Vitamin D status and physical function in nursing home residents: a 1-year observational study.

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 (≥ 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 (< 50 nmol/l) was present in 93.9 % (70.4 % < 25 nmol/l) at t1 and in 71.2 % (57.3 % < 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 < 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.

journal_name

Z Gerontol Geriatr

authors

Diekmann R,Winning K,Bauer JM,Uter W,Stehle P,Lesser S,Bertsch T,Sieber CC,Volkert D

doi

10.1007/s00391-013-0507-7

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

403-9

issue

5

eissn

0948-6704

issn

1435-1269

journal_volume

46

pub_type

杂志文章
  • [Significance of methicillin resistant S. aureus (MRSA) in geriatrics--epidemiology, therapy and management].

    abstract::Methicillin-resistant S. aureus (MRSA) has become an important cause of severe infection in hospitalized patients all over the world. In Germany a significant increase of nosocomial infections due to MRSA has occurred during the last 10 years. Especially elderly patients with chronic illnesses are at increased risk of...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s003910070033

    authors: Albert S,Wichelhaus TA,Schäfer V

    更新日期:2000-10-01 00:00:00

  • [Living conditions and mortality in the elderly after surgical management of para-articular hip fractures].

    abstract::While hemiendoprothesis has been established in the treatment of hip fractures of aged people because of less operative trauma, better effectiveness and satisfying functionality, surgical management of trochanteric fractures is still in discussion. In our study, we found no severe difference of living conditions or mo...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:

    authors: Reich I,Herrwerth V,Marintschev I,Gebert L

    更新日期:1997-01-01 00:00:00

  • Occurrence of chronic diseases and their impact on physical disability over the whole spectrum of aging: from 65 to over 100 years of age.

    abstract::The aging of the Italian population is an emerging public health priority. In 2025 Italy is expected to have the highest world median age with nearly half of the population over 50 years old. To avoid an unbearable burden of disease and disability on future generations, we must identify areas for intensive disease and...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910050139

    authors: Baggio G

    更新日期:1999-12-01 00:00:00

  • Increased splanchnic arterial vascular resistance in oldest old patients - possible relevance for postprandial hypotension.

    abstract:OBJECTIVES:The aim of this study was to evaluate possible age-related changes in mesenteric artery and portal venous blood flow dynamics in relation to systemic haemodynamics in order to delineate putative haemodynamic changes relevant for postprandial hypotension in the elderly. Studies were performed over a wide age-...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-007-0431-9

    authors: Wicklein S,Mühlberg W,Richter B,Sieber CC

    更新日期:2007-02-01 00:00:00

  • [Special care units for patients with cognitive impairment : Results of a nationwide survey in geriatric hospitals in Germany].

    abstract:BACKGROUND:A large number of older acutely ill patients with cognitive impairment are treated in geriatric care units. Since 1990 some geriatric departments in Germany have established special care units (SCU) for this patient population. In 2010 the first inventory of SCUs in Germany was carried out, which was not bas...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-018-1439-z

    authors: Zieschang T,Bauer J,Kopf D,Rösler A

    更新日期:2019-10-01 00:00:00

  • [Xerostomia and its impact on oral health-related quality of life].

    abstract:BACKGROUND:Dry mouth is a frequently occurrence in elderly people and causes numerous clinical and social problems. OBJECTIVE:To investigate the quality of life in geriatric patients living in nursing homes depending on the subjective sensation of dry mouth and associated oral parameters. MATERIAL AND METHODS:A total...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-015-0968-y

    authors: Herrmann G,Müller K,Behr M,Hahnel S

    更新日期:2017-02-01 00:00:00

  • [Assessment of balance in community dwelling older adults: reliability and validity of the German version of the Fullerton Advanced Balance Scale].

    abstract::The purpose of this study was to validate the German translation of the originally English Fullerton Advanced Balance Scale (FAB-D). The 10-item test battery is a performance-based measure that addresses the multiple dimensions of balance. The German FAB-D using a forward-backward procedure was examined by a sample of...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-011-0236-8

    authors: Schott N

    更新日期:2011-12-01 00:00:00

  • [Psychological factors and sleep in the lifeworld nursing home from the nursing home residents' perspective. A qualitative study].

    abstract:BACKGROUND:Sleep disorders are common among nursing home residents. However, the possible involvement of psychological factors has been given little attention up until now. We investigated nursing home residents' perspective on psychological factors and sleep disorders within the nursing home environment. MATERIALS AN...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-013-0534-4

    authors: Herrmann WJ,Flick U

    更新日期:2014-04-01 00:00:00

  • Comparison of older patient's self-care abilities in acute geriatric and internal medicine departments.

    abstract:BACKGROUND:There is ongoing controversy whether patients show better functional outcomes when care is provided in acute geriatric (AG) or internal medicine (IM) departments. OBJECTIVE:This study compared the recovery of acutely ill patients concerning activities of daily living (ADL) and instrumental activities of dai...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-019-01570-y

    authors: Friedli M,Schuetz P,Conca A

    更新日期:2020-08-01 00:00:00

  • [The impact of different reference groups for the assessment of quality of life in people suffering from dementia-determination of competence groups with HILDE].

