic conditions: patient valued-based care. JAMA Cardiol 2015; 1: 9-10
- 9 Bierman AS. Tinetti ME. Precision medicine to precision care: managing multimorbidity. Lancet 2016; 338: 2721-2723
- 10 Kirkwood TB. Evolution of ageing. Nature 1977; 270: 301-304
- 11 Huber M. Knottnerus JA. Green L. et al. How should we define health?. BMJ 2011; 343
- 12 Bundesverband Geriatrie (Hrsg). Weißbuch Geriatrie. Stuttgart: Kohlhammer; 2010
- 13 Sieber CC. Sarkopenie. Ther Umschau 2014; 71: 171-176
- 14 Cruz-Jentoft AJ. Landi F. Schneider SM. et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing 2014; 43: 748-759
- 15 Cao L. Morley JE. Sarcopenia is recognized as an independent condition by an international classification of disease, tenth revision, clinical modification (ICD-10-CM) Code. J Am Med Dir Assoc 2016; 17: 675-677
- 16 Renteln-Kruse W. Epidemiologische Aspekte der Morbidität im Alter. Z Gerontol Ger 2001; 34 (01) 10-15
- 17 Rubenstein L. Geriatric assessment: an overview of its impacts. Clin Geriatr Med 1987; 3: 1-15
- 18 Nikolaus T. Grundlagen S. 161 in: Nikolaus T (Hrsg). Klinische Geriatrie. Heidelberg: Springer; 2000
- 19 Stuck AE. Siu AL. Wieland GD. Comprehensive geriatric assessment. A meta-analysis of controlled trials. Lancet 1993; 342: 1032-1036
- 20 McGee GA. Johnson AL. Kay DWK. et al. The decription of activities of daily living in five centres in England and Wales. Age and Ageing 1998; 27: 605-613
- 21 Duan-Porter W. Cohen HJ. Demark-Wahnefried W. et al. Physical resilience of older cancer survivors: an emerging concept. J Geriatr Oncol 2016; 7: 471-478
- 22 Eshel Y. Kimhi S. Lahad M. et al. Individual, community, and national resiliencies and age: are older people less resilient than younger individuals?. Am J Geriatr Psychiatry 2016; 24: 644-647
- 23 Landi F. Liperoti R. Russo A. et al. Disability, more than multimorbidity, was predictive of mortality among older persons aged 80 years and older. J Clin Epidemiol 2010; 63: 752-759
- 24 WHO. ICF, International Classification of Functioning, Disability and Health. (Resolution WHA 54.21) 2001
- 25 Deutsches Institut für medizinische Dokumentation und Information (DIMDI). Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (2005). Im Internet: www.dimdi.de/static/de/klassi/icf/htm 31.01.2017