Skip to main content
Erschienen in: European Journal of Applied Physiology 1/2010

01.09.2010 | Original Article

A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors

verfasst von: K. Sanada, M. Miyachi, M. Tanimoto, K. Yamamoto, H. Murakami, S. Okumura, Y. Gando, K. Suzuki, I. Tabata, M. Higuchi

Erschienen in: European Journal of Applied Physiology | Ausgabe 1/2010

Einloggen, um Zugang zu erhalten

Abstract

In this study of Japanese men and women, we determine reference values for sarcopenia and test the hypothesis that sarcopenia is associated with risk factors for cardiovascular disease, independent of waist circumference. A total of 1,488 Japanese men and women aged 18–85 years participated in this study. Appendicular muscle mass (AMM) was measured by dual-energy X-ray absorptiometry. Reference values for classes 1 and 2 sarcopenia (skeletal muscle index: AMM/height2, kg m−2) in each sex were defined as values one and two standard deviations below the sex-specific means of reference values obtained in this study from young adults aged 18–40 years. The reference values for class 1 and class 2 sarcopenia were 7.77 and 6.87 kg m−2 in men and 6.12 and 5.46 kg m−2 in women. In subjects both with class 1 and class 2 sarcopenia, body mass index and % body fat were significantly lower than in normal subjects. Despite whole-blood glycohaemoglobin A1c in men with class 1 sarcopenia was significantly higher than in normal subjects, and brachial-ankle pulse wave velocity in women both with class 1 and class 2 sarcopenia were significantly higher than in normal subjects, using one-way ANCOVA with adjustment for the covariate of waist circumference. Although sarcopenia is associated with thin body mass, it is associated with more glycation of serum proteins in men and with greater arterial stiffness in women, independent of waist circumference.
Literatur
Zurück zum Zitat Alexander NB, Fry-Welch DK, Marshall LM, Chung CC, Kowalski AM (1995) Healthy young and old women differ in their trunk elevation and hip pivot motions when rising from supine to sitting. J Am Geriatr Soc 43:338–343PubMed Alexander NB, Fry-Welch DK, Marshall LM, Chung CC, Kowalski AM (1995) Healthy young and old women differ in their trunk elevation and hip pivot motions when rising from supine to sitting. J Am Geriatr Soc 43:338–343PubMed
Zurück zum Zitat Aniansson A, Sperling L, Rundgren A, Lehnberg E (1983) Muscle function in 75-year-old men and women. A longitudinal study. Scand J Rehabil Med Suppl 9:92–102PubMed Aniansson A, Sperling L, Rundgren A, Lehnberg E (1983) Muscle function in 75-year-old men and women. A longitudinal study. Scand J Rehabil Med Suppl 9:92–102PubMed
Zurück zum Zitat Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI (1995) Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 26:485–490PubMed Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI (1995) Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 26:485–490PubMed
Zurück zum Zitat Aubertin-Leheudre M, Lord C, Goulet ED, Khalil A, Dionne IJ (2006) Effect of sarcopenia on cardiovascular disease risk factors in obese postmenopausal women. Obesity (Silver Spring) 14:2277–2283CrossRef Aubertin-Leheudre M, Lord C, Goulet ED, Khalil A, Dionne IJ (2006) Effect of sarcopenia on cardiovascular disease risk factors in obese postmenopausal women. Obesity (Silver Spring) 14:2277–2283CrossRef
Zurück zum Zitat Balagopal P, Ljungqvist O, Nair KS (1997) Skeletal muscle myosin heavy-chain synthesis rate in healthy humans. Am J Physiol 272:E45–E50PubMed Balagopal P, Ljungqvist O, Nair KS (1997) Skeletal muscle myosin heavy-chain synthesis rate in healthy humans. Am J Physiol 272:E45–E50PubMed
Zurück zum Zitat Bank AJ, Kaiser DR (1998) Smooth muscle relaxation: effects on arterial compliance, distensibility, elastic modulus, and pulse wave velocity. Hypertension 32:356–359PubMed Bank AJ, Kaiser DR (1998) Smooth muscle relaxation: effects on arterial compliance, distensibility, elastic modulus, and pulse wave velocity. Hypertension 32:356–359PubMed
Zurück zum Zitat Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763PubMed Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763PubMed
Zurück zum Zitat Borg GA (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14:377–381PubMed Borg GA (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14:377–381PubMed
