R. Diekmann, S. Hellmers, S. Lau, A. Heinks, L. Elgert, J. M. Bauer, T. Zieschang, and A. Hein, "Are vertical jumps able to predict 24-month follow-up functional geriatric assessment in a healthy community-dwelling older cohort?" Aging clinical and experimental research.
doi: 10.1007/s40520-022-02230-9
@article{Diekmann.2022, abstract = {BACKGROUND When older adults fall below the thresholds of functional geriatric assessment (FGA), they may already be at risk of mobility impairment. A reduction in (jumping) power could be an indication of functional decline, one of the main risk factors for falls. OBJECTIVE This paper explores whether six-month delta (∆) values of muscle power can predict 24-month follow-up FGA in older adults. METHODS This observational study of independent, healthy, high-performing community-dwelling adults aged 70 + years involved FGA (mobility, balance, and endurance tests) at baseline (t0), after 6~months (t1), and after 24~months (t2); maximum jumping power (max JP) was determined at t0 and t1. A predictive linear model was developed in which the percentage change of \textgreek{D}max JP0,1 was transferred to all FGA (t0) values. The results were compared with measured FGA values at t2 via sensitivity and specificity in terms of the clinically meaningful change (CMC) or the minimal detectable change (MDC). RESULTS In 176 individuals (60{\%} female, mean age 75.3~years) the mean percentage (SD) between predicted and measured FGA ranged between 0.4 (51.3) and 18.11 (51.9). Sensitivity to identify the CMC or MDC of predicted FGA tests at t2 ranged between 17.6{\%} (Timed up and go) and 75.0{\%} (5-times-chair-rise) in a test-to-test comparison and increased to 97.6{\%} considering clinically conspicuousness on global FGA. CONCLUSION The potential of jumping power to predict single tests of FGA was low regarding sensitivity and specificity of CMC (or MDC). 6~months \textgreek{D}max JP seem to be suitable for predicting physical function, if the measured and predicted tests were not compared at the test level, but globally, in the target group in the long term.},
author = {Diekmann, Rebecca and Hellmers, Sandra and Lau, Sandra and Heinks, Andrea and Elgert, Lena and Bauer, Juergen M. and Zieschang, Tania and Hein, Andreas},
year = {2022},
title = {Are vertical jumps able to predict 24-month follow-up functional geriatric assessment in a healthy community-dwelling older cohort?},
journal = {Aging clinical and experimental research},
doi = {10.1007/s40520-022-02230-9},
file = {http://www.ncbi.nlm.nih.gov/pubmed/36053442}
}
Sandra Hellmers, Anna Brinkmann, Conrad Fifelski-Von Böhlen, Sandra Lau, Rebecca Diekmann, and Andreas Hein, "Posture and Mechanical Load Assessment During Patient Transfers" SN Computer Science, vol. 3, iss. 5, p. 375.
doi: 10.1007/s42979-022-01263-1
@article{SandraHellmers.2022,
author = {{Sandra Hellmers} and {Anna Brinkmann} and {Conrad Fifelski-Von B{\"o}hlen} and {Sandra Lau} and {Rebecca Diekmann} and {Andreas Hein}},
year = {2022},
title = {Posture and Mechanical Load Assessment During Patient Transfers},
pages = {375},
volume = {3},
number = {5},
journal = {SN Computer Science},
doi = {10.1007/s42979-022-01263-1}
}
P. Elfert, J. Berndt, L. Dierkes, M. Eichelberg, N. Rösch, A. Hein, and R. Diekmann, "A Novel Digital Nutrition Diary for Geriatric Patients at High Risk of Frailty Syndrome" Nutrients, vol. 14, iss. 3.
doi: 10.3390/nu14030400
@article{Elfert.2022, abstract = {Due to the physical, psychological, or socioeconomic changes that accompany aging, many people will be affected by geriatric frailty syndrome, which can lead to multimorbidity and premature death. Nutrition counseling is often used to prevent and intervene in frailty syndrome, especially in geriatric rehabilitation. To this end, the consumption behavior of geriatric patients is recorded using paper-based, as well as retrospective memory logs in face-to-face interviews between patients and nutritionists. To simplify this procedure, a digital nutrition diary was developed that is specially adapted to the needs of geriatric patients ({\&}gt;=70 years), enabling them to record their consumption behavior themselves. In an initial study (Study 1), conducted in a geriatric rehabilitation division with twelve subjects (ten male, two female, mean age 79.2 $\pm$5.9 years), feedback about the usability of the digital nutrition diary, and how to improve it, was surveyed. In addition, the usability of an activity tracker and a body composition scale was surveyed to determine whether geriatric patients are generally able to use these devices. In a second study (Study 2), also conducted in the geriatric rehabilitation division, this time with sixteen subjects (ten male, six female, mean age 79.3 $\pm$3.9 years), the usability of the digital nutrition diary was surveyed again to evaluate its modifications based on the feedback from Study 1. In Study 1, the usability rating of the system (0-100) was 82.5 for the activity tracker, 29.71 for the body composition scale, and 51.66 initially for the digital nutrition diary, which increased to 76.41 in Study 2.},
author = {Elfert, Patrick and Berndt, Julia and Dierkes, Louisa and Eichelberg, Marco and R{\"o}sch, Norbert and Hein, Andreas and Diekmann, Rebecca},
year = {2022},
title = {A Novel Digital Nutrition Diary for Geriatric Patients at High Risk of Frailty Syndrome},
volume = {14},
number = {3},
journal = {Nutrients},
doi = {10.3390/nu14030400},
file = {http://www.ncbi.nlm.nih.gov/pubmed/35276760},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8838007}
}
S. Fudickar, A. Pauls, S. Lau, S. Hellmers, K. Gebel, R. Diekmann, J. M. Bauer, A. Hein, and F. Koppelin, "Measurement System for Unsupervised Standardized Assessments of Timed Up and Go Test and 5 Times Chair Rise Test in Community Settings-A Usability Study" Sensors (Basel, Switzerland), vol. 22, iss. 3.
doi: 10.3390/s22030731
@article{Fudickar.2022, abstract = {Comprehensive measurements are needed in older populations to detect physical changes, initiate prompt interventions, and prevent functional decline. While established instruments such as the Timed Up and Go (TUG) and 5 Times Chair Rise Test (5CRT) require trained clinicians to assess corresponding functional parameters, the unsupervised screening system (USS), developed in a two-stage participatory design process, has since been introduced to community-dwelling older adults. In a previous article, we investigated the USS's measurement of the TUG and 5CRT in comparison to conventional stop-watch methods and found a high sensitivity with significant correlations and coefficients ranging from 0.73 to 0.89. This article reports insights into the design process and evaluates the usability of the USS interface. Our analysis showed high acceptance with qualitative and quantitative methods. From participant discussions, suggestions for improvement and functions for further development could be derived and discussed. The evaluated prototype offers a high potential for early detection of functional limitations in elderly people and should be tested with other target groups in other locations.},
author = {Fudickar, Sebastian and Pauls, Alexander and Lau, Sandra and Hellmers, Sandra and Gebel, Konstantin and Diekmann, Rebecca and Bauer, J{\"u}rgen M. and Hein, Andreas and Koppelin, Frauke},
year = {2022},
title = {Measurement System for Unsupervised Standardized Assessments of Timed Up and Go Test and 5 Times Chair Rise Test in Community Settings-A Usability Study},
volume = {22},
number = {3},
journal = {Sensors (Basel, Switzerland)},
doi = {10.3390/s22030731},
file = {http://www.ncbi.nlm.nih.gov/pubmed/35161478},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840449}
}
A. Brinkmann, C. F. Böhlen, C. Kowalski, S. Lau, O. Meyer, R. Diekmann, and A. Hein, "Providing physical relief for nurses by collaborative robotics" Scientific reports, vol. 12, iss. 1, p. 8644.
doi: 10.1038/s41598-022-12632-4
@article{Brinkmann.2022, abstract = {Manual patient handling is one of the most significant challenges leading to musculoskeletal burden among healthcare workers. Traditional working techniques could be enhanced by innovations that can be individually adapted to the physical capacity of nurses. We evaluated the use of a robotic system providing physical relief by collaboratively assisting nurses in manual patient handling tasks. By quantifying kinetic and muscle activity data, it was possible to distinguish two kinds of movement patterns. Highly asymmetric postures and movements corresponded to distinct extremes in lower limb and spine muscle activity data. The use of collaborative robotics significantly reduced maximum force exertion in the caregiving process by up to 51{\%}. Lateral flexion and torsion of the trunk were reduced by up to 54{\%} and 87{\%},
respectively, leading to a significant reduction in mean spine muscle activity of up to 55{\%}. These findings indicate the feasibility of collaborative robot-assisted patient handling and emphasize the need for future individual intervention programs to prevent physical burden in care.},
author = {Brinkmann, Anna and B{\"o}hlen, Conrad Fifelski-von and Kowalski, Christian and Lau, Sandra and Meyer, Ole and Diekmann, Rebecca and Hein, Andreas},
year = {2022},
title = {Providing physical relief for nurses by collaborative robotics},
pages = {8644},
volume = {12},
number = {1},
journal = {Scientific reports},
doi = {10.1038/s41598-022-12632-4},
file = {http://www.ncbi.nlm.nih.gov/pubmed/35606375},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125974}
}
L. Happe, M. Sgraja, A. Hein, and R. Diekmann, "Iterative Development and Applicability of a Tablet-Based e-Coach for Older Adults in Rehabilitation Units to Improve Nutrition and Physical Activity: Usability Study" JMIR human factors, vol. 9, iss. 1, p. 31823.
doi: 10.2196/31823
@article{Happe.2022, abstract = {BACKGROUND Maintaining nutrition and exercise strategies after rehabilitation can be difficult for older people with malnutrition or limited mobility. A technical assistance system such as an e-coach could help to positively influence changes in dietary and exercise behavior and contribute to a sustainable improvement in one's nutrition and mobility status. Most apps do not provide a combination of nutrition and exercise content. In most cases, these apps were evaluated with healthy individuals aged {\textless}70 years, making transferability to vulnerable patients, with functional limitations and an assumed lower affinity for technology, in geriatric rehabilitation unlikely. OBJECTIVE This study aims to identify the potential for optimization and enhance usability through iterative test phases to develop a nutrition and mobility e-coach suitable for older adults ($\geq$65 years) based on individual health behavior change stages in a rehabilitation setting. METHODS Iterative testing was performed with patients aged $\geq$65 years in a rehabilitation center. During testing, participants used an e-coach prototype with educational elements and active input options on nutrition and mobility as a 1-time application test. The participants performed navigation and comprehension tasks and subsequently provided feedback on the design aspects. Hints were provided by the study team when required, documented, and used for improvements. After testing, the participants were asked to rate the usability of the prototype using the System Usability Scale (SUS). RESULTS In all, 3 iterative test phases (T1-T3) were conducted with 49 participants (24/49, 49{\%} female; mean 77.8, SD 6.2 years). Improvements were made after each test phase, such as adding explanatory notes on overview screens or using consistent chart types. The use of the user-centered design in this specific target group facilitated an increase in the average SUS score from 69.3 (SD 16.3; median 65) at T1 to 78.1 (SD 11.8; median 82.5) at T3. Fewer hints were required for navigation tasks (T1: 14.1{\%}; T2: 26.5{\%}; T3: 17.2{\%}) than for comprehension questions (T1: 30.5{\%}; T2: 21.6{\%}; T3: 20{\%}). However, the proportion of unsolved tasks, calculated across all participants in all tasks, was higher for navigation tasks (T1: 0{\%},
T2: 15.2{\%},
T3: 4.3{\%}) than for comprehension tasks (T1: 1.9{\%},
T2: 0{\%},
T3: 2.5{\%}). CONCLUSIONS The extensive addition of explanatory sentences and terms, instead of shorter keywords, to make it easier for users to navigate and comprehend the content was a major adjustment. Thus, good usability (SUS: 80th-84th percentile) was achieved using iterative optimizations within the user-centered design. Long-term usability and any possible effects on nutritional and physical activity behavior need to be evaluated in an additional study in which patients should be able to use the e-coach with increasing independence, thereby helping them to gain access to content that could support their long-term behavior change.},
author = {Happe, Lisa and Sgraja, Marie and Hein, Andreas and Diekmann, Rebecca},
year = {2022},
title = {Iterative Development and Applicability of a Tablet-Based e-Coach for Older Adults in Rehabilitation Units to Improve Nutrition and Physical Activity: Usability Study},
pages = {e31823},
volume = {9},
number = {1},
journal = {JMIR human factors},
doi = {10.2196/31823},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968623},
file = {http://www.ncbi.nlm.nih.gov/pubmed/35293874}
}
Anna Brinkmann, Sandra Lau, Conrad Fifelski-Von Böhlen, Ole Meyer, Rebecca Diekmann, and Andreas Hein, "Age-Related Lower Limb Muscle Co-Activation in Sit-to-Stand/Stand-to-Sit Performances." 2021.
@inproceedings{AnnaBrinkmann.2021,
author = {{Anna Brinkmann} and {Sandra Lau} and {Conrad Fifelski-Von B{\"o}hlen} and {Ole Meyer} and {Rebecca Diekmann} and {Andreas Hein}},
title = {Age-Related Lower Limb Muscle Co-Activation in Sit-to-Stand/Stand-to-Sit Performances},
year = {2021}
}
Henning Haab, Jan Alexandersson, Jochen Britz, Rebecca Diekmann, Marco Eichelberg, Patrick Elfert, Andreas Hein, Ludwig Kuhn, Sonja Lämmel, Alexander Münzberg, and others, "Digitalisierte Dienstleistungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen Risiken bei Fehlernährung" Dienstleistungsinnovationen durch Digitalisierung.
@article{HenningHaab.2021,
author = {{Henning Haab} and {Jan Alexandersson} and {Jochen Britz} and {Rebecca Diekmann} and {Marco Eichelberg} and {Patrick Elfert} and {Andreas Hein} and {Ludwig Kuhn} and {Sonja L{\"a}mmel} and {Alexander M{\"u}nzberg} and others},
year = {2021},
title = {Digitalisierte Dienstleistungen im Bereich der Ern{\"a}hrungsberatung von Personengruppen mit erh{\"o}hten gesundheitlichen Risiken bei Fehlern{\"a}hrung},
journal = {Dienstleistungsinnovationen durch Digitalisierung}
}
Kerstin Hackelbusch, Carolin Lübbe, Rebecca, J. D. Wojzischke, and Andreas Hein, "Virtuelle Durchführung von Demonstrationsstudien zur Erleichterung des Feldzugangs" German Medical Science GMS Publishing House. 20. Deutscher Kongress für Versorgungsforschung (DKVF).
@article{KerstinHackelbusch.2021,
author = {{Kerstin Hackelbusch} and {Carolin L{\"u}bbe} and Rebecca and Wojzischke, Julia Diekmann and {Andreas Hein}},
year = {2021},
title = {Virtuelle Durchf{\"u}hrung von Demonstrationsstudien zur Erleichterung des Feldzugangs},
journal = {German Medical Science GMS Publishing House. 20. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF)}
}
Björn Friedrich, Jürgen M Bauer, Andreas Hein, and Rebecca Diekmann, "Detecting Impending Malnutrition of (Pre-) Frail Older Adults in Domestic Smart Home Environments" Nutrients, vol. 13, iss. 6, p. 1955.
@article{BjornFriedrich.2021,
author = {{Bj{\"o}rn Friedrich} and {J{\"u}rgen M Bauer} and {Andreas Hein} and {Rebecca Diekmann}},
year = {2021},
title = {Detecting Impending Malnutrition of (Pre-) Frail Older Adults in Domestic Smart Home Environments},
pages = {1955},
volume = {13},
number = {6},
journal = {Nutrients}
}
Lisa Happe, Andreas Hein, and Rebecca Diekmann, "What do geriatric rehabilitation patients and experts consider relevant? Requirements for a digitalised e-coach for sustainable improvement of nutrition and physical activity in older adults--a qualitative focus group study" BMC geriatrics, vol. 21, iss. 1.
@article{LisaHappe.2021,
author = {{Lisa Happe} and {Andreas Hein} and {Rebecca Diekmann}},
year = {2021},
title = {What do geriatric rehabilitation patients and experts consider relevant? Requirements for a digitalised e-coach for sustainable improvement of nutrition and physical activity in older adults--a qualitative focus group study},
pages = {1--11},
volume = {21},
number = {1},
journal = {BMC geriatrics}
}
Sandra Lau, Frerk Mueller-von Aschwege, Tania Zieschang, Juergen Bauer, Andreas Hein, and Rebecca Diekmann, "Activity Space and Functional Outcomes in Frail Older Persons Using GPS analysis" Innovation in Aging, vol. 5, iss. Supplement_1, p. 516.
