Daniel Schoene

Daniel Schoene
Friedrich-Alexander-University of Erlangen-Nürnberg | FAU · Faculty of Medicine

PhD

About

88
Publications
32,690
Reads
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3,575
Citations
Additional affiliations
September 2021 - present
University of Leipzig
Position
  • PostDoc Position
August 2017 - present
Friedrich-Alexander-University of Erlangen-Nürnberg
Position
  • PostDoc Position
January 2015 - present
Neuroscience Research Australia
Position
  • PostDoc Position

Publications

Publications (88)
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
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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...
Conference Paper
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...
Article
Full-text available
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...
Chapter
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...
Article
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...
Conference Paper
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...
Conference Paper
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
Article
Full-text available
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...
Article
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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...
Article
Full-text available
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...
Poster
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...
Poster
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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 ≥...
Article
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...
Article
Full-text available
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,...
Article
Full-text available
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,...
Conference Paper
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Conference Paper
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Conference Paper
Full-text available
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...
Article
Full-text available
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...
Article
Background Declines in muscle mass and function are inevitable developments of the advanced aging process. Corresponding dimensions of longitudinal changes in at-risk populations are still scarce although clinically relevant. The present study monitored changes in morphologic and functional sarcopenia criteria related to sarcopenia in older men wit...
Article
Full-text available
Maintaining or improving quality of life (QoL) is a key outcome of clinical interventions in older people. Fear of falling (FoF) is associated with activity restriction as well as with poorer physical and cognitive functions and may be an important contributor to a diminished QoL. The objectives of this systematic review were to determine i) the ef...
Article
Full-text available
Age-related loss of muscle mass and function, also called sarcopenia, was recently added to the ICD-10 as an independent condition. However, declines in muscle mass and function are inevitable during the adulthood aging process. Concerning muscle strength as a crucial aspect of muscle function, maximum knee extension strength might be the most impo...
Preprint
BACKGROUND Falls are a major contributor to the burden of disease in older people. Home-based exercise programs are effective in reducing the rate and risk of falls in older people. However, exercise adherence to home-based exercise programs is low, limiting the efficacy of interventions. The implementation of technology-based exercise programs for...
Article
Full-text available
Background: Falls are a major contributor to the burden of disease in older adults. Home-based exercise programs are effective in reducing the rate and risk of falls in older adults. However, adherence to home-based exercise programs is low, limiting the efficacy of interventions. The implementation of technology-based exercise programs for older...
Chapter
Prevention in older persons is not only aiming to the reduction of morbidity and mortality but also to the preservation of health and function as well as of quality of life. Several preventive strategies are relevant for older persons such as physical activity/exercise, vaccination, care planning, and nutrition. Most dietary recommendations for old...
Article
Full-text available
To maintain muscle mass in older age, several aspects regarding the amount and distribution of protein intake have been suggested. Our objective was to investigate single and combined associations of daily protein intake, evenness of protein distribution across the three main meals, number of meals providing ≥0.4 g protein/kg body weight (BW), and...
Article
Background: Reduced ability to adapt gait, particularly under challenging conditions, may be an important reason why older adults have an increased risk of falling. This study aimed to identify cognitive, psychological and physical mediators of the relationship between impaired gait adaptability and fall risk in older adults. Methods: Fifty heal...
Article
Full-text available
Objectives: To determine whether 12-week home-based exergame step training can improve stepping performance, gait and complementary physical and neuropsychological measures associated with falls in Parkinson's disease. Design: A single-blinded randomised controlled trial. Setting: Community (experimental intervention), university laboratory (o...