Zurück zum Zitat Cohn JN (1999) Vascular wall function as a risk marker for cardiovascular disease. J Hypertens Suppl 17:S41–S44CrossRefPubMed Cohn JN (1999) Vascular wall function as a risk marker for cardiovascular disease. J Hypertens Suppl 17:S41–S44CrossRefPubMed
Zurück zum Zitat DeFronzo RA (1988) Lilly lecture 1987. The triumvirate: beta-cell, muscle, liver. A collusion responsible for NIDDM. Diabetes 37:667–687PubMed DeFronzo RA (1988) Lilly lecture 1987. The triumvirate: beta-cell, muscle, liver. A collusion responsible for NIDDM. Diabetes 37:667–687PubMed
Zurück zum Zitat Doherty TJ (2003) Invited review: aging and sarcopenia. J Appl Physiol 95:1717–1727PubMed Doherty TJ (2003) Invited review: aging and sarcopenia. J Appl Physiol 95:1717–1727PubMed
Zurück zum Zitat Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727CrossRefPubMed Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727CrossRefPubMed
Zurück zum Zitat Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18:499–502PubMed Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18:499–502PubMed
Zurück zum Zitat Gasteyger C, Tremblay A (2002) Metabolic impact of body fat distribution. J Endocrinol Invest 25:876–883PubMed Gasteyger C, Tremblay A (2002) Metabolic impact of body fat distribution. J Endocrinol Invest 25:876–883PubMed
Zurück zum Zitat Helliwell PS, Jackson S (1994) Relationship between weakness and muscle wasting in rheumatoid arthritis. Ann Rheum Dis 53:726–728CrossRefPubMed Helliwell PS, Jackson S (1994) Relationship between weakness and muscle wasting in rheumatoid arthritis. Ann Rheum Dis 53:726–728CrossRefPubMed
Zurück zum Zitat Janssen I, Heymsfield SB, Ross R (2002) Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 50:889–896CrossRefPubMed Janssen I, Heymsfield SB, Ross R (2002) Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 50:889–896CrossRefPubMed
Zurück zum Zitat Johnson D, Prud’homme D, Despres JP, Nadeau A, Tremblay A, Bouchard C (1992) Relation of abdominal obesity to hyperinsulinemia and high blood pressure in men. Int J Obes Relat Metab Disord 16:881–890PubMed Johnson D, Prud’homme D, Despres JP, Nadeau A, Tremblay A, Bouchard C (1992) Relation of abdominal obesity to hyperinsulinemia and high blood pressure in men. Int J Obes Relat Metab Disord 16:881–890PubMed
Zurück zum Zitat Judge JO, Underwood M, Gennosa T (1993) Exercise to improve gait velocity in older persons. Arch Phys Med Rehabil 74:400–406PubMed Judge JO, Underwood M, Gennosa T (1993) Exercise to improve gait velocity in older persons. Arch Phys Med Rehabil 74:400–406PubMed
Zurück zum Zitat Karakelides H, Nair KS (2005) Sarcopenia of aging and its metabolic impact. Curr Top Dev Biol 68:123–148CrossRefPubMed Karakelides H, Nair KS (2005) Sarcopenia of aging and its metabolic impact. Curr Top Dev Biol 68:123–148CrossRefPubMed
Zurück zum Zitat Kuan JW, Kuan SS, Guilbault GG (1977) Determination of plasma glucose with use of a stirrer containing immobilized glucose dehydrogenase. Clin Chem 23:1058–1061PubMed Kuan JW, Kuan SS, Guilbault GG (1977) Determination of plasma glucose with use of a stirrer containing immobilized glucose dehydrogenase. Clin Chem 23:1058–1061PubMed
Zurück zum Zitat Lara-Castro C, Weinsier RL, Hunter GR, Desmond R (2002) Visceral adipose tissue in women: longitudinal study of the effects of fat gain, time, and race. Obes Res 10:868–874CrossRefPubMed Lara-Castro C, Weinsier RL, Hunter GR, Desmond R (2002) Visceral adipose tissue in women: longitudinal study of the effects of fat gain, time, and race. Obes Res 10:868–874CrossRefPubMed
Zurück zum Zitat Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27:2588–2605CrossRefPubMed Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27:2588–2605CrossRefPubMed
Zurück zum Zitat Lear SA, Humphries KH, Kohli S, Frohlich JJ, Birmingham CL, Mancini GB (2007) Visceral adipose tissue, a potential risk factor for carotid atherosclerosis: results of the Multicultural Community Health Assessment Trial (M-CHAT). Stroke 38:2422–2429CrossRefPubMed Lear SA, Humphries KH, Kohli S, Frohlich JJ, Birmingham CL, Mancini GB (2007) Visceral adipose tissue, a potential risk factor for carotid atherosclerosis: results of the Multicultural Community Health Assessment Trial (M-CHAT). Stroke 38:2422–2429CrossRefPubMed
Zurück zum Zitat Licastro F, Candore G, Lio D, Porcellini E, Colonna-Romano G, Franceschi C, Caruso C (2005) Innate immunity and inflammation in ageing: a key for understanding age-related diseases. Immun Ageing 2:8CrossRefPubMed Licastro F, Candore G, Lio D, Porcellini E, Colonna-Romano G, Franceschi C, Caruso C (2005) Innate immunity and inflammation in ageing: a key for understanding age-related diseases. Immun Ageing 2:8CrossRefPubMed
