Skip to main content

Effekte körperlicher Aktivität und körperlichen Trainings auf den psychischen Status bei älteren Menschen mit und ohne kognitive Schädigung

Effects of physical activity and physical training on the psychological status of older persons with and without cognitive impairment

Zusammenfassung

Sturzangst und Depressionen im Alter und bei Menschen mit kognitiver Einschränkung führen zu verminderter Lebensqualität. Körperliche Aktivität ist in repräsentativen Quer- und Längsschnittstudien mit einer verbesserten mentalen Gesundheit assoziiert. Dies gilt vor allem für Depressionen. Der Nachweis eines Zusammenhangs hinsichtlich der Sturzangst ist allerdings mangelhaft untersucht. Die vorliegende Übersichtsarbeit fasst den derzeitigen Stand epidemiologischer und randomisierter kontrollierter Studien (RCTs) zusammen und gibt einen Ausblick auf zukünftige Forschungsperspektiven. Die Mehrzahl der Studien belegt eine signifikante Reduktion von Depression und Sturzangst durch körperliches Training bei älteren Menschen, jedoch mit unzureichender Evidenz für kognitiv eingeschränkte Personen. Empfehlungen in Bezug auf Intensität, Dauer und Umfang des Trainings können aufgrund der geringen Anzahl an qualitativ hochwertigen vergleichenden RCTs nur eingeschränkt gegeben werden. Zur Reduktion von Depressionen wirkt ein intensives Kraft- oder Ausdauertraining, zur Verringerung der Sturzangst eine Teilnahme an Tai-Chi oder in multifaktoriellen Trainingsprogrammen am effektivsten.

Abstract

Fear of falling and depression in the elderly and among cognitively impaired people lead to restrictions in quality of life. Being more active is associated with improved mental health as documented in cross-sectional and longitudinal studies. This is especially true for depression. Such epidemiologic evidence is lacking in fear of falling. This review summarizes current evidence from epidemiological and randomized controlled trials (RCTs) and gives an outlook for future research perspectives. The majority of studies included in this review document a significant reduction of depression and fear of falling in older persons by physical training with less evidence in persons with cognitive impairment. With respect to intensity, duration, and amount of exercise, evidence-based recommendations were limited by the small number of high-quality comparative RCTs. High-intensity strength or endurance training was the most effective for reducing depression, while participation in Tai-Chi or multifactorial training programs was most effective to reduce fear of falling.

This is a preview of subscription content, access via your institution.

Literatur

  1. Abu-Omar K, Rütten A, Lehtinen V (2004) Mental health and physical activity in the European Union. Soz Praventivmed 49:301–309

    PubMed  Google Scholar 

  2. American College of Sports Medicine (1998) Position stand: exercise and physical activity for older adults. Med Sci Sports Exerc 30:992–1008

    Article  Google Scholar 

  3. American College of Sports Medicine; Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA et al (2009) Position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41:1510–1530

    Article  Google Scholar 

  4. American College of Sports Medicine (2005) Guideline for exercise testing and prescription. Lippincott, Williams, Wilkins, Philadelphia

  5. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Fall Prevention (2001) Guideline for the prevention of falls in older persons. J Am Geriatr Soc 49:664–672

    Article  Google Scholar 

  6. Arai T, Obuchi S, Inaba Y et al (2007) The effects of short-term exercise intervention on falls self-efficacy and the relationship between changes in physical function and falls self-efficacy in Japanese older people: a randomized controlled trial. Am J Phys Med Rehabil 86:133–141

    PubMed  Article  Google Scholar 

  7. Arfken CL, Lach HW, Birge SJ et al (1994) The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health 84:565–570

    PubMed  Article  CAS  Google Scholar 

  8. Babyak M, Blumenthal JA, Herman S et al (2000) Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med 62:633–638

    PubMed  CAS  Google Scholar 

  9. Bains J, Birks JS, Dening TR (2002) The efficacy of antidepressants in the treatment of depression in dementia. Cochrane Database Syst Rev 4:CD003944