@article{SandraLau.2021,
author = {{Sandra Lau} and {Frerk Mueller-von Aschwege} and {Tania Zieschang} and {Juergen Bauer} and {Andreas Hein} and {Rebecca Diekmann}},
year = {2021},
title = {Activity Space and Functional Outcomes in Frail Older Persons Using GPS analysis},
pages = {516},
volume = {5},
number = {Supplement{\_}1},
journal = {Innovation in Aging}
}
S. Lau, F. M. von Aschwege, T. Zieschang, J. Bauer, A. Hein, and R. Diekmann, "Activity Space and Functional Outcomes in Frail Older Persons Using GPS analysis" Innovation in Aging, vol. 5, iss. Supplement_1, p. 514.
doi: 10.1093/geroni/igab046.1989
@article{Lau.2021,
author = {Lau, Sandra and von Aschwege, Frerk Mueller and Zieschang, Tania and Bauer, Juergen and Hein, Andreas and Diekmann, Rebecca},
year = {2021},
title = {Activity Space and Functional Outcomes in Frail Older Persons Using GPS analysis},
pages = {514},
volume = {5},
number = {Supplement{\_}1},
journal = {Innovation in Aging},
doi = {10.1093/geroni/igab046.1989}
}
Anna Brinkmann, Conrad Fifelski-Von Böhlen, Sandra Lau, Andreas Hein, and Rebecca Diekmann, "Relevanz der unteren Extremität im Kontext muskuloskelettaler Belastungen in der Pflege" Pflegewissenschaft, vol. 23, iss. 4-2021.
doi: 10.3936/1813
@article{AnnaBrinkmann.2021b, abstract = {Manuelle Pflege f{\"u}hrt zu hohen Kompressionen der Lendenwirbels{\"a}ule (LWS) und wirkt sich negativ auf das muskuloskelettale System Pflegender aus. Damit einhergehende Erkrankungen sind die Hauptrisikofaktoren f{\"u}r die Entstehung von R{\"u}ckenleiden und den hohen Krankenstand in der Pflege. Der wissenschaftliche Fokus bisheriger Arbeiten liegt neben der Entlastung Pflegender durch technische Systeme prim{\"a}r auf der Analyse wirkender Kompressionen der LWS im Pflegeprozess. Auf die entlastende Funktionsaufgabe der Muskulatur der unteren Extremit{\"a}t wirkt in diesem Kontext zwar verwiesen, eine wissenschaftlich fundierte Analyse existiert zum derzeitigen Zeitpunkt jedoch nicht. Die vorliegende Literaturarbeit verfolgt das Ziel, die Relevanz der unteren Extremit{\"a}t f{\"u}r die ergonomische Pflege hervorzuheben.},
author = {{Anna Brinkmann} and {Conrad Fifelski-Von B{\"o}hlen} and {Sandra Lau} and {Andreas Hein} and {Rebecca Diekmann}},
year = {2021},
title = {Relevanz der unteren Extremit{\"a}t im Kontext muskuloskelettaler Belastungen in der Pflege},
pages = {229--237},
volume = {23},
number = {4-2021},
journal = {Pflegewissenschaft},
doi = {10.3936/1813}
}
B. Friedrich, J. M. Bauer, A. Hein, and R. Diekmann, "Detecting Impending Malnutrition of (Pre-) Frail Older Adults in Domestic Smart Home Environments" Nutrients, vol. 13, iss. 6.
doi: 10.3390/nu13061955
@article{Friedrich.2021, abstract = {Malnutrition is a well-known risk factor for deteriorated physical function, disability and loss in independence in older adults. An unintended loss in body weight of more than 5{\%} in 3 months is one indicator for malnutrition. In this study we examined the relationship between meal preparation time, hand grip strength, and body weight in order to map impending nutritional problems using ambient sensors. Data were collected in the domestic environments of 20 (pre-) frail older adults aged 85.75 y (Standard Deviation: 5.19 y) over 10-months of observation. Collecting included physical function and nutritional status of the participants and meal preparation time by a combination of motion and power sensor events. Analysis was done by rank correlation of hand grip strength, body weight, and meal preparation time. Ten participants aged 85.1 years (Standard Deviation: 4.6 y) were included. The results show a significant correlation ($\geq$0.99) of the meal preparation time with the hand grip strength. This result validated the meal preparation time as a suitable measure for analysing the correlation between meal preparation time and body weight, and a significant correlation ($\geq$0.99) found. Hence the meal preparation time could be used as an indicator for malnutrition. However, causalities have to be conducted by further clinical studies.},
author = {Friedrich, Bj{\"o}rn and Bauer, J{\"u}rgen M. and Hein, Andreas and Diekmann, Rebecca},
year = {2021},
title = {Detecting Impending Malnutrition of (Pre-) Frail Older Adults in Domestic Smart Home Environments},
volume = {13},
number = {6},
journal = {Nutrients},
doi = {10.3390/nu13061955},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227994},
file = {http://www.ncbi.nlm.nih.gov/pubmed/34200271}
}
J. Wojzischke, J. M. Bauer, A. Hein, and R. Diekmann, "The Relevance of Obesity for Activities of Daily Living in Geriatric Rehabilitation Patients" Nutrients, vol. 13, iss. 7.
doi: 10.3390/nu13072292
@article{Wojzischke.2021, abstract = {The obesity pandemic has reached old age but the effect of obesity on functional recovery in geriatric rehabilitation patients has not been investigated to date. In this prospective cohort study, patients admitted into geriatric rehabilitation were consecutively included between September 2015 and September 2016, aged $\geq$70 years. Individual activities of daily living were documented by the Barthel index (BI, 0-100 points). Obesity was assessed by the measurement of body mass index (BMI, kg/m$^2$), waist circumference (WC, cm) and percentage of body fat mass ({\%}FM) based on triceps' skinfold thickness at admission (t1), discharge (t2) and six months after discharge (t3). A total of 122 patients were included in the analysis. Prevalence of obesity according to BMI, WC and {\%}FM was 33.6{\%},
83.6{\%} and 71.3{\%} respectively. Patients with a high WC and patients with a high BMI had lower BI values at t1, t2, t3 and the improvement in BI (t1-t2, t2-t3) was lower than in those with low WC and low BMI, but without statistical significance. In multiple regression analysis, BMI, WC and {\%}FM were not associated with BI at t3 and improvement of BI (t2-t3). Obesity was highly prevalent in geriatric rehabilitation patients, but it was not associated with BI during the 6-month follow-up.},
author = {Wojzischke, Julia and Bauer, J{\"u}rgen M. and Hein, Andreas and Diekmann, Rebecca},
year = {2021},
title = {The Relevance of Obesity for Activities of Daily Living in Geriatric Rehabilitation Patients},
volume = {13},
number = {7},
journal = {Nutrients},
doi = {10.3390/nu13072292},
file = {http://www.ncbi.nlm.nih.gov/pubmed/34371802},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308353}
}
A. Brinkmann, C. Böhlen, S. Hellmers, O. Meyer, R. Diekmann, and A. Hein, "Physical Burden in Manual Patient Handling: Quantification of Lower Limb EMG Muscle Activation Patterns of Healthy Individuals Lifting Different Loads Ergonomically" in Proc. Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies, 2021.
doi: 10.5220/0010247804510458
@inproceedings{Brinkmann.2021,
author = {Brinkmann, Anna and B{\"o}hlen, Conrad and Hellmers, Sandra and Meyer, Ole and Diekmann, Rebecca and Hein, Andreas},
title = {Physical Burden in Manual Patient Handling: Quantification of Lower Limb EMG Muscle Activation Patterns of Healthy Individuals Lifting Different Loads Ergonomically},
pages = {451--458},
publisher = {{SCITEPRESS - Science and Technology Publications}},
isbn = {978-989-758-490-9},
booktitle = {Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies},
year = {2021},
doi = {10.5220/0010247804510458},
file = {https://www.scitepress.org/DigitalLibrary/Link.aspx?doi=10.5220/0010247804510458}
}
S. Hellmers, A. Brinkmann, C. Böhlen, S. Lau, R. Diekmann, and A. Hein, "Assessing Postures and Mechanical Loads during Patient Transfers" in Proc. Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies, 2021.
doi: 10.5220/0010155300210029
@inproceedings{Hellmers.2021,
author = {Hellmers, Sandra and Brinkmann, Anna and B{\"o}hlen, Conrad and Lau, Sandra and Diekmann, Rebecca and Hein, Andreas},
title = {Assessing Postures and Mechanical Loads during Patient Transfers},
pages = {21--29},
publisher = {{SCITEPRESS - Science and Technology Publications}},
isbn = {978-989-758-490-9},
booktitle = {Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies},
year = {2021},
doi = {10.5220/0010155300210029},
file = {https://www.scitepress.org/DigitalLibrary/Link.aspx?doi=10.5220/0010155300210029}
}
R. Diekmann, S. Hellmers, L. Elgert, S. Fudickar, A. Heinks, S. Lau, J. M. Bauer, T. Zieschang, and A. Hein, "Minimizing comprehensive geriatric assessment to identify deterioration of physical performance in a healthy community-dwelling older cohort: longitudinal data of the AEQUIPA Versa study" Aging clinical and experimental research, vol. 33, iss. 3.
doi: 10.1007/s40520-020-01562-8
@article{Diekmann.2021, abstract = {BACKGROUND It is important to identify the relevant parameters of physical performance to prevent early functional decline and to prolong independent living. The aim of this study is to describe the development of physical performance in a healthy community-dwelling older cohort aged 70+ years using comprehensive assessment over two years and to subsequently identify the most relevant predictive tests for physical decline to minimize assessment. METHODS Physical performance was measured by comprehensive geriatric assessment. Predictors for the individual decline of physical performance by Principal Component and k-means Cluster Analysis were developed, and sensitivity and specificity determined accordingly. RESULTS 251 subjects ({\O} 75.4~years) participated in the study. Handgrip strength was low in 21.1{\%}. The follow-up results of tests were divergent. Handgrip strength [-~16.95 (SD 11.55)] and the stair climb power test (power) [-~9.15 (SD 16.84)] yielded the highest percentage changes. Four most relevant tests (handgrip strength, stair climb power time, timed up {\&} go and 4-m gait speed) were identified. A predictor based on baseline data was determined (sensitivity 82{\%},
specificity 96{\%}) to identify subjects characterized by a high degree of physical decline within two years. DISCUSSION Although the cohort of older adults is heterogeneous, most of the individuals in the study exhibited high levels of physical performance; only a few subjects suffered a relevant decline within the 2-year follow-up. Four most relevant tests were identified to predict relevant decline of physical function. CONCLUSION In spite of ceiling effects of the geriatric assessment in high-performers, we assume that it is possible to predict an individual's risk of physical decline within 2~years with four tests of a comprehensive geriatric assessment.},
author = {Diekmann, R. and Hellmers, S. and Elgert, L. and Fudickar, S. and Heinks, A. and Lau, S. and Bauer, J. M. and Zieschang, T. and Hein, A.},
year = {2021},
title = {Minimizing comprehensive geriatric assessment to identify deterioration of physical performance in a healthy community-dwelling older cohort: longitudinal data of the AEQUIPA Versa study},
pages = {563--572},
volume = {33},
number = {3},
journal = {Aging clinical and experimental research},
doi = {10.1007/s40520-020-01562-8},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7943517},
file = {http://www.ncbi.nlm.nih.gov/pubmed/32358730}
}
L. Happe, S. Lau, J. Koschate, R. Diekmann, A. Hein, and T. Zieschang, "Machbarkeit und Akzeptanz videobasierter Physiotherapie : Neues Versorgungsangebot für ältere Menschen während der COVID-19-Pandemie" Zeitschrift fur Gerontologie und Geriatrie, vol. 54, iss. 4.
doi: 10.1007/s00391-021-01899-3
@article{Happe.2021, abstract = {BACKGROUND AND OBJECTIVE Restrictions in public life during the COVID-19 pandemic mainly addressed the safety of high-risk older multimorbid patients to protect them from infection. Nevertheless, detrimental aspects of the lockdown for older people are a~reduction in physical activity and limited access to physiotherapy, which are likely to have a~negative impact on the health status. This study examined the feasibility of video-based physiotherapy (VT) and the subjective rating of VT by patients and therapists. METHODS From April to June 2020, 4 facilities with 9 patients (6~women, 64-82~years old) participated in the study and were provided with technical equipment. Semistructured telephone interviews were conducted in eight patients to assess physical activity, functional ability and participation before and during the restrictions. Both patients and therapists were asked about their subjective experiences with VT. RESULTS A total of 92~VT sessions took place. Performance of the exercises and comprehension of instructions were rated as good to very good. The level of acceptance was high. Of the patients four described a~perceived reduction in their physical activities due to the public restrictions; however, in the questionnaires no substantial differences in participation and physical activity were found. DISCUSSION The use of VT is feasible in older patients. Only minor technical support is needed. In pandemic situations or in other contexts VT appears to be a~promising supplement or alternative to normal physiotherapy. Further studies are needed to identify suitable patient groups, to prove efficacy and to develop further content-related aspects of VT. ZUSAMMENFASSUNG HINTERGRUND UND ZIEL: Einschr{\"a}nkungen des {\"o}ffentlichen Lebens durch die COVID-19-Pandemie dienen insbesondere dazu, Risikogruppen vor einer Ansteckung zu sch{\"u}tzen. Darunter fallen auch {\"a}ltere, multimorbide Patienten, f{\"u}r die k{\"o}rperliche Inaktivit{\"a}t und Auslassen von Ma{\ss}nahmen wie Physiotherapie jedoch negative Folgen haben k{\"o}nnen. Die vorliegende Studie untersucht die Machbarkeit und die subjektive Bewertung videobasierter Physiotherapie (VT). METHODEN Von April bis Juni 2020 nahmen 4~Einrichtungen mit 9~Patienten (6~Frauen, 64 bis 82~Jahre) an der Studie teil, die mit Tablets ausgestattet wurden. Durch semistrukturierte Telefoninterviews wurden k{\"o}rperliche Aktivit{\"a}t, funktionelle Kompetenz und Partizipation vor und w{\"a}hrend den Einschr{\"a}nkungen bei 8 Patienten erfasst. Patienten und Therapeuten wurden zu ihren subjektiven Erfahrungen mit der VT befragt. ERGEBNISSE Es fanden insgesamt 92~VT-Einheiten statt. Die Umsetzung der {\"U}bungen wurde als gut bis sehr gut bewertet. Insgesamt zeigte sich eine hohe Akzeptanz der VT. Vier von 8 Patienten beschrieben eine subjektive Reduzierung ihrer k{\"o}rperlichen Aktivit{\"a}ten aufgrund der Einschr{\"a}nkungen. Diese Ver{\"a}nderungen wurden {\"u}ber die verwendeten Fragebogen zur Partizipation und zur k{\"o}rperlichen Aktivit{\"a}t nicht abgebildet. DISKUSSION Bei {\"a}lteren Patienten ist VT mit geringer technischer Unterst{\"u}tzung machbar. Sowohl in Pandemiesituationen als auch in anderen Kontexten stellt sich VT als eine realisierbare Erg{\"a}nzung oder Alternative zur normalen Physiotherapie dar. Weitere Studien zur Identifikation von geeigneten Patientengruppen, Effektivit{\"a}t der VT und Weiterentwicklung inhaltlicher Aspekte sind dringend notwendig.},
author = {Happe, Lisa and Lau, Sandra and Koschate, Jessica and Diekmann, Rebecca and Hein, Andreas and Zieschang, Tania},
year = {2021},
title = {Machbarkeit und Akzeptanz videobasierter Physiotherapie : Neues Versorgungsangebot f{\"u}r {\"a}ltere Menschen w{\"a}hrend der COVID-19-Pandemie},
pages = {346--352},
volume = {54},
number = {4},
journal = {Zeitschrift fur Gerontologie und Geriatrie},
doi = {10.1007/s00391-021-01899-3},
file = {http://www.ncbi.nlm.nih.gov/pubmed/33938980},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8090529}
}
L. Happe, A. Hein, and R. Diekmann, "What do geriatric rehabilitation patients and experts consider relevant? Requirements for a digitalised e-coach for sustainable improvement of nutrition and physical activity in older adults - a qualitative focus group study" BMC geriatrics, vol. 21, iss. 1, p. 712.
