Andrej Zeyfang

Andrej Zeyfang
Ulm University | UULM · Institute of Epidemiology and Medical Biometry

PD Dr. med. Dr. Univ. Rome (Italy)

About

151
Publications
21,962
Reads
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1,432
Citations
Introduction
New projects target on older persons with type 1 diabetes and I would like to start about serious games for older people with diabetes.
Additional affiliations
October 2017 - present
medius KLINIKEN OSTFILDERN-RUIT
Position
  • Head of Department
Description
  • Medical Director of the Department of Internal Medicine and Geriatrics, Diabetology and Palliative Care
January 2013 - January 2016
Ulm University
Position
  • MANAGE-CARE EU-Study
Description
  • Care of chronic diseases in Europe
January 2012 - present
Ulm University
Position
  • Country leader MID-Frail Study
Description
  • MID-Frail is a major international research study examining the effectiveness of combining optimised medical management with exercise and dietary programmes to maintain function and quality of life in people aged 70 years and over with Type 2 diabetes.
Education
January 1985 - December 1990
January 1983 - January 1985
Sapienza University of Rome
Field of study
  • Medicine

Publications

Publications (151)
Article
Elderly and old patients with Type 1 diabetes represent a growing population that requires thorough diabetes care. The increasing relevance of this subgroup, however, plays only a minor role in the literature. Here, we describe elderly patients with Type 1 diabetes on the basis of a large multi-centre database in order to point out special features...
Article
Mehr als die Hälfte aller Diabetespatienten ist älter als 65 Jahre. Davon ist ein Großteil durch Multimorbidität und Funktionseinschränkungen als geriatrisch definiert. Diese Aspekte sollten fokussiert auf Fragen der Lebensqualität mit in die Therapie integriert werden. Ein geriatrisches Assessment ist Basis für eine Therapiezieldefinition. Prävent...
Article
Die Behandlung kardiovaskulärer Erkrankungen bei Menschen mit Diabetes mellitus bedarf insbesondere im hohen Lebensalter einer individuellen Nutzen-Risiko-Analyse. Eine Übertherapie der Hyperglykämie im Sinne einer zu strengen Stoffwechseleinstellung (HbA1c-Wert <6%) kann zu einer erhöhten Mortalität führen. In der Regel sollte der angestrebte HbA1...
Article
The treatment of cardiovascular diseases in diabetic geriatric patients needs an individual risk-benefit analysis. The overtreatment of hyperglycemia in the sense of metabolic control that is too tight (HbA(1)c level <6%) may lead to increased mortality. As a rule, the target HbA(1)c level in geriatric patients with diabetes mellitus should be betw...
Article
Objective The goal of the present study was to systematically assess treatment quality, perceptions, and cognitive function of elderly patients with diabetes admitted to an acute geriatric hospital from different home environments (nursing home residents, home care, assisted living, family caregivers, self-sufficient). Methods Quality of diabetes t...
Article
The goal of the present study was to systematically assess treatment quality, perceptions, and cognitive function of elderly patients with diabetes admitted to an acute geriatric hospital from different home environments (nursing home residents, home care, assisted living, family caregivers, self-sufficient). Quality of diabetes treatment, metaboli...
Article
Elderly patients with diabetes often have difficulty with self-administering insulin. It was the aim of the present study to find a short, easy performance test, such as the Timed Test of Money Counting (TTMC), that identifies elderly patients with diabetes, in grade to undertake proper insulin injection autonomously and correctly. A total of 73 in...
Article
Full-text available
Durch den demografischen Wandel wird es immer wichtiger, die zunehmende Zahl älterer, multimorbider und pflegebedürftiger Menschen mit chronischen Erkrankungen wie Diabetes mellitus medizinisch und pflegerisch nach aktuellem Stand, aber auch wirtschaftlich zweckmäßig und die Lebensqualität beachtend zu versorgen. Dabei spielen neuere Technologien w...
Article
Obwohl fast jeder Vierte zwischen dem 75. und 80. Lebensjahr unter Diabetes mellitus Typ-2 leidet, ist über die Versorgungssituation dieser Menschen noch relativ wenig bekannt. An der LIVE-GERI-Studie nahmen 32 ambulante Pflegeeinrichtungen (n = 166 Patienten) bundesweit und 40 stationäre Pflegeeinrichtungen (n = 137) im Großraum Stuttgart teil. Dr...