Zurück zum Zitat Lu Q, Cheng LT, Wang T, Wan J, Liao LL, Zeng J, Qin C, Li KJ (2008) Visceral fat, arterial stiffness, and endothelial function in peritoneal dialysis patients. J Ren Nutr 18:495–502CrossRefPubMed Lu Q, Cheng LT, Wang T, Wan J, Liao LL, Zeng J, Qin C, Li KJ (2008) Visceral fat, arterial stiffness, and endothelial function in peritoneal dialysis patients. J Ren Nutr 18:495–502CrossRefPubMed
Zurück zum Zitat Miyatani M, Kawano H, Masani K, Gando Y, Yamamoto K, Tanimoto M, Oh T, Usui C, Sanada K, Higuchi M, Tabata I, Miyachi M (2008) Required muscle mass for preventing lifestyle-related diseases in Japanese women. BMC Publ Health 8:291 Miyatani M, Kawano H, Masani K, Gando Y, Yamamoto K, Tanimoto M, Oh T, Usui C, Sanada K, Higuchi M, Tabata I, Miyachi M (2008) Required muscle mass for preventing lifestyle-related diseases in Japanese women. BMC Publ Health 8:291
Zurück zum Zitat Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289:76–79CrossRefPubMed Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289:76–79CrossRefPubMed
Zurück zum Zitat Oparil S, Oberman A (1999) Nontraditional cardiovascular risk factors. Am J Med Sci 317:193–207CrossRefPubMed Oparil S, Oberman A (1999) Nontraditional cardiovascular risk factors. Am J Med Sci 317:193–207CrossRefPubMed
Zurück zum Zitat Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ (1994) Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 73:460–468CrossRefPubMed Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ (1994) Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 73:460–468CrossRefPubMed
Zurück zum Zitat Roubenoff R (2000) Sarcopenic obesity: does muscle loss cause fat gain? Lessons from rheumatoid arthritis and osteoarthritis. Ann N Y Acad Sci 904:553–557CrossRefPubMed Roubenoff R (2000) Sarcopenic obesity: does muscle loss cause fat gain? Lessons from rheumatoid arthritis and osteoarthritis. Ann N Y Acad Sci 904:553–557CrossRefPubMed
Zurück zum Zitat Roubenoff R (2004) Sarcopenic obesity: the confluence of two epidemics. Obes Res 12:887–888CrossRefPubMed Roubenoff R (2004) Sarcopenic obesity: the confluence of two epidemics. Obes Res 12:887–888CrossRefPubMed
Zurück zum Zitat Roubenoff R, Hughes VA (2000) Sarcopenia: current concepts. J Gerontol A Biol Sci Med Sci 55:M716–M724PubMed Roubenoff R, Hughes VA (2000) Sarcopenia: current concepts. J Gerontol A Biol Sci Med Sci 55:M716–M724PubMed
Zurück zum Zitat Sanada K, Miyachi M, Tabata I, Miyatani M, Tanimoto M, Oh TW, Yamamoto K, Usui C, Takahashi E, Kawano H, Gando Y, Higuchi M (2009a) Muscle mass and bone mineral indices: does the normalized bone mineral content differ with age? Eur J Clin Nutr 63:465–472CrossRefPubMed Sanada K, Miyachi M, Tabata I, Miyatani M, Tanimoto M, Oh TW, Yamamoto K, Usui C, Takahashi E, Kawano H, Gando Y, Higuchi M (2009a) Muscle mass and bone mineral indices: does the normalized bone mineral content differ with age? Eur J Clin Nutr 63:465–472CrossRefPubMed
Zurück zum Zitat Sanada K, Miyachi M, Tabata I, Suzuki K, Yamamoto K, Kawano H, Usui C, Higuchi M (2009b) Differences in body composition and risk of lifestyle-related diseases between young and older male rowers and sedentary controls. J Sports Sci 27:1027–1034CrossRefPubMed Sanada K, Miyachi M, Tabata I, Suzuki K, Yamamoto K, Kawano H, Usui C, Higuchi M (2009b) Differences in body composition and risk of lifestyle-related diseases between young and older male rowers and sedentary controls. J Sports Sci 27:1027–1034CrossRefPubMed
Zurück zum Zitat Schrager MA, Metter EJ, Simonsick E, Ble A, Bandinelli S, Lauretani F, Ferrucci L (2007) Sarcopenic obesity and inflammation in the InCHIANTI study. J Appl Physiol 102:919–925CrossRefPubMed Schrager MA, Metter EJ, Simonsick E, Ble A, Bandinelli S, Lauretani F, Ferrucci L (2007) Sarcopenic obesity and inflammation in the InCHIANTI study. J Appl Physiol 102:919–925CrossRefPubMed
Zurück zum Zitat Seidell JC (1997) Time trends in obesity: an epidemiological perspective. Horm Metab Res 29:155–158CrossRefPubMed Seidell JC (1997) Time trends in obesity: an epidemiological perspective. Horm Metab Res 29:155–158CrossRefPubMed
Zurück zum Zitat Shepherd PR, Kahn BB (1999) Glucose transporters and insulin action—implications for insulin resistance and diabetes mellitus. N Engl J Med 341:248–257CrossRefPubMed Shepherd PR, Kahn BB (1999) Glucose transporters and insulin action—implications for insulin resistance and diabetes mellitus. N Engl J Med 341:248–257CrossRefPubMed