    abstract::The HILDE project proceeds from a theoretical conception of quality of life which considers both the significance of objective living conditions claimed in the Swedish level of living approach and the significance of processes of subjective perceptions and judgements accentuated in the American quality of life approac...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-006-0408-0

    authors: Becker S,Kaspar R,Kruse A

    更新日期:2006-10-01 00:00:00

  • [Age related changes in cellular signal transduction of glucocorticoid hormones in rat brain].

    abstract::Chronic or repeated stress can induce a damage of neurons, especially in hippocampus, by which the degree of damage differs in various species. Sapolski has reported that there is a correlation between hippocampal degeneration, disturbed feedback reaction, and hypersecretion of glucocorticoids. The aim of this study w...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910050087

    authors: Martin R,al-Scheibani AH,Martin H

    更新日期:1999-04-01 00:00:00

  • [Treatment of pain in people with dementia].

    abstract::The causes of pain must always be clarified, as long as it can be justified. In dementia the placebo effect can be lacking. A treatment on demand is difficult to implement. Correctly applied nonmedicinal treatment has few unwanted effects but mostly needs constant support by personnel. Medications with anticholinergic...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-019-01578-4

    authors: Schuler M

    更新日期:2019-10-01 00:00:00

  • [Aged skin and skin care].

    abstract:BACKGROUND:Aged skin is the sum of chronological und UV-induced aging. Light-exposed skin is unattractive, with irregular pigmentation, roughness und scaliness. The skin is often dry and itches. METHODS:The present paper provides an overview of diseases of aging skin and describes how to prevent or reduce disease by p...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-014-0670-5

    authors: Proksch E

    更新日期:2015-06-01 00:00:00

  • [Emotional robots in a nursing context : Empirical analysis of the present use and the effects of Paro and Pleo].

    abstract:BACKGROUND:It has been questioned by researchers in robotics as well in the general public to what extent companion-type robots can support the elderly with the fulfillment of their psychological and social needs. Although these robots have already been used in care settings in Germany, research has referred little to ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-017-1346-8

    authors: Baisch S,Kolling T,Rühl S,Klein B,Pantel J,Oswald F,Knopf M

    更新日期:2018-01-01 00:00:00

  • [Diabetes care and incidence of severe hypoglycemia in nursing home facilities and nursing services: The Heidelberg Diabetes Study].

    abstract:AIM:The goal of this study was to perform a structured analysis of the treatment quality and acute complications of geriatric patients with diabetes mellitus (DM) cared for by nursing services and nursing home facilities. Secondly, structural problems and potentials for improvement in the care of multimorbid older peop...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-014-0626-9

    authors: Bahrmann A,Wörz E,Specht-Leible N,Oster P,Bahrmann P

    更新日期:2015-04-01 00:00:00

  • [Duodenal ulcers, gastric ulcers and Helicobacter pylori].

    abstract::The mortality in elderly patients over the age of 80 years with peptic ulcers in the case of complications, such as bleeding and perforation is higher than in the general population. Duodenal ulcers are associated with Helicobacter pylori infections in 90% of cases and in 70% of gastric ulcers. The treatment of elderl...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-017-1190-x

    authors: Dovjak P

    更新日期:2017-02-01 00:00:00

  • [What roll does the sense of coherence in coping with Morbus Parkinson play?].

    abstract:PURPOSE OF THE STUDY:In this study the relevance of sense of coherence (SOC) for coping with an illness was examined in subjects with Parkinson's disease. According to Antonovsky's model (1997) the sense of coherence is an important resource when it comes to dealing with stressors. To take into consideration the integr...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-008-0009-1

    authors: Pusswald G,Fleck M,Haubenberger D,Auff E,Weber G

    更新日期:2009-06-01 00:00:00

  • [Gerontologic studies in South Africa--a report].

    abstract::The paper reviews the present state of gerontological research in South Africa and provides examples of relevant studies. So far, most of the research has focused on socioeconomic conditions, e.g, financial status, living arrangements, and intergeneration family relations. During recent years another topic has gained ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s003910050014

    authors: Sagner A

    更新日期:1998-02-01 00:00:00

  • [Optimizing the nursing process by new management instruments. The Northern Germany Nursing Research Network].

    abstract::The Northern Germany Nursing Research Network (Pflegeforschungsverbund Nord) has dedicated itself to developing management instruments intended to optimize the nursing process. It is coordinated by the administrative office of the Institute of Public Health and Nursing Research (Institut für Public Health und Pflegefo...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-006-0382-6

    authors: Görres S,Reif K,Biedermann H,Borchert C,Habermann M,Köpcke S,Meyer G,Rothgang H