    PubMed  Google Scholar 

  10. Barnett A, Smith B, Lord SR et al (2003) Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing 32:407–414

    Article  Google Scholar 

  11. Bhui K, Fletcher A (2000) Common mood and anxiety states: gender differences in the protective effect of physical activity. Soc Psychiatry Psychiatr Epidemiol 35:28–35

    PubMed  Article  CAS  Google Scholar 

  12. Blumenthal JA, Babyak MA, Moore KA (1999) Effects of exercise training on older patients with major depression. Arch Intern Med 159:2349–2356

    PubMed  Article  CAS  Google Scholar 

  13. Blumenthal JA, Emery CF, Madden DJ et al (1989) Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. J Gerontol A Biol Sci Med Sci 44:M147–M157

    CAS  Google Scholar 

  14. Blumenthal JA, Emery CF, Madden DJ et al (1991) Long-term effects of exercise on psychological functioning in older men and women. J Gerontol 46:P352–361

    PubMed  CAS  Google Scholar 

  15. Brouwer BJ, Walker C, Rydahl SJ, Culham EG (2003) Reducing fear of falling in seniors through education and activity programs: A randomized trial. J Am Geriatr Soc 51:829–834

    PubMed  Article  Google Scholar 

  16. Buchner D, Larson E (1987) Falls and fractures in patients with Alzheimer-type dementia. JAMA 257:1492–1495

    PubMed  Article  CAS  Google Scholar 

  17. Campbell AJ, Robertson MC, Gardner MM et al (1997) Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly woman. BMJ 315:1065–1069

    PubMed  Article  CAS  Google Scholar 

  18. Chin A Paw MJM, Poppel MNM van, Twisk JWR, Mechelen W van (2004) Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults living in long-term care facilities. A ‚randomized controlled trial’. BMC Geriatr 4:5

    Article  Google Scholar 

  19. Chou K-L, Lee PWH, Yu ECS et al (2004) Effect of Tai-Chi on depressive symptoms amongst Chinese older patients with depressive disorder: a randomized clinical trial. Int J Ger Psychiatry 19:1105–1107

    Article  Google Scholar 

  20. Clemson L, Cumming RG, Kendig H et al (2004) The effectiveness of a community-based program for reducing the incidence of falls in the elderly: a randomized trial. J Am Geriatr Soc 52:1487–1494

    PubMed  Article  Google Scholar 

  21. Cotman CW, Berchtold NC (2002) Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci 25:295–301

    PubMed  Article  CAS  Google Scholar 

  22. Cumming RG, Salkeld G, Thomas M et al (2000) Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci 55:M299–305

    PubMed  Article  CAS  Google Scholar 

  23. Denkinger M, Nikolaus T, Denkinger C, Lukas A (2012) Physical activity for the prevention of cognitive decline. Z Gerontol Geriat 45:11–16

    Article  CAS  Google Scholar 

  24. Devereux K, Robertson D, Briffa NK (2005) Effects of a water-based program on women 65 years and over: a randomised controlled trial. Aust J Physiother 51:102–108

    PubMed  Article  Google Scholar 

  25. Duclos M, Gouarne C, Bonnemaison D (2003) Acute and chronic effects of exercise on tissue sensitivity to glucocorticoids. J Appl Physiol 94:869–75

    PubMed  CAS  Google Scholar 

  26. Ebert D (2008) Psychiatrie systematisch. Uni-Med, Bremen, S 94

  27. Eggermont L, Scherder E (2006) Physical activity and behaviour in dementia. A review of the literature and implications for psychosocial intervention in primary care. Dementia 5:411–428

    Article  Google Scholar 

  28. Farmer ME, Locke BZ, Moscick EK et al (1988) Physical activity and depressive symptoms: the NHANES I Epidemiologic follow up study. Am J Epidemiol 128:1340–1350

    PubMed  CAS  Google Scholar 

  29. Fiatarone MA, O’Neil EF, Ryan ND et al (1994) Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 330:1769–1775

    PubMed  Article  CAS  Google Scholar 

  30. Franzoni S, Rozzini R, Boffelli S et al (1994) Fear of falling in nursing home patients. Gerontology 40:38–44

    PubMed  Article  CAS  Google Scholar 

  31. Friedman SM, Munoz B, West SK et al (2002) Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc 50:1329–1335

    PubMed  Article  Google Scholar 

  32. Gillespie LD, Gillespie WJ, Robertson MC et al (2003) Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 4:CD000340

