Daniel Schoene

Robert-Bosch Krankenhaus · Geriatrics and Clinical Gerontology

Background Family socioeconomic indicators (education, occupation, and household income) are key determinants influencing children’s physical activity (PA). This study aims to systematically review the current research about the association between family socioeconomic indicators and PA among primary school-aged children and to quantify the distrib...

Introduction: Due to its time-effective, joint friendly and highly customizable character whole-body-electromyostimulation (WB-EMS) is regarded as a feasible solution for a large variety of training issues. Not least for this reason WB-EMS research has increased considerably during the last few years. To identify gaps in research and summarize prev...

The present systematic review determined the effects of physical activity/exercise added to Denosumab, Romosozumab, Abaloparatide or Teriparatide-therapy on bone strength and fall incidence in middle-aged and older people with osteopenia/osteoporosis. A systematic literature search of five electronic databases and two registers (up to 30/05/2023) w...

Digitized assessments have a considerable potential to guide clinicial decision making and monitor progress and disease trajectories. The Timed Up and Go test (TUG) has been long established for assessment in geriatric medicine and instrumented versions (iTUG) have been developed and validated. This scoping review includes studies that applied the...

Whole-body electromyostimulation (WB-EMS) can be considered as a time-efficient, joint-friendly, and highly customizable training technology that attracts a wide range of users. The present evidence map aims to provide an overview of different non-athletic cohorts addressed in WB-EMS research. Based on a comprehensive systematic search according to...

• Evidenzen zur Relevanz körperlichen Trainings auf die Frakturprophylaxe • Strategien der Frakturprophylaxe durch körperliches Training • Handlungsempfehlungen für ein körperliches Training zur Frakturprophylaxe • Kontraindikationen und Vorsichtsmaßnahmen eines körperlichen Trainings zur Frakturprophylaxe • Settings und Bewegungsangebote im Spannu...

Whole-body electromyostimulation (WB-EMS) can be considered as a time-efficient, joint-friendly and highly customizable training technology that attracts a wide range of users. The present evidence map aimed to provide an overview of different non-athletic cohorts addressed by WB-EMS research. Based on a comprehensive systematic search according to...

Keywords: activity tracker, physical activtiy, sedentary behavior, ageing

Background: Interdependencies of health, fitness, cognition, and emotion can promote or inhibit mobility. This study aimed to analyse pathways and interactions between individual subjective and objective physical performance, cognition, and emotions with activities of daily living (ADLs) as mobility indicators in multimorbid nursing home residents...

Background: To reduce falls and their consequences, evidence-based and consensus-based recommendations are needed for risk stratification, screening, assessment, and fall prevention as well as treatment. In 2020, the Federal Falls Prevention Initiative (BIS) published recommendations for physical training for falls prevention as a group or individ...

Zusammenfassung Stürze sind der wichtigste Risikofaktor für Frakturen im Alter. Epidemiologische Studien haben viele Risikofaktoren für Stürze identifiziert, die durch strukturiertes körperliches Training beeinflussbar sind. Dieser Artikel beschreibt die Evidenz zu Inhalten, Methoden und Belastungsdosierung eines körperlichen Trainings zur Vermeidu...

Background Multimorbidity, the coexistence of multiple chronic diseases in an individual, is highly prevalent and challenging for healthcare systems. However, its risk factors remain poorly understood. Objective To systematically review studies reporting multimorbidity risk factors. Methods A PRISMA-compliant systematic review was conducted, sear...

Zusammenfassung Die Definition von relevanten Trainingszielen und deren weitgehend individualisierte Allokation zu Gruppen unterschiedlicher Anforderungen sollte der erste Schritt einer jeden Trainingsstrategie zur optimierten Trainingsplanung und sicheren Trainingsdurchführung sein. Die Festlegung der Trainingsziele im Bereich der Frakturprophylax...

Zusammenfassung Trainingsprotokolle zur Frakturprophylaxe müssen eine Vielzahl von trainingswissenschaftlichen, logistischen und finanziellen Rahmenbedingungen berücksichtigen, um die erwünschte Effektivität und Anwendbarkeit im Einzel- oder Gruppentraining zu gewährleisten. Basierend auf dem individuellen Risikoprofil ist eine Zuordnung von dedizi...