doi: 10.1186/s12877-021-02692-y
@article{Happe.2021b, abstract = {BACKGROUND During geriatric rehabilitation, attempts are made to increase the patients' health and functional capacity. In order to maintain these improvements in the medium- and long-term, behavioural changes regarding mobility and nutrition are also targeted, but these are often not sustainable. International studies show positive effects on the sustainability of the improvement of physical activity behaviour in healthy seniors through the use of electronic devices and software applications. Comparable approaches that include nutrition topics or combine them and were additionally developed for geriatric rehabilitation patients ($\geq$70 years) to date are not known. The aim of this study was to identify what geriatric rehabilitation patients require from an electronic coaching system (e-coach) to support them in improving their nutritional and physical activity behaviour, and what content and features physiotherapists and dieticians consider relevant. METHOD Focus group interviews (09-11/2019) were conducted in a geriatric rehabilitation centre in Germany with patients aged 70 years and older, relatives and experts (physiotherapists and nutritionists). The focus groups were recorded, transcribed verbatim and analysed using content analysis. RESULTS Three focus groups with patients and relatives (n = 17, 65{\%} female, 16 (94{\%}) in age category 70-99 years) and one focus group with experts (2 dieticians and 1 physiotherapist) were conducted. Relevant contents and feedback elements for nutrition and physical activity in old age were identified. The patients' comments show that an e-coach must offer obvious benefits for the older persons and promote motivation in order to be used. The willingness to change nutrition and physical activity behaviour and the previous experiences in these areas are very heterogeneous, therefore content should be adaptable to different requirements. CONCLUSION Experts and patients identified quite similar contents, barriers and facilitators for a nutrition and physical activity e-coach. The e-coach needs to be able to address different points of behaviour change, enable adaptations to the individual patient and convince the older person that using it will help them to improve their nutrition and physical activity. It is also important that the e-coach is easy to use and can be easily integrated into the patient's everyday life after rehabilitation.},
author = {Happe, Lisa and Hein, Andreas and Diekmann, Rebecca},
year = {2021},
title = {What do geriatric rehabilitation patients and experts consider relevant? Requirements for a digitalised e-coach for sustainable improvement of nutrition and physical activity in older adults - a qualitative focus group study},
pages = {712},
volume = {21},
number = {1},
journal = {BMC geriatrics},
doi = {10.1186/s12877-021-02692-y},
file = {http://www.ncbi.nlm.nih.gov/pubmed/34922492},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684219}
}
H. Haab, J. Alexandersson, J. Britz, R. Diekmann, M. Eichelberg, P. Elfert, A. Hein, L. Kuhn, S. Lämmel, A. Münzberg, N. Rösch, S. Roth, J. Sauer, S. Teichmann, J. Wojzischke, and D. Bieber, Digitalisierte Dienstleistungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen Risiken bei FehlernährungBerlin, Heidelberg: Springer Berlin Heidelberg.
doi: 10.1007/978-3-662-63099-0_5
@incollection{Haab.2021,
author = {Haab, Henning and Alexandersson, Jan and Britz, Jochen and Diekmann, Rebecca and Eichelberg, Marco and Elfert, Patrick and Hein, Andreas and Kuhn, Ludwig and L{\"a}mmel, Sonja and M{\"u}nzberg, Alexander and R{\"o}sch, Norbert and Roth, Susanne and Sauer, Janina and Teichmann, Susanne and Wojzischke, Julia and Bieber, Daniel},
title = {Digitalisierte Dienstleistungen im Bereich der Ern{\"a}hrungsberatung von Personengruppen mit erh{\"o}hten gesundheitlichen Risiken bei Fehlern{\"a}hrung},
pages = {169--212},
volume = {6},
publisher = {{Springer Berlin Heidelberg}},
isbn = {978-3-662-63098-3},
editor = {Beverungen, Daniel and Schumann, Jan Hendrik and Stich, Volker and Strina, Giuseppe},
booktitle = {Dienstleistungsinnovationen durch Digitalisierung},
year = {2021},
address = {Berlin, Heidelberg},
doi = {10.1007/978-3-662-63099-0{\textunderscore }5}
}
H. Haab, J. Alexandersson, J. Britz, R. Diekmann, M. Eichelberg, P. Elfert, A. Hein, L. Kuhn, S. Lämmel, A. Münzberg, N. Rösch, S. Roth, J. Sauer, S. Teichmann, J. Wojzischke, and D. Bieber, Digitalisierte Dienstleistungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen Risiken bei FehlernährungBerlin, Heidelberg: Springer Berlin Heidelberg.
doi: 10.1007/978-3-662-63099-0
@incollection{Haab.2021b,
author = {Haab, Henning and Alexandersson, Jan and Britz, Jochen and Diekmann, Rebecca and Eichelberg, Marco and Elfert, Patrick and Hein, Andreas and Kuhn, Ludwig and L{\"a}mmel, Sonja and M{\"u}nzberg, Alexander and R{\"o}sch, Norbert and Roth, Susanne and Sauer, Janina and Teichmann, Susanne and Wojzischke, Julia and Bieber, Daniel},
title = {Digitalisierte Dienstleistungen im Bereich der Ern{\"a}hrungsberatung von Personengruppen mit erh{\"o}hten gesundheitlichen Risiken bei Fehlern{\"a}hrung},
pages = {169--212},
volume = {6},
publisher = {{Springer Berlin Heidelberg}},
isbn = {978-3-662-63098-3},
editor = {Beverungen, Daniel and Schumann, Jan Hendrik and Stich, Volker and Strina, Giuseppe},
booktitle = {Dienstleistungsinnovationen durch Digitalisierung},
year = {2021},
address = {Berlin, Heidelberg},
doi = {10.1007/978-3-662-63099-0$\backslash$textunderscore}
}
R. Diekmann, S. Hellmers, S. Lau, J. M. Bauer, and A. Hein, "Physical performance in a healthy community-dwelling older cohort -- which are most relevant tests for the identification of deterioration? Longitudinal data of the AEQUIPA -- Versa Study" International Conference on Sarcopenia and Frailty Research, The Journal of Frailty & Aging, vol. 9.
@article{Diekmann.2020,
author = {Diekmann, Rebecca and Hellmers, Sandra and Lau, Sandra and Bauer, J{\"u}rgen M. and Hein, Andreas},
year = {2020},
title = {Physical performance in a healthy community-dwelling older cohort -- which are most relevant tests for the identification of deterioration? Longitudinal data of the AEQUIPA -- Versa Study},
pages = {46--179, P 181},
volume = {9},
journal = {International Conference on Sarcopenia and Frailty Research, The Journal of Frailty {\&} Aging}
}
H. Haab, J. Alexandersson, J. Britz, R. Diekmann, M. Eichelberg, P. Elfert, A. Hein, J. Herrmann, L. Kuhn, S. Lämmel, A. Münzberg, N. Rösch, S. Roth, J. Sauer, S. Teichmann, J. Wojzischke, and D. Bieber, Digitalisierte Dienstleitungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen Risiken bei Fehlernährung (DiDiER)Springer Verlag.
@incollection{Haab.2020,
author = {Haab, Henning and Alexandersson, Jan and Britz, Jochen and Diekmann, Rebecca and Eichelberg, Marco and Elfert, Patrick and Hein, Andreas and Herrmann, Janna and Kuhn, Ludwig and L{\"a}mmel, Sonja and M{\"u}nzberg, Alexander and R{\"o}sch, Norbert and Roth, Susanne and Sauer, Janina and Teichmann, Susanne and Wojzischke, Julia and Bieber, Daniel},
title = {Digitalisierte Dienstleitungen im Bereich der Ern{\"a}hrungsberatung von Personengruppen mit erh{\"o}hten gesundheitlichen Risiken bei Fehlern{\"a}hrung (DiDiER)},
pages = {(IN PRINT)},
publisher = {{Springer Verlag}},
editor = {Beverungen, Daniel and Stich, Volker and Schumann, Jan H. and Strina, Giuseppe},
booktitle = {Digitale Dienstleistungsinnovationen -- Transformationspfade und betriebliche Anwendungen},
year = {2020},
file = {Haab et al. - 2020 - Digitalisierte Dienstleitungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen:C\:\\Users\\duwu2114\\AppData\\Local\\Mendeley Ltd\\Mendeley Desktop\\Downloaded\\Haab et al. - 2020 - Digitalisierte Dienstleitungen im Bereich der Ernährungsberatung von Personengruppen mit erhöhten gesundheitlichen.pdf:pdf}
}
L. Happe, A. Hein, and R. Diekmann, "Identifikation von relevanten Themen und Inhalten für die Entwicklung eines Ernährungs- und Bewegungs- e-Coachs für Patienten in der geriatrischen Rehabilitation -- eine Fokusgruppen- Studie" in Proc. 19. Dreiländertagung der Deutschen Gesellschaft für Ernährungsmedizin e.V. (DGEM) der Österreichischen Arbeitsgemeinschaft Klinische Ernährung (AKE) der Gesellschaft für Klinische Ernährung der Schweiz (GESKES) Jahrestagung 2020 des BerufsVerbandes Oecotrophologie e.V. (VDOE) 21. Jahrestagung des Berufsverbandes Deutscher Ernährungsmediziner e.V. (BDEM) Abstracts, sortiert nach Themengruppen, die voraussichtlich als Poster oder freier Vortrag präsentiert werden, 2020.
doi: 10.1055/s-0040-1710261
@inproceedings{Happe.2020,
author = {Happe, L. and Hein, A. and Diekmann, R.},
title = {Identifikation von relevanten Themen und Inhalten f{\"u}r die Entwicklung eines Ern{\"a}hrungs- und Bewegungs- e-Coachs f{\"u}r Patienten in der geriatrischen Rehabilitation -- eine Fokusgruppen- Studie},
publisher = {{{\copyright} Georg Thieme Verlag KG}},
series = {Aktuelle Ern{\"a}hrungsmedizin},
booktitle = {19. Dreil{\"a}ndertagung der Deutschen Gesellschaft f{\"u}r Ern{\"a}hrungsmedizin e.V. (DGEM) der {\"O}sterreichischen Arbeitsgemeinschaft Klinische Ern{\"a}hrung (AKE) der Gesellschaft f{\"u}r Klinische Ern{\"a}hrung der Schweiz (GESKES) Jahrestagung 2020 des BerufsVerbandes Oecotrophologie e.V. (VDOE) 21. Jahrestagung des Berufsverbandes Deutscher Ern{\"a}hrungsmediziner e.V. (BDEM) Abstracts, sortiert nach Themengruppen, die voraussichtlich als Poster oder freier Vortrag pr{\"a}sentiert werden},
year = {2020},
doi = {10.1055/s-0040-1710261},
file = {http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1710261}
}
A. Brinkmann, C. Fifelski, S. Lau, C. Kowalski, O. Meyer, R. Diekmann, M. Isken, S. Fudickar, and A. Hein, "The AAL/Care Laboratory -- a healthcare prevention system for caregivers" Nanomaterials and Energy, vol. 9, iss. 1.
doi: 10.1680/jnaen.19.00021
@article{Brinkmann.2020,
author = {Brinkmann, Anna and Fifelski, Conrad and Lau, Sandra and Kowalski, Christian and Meyer, Ole and Diekmann, Rebecca and Isken, Melvin and Fudickar, Sebastian and Hein, Andreas},
year = {2020},
title = {The AAL/Care Laboratory -- a healthcare prevention system for caregivers},
pages = {27--38},
volume = {9},
number = {1},
issn = {2045-9831},
journal = {Nanomaterials and Energy},
doi = {10.1680/jnaen.19.00021}
}
A. Brinkmann, C. Fifelski, S. Lau, C. Kowalski, O. Meyer, R. Diekmann, and A. Hein, "Quantification of Lower Limb and Spine Muscle Activity in Manual Patient Handling - A Case Study" Studies in health technology and informatics, vol. 272.
doi: 10.3233/SHTI200541
@article{Brinkmann.2020b, abstract = {Manual patient handling is one of the physiological risk factors in care. The scientific focus so far, has primarily been on the analysis of lumbar compression during manual caregiving in order to improve the transfer facilitation of caregivers through technical systems. Reference is made in this context to the supportive functional role of the muscles of the lower limb. To assess biomechanical data for the quantification of lower limb and spine muscle activity in manual patient handling, an experimental study was conducted. A quantitative basis for the analysis of caregiving processes and its risk factors is established by evaluating caregivers' posture, ground reaction force components, and muscle activities during ergonomic and non-ergonomic manual patient handling in a laboratory setting.},
author = {Brinkmann, Anna and Fifelski, Conrad and Lau, Sandra and Kowalski, Christian and Meyer, Ole and Diekmann, Rebecca and Hein, Andreas},
year = {2020},
title = {Quantification of Lower Limb and Spine Muscle Activity in Manual Patient Handling - A Case Study},
pages = {249--252},
volume = {272},
journal = {Studies in health technology and informatics},
doi = {10.3233/SHTI200541},
file = {http://www.ncbi.nlm.nih.gov/pubmed/32604648}
}
S. Fudickar, S. Hellmers, S. Lau, R. Diekmann, J. M. Bauer, and A. Hein, "Measurement System for Unsupervised Standardized Assessment of Timed \textquotedblUp & Go\textquotedbl and Five Times Sit to Stand Test in the Community-A Validity Study" Sensors (Basel, Switzerland), vol. 20, iss. 10.
doi: 10.3390/s20102824
@article{Fudickar.2020, abstract = {Comprehensive and repetitive assessments are needed to detect physical changes in an older population to prevent functional decline at the earliest possible stage and to initiate preventive interventions. Established instruments like the Timed {\textquotedbl}Up {\&} Go{\textquotedbl} (TUG) Test and the Sit-to-Stand Test (SST) require a trained person (e.g., physiotherapist) to assess physical performance. More often, these tests are only applied to a selected group of persons already functionally impaired and not to those who are at potential risk of functional decline. The article introduces the Unsupervised Screening System (USS) for unsupervised self-assessments by older adults and evaluates its validity for the TUG and SST. The USS included ambient and wearable movement sensors to measure the user's test performance. Sensor datasets of the USS's light barriers and Inertial Measurement Units (IMU) were analyzed for 91 users aged 73 to 89 years compared to conventional stopwatch measurement. A significant correlation coefficient of 0.89 for the TUG test and of 0.73 for the SST were confirmed among USS's light barriers. Correspondingly, for the inertial data-based measures, a high and significant correlation of 0.78 for the TUG test and of 0.87 for SST were also found. The USS was a validated and reliable tool to assess TUG and SST.},
author = {Fudickar, Sebastian and Hellmers, Sandra and Lau, Sandra and Diekmann, Rebecca and Bauer, J{\"u}rgen M. and Hein, Andreas},
year = {2020},
title = {Measurement System for Unsupervised Standardized Assessment of Timed {\textquotedbl}Up {\&} Go{\textquotedbl} and Five Times Sit to Stand Test in the Community-A Validity Study},
volume = {20},
number = {10},
journal = {Sensors (Basel, Switzerland)},
doi = {10.3390/s20102824},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287989},
file = {http://www.ncbi.nlm.nih.gov/pubmed/32429306}
}
S. Hellmers, L. Peng, S. Lau, R. Diekmann, L. Elgert, J. Bauer, A. Hein, and S. Fudickar, "Activity Scores of Older Adults based on Inertial Measurement Unit Data in Everyday Life" in Proc. Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies, 2020.
doi: 10.5220/0009095505790585
@inproceedings{Hellmers.2020,
author = {Hellmers, Sandra and Peng, Lianying and Lau, Sandra and Diekmann, Rebecca and Elgert, Lena and Bauer, J{\"u}rgen and Hein, Andreas and Fudickar, Sebastian},
title = {Activity Scores of Older Adults based on Inertial Measurement Unit Data in Everyday Life},
pages = {579--585},
publisher = {{SCITEPRESS - Science and Technology Publications}},
isbn = {978-989-758-398-8},
booktitle = {Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies},
year = {2020},
doi = {10.5220/0009095505790585},
file = {https://www.scitepress.org/DigitalLibrary/Link.aspx?doi=10.5220/0009095505790585}
}
E. Kiesswetter, M. G. Colombo, C. Meisinger, A. Peters, B. Thorand, R. Holle, K. Ladwig, H. Schulz, E. Grill, R. Diekmann, E. Schrader, P. Stehle, C. C. Sieber, and D. Volkert, "Malnutrition and related risk factors in older adults from different health-care settings: an enable study" Public health nutrition, vol. 23, iss. 3.