    PubMed  Google Scholar 

  33. Gillespie LD, Robertson MC, Gillespie WJ et al (2009) Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2:CD007146

    PubMed  Google Scholar 

  34. Gregg EW, Pereira MA, Caspersen CJ (2000) Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc 48:883–893

    PubMed  CAS  Google Scholar 

  35. Grobe TG, Bramesfeld A, Schwartz FW (2006) Versorgungsgeschehen. Analyse von Krankenkassendaten. In: Stoppe G, Bramesfeld A, Schwartz FW (Hrsg) Volkskrankheit Depression? Bestandsaufnahme und Perspektiven. Springer, Berlin Heidelberg New York, S 39–98

  36. Halvarsson A, Olsson E, Farén E et al (2011) Effects of new, individually adjusted, progressive balance group training for elderly people with fear of falling and tend to fall: a randomized controlled trial. Clin Rehabil 25:1021–1031

    PubMed  Article  Google Scholar 

  37. Hauer K, Rost B Rutschle K et al (2001) Exercise training for rehabilitation and secondary prevention of falls in geriatric patients with a history of injurious falls. J Am Geriatr Soc 49:10–20

    PubMed  Article  CAS  Google Scholar 

  38. Howland J, Lachman ME, Peterson EW et al (1998) Covariates of fear of falling and associated activity curtailment. Gerontologist 38:549–55

    PubMed  Article  CAS  Google Scholar 

  39. Howland J, Peterson EW, Levin WC et al (1993) Fear of falling among the community-dwelling elderly. J Aging Health 5:229–43

    PubMed  Article  CAS  Google Scholar 

  40. Kruse A, Wahl HW (2010) Zukunft Altern – individuelle und gesellschaftliche Weichenstellung. Spektrum Heidelberg, S 297–300

  41. Lach HW (2005) Incidence and risk factors for developing fear of falling in older adults. Public Health Nurs 22:45–52

    PubMed  Article  Google Scholar 

  42. Lampinen P, Heikkinen RL, Ruoppila I (2000) Changes in intensity of physical exercise as predictors of depressive symptoms among older adults: an eight-year follow-up. Prev Med 30:371–380

    PubMed  Article  CAS  Google Scholar 

  43. Laux G, Dietmaier O (2009) Psychopharmaka: Ratgeber für Betroffene und Angehörige. Springer, Berlin Heidelberg New York, S 101–119

  44. Lawrence RH, Tennstedt SL, Kasten LE et al (1998) Intensity and correlates of fear of falling and hurting oneself in the next year: baseline findings from a Roybal Center fear of falling intervention. J Aging Health 10:267–286

    PubMed  Article  CAS  Google Scholar 

  45. Lee LYK, Lee DTF, Woo J (2010) The psychosocial effect of Tai-Chi on nursing home residents. J Clin Nurs 19:927–938

    PubMed  Article  Google Scholar 

  46. Li F, Fisher KJ, Harmer P et al (2005a) Falls self-efficacy as a mediator of fear of falling in an exercise intervention for older adults. J Gerontol B Psychol Sci Soc Sci 60B:P34-P40

    Article  Google Scholar 

  47. Li F, Harmer P, Fisher KJ et al (2005b) Tai-Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 60A:M187–M194

    Article  Google Scholar 

  48. Li F, Harmer P, McAuley E et al (2001) Tai-Chi, self-efficacy, and physical function in the elderly. Prev Sci 2:229–239

    PubMed  Article  CAS  Google Scholar 

  49. Lin MR, Hwang HF, Wang YW et al (2006) Community-based Tai-Chi and its effect on injurious falls, balance, gait, and fear of falling in older people. Phys Ther 86:1189–1201

    PubMed  Article  Google Scholar 

  50. Lin MR, Wolf SL, Hwang HF et al (2007) A randomized, controlled trial of fall prevention programs and quality of life in older fallers. J Am Geriatr Soc 55:499–506