Article
Full-text available
evaluation of the effectiveness of a new structured diabetes teaching and treatment programme (DTTP) with specific didactical approaches and topics for geriatric patients with diabetes mellitus. a prospective randomised controlled multi-centre trial. a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the...
Article
Diabetes mellitus has a prevalence of up to 25% in the age group above 75 years and is thus a major disease of the elderly. Geriatric syndromes (e.g. immobility or falls, incontinence or intellectual decline) occur more often in the diabetic elderly. Moreover there is a mutual interaction between the syndromes and the control and therapy of diabete...
Article
Older patients with diabetes mellitus are often not able to competently follow the variety of topics comprising the standard treatment and teaching programs for patients with type 2 diabetes mellitus. Moreover, diabetes mellitus is often only one of many chronic medical conditions in older people. Therefore, diabetes therapy and education should fo...
Chapter
Full-text available
Frau S. ist 83 Jahre alt und lebt schon seit über 10 Jahren im Alten- und Pflegeheim „Haus Sonnenschein“. Anfangs bewohnte sie noch ein kleines Zimmer im Betreuten Wohnen und ging zum Essen in den Speisesaal, wo sie mit anderen älteren Damen ihr Stammplätzchen hatte. Seit Jahren ist sie nach einer misslungenen Knieoperation schmerzgeplagt und stark...
Article
A very old patient cannot be treated strictly in accordance with the general diabetes guidelines. Rather, interactions between the diabetes and such geriatric syndromes as, for example, dementia, depression, incontinence and immobility also need to be taken into account. In the first instance our concern is to improve the patient's well being and h...
Article
Ob Leitlinien, DMPs, klassische Diabeteskliniken oder Akutkrankenhaus — nirgenwo werden die speziellen Belange geriatrischer Patienten mit Diabetes ausreichend berücksichtigt. Denn sehr alte Diabetiker sind nicht nur auf besondere Sorgfalt bei der Therapie angewiesen, sie schlagen sich auch mit ganz alltäglichen Dingen wie winzigen Messgeräten oder...
Article
Ms Müller, 82 years old; widowed four years ago, no children, lives in an apartment on the second floor without a lift. Ms Müller has had type 2 diabetes for five years, being treated with glibenclamide 3.5 mg 1-0-1/2. Until now, she has dutifully walked to her family doctor iapprox. 100 metres away) every three months for her regular visit. As the...
Article
Chromium activates the effect of insulin. A decreased chromium content in leucocytes reflected a reduced chromium supply in diabetics type 1 and type 2. The poorer the metabolic control of diabetics type 2, the lower was the chromium status. Thus these patients - especially type 2 diabetics with metabolic disorders - should consider a chromium supp...
Article
In Deutschland leiden 25% der über 70-Jährigen unter einem Diabetes mellitus. Biologisch ältere, multimorbide und in ihren Funktionen beeinträchtigte geriatrische Patienten benötigen spezielle Vorgehensweisen bei Zielplanung, Allgemeinmaßnahmen und Pharmakotherapie. Auf der Basis der vorhandenen Leitlinien werden gesicherte Erkenntnisse dargestellt...
Article
Older adults are potentially vulnerable for malnutrition, risk which can be assessed by the Mini-Nutritional Assessment (MNA). To answer the question, whether the MNA can also assess healthy, normal nourished seniors and to check for correlations on functional disabilities and risk factors for functional status decline, 58 independent living, healt...
Article
Two-thirds of all diabetics are older than 60 years. Owing to the presence of multimorbidity and functional impairments, one-half of these diabetics must be considered "geriatric patients". This category of patients in particular requires a special educational program aimed at improving their situation and quality of life on the basis of good diabe...
Article
More than two-thirds of all diabetics in Germany are older than 60, and a considerable number with multimorbidity and functional disorders must be considered "geriatric patients". Geriatric syndromes (e.g. intellectual decline, immobility, incontinence and instability) appear to be closely interrelated to diabetes in the old patient. By achieving c...