doi: 10.1017/S1368980019002271
@article{Kiesswetter.2020, abstract = {OBJECTIVE The origin of malnutrition in older age is multifactorial and risk factors may vary according to health and living situation. The present study aimed to identify setting-specific risk profiles of malnutrition in older adults and to investigate the association of the number of individual risk factors with malnutrition. DESIGN Data of four cross-sectional studies were harmonized and uniformly analysed. Malnutrition was defined as BMI {\textless} 20 kg/m2 and/or weight loss of {\textgreater}3 kg in the previous 3-6 months. Associations between factors of six domains (demographics, health, mental function, physical function, dietary intake-related problems, dietary behaviour), the number of individual risk factors and malnutrition were analysed using logistic regression. SETTING Community (CD), geriatric day hospital (GDH), home care (HC), nursing home (NH). PARTICIPANTS CD older adults (n 1073), GDH patients (n 180), HC receivers (n 335) and NH residents (n 197), all $\geq$65 years. RESULTS Malnutrition prevalence was lower in CD (11 {\%}) than in the other settings (16-19 {\%}). In the CD sample, poor appetite, difficulties with eating, respiratory and gastrointestinal diseases were associated with malnutrition; in GDH patients, poor appetite and respiratory diseases; in HC receivers, younger age, poor appetite and nausea; and in NH residents, older age and mobility limitations. In all settings the likelihood of malnutrition increased with the number of potential individual risk factors. CONCLUSIONS The study indicates a varying relevance of certain risk factors of malnutrition in different settings. However, the relationship of the number of individual risk factors with malnutrition in all settings implies comprehensive approaches to identify persons at risk of malnutrition early.},
author = {Kiesswetter, Eva and Colombo, Miriam G. and Meisinger, Christa and Peters, Annette and Thorand, Barbara and Holle, Rolf and Ladwig, Karl-Heinz and Schulz, Holger and Grill, Eva and Diekmann, Rebecca and Schrader, Eva and Stehle, Peter and Sieber, Cornel C. and Volkert, Dorothee},
year = {2020},
title = {Malnutrition and related risk factors in older adults from different health-care settings: an enable study},
pages = {446--456},
volume = {23},
number = {3},
journal = {Public health nutrition},
doi = {10.1017/S1368980019002271},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025158},
file = {http://www.ncbi.nlm.nih.gov/pubmed/31453792}
}
J. P. van Wijngaarden, J. Wojzischke, C. van den Berg, A. Cetinyurek-Yavuz, R. Diekmann, Y. C. Luiking, and J. M. Bauer, "Effects of Nutritional Interventions on Nutritional and Functional Outcomes in Geriatric Rehabilitation Patients: A Systematic Review and Meta-Analysis" Journal of the American Medical Directors Association, vol. 21, iss. 9.
doi: 10.1016/j.jamda.2020.04.012
@article{vanWijngaarden.2020, abstract = {OBJECTIVES It has been recognized that nutritional interventions play a role in improving the nutritional and functional status of older persons. This systematic review summarizes the evidence on nutritional and functional outcomes of nutritional interventions alone or in combination with physical exercise in geriatric rehabilitation patients. DESIGN Eight electronic databases were searched until July 1, 2019 to identify nutritional intervention studies in patients aged $\geq$60~years who were admitted to geriatric rehabilitation. A meta-analysis was performed to quantify intervention effects on serum albumin, muscle mass, and hand grip strength (HGS). RESULTS A total of 1962 studies were screened and 13 included in the systematic review. Studies were heterogeneous in interventions (4 nutritional interventions, 6 physical exercise~+~nutritional intervention, 1 timing of protein provision, 1 exercise~+~dietary advice, 1 nutrition-related nursing care) and outcomes. Among the 9 interventions that tested oral nutritional supplements (ONS) with protein, with or without exercise, 7 studies reported protein intake and 6 showed increased protein intakes, 2 of 5 studies showed increased albumin levels, and 5 of 9 reported an improvement in functional outcomes (BI, Functional Independence Measure, mobility). Meta-analyses showed no significant intervention effects on albumin [standardized mean difference (SMD) 0.45, 95{\%} confidence interval (CI)~-0.14, 1.04 (4 studies)], muscle mass [mean difference (MD) 2.14~kg, 95{\%} CI -2.17, 6.45 (3 studies)], and HGS [SMD -0.04, 95{\%} CI -0.55, 0.63 (3 studies)], but was based on a very limited number of studies. CONCLUSIONS AND IMPLICATIONS Only a limited number of studies with heterogeneous nutritional interventions and outcomes were available in the geriatric rehabilitation population. Studies that included ONS improved nutritional outcomes, especially protein intake and albumin levels. Functional outcomes improved in the majority of reporting studies. This indicates benefits of protein supplementation, with or without exercise, in this population. Future well-designed and well-powered clinical trials are needed to clarify existing controversial aspects.},
author = {{van Wijngaarden},
Janneke P. and Wojzischke, Julia and {van den Berg},
Claudia and Cetinyurek-Yavuz, Aysun and Diekmann, Rebecca and Luiking, Yvette C. and Bauer, J{\"u}rgen M.},
year = {2020},
title = {Effects of Nutritional Interventions on Nutritional and Functional Outcomes in Geriatric Rehabilitation Patients: A Systematic Review and Meta-Analysis},
pages = {1207-1215.e9},
volume = {21},
number = {9},
journal = {Journal of the American Medical Directors Association},
doi = {10.1016/j.jamda.2020.04.012},
file = {http://www.ncbi.nlm.nih.gov/pubmed/32723538}
}
@incollection{GortvanDijk.2020,
author = {{Gort-van Dijk},
Dorienke and Diekmann, Rebecca},
title = {Voeding},
pages = {23--42},
publisher = {{Bohn Stafleu van Loghum}},
isbn = {978-90-368-2464-4},
editor = {Stevens, Martin and Seeber, Gesine and {van den Akker-Scheek},
Inge and Th{\"o}lken, Sophie},
booktitle = {Een nieuwe heup of knie},
year = {2020},
address = {Houten},
doi = {10.1007/978-90-368-2465-1{\textunderscore }3}
}
D. Gort-van Dijk and R. Diekmann, ERNÄHRUNG -- Worauf Sie achten sollten und was die Heilung unterstütztBerlin, Heidelberg: Springer Berlin Heidelberg.
doi: 10.1007/978-3-662-61155-5
@incollection{GortvanDijk.2020b,
author = {{Gort-van Dijk},
Dorienke and Diekmann, Rebecca},
title = {ERN{\"A}HRUNG -- Worauf Sie achten sollten und was die Heilung unterst{\"u}tzt},
pages = {25--44},
publisher = {{Springer Berlin Heidelberg}},
isbn = {978-3-662-61154-8},
editor = {Stevens, Martin and Seeber, Gesine and {van den Akker-Scheek},
Inge and Th{\"o}lken, Sophie},
booktitle = {Ratgeber neue H{\"u}fte, neues Knie},
year = {2020},
address = {Berlin, Heidelberg},
doi = {10.1007/978-3-662-61155-5$\backslash$textunderscore}
}
J. Wojzischke, J. van Wijngaarden, C. van den Berg, A. Cetinyurek-Yavuz, R. Diekmann, Y. Luiking, and J. Bauer, "Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis" European Geriatric Medicine, vol. 11, iss. 2.
doi: 10.1007/s41999-020-00294-2
@article{Wojzischke.2020, abstract = {PURPOSE Since there is only limited evidence available for geriatric rehabilitation patients, this systematic review and meta-analysis aims to characterize the nutritional status in this population and its relationship with functionality. METHODS Eight databases were searched for full-text articles reporting baseline nutritional intake and status of adults $\geq$ 60~years in rehabilitation settings. Pooled estimates were calculated for prevalence of malnutrition and risk of malnutrition based on the Mini~Nutritional Assessment (MNA) and for mean body mass index (BMI). Associations between nutritional status (MNA, MNA short form and BMI) and functional status (Barthel Index and Functional Independence Measure) and prevalence of sarcopenia were reviewed. RESULTS 62 out of 1717 references were eligible for inclusion. Pooled prevalence [95{\%} confidence interval (CI)] of malnutrition and risk of malnutrition were 13 (5-20) {\%} and 47 (40-54) {\%}. Pooled estimate (95{\%} CI) for BMI was 23.8 (23.2-24.5) kg/m2. Existing data suggest a risk for low protein and energy intake and vitamin D deficiency. Functional status differed widely. Seven out of ten studies reported significant associations between reduced nutritional status and reduced functionality, whilst two out of seven studies reported significant associations between higher BMI and functionality. Prevalence of sarcopenia was high with 40-76{\%} in this population. CONCLUSIONS Although geriatric rehabilitation populations and settings were heterogeneous, a relevant percentage of geriatric rehabilitation patients were affected by a reduced nutritional status. Nutritional status was associated with decreased functionality. This emphasizes the need for screening for malnutrition and targeted nutritional intervention.},
author = {Wojzischke, Julia and {van Wijngaarden},
Janneke and {van den Berg},
Claudia and Cetinyurek-Yavuz, Aysun and Diekmann, Rebecca and Luiking, Yvette and Bauer, J{\"u}rgen},
year = {2020},
title = {Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis},
pages = {195--207},
volume = {11},
number = {2},
issn = {18787649},
journal = {European Geriatric Medicine},
doi = {10.1007/s41999-020-00294-2},
file = {http://www.ncbi.nlm.nih.gov/pubmed/32297199}
}
S. Hellmers, S. Fudickar, S. Lau, L. Elgert, R. Diekmann, J. M. Bauer, and A. Hein, "Measurement of the Chair Rise Performance of Older People Based on Force Plates and IMUs" Sensors (Basel, Switzerland), vol. 19, iss. 6.
doi: 10.3390/s19061370
@article{Hellmers.2019c, abstract = {An early detection of functional decline with age is important to start interventions at an early state and to prolong the functional fitness. In order to assure such an early detection, functional assessments must be conducted on a frequent and regular basis. Since the five time chair rise test (5CRT) is a well-established test in the geriatric field, this test should be supported by technology. We introduce an approach that automatically detects the execution of the chair rise test via an inertial sensor integrated into a belt. The system's suitability was evaluated via 20 subjects aged 72$^-$89 years (78.2 $\pm$ 4.6 years) and was measured by a stopwatch, the inertial measurement unit (IMU), a Kinect{\circledR} camera and a force plate. A Multilayer Perceptrons-based classifier detects transitions in the IMU data with an F1-Score of around 94.8{\%}. Valid executions of the 5CRT are detected based on the correct occurrence of sequential movements via a rule-based model. The results of the automatically calculated test durations are in good agreement with the stopwatch measurements (correlation coefficient r = 0.93 (p {\textless} 0.001)). The analysis of the duration of single test cycles indicates a beginning fatigue at the end of the test. The comparison of the movement pattern within one person shows similar movement patterns, which differ only slightly in form and duration, whereby different subjects indicate variations regarding their performance strategies.},
author = {Hellmers, Sandra and Fudickar, Sebastian and Lau, Sandra and Elgert, Lena and Diekmann, Rebecca and Bauer, J{\"u}rgen M. and Hein, Andreas},
year = {2019},
title = {Measurement of the Chair Rise Performance of Older People Based on Force Plates and IMUs},
volume = {19},
number = {6},
journal = {Sensors (Basel, Switzerland)},
doi = {10.3390/s19061370},
file = {http://www.ncbi.nlm.nih.gov/pubmed/30893819},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471607}
}
J. M. Bauer, R. Diekmann, and S. Goisser, Besonderheiten der Ernährung im Alterecomed.
@incollection{Bauer.2019,
author = {Bauer, J{\"u}rgen M. and Diekmann, Rebecca and Goisser, Sabine},
title = {Besonderheiten der Ern{\"a}hrung im Alter},
pages = {109--118},
publisher = {ecomed},
isbn = {9783609165196},
series = {Ecomed Medizin},
editor = {Weimann, A. and Sch{\"u}tz, T. and Ohlrich-Hahn, S. and Fedders, M. and Gr{\"u}newald, G.},
booktitle = {Ern{\"a}hrungsmedizin--Ern{\"a}hrungsmanagement--Ern{\"a}hrungstherapie},
year = {2019}
}
S. Hellmers, S. Lau, R. Diekmann, L. Dasenbrock, T. Kromke, J. M. Bauer, S. Fudickar, and A. Hein, Evaluation of Power-Based Stair Climb Performance via Inertial Measurement UnitsCham: Springer International Publishing.
doi: 10.1007/978-3-030-29196-9
@incollection{Hellmers.2019,
author = {Hellmers, Sandra and Lau, Sandra and Diekmann, Rebecca and Dasenbrock, Lena and Kromke, Tobias and Bauer, J{\"u}rgen M. and Fudickar, Sebastian and Hein, Andreas},
title = {Evaluation of Power-Based Stair Climb Performance via Inertial Measurement Units},
pages = {238--261},
volume = {1024},
publisher = {{Springer International Publishing}},
isbn = {978-3-030-29195-2},
series = {Communications in Computer and Information Science},
editor = {Cliquet, Alberto and Wiebe, Sheldon and Anderson, Paul and Saggio, Giovanni and Zwiggelaar, Reyer and Gamboa, Hugo and Fred, Ana and {Berm{\'u}dez i Badia},
Sergi},
booktitle = {Biomedical Engineering Systems and Technologies},
year = {2019},
address = {Cham},
doi = {10.1007/978-3-030-29196-9$\backslash$textunderscore}
}
S. Hellmers, S. Lau, R. Diekmann, L. Dasenbrock, T. Kromke, J. M. Bauer, S. Fudickar, and A. Hein, Evaluation of Power-Based Stair Climb Performance via Inertial Measurement UnitsCham: Springer International Publishing.
doi: 10.1007/978-3-030-29196-9_13
@incollection{Hellmers.2019b,
author = {Hellmers, Sandra and Lau, Sandra and Diekmann, Rebecca and Dasenbrock, Lena and Kromke, Tobias and Bauer, J{\"u}rgen M. and Fudickar, Sebastian and Hein, Andreas},
title = {Evaluation of Power-Based Stair Climb Performance via Inertial Measurement Units},
pages = {238--261},
volume = {1024},
publisher = {{Springer International Publishing}},
isbn = {978-3-030-29195-2},
series = {Communications in Computer and Information Science},
editor = {Cliquet, Alberto and Wiebe, Sheldon and Anderson, Paul and Saggio, Giovanni and Zwiggelaar, Reyer and Gamboa, Hugo and Fred, Ana and {Berm{\'u}dez i Badia},
Sergi},
booktitle = {Biomedical Engineering Systems and Technologies},
year = {2019},
address = {Cham},
doi = {10.1007/978-3-030-29196-9{\textunderscore }13}
}
P. Elfert, M. Eichelberg, H. Haab, J. Wojzischke, R. Diekmann, and A. Hein, "An Ambient System for Acquiring and Digitizing Health Parameters Targeting Dietary Counseling for Frailty Patients" in Proc. Zukunft der Pflege, Tagungsband der 1. Clusterkonferenz, 2018.
@inproceedings{Elfert.2018, abstract = {With the growing number of people affected by hearing loss, large research and development efforts have been carried to improve the performance of hearing aids. Although these efforts have proven fruitful, e.g., by improving the speech enhancement algorithms, further work is needed to improve the automatic and individualized selection of such algorithms, enhance services provided by the hearing aid acousticians to hearing aid users, and support their work by increasing the connectivity of hearing aids. This paper provides a brief overview of the connectivity features available in modern hearing aids as well as the recent developments in acoustic scenes classifiers before describing an hardware / software architecture designed to exploit advances made in both those fields. This proposed architecture offers support to both hearing aid users and professionals of the hearing aid industry.},
author = {Elfert, Patrick and Eichelberg, Marco and Haab, Henning and Wojzischke, Julia and Diekmann, Rebecca and Hein, Andreas},
title = {An Ambient System for Acquiring and Digitizing Health Parameters Targeting Dietary Counseling for Frailty Patients},
pages = {217--220},
publisher = {{BIS-Verlag der Carl von Ossietzky Universit{\"a}t Oldenburg}},
booktitle = {Zukunft der Pflege, Tagungsband der 1. Clusterkonferenz},
year = {2018}
}
S. Hellmers, B. Izadpanah, L. Dasenbrock, R. Diekmann, J. M. Bauer, A. Hein, and S. Fudickar, "Towards an Automated Unsupervised Mobility Assessment for Older People Based on Inertial TUG Measurements" Sensors (Basel, Switzerland), vol. 18, iss. 10.
doi: 10.3390/s18103310
@article{Hellmers.2018, abstract = {One of the most common assessments for the mobility of older people is the Timed Up and Go test (TUG). Due to its sensitivity regarding the indication of Parkinson's disease (PD) or increased fall risk in elderly people, this assessment test becomes increasingly relevant, should be automated and should become applicable for unsupervised self-assessments to enable regular examinations of the functional status. With Inertial Measurement Units (IMU) being well suited for automated analyses, we evaluate an IMU-based analysis-system, which automatically detects the TUG execution via machine learning and calculates the test duration. as well as the duration of its single components. The complete TUG was classified with an accuracy of 96{\%} via a rule-based model in a study with 157 participants aged over 70 years. A comparison between the TUG durations determined by IMU and criterion standard measurements (stopwatch and automated/ambient TUG (aTUG) system) showed significant correlations of 0.97 and 0.99, respectively. The classification of the instrumented TUG (iTUG)-components achieved accuracies over 96{\%},
as well. Additionally, the system's suitability for self-assessments was investigated within a semi-unsupervised situation where a similar movement sequence to the TUG was executed. This preliminary analysis confirmed that the self-selected speed correlates moderately with the speed in the test situation, but differed significantly from each other.},
author = {Hellmers, Sandra and Izadpanah, Babak and Dasenbrock, Lena and Diekmann, Rebecca and Bauer, J{\"u}rgen M. and Hein, Andreas and Fudickar, Sebastian},
year = {2018},
title = {Towards an Automated Unsupervised Mobility Assessment for Older People Based on Inertial TUG Measurements},
volume = {18},
number = {10},
journal = {Sensors (Basel, Switzerland)},
doi = {10.3390/s18103310},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210927},
file = {http://www.ncbi.nlm.nih.gov/pubmed/30279374}
}
A. Brinkmann, C. Fifelski, A. Meier, R. Diekmann, and A. Hein, "Reconstruction of Skeletal Muscle Architecture from DT-MRI Sequences" in Proc. 2018 International Conference on Computational Science and Computational Intelligence (CSCI), 2018.