    PubMed  Article  Google Scholar 

  51. Linden M, Kurtz G, Baltes MM et al (1998) Depression bei Hochbetagten – Ergebnisse der Berliner Altersstudie. Nervenarzt 69:27–37

    PubMed  Article  CAS  Google Scholar 

  52. Lord S, Sherrington C, Menz H (2001) Falls in older people. Cambridge University Press, Cambridge

  53. MacRae PG, Asplund LA, Schnelle JF et al (1996) A walking program for nursing home residents: effects on walk endurance, physical activity, mobility, and quality of life. J Am Geriatr Soc 44:175–180

    PubMed  CAS  Google Scholar 

  54. Mather AS, Rodriguez C, Guthrie MF et al (2002) Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder: randomized controlled trial. Br J Psychiatry 180:411–415

    PubMed  Article  Google Scholar 

  55. McAuley E, Blissmer B, Marquez DX et al (2000) Social relations, physical activity, and well-being in older adults. Prev Med 31:608–617

    PubMed  Article  CAS  Google Scholar 

  56. McAuley E, Courneya KS, Lettunich J (1991) Effects of acute and long-term exercise on self-efficacy responses in sedentary, middle-aged males and females. Gerontologist 31:534–542

    PubMed  Article  CAS  Google Scholar 

  57. McCurry SM, Gibbons LE, Logsdon RG et al (2005) Night time insomnia treatment and education for Alzheimer’s disease: A randomized, controlled trial. J Am Geriatr Soc 53:793–802

    PubMed  Article  Google Scholar 

  58. Motl RW, Birnbaum AS, Kubik MY et al (2004) Naturally occurring changes in physical activity are inversely related to depressive symptoms during early adolescence. Psychosom Med 66:336–342

    PubMed  Article  Google Scholar 

  59. Mulrow CD, Gerety MB, Kanten D et al (1994) A randomized trial of physical rehabilitation for very frail nursing-home residents. JAMA 271:519–524

    PubMed  Article  CAS  Google Scholar 

  60. Nelson JC, Devanand DP (2011) A systematic review and meta-analysis of placebo-controlled antidepressant studies in people with depression and dementia. J Am Geriatr Soc 59:577–585

    PubMed  Article  Google Scholar 

  61. Nitz JC, Choy NL (2004) The efficacy of a specific balance-strategy training programme for preventing falls among older people: a pilot randomised controlled trial. Age Ageing 33:52–58

    PubMed  Article  Google Scholar 

  62. Paffenbarger RS, Lee IM, Leung R (1994) Physical activity and personal characteristics associated with depression and suicide in American college men. Acta Psychiatr Scand 377:16–22

    Article  Google Scholar 

  63. Patten SB, Williams JV, Lavorato D et al (2011) Mortality associated with major depression in a Canadian community cohort. Can J Psychiatry 56:658–66

    PubMed  Google Scholar 

  64. Penninx BWJH, Rejeski WJ, Pandya J et al (2002) Exercise and depressive symptoms: a comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J Gerontol B Psychol Sci Soc Sci 57B:P124–P132

    Article  Google Scholar 

  65. Potter R, Ellard D, Rees K et al (2011) A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. Int J Geriatr Psychiatry 26:1000–1011

    PubMed  Article  Google Scholar 

  66. Reinsch S, MacRae P, Lachenbruch PA et al (1992) Attempts to prevent falls and injury: a prospective community study. Gerontologist 32:450–456

    PubMed  Article  CAS  Google Scholar 

  67. Robertson MC, Devlin N, Gardner MM et al (2001) Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. BMJ 322:697–701

    PubMed  Article  CAS  Google Scholar 

  68. Rugulies R (2002) Depression as a predictor for coronary heart disease. a review and meta-analysis. Am J Prev Med 23:51–61

    PubMed  Article  Google Scholar 

  69. Ruuskanen JM, I Ruoppila (1995) Physical activity and psychological well-being among people aged 65–84 years. Age Ageing 24:292–296

    PubMed  Article  CAS  Google Scholar 

  70. Sattin RW, Easley KA, Wolf SL et al (2005) Reduction in fear of falling through intense Tai-Chi exercise training in older, transitionally frail adults. J Am Geriatr Soc 53:1168–1178