Zusammenfassung Trainingsprinzipien werden als konkrete und leitende Handlungsanweisung für ein körperliches Training angesehen und beziehen sich auf alle übergeordeten Aspekte des Trainings weitestgehend unabhängig von der fokussierten Zielgröße. Relevanz für Gresundheits- und Rehabilitationssport haben primär Prinzipien zur Auslösung und Sicherun...

The aim of the present systematic review and meta-analysis was to determine the effects of exercise on low-trauma overall and major osteoporotic fractures in adults. Our systematic search of six literature databases according to the PRISMA guideline was conducted up to May 22, 2021, and included controlled clinical exercise trials with (a) individu...

Background: According to current estimates, the number of people needing care will double in the next 40 years. It is expected that between 130,000 and 190,000 additional nurses will be needed by 2030 in Germany. Physical and psychological burdens associated with nursing in long-term care facilities can develop into serious health risk factors and...

Zusammenfassung Hintergrund Adipositas als eine der häufigsten chronischen Erkrankungen weltweit stellt ein enormes individuelles Gesundheitsrisiko und einen hohen Kostenfaktor für das Gesundheitssystem dar. Wirksame Therapiemaßnahmen adressieren den Lebensstil, wie die körperliche Aktivität und sind nötig, um gesundheitliche Belastungen zu senken....

Background/Objectives The Protein Screener 55 + (Pro55 + ) is a brief food questionnaire to screen older community-dwelling adults for low protein intake. The result is the predicted probability of protein intake <1.0 g/kg adjusted body weight (aBW)/d ranging from 0–1. For purposes of cross-cultural validation, we translated the Pro55+ into German...

The role of exercise in preventing osteoporotic fractures is vague, and further recommendations for optimized exercise protocols are very rare. In the present work, we provided positive evidence for exercise effects on the number of osteoporotic fractures in adults, albeit without observing any significant relevance of intensity progression or stud...

Das vorliegende essential versteht sich als kompaktes Nachschlagewerk für Fragen und Aspekte rund um ein körperliches Training im Spannungsfeld der Osteoporose und Frakturprophylaxe. Schwerpunkt sind dabei evidenzbasierte Strategien und Handlungsempfehlungen zur Primär- und Sekundärprävention der Osteoporose, respektive zur Frakturreduktion sowie K...

Zusammenfassung Ziel der Studie Subjektive Gründe, Barrieren sowie Unterstützungsbedarfe älterer Menschen mit Adipositas hinsichtlich einer Gewichtsreduktion sind bisher wenig bekannt und wurden daher in einer qualitativen Studie untersucht. Methodik Leitfadengestützte, problemzentrierte Interviews wurden mit 13 Teilnehmenden (selbständig,≥65 Jahre...

Neben einem positiven Gesamteffekt zeigen die in Abb. 2.1 abgebildeten Ergebnisse eine hohe (signifikante) Heterogenität mit zum Teil negativen Effekten einzelner Studien. Dies deutet darauf hin, dass einige applizierte Trainingsprotokolle schlicht keinen oder sogar negativen Effekt auf den avisierten Endpunkt „Frakturreduktion“ hatten. Tatsächlich...

Personen mit erhöhtem Knochenumsatz und/oder Personen mit leichter Reduktion der Knochendichte (Osteopenie) ohne erhöhtes Sturzrisiko, können problemlos ein Training in qualifizierten gesundheitsorientierten Fitnessstudios oder Sportvereinen betreiben. Gängige Angebote wie (High-Impact-)Aerobic und Kurse (zunächst) an Kraftgeräten oder (später) mit...

Nur wenige Trainingsstudien sind ausreichend teilnehmerstark oder/und zeitlich umfassend, um die statistische „Power“ an Teilnehmerjahren zu generieren, die eine belastbare Berechnung des statistischen Effekts auf den avisierten Frakturtyp zulässt. Fokussiert man auf die Hüftfraktur, so wird die enorme Stichprobengröße von über 2300 Personen/Studie...

Objectives Frailty is common in nursing home (NH) residents, but its prevalence in German institutions is unknown. Valid and easy-to-use screening tools are needed to identify frail residents. We used the FRAIL-NH scale and the Clinical Frailty Scale (CFS) to (1) obtain the prevalence of frailty, (2) investigate the agreement between both instrumen...