doi: 10.1109/CSCI46756.2018.00148
@inproceedings{Brinkmann.2018,
author = {Brinkmann, Anna and Fifelski, Conrad and Meier, Angelika and Diekmann, Rebecca and Hein, Andreas},
title = {Reconstruction of Skeletal Muscle Architecture from DT-MRI Sequences},
pages = {744--747},
publisher = {IEEE},
isbn = {978-1-7281-1360-9},
booktitle = {2018 International Conference on Computational Science and Computational Intelligence (CSCI)},
year = {2018},
doi = {10.1109/CSCI46756.2018.00148},
file = {https://ieeexplore.ieee.org/xpl/mostRecentIssue.jsp?punumber=8859311}
}
R. Diekmann and J. Wojzischke, "The role of nutrition in geriatric rehabilitation" Current opinion in clinical nutrition and metabolic care, vol. 21, iss. 1.
doi: 10.1097/MCO.0000000000000433
@article{Diekmann.2018, abstract = {PURPOSE OF REVIEW To highlight the importance of nutrition in older adults undergoing a rehabilitation program. Geriatric rehabilitation aims at the recovery of physical abilities for a largely independent life in the community. The term 'geriatric rehabilitation' is wide and includes inpatient and ambulatory care as well as rehabilitation programs in hospitals, also outside geriatric wards. The role of nutrition is therefore not clearly defined, but an association between declined functional status and low nutritional status is evident. RECENT FINDINGS An association has been identified between malnutrition and low physical function or lower rehabilitation effect, respectively. In intervention trials with nutritional care (additional energy or protein), a number of benefits for muscle mass, muscle strength, physical function, or the outcomes quality of life and rehospitalization were identified. In this context, the combination of exercise and adequate nutrition seems to be beneficial. SUMMARY Geriatric patients undergoing a rehabilitation program outside inpatient, ambulatory, or hospitalization care need an adequate supply of energy and nutrients. Malnutrition must be avoided, ideally before starting rehabilitation. Nutritional interventions are most beneficial in combination with exercise training.},
author = {Diekmann, Rebecca and Wojzischke, Julia},
year = {2018},
title = {The role of nutrition in geriatric rehabilitation},
pages = {14--18},
volume = {21},
number = {1},
journal = {Current opinion in clinical nutrition and metabolic care},
doi = {10.1097/MCO.0000000000000433},
file = {http://www.ncbi.nlm.nih.gov/pubmed/29059073}
}
R. Wirth, R. Diekmann, O. Fleiter, L. Fricke, A. Kreilkamp, M. K. Modreker, C. Marburger, S. Nels, R. Schaefer, H. Willschrei, and D. Volkert, "Refeeding-Syndrom bei geriatrischen Patienten : Eine oft übersehene Komplikation" Zeitschrift fur Gerontologie und Geriatrie, vol. 51, iss. 1.
doi: 10.1007/s00391-016-1160-8
@article{Wirth.2018, abstract = {The refeeding syndrome is a~life-threatening complication that can occur after initiation of a~nutrition therapy in malnourished patients. If the risk factors and pathophysiology are known, the refeeding syndrome can effectively be prevented and~treated, if recognized early. A~slow increase of food intake and the close monitoring of serum electrolyte levels play an important role. Because the refeeding syndrome is not well known and the symptoms may vary extremely, this complication is poorly recognized, especially against the background of geriatric multimorbidity. This overview is intended to increase the awareness of the refeeding syndrome in the risk group of geriatric patients.},
author = {Wirth, Rainer and Diekmann, Rebecca and Fleiter, Olga and Fricke, Leonhardt and Kreilkamp, Annika and Modreker, Mirja Katrin and Marburger, Christian and Nels, Stefan and Schaefer, Rolf and Willschrei, Heinz-Peter and Volkert, Dorothee},
year = {2018},
title = {Refeeding-Syndrom bei geriatrischen Patienten : Eine oft {\"u}bersehene Komplikation},
pages = {34--40},
volume = {51},
number = {1},
journal = {Zeitschrift fur Gerontologie und Geriatrie},
doi = {10.1007/s00391-016-1160-8},
file = {http://www.ncbi.nlm.nih.gov/pubmed/28070675}
}
R. Wirth, R. Diekmann, G. Janssen, O. Fleiter, L. Fricke, A. Kreilkamp, M. K. Modreker, C. Marburger, S. Nels, M. Pourhassan, R. Schaefer, H-P. Willschrei, and D. Volkert, "Refeeding-Syndrom : Pathophysiologie, Risikofaktoren, Prophylaxe und Therapie" Der Internist, vol. 59, iss. 4.
doi: 10.1007/s00108-018-0399-0
@article{Wirth.2018b, abstract = {Refeeding syndrome is a~life-threatening complication that may occur after initiation of nutritional therapy in malnourished patients, as well as after periods of fasting and hunger. Refeeding syndrome can be effectively prevented and treated if its risk factors and pathophysiology are known. The initial measurement of thiamine level and serum electrolytes, including phosphate and magnesium, their supplementation if necessary, and a~slow increase in nutritional intake along with close monitoring of serum electrolytes play an important role. Since refeeding syndrome is not well known and the symptoms can be extremely heterogeneous, this complication is poorly recognized, especially against the background of severe disease and multimorbidity. This overview aims to summarize the current knowledge and increase awareness about refeeding syndrome.},
author = {Wirth, R. and Diekmann, R. and Janssen, G. and Fleiter, O. and Fricke, L. and Kreilkamp, A. and Modreker, M. K. and Marburger, C. and Nels, S. and Pourhassan, M. and Schaefer, R. and Willschrei, H-P and Volkert, D.},
year = {2018},
title = {Refeeding-Syndrom : Pathophysiologie, Risikofaktoren, Prophylaxe und Therapie},
pages = {326--333},
volume = {59},
number = {4},
journal = {Der Internist},
doi = {10.1007/s00108-018-0399-0},
file = {http://www.ncbi.nlm.nih.gov/pubmed/29500574}
}
E. Kiesswetter, M. G. Colombo, D. Volkert, A. Peters, B. Thorand, R. Holle, K. -H. Ladwig, H. Schulz, E. Grill, R. Diekmann, E. Schrader, P. Stehle, C. C. Sieber, and C. Meisinger, "SUN-P054: Malnutrition and Related Risk Profiles in Older Adults from Different Settings: an Enable-Study" Clinical Nutrition, vol. 36.
doi: 10.1016/S0261-5614(17)30572-1
@article{Kiesswetter.2017,
author = {Kiesswetter, E. and Colombo, M. G. and Volkert, D. and Peters, A. and Thorand, B. and Holle, R. and Ladwig, K.-H. and Schulz, H. and Grill, E. and Diekmann, R. and Schrader, E. and Stehle, P. and Sieber, C. C. and Meisinger, C.},
year = {2017},
title = {SUN-P054: Malnutrition and Related Risk Profiles in Older Adults from Different Settings: an Enable-Study},
pages = {S73-S74},
volume = {36},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(17)30572-1}
}
J. M. Bauer, A. de Castro, N. Bosco, C. Romagny, R. Diekmann, J. Benyacoub, and K. Vidal, "Influenza vaccine response in community-dwelling German prefrail and frail individuals" Immunity & ageing : I & A, vol. 14, p. 17.
doi: 10.1186/s12979-017-0098-z
@article{Bauer.2017, abstract = {BACKGROUND The age-related dysregulation of the immune system in older persons results in reduced responses to vaccination and greater susceptibility to infection, especially in frail individuals who suffer the greatest of morbidity and mortality due to infection. Recently, significantly reduced anti-influenza antibody titers and increased rates of influenza infection after vaccination were reported in community-dwelling American frail older adults. The aim of our study was to further assess the relative impact of frailty and of each individual Fried frailty criterion on influenza vaccine response. Prefrail and frail community-dwelling German persons aged $\geq$70~years were recruited for a nutritional randomized double-blind placebo-controlled clinical trial conducted during the 2014-2015 influenza season. Herein, we present a sub-analysis study of the placebo group to compare 76 prefrail and frail participants. RESULTS Previous seasonal influenza vaccination rate was relatively high (77.6{\%}) in the 76 volunteers aged from 70 to 93~years. Of these participants, 65.8{\%} were diagnosed as prefrail and 34.2{\%} as frail according to the Fried frailty criteria. In both prefrail and frail groups, elevated levels of pre-vaccination seroprotection were observed to all vaccine strains (H1N1: 54{\%} and 32{\%},
H3N2: 60{\%} and 72{\%},
B: 10{\%} and 16{\%}). Post-vaccination, similar increases in haemagglutination-inhibiting antibody titers were observed for the three vaccine strains in both prefrail and frail groups. No significant difference in geometric mean titer (GMT) ratios and in rates of seroconversion or seroprotection were observed between prefrail and frail groups. Regarding the five Fried frailty criteria, only participants with low physical activity had significantly lower GMT to the strains H3N2 (55.4 vs 103.7, p~=~0.001) and B (13.9 vs 20.0, p~=~0.06), as compared to those having normal physical activity. CONCLUSIONS Influenza vaccine response was not significantly affected by the frail phenotype, as defined by Fried frailty criteria, in community-dwelling German individuals. However, low physical activity may be a relevant predictor of lower serological response in vaccinated older individuals. TRIAL REGISTRATION Clinicaltrials.gov NCT02262091 (October 8, 2013).},
author = {Bauer, J{\"u}rgen M. and de Castro, Antonio and Bosco, Nabil and Romagny, Celine and Diekmann, Rebecca and Benyacoub, Jalil and Vidal, Karine},
year = {2017},
title = {Influenza vaccine response in community-dwelling German prefrail and frail individuals},
pages = {17},
volume = {14},
issn = {1742-4933},
journal = {Immunity {\&} ageing : I {\&} A},
doi = {10.1186/s12979-017-0098-z},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5501346},
file = {http://www.ncbi.nlm.nih.gov/pubmed/28694834}
}
D. E. R. . . S. Wojzischke J. and J. M. . Bauer, "BMI and MNA-SF in Seniors in a stationary geriatric Rehabilitation Unit" Zeitschrift fur Gerontologie und Geriatrie, iss. 49, p. 115.
@article{WojzischkeJ.DiekmannR.EgertS.&BauerJ.M..2016,
author = {{Wojzischke, J., Diekmann, R., Egert, S., {\&} Bauer, J. M.}},
year = {2016},
title = {BMI and MNA-SF in Seniors in a stationary geriatric Rehabilitation Unit},
pages = {115},
number = {49},
journal = {Zeitschrift fur Gerontologie und Geriatrie}
}
J. Wojzischke, R. Diekmann, and J. M. Bauer, "Einfluss des Ernährungsstatus auf die Entwicklung der körperlichen Funktionalität bei Patienten während einer stationären geriatrischen Rehabilitation" Aktuelle Ernährungsmedizin, vol. 41, iss. 03.
doi: 10.1055/s-0036-1583896
@article{Wojzischke.2016b,
author = {Wojzischke, J. and Diekmann, R. and Bauer, J. M.},
year = {2016},
title = {Einfluss des Ern{\"a}hrungsstatus auf die Entwicklung der k{\"o}rperlichen Funktionalit{\"a}t bei Patienten w{\"a}hrend einer station{\"a}ren geriatrischen Rehabilitation},
volume = {41},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0036-1583896}
}
L. Dasenbrock, T. Berg, S. Lurz, E. Beimforde, R. Diekmann, F. Sobotka, and J. M. Bauer, "Der De Morton Mobility Index zur Evaluation der geriatrischen Frührehabilitation" Zeitschrift fur Gerontologie und Geriatrie, vol. 49, iss. 5.
doi: 10.1007/s00391-016-1061-x
@article{Dasenbrock.2016, abstract = {BACKGROUND The timed up and go (TUG) test and the Tinetti test are most frequently used in Germany to document the success of rehabilitation in early geriatric rehabilitation. However, there has been some uncertainty whether these instruments can describe the entire spectrum of mobility with adequate precision and whether they can be successfully applied for repeated assessments during rehabilitation. Against this background the De Morton Mobility Index (DEMMI) has been developed and validated. OBJECTIVE The aim of this study was to evaluate the suitability of the DEMMI compared to the TUG and Tinetti tests in early geriatric rehabilitation. MATERIAL AND METHODS Ceiling and floor effects of the DEMMI, the TUG test, the Tinetti test and the Barthel Index (BI) were determined. Correlations were calculated using the Spearman correlation coefficient. Effects on the DEMMI were estimated through multiple linear regression. RESULTS A total of 144 patients with an average age of 84.91 years (SD $\pm$5.77) and 65.97 {\%} females participated in this study. The mean value for the DEMMI was 33.45 (SD $\pm$15.37) points at admission and 43.90 (SD $\pm$15.55) at discharge (n~= 144). Floor effects were observed in the TUG test in 84.72 {\%} (n~= 122) of patients at admission and in 60.42 {\%} (n~= 87) at discharge. The DEMMI, Tinetti test and BI showed no floor or ceiling effects. The correlation between the DEMMI and the TUG test was -0.48 at admission and -0.49 at discharge, between the DEMMI and the Tinetti test 0.75 and 0.82, respectively and between the DEMMI and the BI 0.54 and 0.66, respectively (p~{\textless}~0,01). CONCLUSION Significant correlations with the TUG test, the Tinetti test and the BI, together with the lack of floor and ceiling effects provide evidence that the DEMMI is an appropriate tool to assess mobility in early geriatric rehabilitation. The lack of floor and ceiling effects appears to make the DEMMI a superior tool compared to the TUG test.},
author = {Dasenbrock, L. and Berg, T. and Lurz, S. and Beimforde, E. and Diekmann, R. and Sobotka, F. and Bauer, J. M.},
year = {2016},
title = {Der De Morton Mobility Index zur Evaluation der geriatrischen Fr{\"u}hrehabilitation},
pages = {398--404},
volume = {49},
number = {5},
journal = {Zeitschrift fur Gerontologie und Geriatrie},
doi = {10.1007/s00391-016-1061-x},
file = {http://www.ncbi.nlm.nih.gov/pubmed/27259707}
}
S. Pohlhausen, K. Uhlig, E. Kiesswetter, R. Diekmann, H. Heseker, D. Volkert, P. Stehle, and S. Lesser, "Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study)" The journal of nutrition, health & aging, vol. 20, iss. 3.
doi: 10.1007/s12603-015-0586-9
@article{Pohlhausen.2016, abstract = {OBJECTIVE To date, no study has examined the nutritional status and disease burden of elderly home-care receivers living in Germany. Aim of this cross-sectional study was, first, to assess disease burden and nutritional status, denoted in anthropometrics, and, second, to investigate associations between anthropometrics and disease burden. DESIGN Cross-sectional multi-centre study. SETTING Home-care receivers living in three urban areas of Germany in 2010. PARTICIPANTS 353 elderly ({\textgreater}64 years) in home care (128 males aged 79.1 $\pm$7.8 years, 225 females aged 82.0 $\pm$7.5 years). MEASUREMENTS Nutritional status was assessed by body mass index (BMI), mid upper arm circumference (MUAC) and calf circumference (CC). Medical conditions were assessed in personal interviews. A 3-day prospective nutrition diary was kept. Metric data are reported as mean$\pm$SD or median (interquartile range), p{\textless}0.05 was considered significant. RESULTS Most participants were substantially (59{\%}), and 11{\%} severest in need of care. The seniors suffered from 5 (4-7) chronic diseases; dementia, depression, stroke, and respiratory illness were most prevalent (each 20-40{\%}). More than one-third of participants had only moderate or poor appetite, nearly half were unable to eat independently. Chewing problems were reported for 52{\%} of study participants, and more than one quarter of elderly had swallowing problems. Daily mean energy intake was 2017$\pm$528 kcal in men (n=123) and 1731$\pm$451 kcal in women (n=216; p{\textless}0.001). Mean protein intake amounted to 1.0 g/kg body weight. Mean BMI was 28.2$\pm$6.2 kg/m$^2$ (n=341), 14{\%} of seniors had a BMI {\textless}22 kg/m$^2$ (including 4{\%} with BMI {\textless}20 kg/m$^2$). Critical MUAC ({\textless}22 cm) was indicated in 6{\%} of subjects; and CC {\textless}31 cm in 11{\%} of men, 21{\%} of women (p{\textless}0.05). After adjusting for sex and age, BMI, MUAC and CC were negatively associated with high care level, hospitalization in the previous year, nausea/vomiting, prevalence of dementia, poor appetite, and eating difficulties like dependency, chewing and swallowing problems. CONCLUSION We recommend to pay special attention to the nutritional status of elderly persons in home-care exhibiting named disease burden.},
author = {Pohlhausen, S. and Uhlig, K. and Kiesswetter, E. and Diekmann, R. and Heseker, H. and Volkert, D. and Stehle, P. and Lesser, S.},
year = {2016},
title = {Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study)},
pages = {361--368},
volume = {20},
number = {3},
journal = {The journal of nutrition, health {\&} aging},
doi = {10.1007/s12603-015-0586-9},
file = {http://www.ncbi.nlm.nih.gov/pubmed/26892587}
}
J. Wojzischke, R. Diekmann, and J. M. Bauer, "Adipositas im Alter und ihre Bedeutung für Funktionalität und Frailty" Zeitschrift fur Gerontologie und Geriatrie, vol. 49, iss. 7.