    PubMed  Article  Google Scholar 

  71. Shigematsu R, Okura T, Rantanen T (2008) Square stepping exercise versus strength and balance training for fall risk factors. Aging Clin Exp Res 20:19–24

    PubMed  Google Scholar 

  72. Sims J, Hill K, Davidson S et al (2006) Exploring the feasibility of a community-based strength training program for older people with depressive symptoms and its impact on depressive symptoms. BMC Geriatr 6:18

    PubMed  Article  Google Scholar 

  73. Singh NA, Clements KM, Fiatarone M (1997) A randomized controlled trial of progressive resistance training in depressed elders. J Gerontol A Biol Sci Med Sci 52:27–35

    Article  Google Scholar 

  74. Singh NA, Clements KM, Fiatarone M et al (2001) The efficacy of exercise as a long-term antidepressant in elderly subjects: a randomized controlled trial. J Gerontol A Biol Med Sci 56:497–504

    Article  Google Scholar 

  75. Singh NA, Ding W, Manfredi TJ (1999) Insulin-like growth factor I in skeletal muscle after weight-lifting exercise in frail elders. Am J Physiol 52:M27–M35

    Google Scholar 

  76. Singh NA, Stavrinos TM, Scarbek Y et al (2005) A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults. J Gerontol A Biol Sci Med Sci 60:768–776

    PubMed  Article  Google Scholar 

  77. Sjösten N, Kivelä SL (2006) The effects of physical exercise on depressive symptoms among the aged: a systematic review. Int J Geriatr Psychiatry 21:410–418

    PubMed  Article  Google Scholar 

  78. Sjösten N, Vaapio S, Kivelä SL (2008) The effects of fall prevention trials on depressive symptoms and fear of falling among the aged: a systematic review. Aging Mental Health 12:30–46

    PubMed  Article  Google Scholar 

  79. Stephens T (1988) Physical activity and mental health in the United States and Canada: evidence from four population surveys. Prev Med 17:35–47

    PubMed  Article  CAS  Google Scholar 

  80. Strawbridge WJ, Deleger S, Roberts RE et al (2002) Physical Activity Reduces the Risk of Subsequent Depression for Older Adults. Am J Epidemiol 156:328–334

    PubMed  Article  Google Scholar 

  81. Ströhle A (2009) Physical activity, exercise, depression and anxiety disorders. J Neural Transm 116:777–784

    PubMed  Article  Google Scholar 

  82. Tennstedt S, Howland J, Lachmann M et al (1998) A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults. J Gerontol B Psychol Sci 53:384–392

    Article  Google Scholar 

  83. Teri L, Gibbons LE, McCurry SM et al (2003) Exercise plus behavioral management in patients with Alzheimer disease – a randomized controlled trial. JAMA 290:2015–2022

    PubMed  Article  CAS  Google Scholar 

  84. Timonen L, Rantanen T, Timonen TE et al (2002) Effects of group-based exercise program on the mood state of frail older women after discharge from hospital. Int J Geriatr Psychiatry 17:1106–1111

    PubMed  Article  CAS  Google Scholar 

  85. Tinetti ME, Baker DI, McAvay G et al (1994) A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 331:821–827

    PubMed  Article  CAS  Google Scholar 

  86. Tinetti ME, Richman D, Powell L (1990) Falls efficacy as a measure of fear of falling. J Gerontol Psychol Sci 45:P239–P243

    CAS  Google Scholar 

  87. Tinetti ME, Speechley M, Ginter SF (1988) Risk factors for falls among elderly persons living in the community. N Engl J Med 319:1701–1707

    PubMed  Article  CAS  Google Scholar 

  88. Van de Winckel A, Feys H, De Weerdt W et al (2004) Cognitive and behavioural effects of music-based exercises in patients with dementia. Clin Rehabil 18:253–260

    Article  Google Scholar 

  89. Vellas BJ, Wayne SJ, Romero LJ et al (1997) Fear of falling and restriction of mobility in elderly fallers. Age Ageing 26:189–193