The purpose of this systematic review and meta‐analysis (PROSPERO ID: CRD42021250467) was to evaluate the effects of exercise on low‐trauma overall and major osteoporotic fractures (hip, spine, forearm or humerus fractures) and to determine the corresponding effect of supervision of the exercise program. Our systematic search of six literature data...

Obesity and sarcopenic obesity (SO) are characterized by excess body fat with or without low muscle mass affecting bio‐psycho‐social health, functioning, and subsequently quality of life in older adults. We mapped outcomes addressed in randomized controlled trials (RCTs) on lifestyle interventions in community‐dwelling older people with (sarcopenic...

Whole-body electromyostimulation (WB-EMS) induces high-intense stimuli to skeletal muscles with low strain on joints and the autonomic nervous system and may thus be suitable for frail, older people. However, if trained at very high intensities, WB-EMS may damage muscles and kidneys (rhabdomyolysis). This study aimed at investigating the feasibilit...

Purpose: The primary objective of the present systematic review and meta-analysis was to determine the effect of differing exercise intensity on (areal) bone mineral density (BMD) at lumbar spine and hip in adults by a comparative meta-analysis. Methods: A systematic review of the literature according to the PRISMA statement included: (a) exerci...

Adipositas im Alter wird, genauso wie bei Jüngeren, durch einen erhöhten Body-Mass-Index, Bauchumfang oder Körperfettanteil definiert. Aufgrund steigender Prävalenzzahlen und zahlreicher negativer Konsequenzen auf die körperliche und psychische Gesundheit erlangen Adipositas und speziell auch sarkopene Adipositas – eine Kombination aus erhöhtem Fet...

Background: Mobility is defined as the ability to independently move around the environment and is a key contributor to quality of life, especially in older age. The aim of this study was to evaluate the use of mobility as a decisive outcome for the marketing authorisation of drugs by the European Medicines Agency (EMA). Methods: Fifteen therape...

Background A growing number of older adults suffer hip and pelvic fractures leading to hospital admission. They often result in reduced physical activity (PA) and impaired mobility. PA can be objectively measured with body-worn sensors. Usually, global cumulative PA parameters are analysed, such as walking duration, upright-time and number of steps...

Rationale: As in younger ages, obesity is highly prevalent in older people and lifestyle-interventions (LSI) are recommended as first-line treatment. We conducted a systematic review of randomized-controlled trials (RCTs) with network meta-analyses (NMA) to describe effects of LSI on body weight (BW) and fat-free mass (FFM) in older people with obe...

In contrast to postmenopausal women, evidence for a favorable effect of exercise on Bone Mineral Density (BMD) is still limited for men. This might be due to the paucity of studies, but also to the great variety of participants and study characteristics that may dilute study results. The aim of the present systematic review and meta-analysis was to...

This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention a...

Exercise frequency is a key aspect of exercise protocols. In this systematic review and meta-analysis, we determined the effect of training frequency on (areal) bone mineral density (BMD) at lumbar spine (LS) and hip. Reviewing seven electronic databases up to April 2021, we conducted a systematic review of the literature according to the PRISMA st...

Bei älteren Personen mit Adipositas erhalten multimodale Lebensstilinterventionen die FFM und verbessern die körperliche Funktion, was für den Erhalt der Selbständigkeit einen besonderen Beitrag leisten kann. Publication History Publication Date: 24 September 2021 (online) © 2021. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 1...

Multimodale Lebensstilinterventionen, besonders KR+AT+KT+VM, führen bei älteren Personen mit Adipositas zu einer (signifikanten) Reduktion des KG und der FM. Publication History Publication Date: 24 September 2021 (online) © 2021. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Purpose Temporary cessation of exercise but maintenance of habitual physical activity might be a frequent situation in older people’s lives. Particularly the COVID-19 induced lockdown of exercise training facilities with individual outdoor activities still being allowed might be a blueprint for this potentially harmful scenario. Thus, the aim of th...

Background: A multi-component training program holds promises for the elderly, but still has to be tested on its feasibility and effect in nursing homes. Aims: The aim of this study was (1) to design a multi-component training program which improves physical functioning and psychosocial wellbeing and (2) to evaluate the feasibility of this interv...

