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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 5/2013

01.07.2013 | Beiträge zum Themenschwerpunkt

Adipositas im Alter

Klinische Relevanz und Therapieoptionen

verfasst von: Ao. Univ.-Prof. Dr. M. Lechleitner

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 5/2013

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Zusammenfassung

Die Prävalenz von Übergewicht und Adipositas nimmt auch in der älteren Bevölkerung zu. Aus epidemiologischen Untersuchungen geht hervor, dass das Körpergewicht während des Erwachsenenalters kontinuierlich ansteigt mit Spitzenwerten um das 65. Lebensjahr und einer Tendenz zur Abnahme des altersbezogenen Durchschnittsgewichts bei Höherbetagten. Übergewicht und Adipositas korrelieren vor allem mit einer Zunahme des kardiometabolischen Risikos, aber auch orthopädischer Problemen, funktioneller Einschränkungen und Immobilität. Das Mortalitätsrisiko steigt bei älteren Menschen erst im Adipositasbereich an. Eine Gewichtsreduktion bei älteren Patienten wird deshalb bei einer Adipositas mit beeinträchtigenden Komorbiditäten empfohlen. Als primäres Behandlungsziel gilt die Verbesserung der Lebensqualität. Die Kombination von Ernährungsempfehlungen und einem individuell angepassten Bewegungsprogramm ist von Vorteil, um das Risiko der Entwicklung einer Malnutrition, Sarkopenie und Osteoporose zur verringern. Für medikamentöse Therapieformen zur Gewichtsreduktion bei Adipositas liegt keine Studienevidenz für ältere Patienten vor.
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Metadaten
Titel
Adipositas im Alter
Klinische Relevanz und Therapieoptionen
verfasst von
Ao. Univ.-Prof. Dr. M. Lechleitner
Publikationsdatum
01.07.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 5/2013
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-013-0511-y