    PubMed  Article  CAS  Google Scholar 

  90. Visser M, Pluijm SMF, Stel VS et al (2002) Physical activity as a determinant of change in mobility performance: a longitudinal Aging Study Amsterdam. J Am Geriatr Soc 50:1774–1781

    PubMed  Article  Google Scholar 

  91. Wang C, Bannuru R, Kupelnick B et al (2010) Tai-Chi on psychological well-being: systematic review and meta-analysis. BMC 10:23

    Article  Google Scholar 

  92. Wang C, Collet JP, Lau J (2004) The effect of Tai-Chi on health outcomes in patients with chronic conditions. Arch Intern Med 164:493–501

    PubMed  Article  Google Scholar 

  93. Weyerer S (1992) Physical inactivity and depression in the community. evidence from the upper Bavarian field study. Int J Sports Med 13:492–496

    PubMed  Article  CAS  Google Scholar 

  94. Williams CL, Tappen RM (2008) Exercise training for depressed older adults with Alzheimer’s disease. Aging Ment Health 12:72–80

    PubMed  Article  CAS  Google Scholar 

  95. Wolf B, Feys H, Weerdt W de et al (2001) Effect of a physical therapeutic intervention for balance problems in the elderly: a single-blind, randomized, controlled multicentre trial. Clin Rehabil 15:624–636

    PubMed  Article  CAS  Google Scholar 

  96. Wolf SL, Barnhart HX, Kutner NG et al (1996) Reducing frailty and falls in older persons: an investigation of Tai-Chi and computerized balance training. Atlanta FICSIT Group frailty and injuries: cooperative studies of intervention techniques. J Am Geriatr Soc 44:489–497

    PubMed  CAS  Google Scholar 

  97. Yates SM, Dunnagan TA (2001) Evaluating the effectiveness of a home-based fall risk reduction program for rural community-dwelling older adults. J Gerontol A Biol Sci Med Sci 56:226–230

    Article  Google Scholar 

  98. Zank S, Heidenblut S (2009) Versorgung von Depressionen im Alter. In: Adler G, Gutzmann H, Haupt M et al (Hrsg) Seelische Gesundheit und Lebensqualität im Alter. Depression – Demenz – Versorgung. Schriftreihe der Deutschen Gesellschaft für Gerontopsychiatrie- und psychotherapie e. V. Kohlhammer, Stuttgart, S 15–19

  99. Zhang JG, Ishikawa-Takata K, Yamazaki H et al (2006) The effects of Tai-Chi chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Arch Gerontol Geriatr 42:107–116

    PubMed  Article  Google Scholar 

  100. Zijlstra GA, van Haastregt JC, Ambergen T et al (2009) Effects of a multicomponent cognitive behavioural group intervention on fear of falling and activity avoidance in community-dwelling older adults: results of a randomized controlled trial. J Am Geriatr Soc 57:2020–2028

    PubMed  Article  Google Scholar 

  101. Zijlstra GA, van Haastregt JC, Eijk JT van et al (2007) Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing 36:304–309

    PubMed  Article  CAS  Google Scholar 

Download references

Danksagung

Die Studie wurde unterstützt von der Dietmar Hopp Stiftung und durch ein Stipendium des Graduiertenkollegs Demenz der Robert Bosch Stiftung und des Netzwerks Alternsforschung der Universität Heidelberg (NAR)

Interessenkonflikt

Die korrespondierenden Autoren geben für sich und ihren Koautor an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to S. Gogulla or N. Lemke.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Gogulla, S., Lemke, N. & Hauer, K. Effekte körperlicher Aktivität und körperlichen Trainings auf den psychischen Status bei älteren Menschen mit und ohne kognitive Schädigung. Z Gerontol Geriat 45, 279–289 (2012). https://doi.org/10.1007/s00391-012-0347-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00391-012-0347-x

Schlüsselwörter

  • Körperliche Aktivität
  • Körperliches Training
  • Körperliche Fitness
  • Sturzangst
  • Depression

Keywords

  • Physical activity
  • Exercise
  • Physical fitness
  • Fear of falling
  • Depression