doi: 10.1007/s00391-016-1133-y
@article{Wojzischke.2016, abstract = {In later life a~high body mass index (BMI) is associated with the lowest age-related mortality rate. The BMI range used by the World Health Organization (WHO) to classify overweight, a~BMI of 25-30~kg/m2, can be regarded as normal weight in old age; nevertheless, obesity is associated with an increased risk of disability and of a~deterioration in physical functionality, particularly among older age groups. This relationship to obesity has also been established for frailty. For this reason, a~reduction in weight may be appropriate under functional aspects if BMI values exceed 30~kg/m2; however, such a~decision cannot be made on the basis of an individual BMI alone. The functional status, body composition, comorbidities and, in particular the life perspectives of the patient should also be taken into consideration. If weight loss is intended, it must always be performed under strict medical supervision involving optimized protein intake, a~carefully calculated moderate reduction in calories and adequate physical training. In the case of chronically ill elderly patients, weight reduction is not usually appropriate. Restrictive diets of any kind should principally be critically viewed in old age because even temporary inadequate energy intake may lead to accelerated deterioration of muscle and bone structure.},
author = {Wojzischke, Julia and Diekmann, Rebecca and Bauer, J{\"u}rgen M.},
year = {2016},
title = {Adipositas im Alter und ihre Bedeutung f{\"u}r Funktionalit{\"a}t und Frailty},
pages = {573--580},
volume = {49},
number = {7},
journal = {Zeitschrift fur Gerontologie und Geriatrie},
doi = {10.1007/s00391-016-1133-y},
file = {http://www.ncbi.nlm.nih.gov/pubmed/27637579}
}
E. Kiesswetter, R. Diekmann, C. C. Sieber, and D. Volkert, "SUN-PP084: Handgrip Strength but not the Timed 'Up and Go' Test Is Related to Differences in Body Mass Index in Older Adults in Need of Care" Clinical Nutrition, vol. 34, p. 55.
doi: 10.1016/S0261-5614(15)30235-1
@article{Kiesswetter.2015b,
author = {Kiesswetter, E. and Diekmann, R. and Sieber, C. C. and Volkert, D.},
year = {2015},
title = {SUN-PP084: Handgrip Strength but not the Timed 'Up and Go' Test Is Related to Differences in Body Mass Index in Older Adults in Need of Care},
pages = {S55},
volume = {34},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(15)30235-1}
}
J. M. Bauer and R. Diekmann, "Protein and Older Persons" Clinics in geriatric medicine, vol. 31, iss. 3.
doi: 10.1016/j.cger.2015.04.002
@article{Bauer.2015, abstract = {An optimal protein intake is important for the preservation of muscle mass, functionality, and quality of life in older persons. In recent years, new recommendations regarding the optimal intake of protein in this population have been published. Based on the available scientific literature, 1.0 to 1.2~g protein/kg body weight (BW)/d are recommended in healthy older adults. In certain disease states, a daily protein intake of more than 1.2~g/kg BW may be required. The distribution of protein intake over the day, the amount per meal, and the amino acid profile of proteins are also discussed.},
author = {Bauer, Juergen M. and Diekmann, Rebecca},
year = {2015},
title = {Protein and Older Persons},
pages = {327--338},
volume = {31},
number = {3},
journal = {Clinics in geriatric medicine},
doi = {10.1016/j.cger.2015.04.002},
file = {http://www.ncbi.nlm.nih.gov/pubmed/26195093}
}
J. M. Bauer and R. Diekmann, "Protein supplementation with aging" Current opinion in clinical nutrition and metabolic care, vol. 18, iss. 1.
doi: 10.1097/mco.0000000000000124
@article{Bauer.2015b, abstract = {PURPOSE OF REVIEW To highlight the recent evicence for optimal protein intake and protein supplementation in older adults. A special focus has been placed on the effects on muscle protein synthesis, strength and overall performance in this population. RECENT FINDINGS Although for older adults, some additional evidence on the benefits of a higher protein intake than 0.8 g/kg body weight per day has been provided, the results of studies focusing on the timing of protein intake over the day have been contradictory. Supplementation with so-called 'fast' proteins, which are also rich in leucine, for example whey protein, proved superior with regard to muscle protein synthesis. First studies in frail older persons showed increased strength after supplementation with milk protein, whereas the combination with physical exercise increased muscle mass without additional benefit for strength or functionality. SUMMARY Recent evidence suggests positive effects of protein supplementation on muscle protein synthesis, muscle mass and muscle strength. However, as most studies included only small numbers of participants for short treatment periods, larger studies with longer duration are necessary to support the clinical relevance of these observations.},
author = {Bauer, Juergen M. and Diekmann, Rebecca},
year = {2015},
title = {Protein supplementation with aging},
pages = {24--31},
volume = {18},
number = {1},
journal = {Current opinion in clinical nutrition and metabolic care},
doi = {10.1097/mco.0000000000000124},
file = {http://www.ncbi.nlm.nih.gov/pubmed/25474010}
}
E. Kiesswetter, E. Schrader, R. Diekmann, C. C. Sieber, and D. Volkert, "Varying Associations Between Body Mass Index and Physical and Cognitive Function in Three Samples of Older Adults Living in Different Settings" The journals of gerontology. Series A, Biological sciences and medical sciences, vol. 70, iss. 10.
doi: 10.1093/gerona/glv048
@article{Kiesswetter.2015, abstract = {BACKGROUND The study investigates variations in the associations between body mass index (BMI) and (a) physical and (b) cognitive function across three samples of older adults living in different settings, and moreover determines if the association between BMI and physical function is confounded by cognitive abilities. METHODS One hundred ninety-five patients of a geriatric day hospital, 322 persons receiving home care (HC), and 183 nursing home (NH) residents were examined regarding BMI, cognitive (Mini-Mental State Examination), and physical function (Barthel Index for activities of daily living). Differences in Mini-Mental State Examination and activities of daily living scores between BMI groups ({\textless}22, 22-{\textless}25, 25-{\textless}30, 30-{\textless}35, $\geq$35kg/m(2)) were tested by analysis of covariance considering relevant confounders. RESULTS Activities of daily living and Mini-Mental State Examination impairments increased from the geriatric day hospital over the HC to the NH sample, whereas prevalence rates of obesity and severe obesity (35{\%},
33{\%},
25{\%}) decreased. In geriatric day hospital patients cognitive and physical function did not differ between BMI groups. In the HC and NH samples, cognitive abilities were highest in obese and severely obese subjects. Unadjusted mean activities of daily living scores differed between BMI groups in HC receivers (51.6$\pm$32.2, 61.8$\pm$26.1, 67.5$\pm$28.3, 72.0$\pm$23.4, 66.2$\pm$24.2, p = .002) and NH residents (35.6$\pm$28.6, 48.1$\pm$25.7, 39.9$\pm$28.7, 50.8$\pm$24.0, 57.1$\pm$28.2, p = .029). In both samples significance was lost after adjustment indicating cognitive function as dominant confounder. CONCLUSIONS In older adults the associations between BMI and physical and cognitive function were dependent on the health and care status corresponding to the setting. In the HC and the NH samples, cognitive status, as measured by the Mini-Mental State Examination, emerged as an important confounder within the association between BMI and physical function.},
author = {Kiesswetter, Eva and Schrader, Eva and Diekmann, Rebecca and Sieber, Cornel Christian and Volkert, Dorothee},
year = {2015},
title = {Varying Associations Between Body Mass Index and Physical and Cognitive Function in Three Samples of Older Adults Living in Different Settings},
pages = {1255--1261},
volume = {70},
number = {10},
journal = {The journals of gerontology. Series A, Biological sciences and medical sciences},
doi = {10.1093/gerona/glv048},
file = {http://www.ncbi.nlm.nih.gov/pubmed/25910844}
}
J. Bollwein, R. Diekmann, M. J. Kaiser, J. Bauer, W. Uter, C. Sieber, and D. Volkert, "Compliance with dietary recommendations of the German Nutrition Society is associated with reduced risk of frailty" 5, vol. 2014, iss. 71.
@article{Bollwein.2014,
author = {Bollwein, J. and Diekmann, R. and Kaiser, Matthias J. and Bauer, J. and Uter, W. and Sieber, C. and Volkert, D.},
year = {2014},
title = {Compliance with dietary recommendations of the German Nutrition Society is associated with reduced risk of frailty},
url = {https://www.ernaehrungs-umschau.de/fileadmin/Ernaehrungs-Umschau/pdfs/pdf_2014/05_14/EU05_2014_70_Bollwein_englisch.pdf},
pages = {70--77},
volume = {2014},
number = {71},
journal = {5}
}
R. Diekmann, B. Hofner, W. Uter, V. Schusdziarra, M. J. Kaiser, K. Vidal, C. Sieber, and J. M. Bauer, "P340: Appetite-regulating hormones are related to physical function in a population of community living older persons aged 75+" European Geriatric Medicine, vol. 5, p. 188.
doi: 10.1016/S1878-7649(14)70504-2
@article{Diekmann.2014,
author = {Diekmann, R. and Hofner, B. and Uter, W. and Schusdziarra, V. and Kaiser, M. J. and Vidal, K. and Sieber, C. and Bauer, J. M.},
year = {2014},
title = {P340: Appetite-regulating hormones are related to physical function in a population of community living older persons aged 75+},
pages = {S188},
volume = {5},
issn = {18787649},
journal = {European Geriatric Medicine},
doi = {10.1016/S1878-7649(14)70504-2}
}
R. Diekmann, B. Hofner, V. Schusdziarra, M. J. Kaiser, W. Uter, K. Vidal, C. C. Sieber, and J. M. Bauer, "PP051-SUN: The Relationship of Appetite-Regulating Hormones with Physical Function in Community Living Older Persons" Clinical Nutrition, vol. 33, p. 38.
doi: 10.1016/S0261-5614(14)50093-3
@article{Diekmann.2014b,
author = {Diekmann, R. and Hofner, B. and Schusdziarra, V. and Kaiser, M. J. and Uter, W. and Vidal, K. and Sieber, C. C. and Bauer, J. M.},
year = {2014},
title = {PP051-SUN: The Relationship of Appetite-Regulating Hormones with Physical Function in Community Living Older Persons},
pages = {S38},
volume = {33},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(14)50093-3}
}
R. Diekmann, B. Hofner, M. J. Kaiser, K. Vidal, D. Breuille, W. Uter, C. C. Sieber, and J. M. Bauer, "LB005-SUN: Plasma Amino Acids and their Relationship with Physical Function and Muscle Mass in Community Living Older Persons" Clinical Nutrition, vol. 33.
doi: 10.1016/S0261-5614(14)50631-0
@article{Diekmann.2014c,
author = {Diekmann, R. and Hofner, B. and Kaiser, M. J. and Vidal, K. and Breuille, D. and Uter, W. and Sieber, C. C. and Bauer, J. M.},
year = {2014},
title = {LB005-SUN: Plasma Amino Acids and their Relationship with Physical Function and Muscle Mass in Community Living Older Persons},
pages = {S240-S241},
volume = {33},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(14)50631-0}
}
R. Diekmann, B. Hofner, M. J. Kaiser, K. Vidal, D. Breuille, W. Uter, C. Sieber, and J. M. Bauer, "P375: Plasma amino acids are related to physical function and muscle mass in elderly persons beyond 75 years living in the community" European Geriatric Medicine, vol. 5, p. 199.
doi: 10.1016/S1878-7649(14)70539-X
@article{Diekmann.2014d,
author = {Diekmann, R. and Hofner, B. and Kaiser, M. J. and Vidal, K. and Breuille, D. and Uter, W. and Sieber, C. and Bauer, J. M.},
year = {2014},
title = {P375: Plasma amino acids are related to physical function and muscle mass in elderly persons beyond 75 years living in the community},
pages = {S199},
volume = {5},
issn = {18787649},
journal = {European Geriatric Medicine},
doi = {10.1016/S1878-7649(14)70539-X}
}
E. Kiesswetter, E. Schrader, R. Diekmann, C. C. Sieber, and D. Volkert, "PP060-SUN: The Association between Body MASS Index and Functional Status in Older Adults in Need of Care is Mainly Moderated by Cognitive Status" Clinical Nutrition, vol. 33.
doi: 10.1016/S0261-5614(14)50102-1
@article{Kiesswetter.2014,
author = {Kiesswetter, E. and Schrader, E. and Diekmann, R. and Sieber, C. C. and Volkert, D.},
year = {2014},
title = {PP060-SUN: The Association between Body MASS Index and Functional Status in Older Adults in Need of Care is Mainly Moderated by Cognitive Status},
pages = {S41-S42},
volume = {33},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(14)50102-1}
}
D. Volkert, R. Diekmann, R. Luzsa, C. Kolb, M. Mouhieddine, S. Kosak, K. Schindler, M. Hiesmayr, and C. Sieber, "LB016-MON: Nutritionday in Nursing Homes -- Great Heterogeneity Between Institutions from Different Countries" Clinical Nutrition, vol. 33, p. 257.
doi: 10.1016/S0261-5614(14)50674-7
@article{Volkert.2014,
author = {Volkert, D. and Diekmann, R. and Luzsa, R. and Kolb, C. and Mouhieddine, M. and Kosak, S. and Schindler, K. and Hiesmayr, M. and Sieber, C.},
year = {2014},
title = {LB016-MON: Nutritionday in Nursing Homes -- Great Heterogeneity Between Institutions from Different Countries},
pages = {S257},
volume = {33},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(14)50674-7}
}
R. Diekmann and J. M. Bauer, "Proteinbedarf älterer Menschen" Deutsche medizinische Wochenschrift (1946), vol. 139, iss. 6.
doi: 10.1055/s-0033-1359989
@article{Diekmann.2014e,
author = {Diekmann, R. and Bauer, J. M.},
year = {2014},
title = {Proteinbedarf {\"a}lterer Menschen},
pages = {239--242},
volume = {139},
number = {6},
journal = {Deutsche medizinische Wochenschrift (1946)},
doi = {10.1055/s-0033-1359989},
file = {http://www.ncbi.nlm.nih.gov/pubmed/24473839}
}
E. Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, W. Uter, H. Heseker, P. Stehle, C. C. Sieber, and D. Volkert, "Prognostic differences of the Mini Nutritional Assessment short form and long form in relation to 1-year functional decline and mortality in community-dwelling older adults receiving home care" Journal of the American Geriatrics Society, vol. 62, iss. 3.