Article
Full-text available
Persistent non-malignant pain is common, often neglected and under-treated among older persons. Some older adults do not complain because they consider chronic pain to be a characteristic of normal aging. Physicians have concerns regarding adverse effects of pharmacological treatment. The model of the World Health Organization for treatment of canc...
Article
For a dietary anti-aging concept that "gives life to years and adds years to life" we recommend a low-fat, carbohydrate and fiber-rich diet containing plenty of fruits and vegetables and moderate amounts of protein (in particular of vegetable origin). Prolonging the fasting state by cancelling dinner is also of benefit. Five servings of fruits and...
Conference Paper
Full-text available
Zeyfang A., Nikolaus T. :Activities of Daily Li- ving (ADL) are more impaired among Geriatric Dia- betic Patients compared to Non-Diabetic Subjects Diabetologia (2002) 45 Suppl. 1 A 304
Article
As an essential nutrient involved in carbohydrate and lipid metabolism, chromium is of extraordinary importance for patients with diabetes. Plasma concentrations do not reflect the chromium supply; thus, we determined the element's content in blood cells in order to evaluate the body status. We investigated 86 blood donors (C) and 35 diabetics type...
Article
Despite the fact that diabetes is found in geriatric patients with a remarkably high prevalence, very little is known about teaching and treating geriatrics in particular. We present a structured geriatric diabetes training programme which is designed to give elderly patients which are commonly held to be not teachable" the opportunity to influence...
Article
Currently, the determination of trace elements in plasma or whole blood for the evaluation of adequate supply is unsatisfactory as it does not reflect exactly the biochemical processes in the human organism. A method of isolating cell fractions was developed in order to be able to analyze these elements in the corpuscular components of the blood. T...
Article
Chromium seems to be an essential trace element because of its role in activating the insulin effect. The pathomechanism of these observations are not defined yet. Determinations of chromium have been made simultaneously in plasma, whole blood, erythrocytes, platelets, mononuclear and polymorphonuclear leucocytes. Chromium is shown to be increased...
Chapter
Frau Meier ist 84 Jahre alt, seit sechs Jahren verwitwet, hat keine Kinder und lebt in ihrer 2-Zimmer-Eigentumswohnung im 2. Stock ohne Aufzug. Frau Meier hat seit sieben Jahren einen Diabetes mellitus Typ 2, der mit Glibenclamid 3,5 mg 1-0-1/2 behandelt wird. Bisher ging sie ca. einmal im Quartal noch selbst zu Fuß zu ihrem Hausarzt, der nur wenig...
Chapter
Eine 82-jährige, allein lebende Frau wurde in die Notfall-Ambulanz gebracht, nachdem sie zuhause im Bad gestürzt war und es nicht mehr schaffte, alleine aufzustehen. Erst nach Stunden konnte sie sich bei ihren Nachbarn durch anhaltendes Klopfen bemerkbar machen.

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Projects

Projects (2)
Project
Frailty syndrome is an age-associated syndrome, characterized by decreases in the functional reserve, strongly associated with sarcopenia that places older individuals at special risk for disability, hospitalization and death induced by falls. Most of the studies demonstrating improvements in gait, balance and fall risk have used multicomponent exercise training as intervention in their subjects. However, the studies in which systematic resistance training was performed (either alone or as part of multicomponent exercise programs) revealed greater strength gains in the frail elderly subjects. The absence of changes in the functional and strength outcomes that were measured in some of the investigations indicates that the exercise prescription must be carefully adapted to provide a sufficient stimulus for improving the functional capacity of frail subjects. According to literature reviewed, and also our own studies, this Project focuses on the enhancement of knowledge development, and implementation of good practices, as well as the design of materials that can give to know the physical exercise prescription as a way to effectively improve health on elder people among their environment.