Zurück zum Zitat Snijder MB, Henry RM, Visser M, Dekker JM, Seidell JC, Ferreira I, Bouter LM, Yudkin JS, Westerhof N, Stehouwer CD (2004) Regional body composition as a determinant of arterial stiffness in the elderly: the Hoorn study. J Hypertens 22:2339–2347CrossRefPubMed Snijder MB, Henry RM, Visser M, Dekker JM, Seidell JC, Ferreira I, Bouter LM, Yudkin JS, Westerhof N, Stehouwer CD (2004) Regional body composition as a determinant of arterial stiffness in the elderly: the Hoorn study. J Hypertens 22:2339–2347CrossRefPubMed
Zurück zum Zitat Stephen WC, Janssen I (2009) Sarcopenic-obesity and cardiovascular disease risk in the elderly. J Nutr Health Aging 13:460–466CrossRefPubMed Stephen WC, Janssen I (2009) Sarcopenic-obesity and cardiovascular disease risk in the elderly. J Nutr Health Aging 13:460–466CrossRefPubMed
Zurück zum Zitat Stucki G, Schonbachler J, Bruhlmann P, Mariacher S, Stoll T, Michel BA (1994) Does a muscle strength index provide complementary information to traditional disease activity variables in patients with rheumatoid arthritis? J Rheumatol 21:2200–2205PubMed Stucki G, Schonbachler J, Bruhlmann P, Mariacher S, Stoll T, Michel BA (1994) Does a muscle strength index provide complementary information to traditional disease activity variables in patients with rheumatoid arthritis? J Rheumatol 21:2200–2205PubMed
Zurück zum Zitat Sugawara J, Hayashi K, Yokoi T, Cortez-Cooper MY, DeVan AE, Anton MA, Tanaka H (2005) Brachial-ankle pulse wave velocity: an index of central arterial stiffness? J Hum Hypertens 19:401–406CrossRefPubMed Sugawara J, Hayashi K, Yokoi T, Cortez-Cooper MY, DeVan AE, Anton MA, Tanaka H (2005) Brachial-ankle pulse wave velocity: an index of central arterial stiffness? J Hum Hypertens 19:401–406CrossRefPubMed
Zurück zum Zitat Tanner CJ, Barakat HA, Dohm GL, Pories WJ, MacDonald KG, Cunningham PR, Swanson MS, Houmard JA (2002) Muscle fiber type is associated with obesity and weight loss. Am J Physiol Endocrinol Metab 282:E1191–E1196PubMed Tanner CJ, Barakat HA, Dohm GL, Pories WJ, MacDonald KG, Cunningham PR, Swanson MS, Houmard JA (2002) Muscle fiber type is associated with obesity and weight loss. Am J Physiol Endocrinol Metab 282:E1191–E1196PubMed
Zurück zum Zitat Walsh CH, Soler NG, James H, Harvey TC, Thomas BJ, Fremlin JH, Fitzgerald MG, Malins JM (1976) Studies in whole body potassium and whole body nitrogen in newly diagnosed diabetics. Q J Med 45:295–301PubMed Walsh CH, Soler NG, James H, Harvey TC, Thomas BJ, Fremlin JH, Fitzgerald MG, Malins JM (1976) Studies in whole body potassium and whole body nitrogen in newly diagnosed diabetics. Q J Med 45:295–301PubMed
Zurück zum Zitat Walsh MC, Hunter GR, Livingstone MB (2006) Sarcopenia in premenopausal and postmenopausal women with osteopenia, osteoporosis and normal bone mineral density. Osteoporos Int 17:61–67CrossRefPubMed Walsh MC, Hunter GR, Livingstone MB (2006) Sarcopenia in premenopausal and postmenopausal women with osteopenia, osteoporosis and normal bone mineral density. Osteoporos Int 17:61–67CrossRefPubMed
Zurück zum Zitat Wang J, Heymsfield SB, Aulet M, Thornton JC, Pierson RN Jr (1989) Body fat from body density: underwater weighing vs. dual-photon absorptiometry. Am J Physiol 256:E829–E834PubMed Wang J, Heymsfield SB, Aulet M, Thornton JC, Pierson RN Jr (1989) Body fat from body density: underwater weighing vs. dual-photon absorptiometry. Am J Physiol 256:E829–E834PubMed
Zurück zum Zitat Wolfson L, Judge J, Whipple R, King M (1995) Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci 50:64–67 Wolfson L, Judge J, Whipple R, King M (1995) Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci 50:64–67
Zurück zum Zitat Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S (2002) Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 3:183–190CrossRefPubMed Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S (2002) Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 3:183–190CrossRefPubMed
Metadaten
Titel
A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors
verfasst von
K. Sanada
M. Miyachi
M. Tanimoto
K. Yamamoto
H. Murakami
S. Okumura
Y. Gando
K. Suzuki
I. Tabata
M. Higuchi
Publikationsdatum
01.09.2010
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 1/2010
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-010-1473-z