doi: 10.1111/jgs.12683
@article{Kiesswetter.2014b, abstract = {OBJECTIVES To compare the prognostic value of the revised Mini Nutritional Assessment short form (MNA-SF) classification with that of the long form (MNA-LF) in relation to mortality and functional change in community-dwelling older adults receiving home care in Germany. DESIGN Multicenter, 1-year prospective observational study. SETTING Community. PARTICIPANTS Older adults ($\geq$ 65) receiving home care (n = 309). MEASUREMENTS Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA-SF and MNA-LF at baseline. Functional status was determined according to the Barthel Index of activities of daily living (ADLs) at baseline and after 1 year. Hazard ratios (HRs) and 95{\%} confidence intervals (CIs) of mortality were calculated for MNA-SF and MNA-LF categories using stepwise Cox regression analyses. Repeated-measurements analysis of covariance was used to examine changes in ADL scores over time for MNA-SF and MNA-LF categories. RESULTS MNA-SF classified 15{\%} of the sample as malnourished and 41{\%} as being at risk of malnutrition, whereas the MNA-LF classified 14{\%} and 58{\%},
respectively. During the follow-up year, 15{\%} of participants died. The estimated hazard ratios (HR) for 1-year mortality were lower for MNA-SF than for MNA-LF categories (at risk of malnutrition: HR = 2.21, 95{\%} confidence interval (CI) = 1.02-4.75 vs HR = 5.05, 95{\%} CI = 1.53-16.58; malnourished: HR = 3.27, 95{\%} CI = 1.34-8.02 vs HR = 8.75, 95{\%} CI = 2.45-31.18). For MNA-SF categories, no differences in functional change were found. According to the MNA-LF, ADL decline tended to be greater in those at risk of malnutrition (7.1 $\pm$ 10.1 points) than in those who were well nourished (3.7 $\pm$ 10.1 points) and malnourished (4.9 $\pm$ 10.1 points). CONCLUSION In this sample of older adults receiving home care, the MNA-LF was superior to the MNA-SF in predicting mortality and differentiating functional decline during 1 year of follow-up.},
author = {Kiesswetter, Eva and Pohlhausen, Stefanie and Uhlig, Katrin and Diekmann, Rebecca and Lesser, Stephanie and Uter, Wolfgang and Heseker, Helmut and Stehle, Peter and Sieber, Cornel C. and Volkert, Dorothee},
year = {2014},
title = {Prognostic differences of the Mini Nutritional Assessment short form and long form in relation to 1-year functional decline and mortality in community-dwelling older adults receiving home care},
pages = {512--517},
volume = {62},
number = {3},
journal = {Journal of the American Geriatrics Society},
doi = {10.1111/jgs.12683},
file = {http://www.ncbi.nlm.nih.gov/pubmed/24611678}
}
R. Diekmann, C. Kolb, M. Mouhieddine, S. Kosak, K. Schindler, M. Hiesmayr, C. C. Sieber, and D. Volkert, "Der Nutritionday weltweit in Pflegeheimen - Ein Update 2012" Aktuelle Ernährungsmedizin, vol. 38, iss. 03.
doi: 10.1055/s-0033-1343663
@article{Diekmann.2013c,
author = {Diekmann, R. and Kolb, C. and Mouhieddine, M. and Kosak, S. and Schindler, K. and Hiesmayr, M. and Sieber, C. C. and Volkert, D.},
year = {2013},
title = {Der Nutritionday weltweit in Pflegeheimen - Ein Update 2012},
volume = {38},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0033-1343663}
}
R. Diekmann, C. Kolb, R. Luzsa, R. E. Roller, M. Mouhieddine, S. Kosak, K. Schindler, M. Hiesmayr, C. C. Sieber, and D. Volkert, "LB022-MON NUTRITIONDAY IN NURSING HOMES 2012 -- PARTICIPATION OF THE REGION STYRIA, AUSTRIA" Clinical Nutrition, vol. 32, p. 240.
doi: 10.1016/S0261-5614(13)60624-X
@article{Diekmann.2013d,
author = {Diekmann, R. and Kolb, C. and Luzsa, R. and Roller, R. E. and Mouhieddine, M. and Kosak, S. and Schindler, K. and Hiesmayr, M. and Sieber, C. C. and Volkert, D.},
year = {2013},
title = {LB022-MON NUTRITIONDAY IN NURSING HOMES 2012 -- PARTICIPATION OF THE REGION STYRIA, AUSTRIA},
pages = {S240},
volume = {32},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(13)60624-X}
}
R. Diekmann, C. Kolb, S. Kosak, M. Mouhieddine, K. Schindler, M. Hiesmayr, C. Sieber, and D. Volkert, "PP033-MON NUTRITIONDAY WORLDWIDE IN NURSING HOMES -- AN UPDATE 2012" Clinical Nutrition, vol. 32, p. 135.
doi: 10.1016/S0261-5614(13)60345-3
@article{Diekmann.2013e,
author = {Diekmann, R. and Kolb, C. and Kosak, S. and Mouhieddine, M. and Schindler, K. and Hiesmayr, M. and Sieber, C. and Volkert, D.},
year = {2013},
title = {PP033-MON NUTRITIONDAY WORLDWIDE IN NURSING HOMES -- AN UPDATE 2012},
pages = {S135},
volume = {32},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(13)60345-3}
}
E. Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, P. Stehle, H. Heseker, C. Sieber, and D. Volkert, "PP035-SUN THE MINI NUTRITIONAL ASSESSMENT LONG FORM IS SUPERIOR TO THE SHORT FORM IN PREDICTING MORTALITY OF OLDER ADULTS RECEIVING HOME CARE" Clinical Nutrition, vol. 32, p. 34.
doi: 10.1016/S0261-5614(13)60081-3
@article{Kiesswetter.2013,
author = {Kiesswetter, E. and Pohlhausen, S. and Uhlig, K. and Diekmann, R. and Lesser, S. and Stehle, P. and Heseker, H. and Sieber, C. and Volkert, D.},
year = {2013},
title = {PP035-SUN THE MINI NUTRITIONAL ASSESSMENT LONG FORM IS SUPERIOR TO THE SHORT FORM IN PREDICTING MORTALITY OF OLDER ADULTS RECEIVING HOME CARE},
pages = {S34},
volume = {32},
issn = {02615614},
journal = {Clinical Nutrition},
doi = {10.1016/S0261-5614(13)60081-3}
}
J. Bollwein, R. Diekmann, M. J. Kaiser, J. M. Bauer, W. Uter, C. C. Sieber, and D. Volkert, "Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of Nürnberg" Nutrition journal, vol. 12, p. 109.
doi: 10.1186/1475-2891-12-109
@article{Bollwein.2013c, abstract = {BACKGROUND To preserve muscle mass and therefore limit the risk of disability in older adults protein intake is seen as important factor. Besides the amount of protein, its distribution over the day is thought to affect protein anabolism. This cross-sectional study investigates the association between the amount and distribution of protein intake and frailty in older adults. METHODS In 194 community-dwelling seniors ($\geq$75~years) amount of protein intake and its distribution over the day (morning, noon, evening) were assessed using a food frequency questionnaire. Unevenness of protein distribution was calculated as coefficient of variation (CV). Frailty was defined as the presence of at least three, pre-frailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength and slow walking speed. RESULTS 15.4{\%} of the participants were frail, 40.5{\%} were pre-frail. Median (min.-max.) daily protein intake was 77.5 (38.5-131.5) g, 1.07 (0.58-2.27) g/kg body weight (BW) and 15.9 (11.2-21.8) {\%} of energy intake without significant differences between the frailty groups. The risk of frailty did not differ significantly between participants in the higher compared to the lowest quartile of protein intake. Frail participants consumed significantly less protein in the morning (11.9 vs. 14.9 vs. 17.4{\%},
p = 0,007), but more at noon (61.4 vs. 60.8 vs. 55.3{\%},
p = 0.024) than pre-frail and non-frail. The median (min.-max.) CV of protein distribution was highest in frail (0.76 (0.18-1.33)) compared to pre-frail (0.74 (0.07-1.29)) and non-frail (0.68 (0.15-1.24)) subjects (p = 0.024). CONCLUSIONS In this sample of healthy older persons, amount of protein intake was not associated with frailty, but distribution of protein intake was significantly different between frail, pre-frail and non-frail participants. More clinical studies are needed to further clarify the relation between protein intake and frailty.},
author = {Bollwein, Julia and Diekmann, Rebecca and Kaiser, Matthias J. and Bauer, J{\"u}rgen M. and Uter, Wolfgang and Sieber, Cornel C. and Volkert, Dorothee},
year = {2013},
title = {Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of N{\"u}rnberg},
pages = {109},
volume = {12},
journal = {Nutrition journal},
doi = {10.1186/1475-2891-12-109},
file = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750269},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23915061}
}
J. Bollwein, D. Volkert, R. Diekmann, M. J. Kaiser, W. Uter, K. Vidal, C. C. Sieber, and J. M. Bauer, "Nutritional status according to the mini nutritional assessment (MNA\circledR) and frailty in community dwelling older persons: a close relationship" The journal of nutrition, health & aging, vol. 17, iss. 4.
doi: 10.1007/s12603-013-0034-7
@article{Bollwein.2013, abstract = {OBJECTIVE This study investigates the association between MNA results and frailty status in community-dwelling older adults. In addition the relevance of singular MNA items and subscores in this regard was tested. DESIGN Cross-sectional study. SETTING Community-dwelling older adults were recruited in the region of N{\"u}rnberg, Germany. PARTICIPANTS 206 volunteers aged 75 years or older without cognitive impairment (Mini Mental State Examination {\textgreater}24 points), 66.0{\%} female. MEASUREMENTS Frailty was defined according to Fried et al. as presence of three, pre-frailty as presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength and slow walking speed. Malnutrition ({\textless}17 points) and the risk of malnutrition (17-23.5 points) were determined by MNA{\circledR}. RESULTS 15.1{\%} of the participants were at risk of malnutrition, no participant was malnourished. 15.5 {\%} were frail, 39.8{\%} pre-frail and 44.7{\%} non-frail. 46.9{\%} of the frail, 12.2{\%} of the pre-frail and 2.2{\%} of the non-frail participants were at risk of malnutrition (p{\textless}0.001). Hence, 90{\%} of those at risk of malnutrition were either pre-frail or frail. For the anthropometric, dietary, subjective and functional, but not for the general MNA subscore, frail participants scored significantly lower than pre-frail (p{\textless}0.01), and non-frail participants (p{\textless}0.01). Twelve of the 18 MNA items were also significantly associated with frailty (p{\textless}0.05). CONCLUSIONS These results underline the close association between frailty syndrome and nutritional status in older persons. A profound understanding of the interdependency of these two geriatric concepts will represent the basis for successful treatment strategies.},
author = {Bollwein, J. and Volkert, D. and Diekmann, R. and Kaiser, M. J. and Uter, W. and Vidal, K. and Sieber, C. C. and Bauer, J. M.},
year = {2013},
title = {Nutritional status according to the mini nutritional assessment (MNA{\circledR}) and frailty in community dwelling older persons: a close relationship},
pages = {351--356},
volume = {17},
number = {4},
journal = {The journal of nutrition, health {\&} aging},
doi = {10.1007/s12603-013-0034-7},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23538658}
}
J. Bollwein, R. Diekmann, M. J. Kaiser, J. M. Bauer, W. Uter, C. C. Sieber, and D. Volkert, "Dietary quality is related to frailty in community-dwelling older adults" The journals of gerontology. Series A, Biological sciences and medical sciences, vol. 68, iss. 4.
doi: 10.1093/gerona/gls204
@article{Bollwein.2013b, abstract = {BACKGROUND The etiology of the geriatric syndrome frailty is multifactorial. Besides hormonal and inflammatory processes, nutritional influences may be of major relevance. In this cross-sectional study, the association between dietary quality and frailty was investigated. METHODS In 192 community-dwelling older volunteers ({\textgreater}75 years), an interview-based food frequency questionnaire was used to assess nutritional data. A Mediterranean diet (MED) score (maximum 9 points) was used to evaluate dietary quality. Frailty was defined as the presence of at least three and prefrailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength, and slow walking speed. Older adults without any of these attributes were defined as {\textquotedbl}nonfrail{\textquotedbl} Binomial logistic regression analysis was used to assess the risk of being frail (vs prefrail and nonfrail) in each quartile (vs lowest quartile) of the MED score. RESULTS The mean (SD) age of the participants was 83 (4) years; 41.1{\%} were prefrail and 15.1{\%} were frail. The risk of being frail was significantly reduced in the highest quartile of the MED score (OR 0.26; 95{\%} CI 0.07-0.98). CONCLUSIONS A healthy dietary pattern is associated with a lower risk of being frail. Larger, prospective and interventional studies are needed to clarify the association between dietary quality and frailty.},
author = {Bollwein, Julia and Diekmann, Rebecca and Kaiser, Matthias J. and Bauer, J{\"u}rgen M. and Uter, Wolfgang and Sieber, Cornel C. and Volkert, Dorothee},
year = {2013},
title = {Dietary quality is related to frailty in community-dwelling older adults},
pages = {483--489},
volume = {68},
number = {4},
journal = {The journals of gerontology. Series A, Biological sciences and medical sciences},
doi = {10.1093/gerona/gls204},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23064817}
}
R. Diekmann, K. Winning, W. Uter, M. J. Kaiser, C. C. Sieber, D. Volkert, and J. M. Bauer, "Screening for malnutrition among nursing home residents - a comparative analysis of the mini nutritional assessment, the nutritional risk screening, and the malnutrition universal screening tool" The journal of nutrition, health & aging, vol. 17, iss. 4.
doi: 10.1007/s12603-012-0396-2
@article{Diekmann.2013, abstract = {BACKGROUND The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA{\circledR}), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting. AIM The present study aims at comparing the MNA, the NRS, and the MUST with regard to applicability, categorization of nutritional status, and predictive value in the nursing home setting. METHOD MNA, NRS, and MUST were performed on 200 residents from two municipal nursing homes in Nuremberg, Germany. Follow-up data on infection, hospitalization, and mortality were collected after six and again after twelve months. RESULTS Among 200 residents (mean age 85.5 $\pm$ 7.8 years) the MNA could be completed in 188 (94.0{\%}) and the NRS and MUST in 198 (99.0{\%}) residents. The prevalence of 'malnutrition' according to the MNA was 15.4{\%}. The prevalence of 'risk of malnutrition' (NRS) and 'high risk of malnutrition' (MUST), respectively, was 8.6{\%} for both tools. The individual categorization of nutritional status showed poor agreement between NRS and MUST on the one hand and MNA on the other. For all tools a significant association between nutritional status and mortality was demonstrated during follow-up as classification in 'malnourished', respectively 'high risk of malnutrition' or 'nutritional risk', was significantly associated with increased hazard ratios. However, the MNA showed the best predictive value for survival among well-nourished residents. CONCLUSION The evaluation of nutritional status in nursing home residents by MNA, NRS, and MUST shows significant differences. This observation may be of clinical relevance as nutritional intervention is usually based on screening results. As the items of the MNA reflect particularities of the nursing home population, this tool currently appears to be the most suitable one in this setting.},
author = {Diekmann, R. and Winning, K. and Uter, W. and Kaiser, M. J. and Sieber, C. C. and Volkert, D. and Bauer, J. M.},
year = {2013},
title = {Screening for malnutrition among nursing home residents - a comparative analysis of the mini nutritional assessment, the nutritional risk screening, and the malnutrition universal screening tool},
pages = {326--331},
volume = {17},
number = {4},
journal = {The journal of nutrition, health {\&} aging},
doi = {10.1007/s12603-012-0396-2},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23538654}
}
R. Diekmann, K. Winning, J. M. Bauer, W. Uter, P. Stehle, S. Lesser, T. Bertsch, C. C. Sieber, and D. Volkert, "Vitamin D status and physical function in nursing home residents: a 1-year observational study" Zeitschrift fur Gerontologie und Geriatrie, vol. 46, iss. 5.
doi: 10.1007/s00391-013-0507-7
@article{Diekmann.2013b, abstract = {OBJECTIVE Low vitamin D blood levels are highly prevalent in elderly people, particularly in nursing home residents (NHR). A relation between vitamin D levels and physical function (PF) is described in several studies in older adults; however, data on NHR are scarce and there is presently no information on the time course of vitamin D levels and PF in this population. The aim of the present study was to describe the 25-hydroxyvitamin D [25(OH)D] status of NHR at baseline (t1) and after 1 year (t2) to examine whether 25(OH)D blood levels are related to PF at t1 and at t2, and whether changes in 25(OH)D levels over 1 year are related to changes in PF. METHODS All NHR ($\geq$ 65 years) without tube-feeding and severe acute or end-stage disease were asked to participate. At t1 and t2 fasting blood samples were taken for the analysis of 25(OH)D serum levels and PF was estimated by activities of daily living (Barthel ADL) and measured by handgrip strength (HGS) and timed 'up and go' test (TUG). RESULTS In total, 115 residents, aged 87 (82-93) years (all data in median and 1st-3rd quartile), showed the following values for PF: ADL 50 (20-65) points, HGS 40 (30-50) kPa and TUG 26 (18-31) s. Vitamin D deficiency ({\textless} 50 nmol/l) was present in 93.9 {\%} (70.4 {\%} {\textless} 25 nmol/l) at t1 and in 71.2 {\%} (57.3 {\%} {\textless} 25 nmol/l) at t2. At t1 and at t2 a weak correlation between vitamin D level and PF (Spearman's correlation coefficient t1: ADL r = 0.367, HGS r = 0.313; t2: ADL: r = 0.247; all p {\textless} 0.01) was observed. There was no correlation between changes in vitamin D levels over 1 year and changes in PF. CONCLUSIONS Almost all NHR included in the study showed vitamin D deficiency. 25(OH)D levels were weakly correlated to PF at baseline and at follow-up, and an increase in vitamin D levels was not associated with positive effects on PF in this study.},
author = {Diekmann, R. and Winning, K. and Bauer, J. M. and Uter, W. and Stehle, P. and Lesser, S. and Bertsch, T. and Sieber, C. C. and Volkert, D.},
year = {2013},
title = {Vitamin D status and physical function in nursing home residents: a 1-year observational study},
pages = {403--409},
volume = {46},
number = {5},
journal = {Zeitschrift fur Gerontologie und Geriatrie},
doi = {10.1007/s00391-013-0507-7},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23780630}
}
E. Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, H. Heseker, P. Stehle, C. C. Sieber, and D. Volkert, "Malnutrition is related to functional impairment in older adults receiving home care" The journal of nutrition, health & aging, vol. 17, iss. 4.