Article
Falls in older adults are a major public health problem with a high incidence and severe consequences for the older individual. The age-related loss of muscle strength as well as muscle mass and muscle function (sarcopenia) are i) risk factors for falling, ii) associated with physical function and iii) markers of the frailty syndrome. Muscle functi...
Article
Background: Response inhibition, an important executive function, has been identified as a risk factor for falls in older people. This study investigated whether step tests that include different levels of response inhibition differ in their ability to predict falls and whether such associations are mediated by measures of attention, speed, and/or...
Article
Stürze im Alter sind ein wichtiges Gesundheitsproblem, das jedes Jahr mindestens ein Drittel aller über 65-Jährigen betrifft. Konsequenzen sind Verletzungen, Sturzangst, ein Verlust der Selbstständigkeit und eine erhöhte Mortalität. Der alternsbezogene Verlust von Muskelmasse und -funktion (Sarkopenie) ebenso wie die Muskelkraft sind Marker des Geb...
Article
Aim: Falls are a leading cause of disability in older people. Here we investigate if daily-life gait assessments are better than clinical gait assessments at discriminating between older people with and without a history of falls. Methods: A total of 96 independent-living participants (age 75.5 ± 7.8) underwent sensorimotor, psychological and co...
Article
Background: Systematic review evidence has shown that step training reduces the number of falls in older people by half. This study investigated the feasibility and effectiveness of a bespoke Kinect stepping exergame in an unsupervised home-based setting. Materials and methods: An uncontrolled pilot trial was conducted in 12 community-dwelling o...
Article
Full-text available
Background: The ability to adapt gait when negotiating unexpected hazards is crucial to maintain stability and avoid falling. This study investigated whether impaired gait adaptability in a task including obstacle and stepping targets is associated with cognitive and sensorimotor capacities in older adults. Methods: Fifty healthy older adults (74±7...
Article
Background A large proportion of falls in older people occur when walking. Limitations in gait adaptability might contribute to tripping; a frequently reported cause of falls in this group. Objective To evaluate age-related changes in gait adaptability in response to obstacles or stepping targets presented at short notice, i.e.: approximately two s...
Article
Introduction: Several tools are available for the assessment of muscle mass, muscle strength and physical performance in clinical research. However, few data are available on the usage of these tools in clinical practice. Methods: This study aimed to assess their usage by means of a large online international survey. Since sarcopenia is a specific...
Article
Objective To examine the effects of stepping interventions on fall risk factors and fall incidence in older people. Data source Electronic databases (PubMed, EMBASE, CINAHL, Cochrane, CENTRAL) and reference lists of included articles from inception to March 2015. Study selection Randomised (RCT) or clinical controlled trials (CCT) of volitional a...
Article
Full-text available
Purpose Interactive cognitive-motor training (ICMT) requires individuals to perform both gross motor movements and complex information processing. This study investigated the effectiveness of ICMT on cognitive functions associated with falls in older adults. Methods A single-blinded randomized controlled trial was conducted in community-dwelling ol...
Article
Full-text available
Background: There is good evidence that balance challenging exercises can reduce falls in older people. However, older people often find it difficult to incorporate such programs in their daily life. Videogame technology has been proposed to promote enjoyable, balance-challenging exercise. As part of a larger analysis, we compared feasibility and...
Article
Background: There has been a rapid increase in research on the use of virtual reality (VR) and gaming technology as a complementary tool in exercise and rehabilitation in the elderly population. Although a few recent studies have evaluated their efficacy, there is currently no in-depth description and discussion of different game technologies, phy...
Article
Stepping impairments increase fall risk in people with MS. No studies have evaluated step training for reducing fall risk in this population. To determine if step training can improve physical and neuropsychological measures associated with falls in MS. 50 PwMS with moderate disability participated in a randomized controlled trial in which interven...
Article
Full-text available
It is well-known physical exercise programs can reduce falls in older people. Recently, several studies have evaluated interactive cognitive-motor training that combines cognitive and gross motor physical exercise components. The aim of this systematic review was to determine the effects of these interactive cognitive-motor interventions on fall ri...
Article
Accidental falls remain an important problem in older people. Stepping is a common task to avoid a fall and requires good interplay between sensory functions, central processing and motor execution. Increased choice stepping reaction time has been associated with recurrent falls in older people. The aim of this study was to examine if a sensor-base...