This systematic review and meta-analysis set out to determine the efficacy on whole-body electromyostimulation (WB-EMS) on body composition and strength parameters in non-athletic cohorts. A systematic review of the literature according to the PRISMA statement included (a) controlled trials, (b) WB-EMS trials with at least one exercise and one cont...

Hintergrund: Die zunehmende Prävalenz von Adipositas im höheren Lebensalter erfordert zielgruppenorientierte the-rapeutische Ansätze. Subjektiv wahrgenommene Barrieren sowie Unterstützungsbedarfe von älteren Menschen mit Adipositas bei der Gewichtsreduktion sind bisher wenig bekannt und wurden in dieser qualitativen Studie untersucht. Methoden: Zwi...

Hintergrund: Aufgrund des demographischen Wandels und der weltweiten Zunahme von Adipositas, auch in höheren Al-tersgruppen, gewinnt der Umgang mit Adipositas im Alter zunehmend an Bedeutung. Die Gründe, warum sich ältere Menschen für oder gegen eine Gewichtreduktion entscheiden, sind bisher wenig bekannt und wurden in der vorliegen-den qualitative...

Purpose Detraining after dedicated exercise programs might be a frequent situation in older people's exercise patterns. The aim of the present study was thus to determine the effects of 6 months of detraining after 18 months of high intensity resistance exercise (HIT-RT) on musculoskeletal outcomes in older men with sarcopenia. Methods Community-d...

Objectives Sarcopenia is related to the metabolic syndrome (MetS), a cluster of cardiometabolic risk-factors (CRF). Most exercise trials apply aerobic rather than resistance exercise to address CRF, while the strategy for maintaining muscle and bone is the opposite. However, there is considerable evidence that resistance exercise positively affects...

Objective To systematically examine stepping performance as a risk factor for falls. More specifically, we examined (i) if step tests can distinguish fallers from non-fallers and (ii) the type of step test (e.g. volitional vs reactive stepping) that is required to distinguish fallers from non-fallers. Data source PubMed, EMBASE, CINAHL, Cochrane D...

Objectives: Despite mobility impairments, many residents have physical, cognitive, and psychosocial resources that should be promoted. The aim was to summarize the current evidence on chair-based exercise (CBE) interventions for nursing home residents. Design: Systematic review registered with Prospero (registration number: CRD42018078196). Settin...

Introduction Obesity is highly prevalent in older adults aged 65 years or older. Different lifestyle interventions (diet, exercise, self-management) are available but benefits and harms have not been fully quantified comparing all available health promotion interventions. Special consideration must be given to functional outcomes and possible adver...

Introduction: Nursing staff is burdened by high workload and stress. Furthermore, heavy lifting, as well as transferring nursing home residents, cause lumbar tissue damage and back pain. Exercise intervention studies to reduce work-related problems are rare and the evidence for efficacy of studies among nurses is limited. Studies including targete...

Objectives: The aim of this umbrella review was to determine the effect of physical activity/exercise onimproving cognitive and noncognitive outcomes in people with MCI (mild cognitive impairment) and dementia. Design: Umbrella review of systematic reviews (SR), with or without meta-analyses (MAs), of randomizedcontrolled trials (RCTs) and observat...

Dynamic resistance exercise (DRT) might be the most promising agent for fighting sarcopenia in older people. However, the positive effect of DRT on osteopenia/osteoporosis in men has still to be confirmed. In order to evaluate the effect of low volume/high intensity (HIT)‐DRT on bone mineral density (BMD) and skeletal muscle mass index (SMI) in men...

The obesity epidemic has reached old age in most industrialized countries, but trials elucidating the benefits and risks of weight reduction in older adults above 70 years of age with obesity remain scarce. While some findings demonstrate a reduced risk of mortality and other negative health outcomes in older individuals with overweight and mild ob...

To date, there has been no study on the long-term effects of resistance exercise on sarcopenia and obesity indices for people with sarcopenia. The present study thus aimed to determine the effect of 18 months of periodized, high-velocity/intensity/effort progressive resistance training (HIT-RT) on body composition and strength in older men with ost...