doi: 10.1007/s12603-012-0409-1
@article{Kiesswetter.2013b, abstract = {OBJECTIVES The aims of this work were (a) to provide a detailed description of the association between nutritional (Mini Nutritional Assessment; MNA{\circledR}) and functional status in a sample of older adults receiving home care, using both questionnaire- and performance-based functional methods, and (b) to investigate the impact of different MNA subscales on this association. DESIGN Multi-centre, cross-sectional. SETTING Home care. PARTICIPANTS 296 persons $\geq$65 years in need of care (80.7$\pm$7.7 y). MEASUREMENTS Nutritional status was determined by the MNA and functional status by two questionnaires (Instrumental and Basic Activities of Daily Living; IADL, ADL) and three performance tests (handgrip strength, HGS; Short Physical Performance Battery, SPPB; Timed 'Up and Go' Test, TUG). A categorical and a covariance analytical approach were used to test for differences in functional status between MNA groups (well nourished, risk of malnutrition, malnourished). In addition, functional parameters were correlated with total MNA, a modified MNA version (modMNA), where functional items were excluded, and MNA subscales ('functionality', 'general assessment', 'anthropometry', 'dietary assessment', and 'subjective assessment'). RESULTS 57{\%} of the participants were at risk of malnutrition and 12{\%} malnourished. 35{\%} reported severe limitations in IADL, 18{\%} in ADL. 40{\%},
39{\%} and 35{\%} had severe limitations in HGS, SPPB and TUG; 9{\%},
28{\%} and 34{\%} were not able to perform the tests. Functional status deteriorated significantly from the well nourished to the malnourished group in all functional measures. The modMNA was weak but still significantly related to all functional parameters except TUG. The subscale 'functionality' revealed strongest correlations with functional measures. All other MNA subscales showed only weak or no associations. CONCLUSION More than one half of the seniors receiving home care were at nutritional risk and poor functional level, respectively. Malnutrition according to MNA was significantly associated to both questionnaire- and performance-based functional measures even after exclusion of functional MNA items.},
author = {Kiesswetter, E. and Pohlhausen, S. and Uhlig, K. and Diekmann, R. and Lesser, S. and Heseker, H. and Stehle, P. and Sieber, C. C. and Volkert, D.},
year = {2013},
title = {Malnutrition is related to functional impairment in older adults receiving home care},
pages = {345--350},
volume = {17},
number = {4},
journal = {The journal of nutrition, health {\&} aging},
doi = {10.1007/s12603-012-0409-1},
file = {http://www.ncbi.nlm.nih.gov/pubmed/23538657}
}
J. Bollwein, R. Diekmann, M. J. Kaiser, J. M. Bauer, W. Uter, C. C. Sieber, and D. Volkert, "Kann das Mini Nutritional Assessment (MNA\circledR) als Screening Instrument für Frailty bei zu Hause lebenden Senioren verwendet werden?" Aktuelle Ernährungsmedizin, vol. 37, iss. 03.
doi: 10.1055/s-0032-1312502
@article{Bollwein.2012,
author = {Bollwein, J. and Diekmann, R. and Kaiser, M. J. and Bauer, J. M. and Uter, W. and Sieber, C. C. and Volkert, D.},
year = {2012},
title = {Kann das Mini Nutritional Assessment (MNA{\circledR}) als Screening Instrument f{\"u}r Frailty bei zu Hause lebenden Senioren verwendet werden?},
volume = {37},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0032-1312502}
}
R. Diekmann, J. M. Bauer, K. Winning, S. Lesser, P. Stehle, C. C. Sieber, and D. Volkert, "Besteht ein Zusammenhang zwischen Vitamin D Status und Mortalität bei Pflegeheimbewohnern?" Aktuelle Ernährungsmedizin, vol. 37, iss. 03.
doi: 10.1055/s-0032-1312548
@article{Diekmann.2012,
author = {Diekmann, R. and Bauer, J. M. and Winning, K. and Lesser, S. and Stehle, P. and Sieber, C. C. and Volkert, D.},
year = {2012},
title = {Besteht ein Zusammenhang zwischen Vitamin D Status und Mortalit{\"a}t bei Pflegeheimbewohnern?},
volume = {37},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0032-1312548}
}
E. Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, H. Heseker, P. Stehle, C. C. Sieber, and D. Volkert, "Wie wirkt sich ein Gewichtsverlust auf die Funktionalität und die Sturzprävalenz häuslich gepflegter Senioren aus? - Ergebnisse eines 1-Jahres Follow Ups*" Aktuelle Ernährungsmedizin, vol. 37, iss. 03.
doi: 10.1055/s-0032-1312503
@article{Kiesswetter.2012,
author = {Kiesswetter, E. and Pohlhausen, S. and Uhlig, K. and Diekmann, R. and Lesser, S. and Heseker, H. and Stehle, P. and Sieber, C. C. and Volkert, D.},
year = {2012},
title = {Wie wirkt sich ein Gewichtsverlust auf die Funktionalit{\"a}t und die Sturzpr{\"a}valenz h{\"a}uslich gepflegter Senioren aus? - Ergebnisse eines 1-Jahres Follow Ups*},
volume = {37},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0032-1312503}
}
S. Pohlhausen, K. Uhlig, E. Kiesswetter, R. Diekmann, H. Heseker, D. Volkert, P. Stehle, and S. Lesser, "Body Mass Index pflegebedürftiger Senioren in Privathaushalten - Assoziationen mit dem Krankheitsstatus*" Aktuelle Ernährungsmedizin, vol. 37, iss. 03.
doi: 10.1055/s-0032-1312487
@article{Pohlhausen.2012,
author = {Pohlhausen, S. and Uhlig, K. and Kiesswetter, E. and Diekmann, R. and Heseker, H. and Volkert, D. and Stehle, P. and Lesser, S.},
year = {2012},
title = {Body Mass Index pflegebed{\"u}rftiger Senioren in Privathaushalten - Assoziationen mit dem Krankheitsstatus*},
volume = {37},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0032-1312487}
}
E. Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, H. Heseker, P. Stehle, C. C. Sieber, and D. Volkert, "PP067-SUN CHANGES IN NUTRITIONAL AND FUNCTIONAL STATUS OF HOME-CARED OLDER PERSONS DURING ONE YEAR" Clinical Nutrition Supplements, vol. 7, iss. 1, p. 52.
doi: 10.1016/S1744-1161(12)70119-9
@article{Kiesswetter.2012b,
author = {Kiesswetter, E. and Pohlhausen, S. and Uhlig, K. and Diekmann, R. and Lesser, S. and Heseker, H. and Stehle, P. and Sieber, C. C. and Volkert, D.},
year = {2012},
title = {PP067-SUN CHANGES IN NUTRITIONAL AND FUNCTIONAL STATUS OF HOME-CARED OLDER PERSONS DURING ONE YEAR},
pages = {52},
volume = {7},
number = {1},
issn = {17441161},
journal = {Clinical Nutrition Supplements},
doi = {10.1016/S1744-1161(12)70119-9}
}
R. Schlaffer, K. Schindler, M. Mouhiedinne, J. Tripamer, C. Schuh, S. Frantal, R. Diekmann, D. Volkert, C. Sieber, and M. Hiesmayr, "PP056-SUN NUTRITIONDAY IN NURSING HOMES -- CHARACTERISTICS OF ELDERLY EUROPEAN PARTICIPANTS UNTIL 2010" Clinical Nutrition Supplements, vol. 7, iss. 1.
doi: 10.1016/S1744-1161(12)70108-4
@article{Schlaffer.2012,
author = {Schlaffer, R. and Schindler, K. and Mouhiedinne, M. and Tripamer, J. and Schuh, C. and Frantal, S. and Diekmann, R. and Volkert, D. and Sieber, C. and Hiesmayr, M.},
year = {2012},
title = {PP056-SUN NUTRITIONDAY IN NURSING HOMES -- CHARACTERISTICS OF ELDERLY EUROPEAN PARTICIPANTS UNTIL 2010},
pages = {47--48},
volume = {7},
number = {1},
issn = {17441161},
journal = {Clinical Nutrition Supplements},
doi = {10.1016/S1744-1161(12)70108-4}
}
R. (2011). Diekmann, "Nutritional situation, functionality and mortality in nursing home residents: results of a 12-month follow-up study (Doctoral dissertation, Bonn, Univ., Diss., 2010)." PhD Thesis , Bonn, 2011.
@phdthesis{Diekmann.2011,
author = {Diekmann, R. (2011).},
year = {2011},
title = {Nutritional situation, functionality and mortality in nursing home residents: results of a 12-month follow-up study (Doctoral dissertation, Bonn, Univ., Diss., 2010).},
address = {Bonn}
}
D. Volkert, Bollwein J., R. Diekmann, and Sieber C. "Die Rolle der Ernährung bei der Entstehung von Sarkopenie und Frailty."
@article{Volkert.2011,
author = {Volkert, D. and {Bollwein J.} and Diekmann, R. and {Sieber C.}},
year = {2011},
title = {Die Rolle der Ern{\"a}hrung bei der Entstehung von Sarkopenie und Frailty},
url = {https://www.ernaehrungs-umschau.de/fileadmin/Ernaehrungs-Umschau/pdfs/pdf_2011/09_11/EU09_2011_486_493.qxd.pdf},
file = {https://www.ernaehrungs-umschau.de/fileadmin/Ernaehrungs-Umschau/pdfs/pdf_2011/09_11/EU09_2011_486_493.qxd.pdf}
J. Bollwein, R. Diekmann, M. Kaiser, C. C. Sieber, and D. Volkert, "Geht eine mediterrane Ernährung bei zu Hause lebenden Senioren mit geringerer Gebrechlichkeit einher?" Aktuelle Ernährungsmedizin, vol. 36, iss. 03.
doi: 10.1055/s-0031-1276753
@article{Bollwein.2011b,
author = {Bollwein, J. and Diekmann, R. and Kaiser, M. and Sieber, C. C. and Volkert, D.},
year = {2011},
title = {Geht eine mediterrane Ern{\"a}hrung bei zu Hause lebenden Senioren mit geringerer Gebrechlichkeit einher?},
volume = {36},
number = {03},
issn = {0341-0501},
journal = {Aktuelle Ern{\"a}hrungsmedizin},
doi = {10.1055/s-0031-1276753}
}
J. Bollwein, R. Diekmann, M. Kaiser, C. C. Sieber, and D. Volkert, "PP037-MON DOES THE MERE RISK OF MALNUTRITION INCREASE THE RISK OF FRAILTY AND AN IMPAIRED PHYSICAL PERFORMANCE IN COMMUNITY-DWELLING OLDER ADULTS?" Clinical Nutrition Supplements, vol. 6, iss. 1.
doi: 10.1016/S1744-1161(11)70329-5
@article{Bollwein.2011,
author = {Bollwein, J. and Diekmann, R. and Kaiser, M. and Sieber, C. C. and Volkert, D.},
year = {2011},
title = {PP037-MON DOES THE MERE RISK OF MALNUTRITION INCREASE THE RISK OF FRAILTY AND AN IMPAIRED PHYSICAL PERFORMANCE IN COMMUNITY-DWELLING OLDER ADULTS?},
pages = {128--129},
volume = {6},
number = {1},
issn = {17441161},
journal = {Clinical Nutrition Supplements},
doi = {10.1016/S1744-1161(11)70329-5}
}
J. Bollwein, R. Diekmann, M. Kaiser, J. Bauer, C. Sieber, and D. Volkert, "LB009-SUN IS AMOUNT AND DISTRIBUTION OF PROTEIN INTAKE ASSOCIATED WITH FRAILTY?" Clinical Nutrition Supplements, vol. 6, iss. 1, p. 208.
doi: 10.1016/S1744-1161(11)70538-5
@article{Bollwein.2011c,
author = {Bollwein, J. and Diekmann, R. and Kaiser, M. and Bauer, J. and Sieber, C. and Volkert, D.},
year = {2011},
title = {LB009-SUN IS AMOUNT AND DISTRIBUTION OF PROTEIN INTAKE ASSOCIATED WITH FRAILTY?},
pages = {208},
volume = {6},
number = {1},
issn = {17441161},
journal = {Clinical Nutrition Supplements},
doi = {10.1016/S1744-1161(11)70538-5}
}
E. Kiesswetter, K. Schindler, R. Diekmann, M. Mouhieddine, M. Hiesmayr, C. C. Sieber, and D. Volkert, "PP023-SUN DYSPHAGIA AND COGNITIVE IMPAIRMENT INCREASE THE RISK OF MALNUTRITION IN NURSING HOME RESIDENTS -NEW DATA FROM THE NUTRITIONDAY IN EUROPEAN NURSING HOMES" Clinical Nutrition Supplements, vol. 6, iss. 1.
doi: 10.1016/S1744-1161(11)70077-1
@article{Kiesswetter.2011,
author = {Kiesswetter, E. and Schindler, K. and Diekmann, R. and Mouhieddine, M. and Hiesmayr, M. and Sieber, C. C. and Volkert, D.},
year = {2011},
title = {PP023-SUN DYSPHAGIA AND COGNITIVE IMPAIRMENT INCREASE THE RISK OF MALNUTRITION IN NURSING HOME RESIDENTS -NEW DATA FROM THE NUTRITIONDAY IN EUROPEAN NURSING HOMES},
pages = {31--32},
volume = {6},
number = {1},
issn = {17441161},
journal = {Clinical Nutrition Supplements},
doi = {10.1016/S1744-1161(11)70077-1}
}
M. J. Kaiser, J. M. Bauer, W. Uter, L. M. Donini, I. Stange, D. Volkert, R. Diekmann, M. Drey, J. Bollwein, S. Tempera, A. Guerra, L. M. Ricciardi, and C. C. Sieber, "Prospective validation of the modified mini nutritional assessment short-forms in the community, nursing home, and rehabilitation setting" Journal of the American Geriatrics Society, vol. 59, iss. 11.
doi: 10.1111/j.1532-5415.2011.03659.x
@article{Kaiser.2011, abstract = {OBJECTIVES To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA. DESIGN Prospective analysis. SETTING Community, nursing home, rehabilitation. PARTICIPANTS Six hundred fifty-seven individuals aged 65 and older (75.3{\%} female; mean age 82.3 $\pm$ 7.4). MEASUREMENTS Classification agreement between full MNA score and MNA-SF scores. RESULTS Agreement between the full MNA and classification using the MNA-SFs was 84.6{\%} when the MNA-SF using body mass index (BMI) was applied and 81.4{\%} when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8{\%} and 90.4{\%},
respectively) and the lowest in the rehabilitation setting (72.4{\%} and 71.4{\%},
respectively). Both MNA-SFs tended to underestimate nutritional status, but that was significant only for the MNA-SF with CC. CONCLUSION The modified MNA-SFs represent a valuable tool for rapid and reliable nutritional screening.},
author = {Kaiser, Matthias J. and Bauer, J{\"u}rgen M. and Uter, Wolfgang and Donini, Lorenzo M. and Stange, Inken and Volkert, Dorothee and Diekmann, Rebecca and Drey, Michael and Bollwein, Julia and Tempera, Settimio and Guerra, Alessandro and Ricciardi, Laura M. and Sieber, Cornel C.},
year = {2011},
title = {Prospective validation of the modified mini nutritional assessment short-forms in the community, nursing home, and rehabilitation setting},
pages = {2124--2128},
volume = {59},
number = {11},
journal = {Journal of the American Geriatrics Society},
doi = {10.1111/j.1532-5415.2011.03659.x},
file = {http://www.ncbi.nlm.nih.gov/pubmed/22092071}
}
Go to documentJ. Bollwein, R. Diekmann, M. J. Kaiser, J. Bauer, W. Uter, C. Sieber, and D. Volkert, "Compliance with dietary recommendations of the German Nutrition Society is associated with reduced risk of frailty" 5, vol. 2014, iss. 71.