    更新日期:2006-06-01 00:00:00

  • [Basic functions and specialty standards of support management].

    abstract::Three strategies are followed in handling the key issue within the field of action of care an services for the elderly: securing the material needs of those requiring care, creating appropriate care structures, and providing an effective counselling back-up to alleviate interface problems. Those latter, process-orient...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s003910050055

    authors: Wissert M

    更新日期:1998-10-01 00:00:00

  • [Treatment of malignant non-Hodgkin's lymphomas in elderly patients].

    abstract::The number of elderly patients with non-Hodgkin's lymphomas (NHL) is continuously increasing. The diagnostic and staging procedures should be carried out in elderly patients as careful as in younger patients. Furthermore, for treatment decisions geriatric assessment and the patient's preferences concerning therapy are...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910170049

    authors: Späth-Schwalbe E

    更新日期:2001-08-01 00:00:00

  • Technology and "natural death": a study of older people.

    abstract::This paper reports a qualitative study in which the aim was to examine older peoples' beliefs and risk perceptions regarding the use of innovative health technologies in end-of-life care and to relate these beliefs to their ideas about 'natural death'. Pictures, story boards and media extracts were used during intervi...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-003-0166-1

    authors: Seymour J

    更新日期:2003-10-01 00:00:00

  • [Care situation for hospitalized patients with cognitive disorders].

    abstract:BACKGROUND:The number of patients with a cognitive disorder will increase significantly in the coming years due to demographic changes. The number of patients from this group requiring stationary treatment will inevitably increase in all medical specialties. The aim of our survey was to examine how hospitals are prepar...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-013-0482-z

    authors: Schütz D,Füsgen I

    更新日期:2013-04-01 00:00:00

  • [The new aging society: demographic transition and its effects on old-age insurance and care of the elderly in China].

    abstract::In China, fundamental changes in population development have occurred during the past 50 years. The demographic transition in China required only a few years, while in most European countries this process took several decades. The fertility and mortality rates have declined very quickly, like in Japan and South Korea....

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-012-0401-8

    authors: Liu T,Flöthmann EJ

    更新日期:2013-07-01 00:00:00

  • Electroencephalogram alpha asymmetry in geriatric depression : Valid or vanished?

    abstract:BACKGROUND:A correlation between asymmetry in electroencephalographs (EEG) and depression has been demonstrated in many studies. To the best of our knowledge there are no studies including oldest old geriatric patients. OBJECTIVE:The objective of this study was to evaluate whether frontal and parietal alpha asymmetry ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-016-1108-z

    authors: Kaiser AK,Doppelmayr M,Iglseder B

    更新日期:2018-02-01 00:00:00

  • [Nutritional guidelines and standards in geriatrics].

    abstract::Nutritional problems and deficiencies are widespread in geriatric institutions. On the other hand, benefits of different interventions to improve the nutritional situation of elderly people--from amelioration of mealtime ambience to the use of artificial nutrition--have been shown in many studies. In recent years, sev...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-011-0174-5

    authors: Volkert D

    更新日期:2011-04-01 00:00:00

  • [Vertical and horizontal social inequality and motivation for early retirement].

    abstract:BACKGROUND:Over the course of the demographic transition with an aging and shrinking work force, work participation of older employees becomes more and more important. Earlier investigations found social groups to be different in work-related and individual aspects, which were shown to be associated with motivation for...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-018-1450-4

    authors: du Prel JB,Schrettenbrunner C,Hasselhorn HM

    更新日期:2019-02-01 00:00:00

  • [Cognitive training in rehabilitation: a program to treat mild cognitive impairment].

    abstract::As part of a research project, a behavior therapy-oriented cognitive training program, designed to improve the cognitive ability of middle-aged employees (50 to 59 years), was implemented and evaluated. The goal of the training program was to analyze the cognitive, affective and behavior-related conditions of memory d...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-009-0044-6

    authors: Wagner S,Paulsen S,Bleichner F,Knickenberg RJ,Beutel ME

    更新日期:2009-12-01 00:00:00

  • [Reminiscence and life review in advanced age].

    abstract::The first chapter gives a brief overview of dominant perspectives on reminiscence and life review in aging research since the 60s. The scepticism of most age researchers against personal history as a dominant concern of the aged in the late 60s was replaced by a more optimistic view which corresponded with a new Zeitg...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:

    authors: Coleman PG

    更新日期:1997-09-01 00:00:00

  • [Impaired recognition of environmental sounds in patients with dementia : I can hear but I do not understand].

    abstract:BACKGROUND:Impairment of central auditory processing is a well-known symptom of neurodegenerative dementia; however, whilst numerous studies have examined verbal processing impairment, to date few have attempted to describe impairments of non-verbal, environmental sound recognition in patients with dementia. As these i...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-017-1216-4

    authors: Dietz B,Kohl S,Mayer J,Metzger C,Förstl H,Diehl-Schmid J

    更新日期:2018-07-01 00:00:00