Weitere Artikel der Ausgabe 1/2010

European Journal of Applied Physiology 1/2010 Zur Ausgabe

Neu im Fachgebiet Arbeitsmedizin

Das Geschlechterparadoxon in der gesundheitlich beeinträchtigten Lebenszeit – Ende eines Mythos?

Beginnend mit den 1920er-Jahren hat sich eine Vorstellung über die Geschlechterdifferenzen in Gesundheit und Mortalität etabliert, die von Lorber und Moore in dem einprägsamen Satz: „Women get sicker, but men die quicker“, zusammengefasst wurde [ 1 …, S. 13]. Tatsächlich erscheinen vor dem Hintergrund der höheren Lebenserwartung der Frauen die Studienergebnisse zu den Geschlechterdifferenzen in der Morbidität überraschend, wonach Frauen im Durchschnitt einen schlechteren Gesundheitszustand aufweisen als Männer [

Gesunde Lebenserwartung: Ein kritischer Blick auf Nutzen und Potenziale des demographischen Gesundheitsindikators

Open Access Leitthema

Die demographische Alterung hat vielfältige gesellschaftliche Konsequenzen, deren Ausmaß wesentlich vom Gesundheitszustand der Bevölkerung abhängt. Um diesen analysieren und bewerten zu können, wurden spezielle Kennziffern entwickelt, die in …

Wie hat sich die Lebenserwartung ohne funktionelle Einschränkungen in Deutschland entwickelt? Eine Analyse mit Daten des Deutschen Alterssurveys (DEAS)

Deutschland erfährt, wie andere Hocheinkommensstaaten, aufgrund kontinuierlich rückläufiger Mortalität und niedriger Geburtenraten tiefgreifende demografische Veränderungen. Der demografische Wandel führt in Deutschland zu einem zunehmend höheren …

Hitzeschutz im Fokus der hessischen Betreuungs- und Pflegeaufsicht

Open Access Klimawandel Übersichtsartikel

Im Sommer 2023 kündigte das Bundesministerium für Gesundheit (BMG) einen nationalen Hitzeschutzplan an und forderte die Länder auf, zu prüfen, „ob die Warnstufen des [Deutschen Wetterdienstes] DWD mit der Durchführung von Akutmaßnahmen …