Zusammenfassung Ziel dieser Metaanalyse war es (1) den Effekt eines dynamischen Krafttrainings (DRT) auf die Knochendichte (BMD) der Lendenwirbelsäule (LWS) einzuschätzen, (2) günstige Belastungs-komponenten zu identifizieren und (3) Trainingsempfehlungen abzuleiten. Eine systematische Literaturrecherche schloss (a) kontrollierte Studien, (b) DRT ≥...

Postmenopausal women face a high risk of bone loss. Exercise has a beneficial effect to prevent bone deterioration in elderly women. This study was conducted to investigate the effect of different types of exercise on bone mineral density at the lumbar spine and femoral neck in postmenopausal women. This review followed the guidelines recommended b...

Osteoporosis is a major health problem in post-menopausal women (PMW). Exercise training is considered a cost-effective strategy to prevent osteoporosis in middle aged-older people. The purpose of this study is to summarize the effect of exercise on BMD among PMW. A comprehensive search of electronic databases was conducted through PubMed, Scopus,...

This systematic review and meta-analysis set out to determine the effect of dynamic resistance exercise (DRT) on areal bone mineral density (aBMD) in postmenopausal women and derive evidence-based recommendations for optimized training protocols. A systematic review of the literature according to the PRISMA statement included (a) controlled trials,...

Hintergrund/Fragestellung: Adipositas tritt bei ca 35% der Personen über 65 Jahren auf und kann - v. a. in Kombination mit Sarkopenie - schwerwiegende gesundheitliche Auswirkungen haben. Für die Therapie stehen Lebensstilinterventionen (LSI) in den Bereichen: Ernährung, Bewegung, Verhalten (und deren Kombination) im Vordergrund, die primär auf eine...

Considerably decreased muscle mass and function are subsumed under "sarcopenia," a geriatric syndrome. Dedicated exercise programs maintain muscle mass and function; however, due to the limited enthusiasm of older adults to exercise, it is important to generate low-threshold interventions for this vulnerable cohort. Thus, the primary aim of this st...

Objectives: Translation, adaptation, and validation of the German version of the SARC-F for community-dwelling older adults in Germany. Design: Cross-sectional. Setting and participants: 117 community-dwelling outpatients with a mean age of 79.1 ± 5.2 years were included in the study; 94 (80.4%) of them were female. Sixty-three (53.8%) had a p...

Background: Older adults, who are living in nursing homes that provide a high level of long-term nursing care, are characterized by multimorbidity and a high prevalence of dependency in activities of daily living. Results of recent studies indicate positive effects of structured exercise programs during long-term care for physical functioning, cog...

Schlüsselwörter: Sitzgymnastik, Altenpflegeheimbewohner, physische Funktion, Kognition Einleitung PflegeheimbewohnerInnen kennzeichnen sich durch Multimorbidität und Immobilität. Bewegungsinterventionen zum Ressourcenerhalt erreichen oftmals nur gehfähige Personen. Ziel dieser Übersichtsarbeit ist es daher systematisch Bewegungsinterventionen auch...

Background The clinical relevance of sarcopenia has increasingly been recognized. However, whether it is associated with the development of other medical conditions is still unclear. Therefore, we aimed to capture the scale of outcomes that have been associated with the presence of sarcopenia and systematically assess the quality, strength, and cre...

Purpose: Overweight and obesity are an increasing problem worldwide. However, most studies that focus on weight reduction by energy restriction and/or aerobic exercise reported considerable loss of muscle mass as well. Increased protein intake and/or resistance exercise might inhibit this detrimental effect during a negative energy balance. Whole-b...

Background Physical and cognitive impairments are important risk factors for falls in older people. However, no studies have been adequately powered to examine whether cognitive or cognitive-motor training can prevent falls in older people. This is despite good evidence of improvements in fall-related cognitive and physical functions following both...

INTRODUCTION: Nursing home residents are often characterized by multimorbidity and low levels of mobility (1). Despite these healthrelated problems, they still have resources, which should be promoted to improve physical functioning, cognition and psychosocial wellbeing. However, most interventions in nursing homes are aimed at residents who are st...

Impairments of balance predispose older people to falls. Some cognitive functions, especially executive functioning have been shown to affect balance and discriminate fallers from non-fallers. Mental flexibility is a component of the executive function and comprises multiple cognitive processes that work together to adjust the course of thoughts or...