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Förderung der Hautgesundheit im Alter

Skin health promotion in the elderly

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Zusammenfassung

Hintergrund

Hautalterung ist mit anatomischen und physiologischen Veränderungen assoziiert. Diese Veränderungen sind nicht pathologisch, doch die verminderte funktionale Kapazität der Haut erhöht die Anfälligkeit gegenüber Hauterkrankungen und Funktionsstörungen. Gleichzeitig sind die klinischen Ausprägungen von Hautveränderungen insbesondere bei Hochaltrigkeit hochindividuell verschieden.

Ziel

Dieser Beitrag zielt auf eine kritische Reflexion und auf die Auseinandersetzung mit dem Konzept der präventiven Hautpflege und Förderung der Hautgesundheit im Alter ab.

Ergebnisse

Präventive Hautpflege im Alter umfasst alle Maßnahmen zur Reinigung und Pflege der Haut, welche der Gesunderhaltung dienen und die Wahrscheinlichkeit der Entwicklung von Hautstörungen und Krankheiten reduzieren. Präventive Hautpflege lässt sich in primäre, sekundäre und tertiäre Prävention unterteilen, doch die empirische Evidenz für einzelne Interventionen ist heterogen.

Schlussfolgerung

Bislang gibt es keine formal entwickelten Leitlinien oder Empfehlungen zur allgemeinen Hautpflege im Alter. Ein unzureichend genutztes Potential präventiver Hautpflege im höheren Lebensalter scheint sehr wahrscheinlich.

Abstract

Background

Skin aging is associated with anatomical and physiological changes. These changes are not pathological; nevertheless, reduced functional skin capacity increases the susceptibility to skin diseases and functional disorders. Especially in old age, the clinical manifestation of skin changes differs greatly between individuals.

Purpose

This contribution focuses on a critical reflection of the concept of preventative skin care and skin health promotion in the aged.

Results

Preventive skin care in the aged includes all activities to cleanse and care for the skin which contribute to health promotion and which reduce the probability developing skin disorders or diseases. Preventive skin care in the aged can be classified into primary, secondary, and tertiary prevention, but the empirical evidence supporting individual interventions is heterogeneous.

Conclusion

There are no formally developed guidelines or recommendations for basic skin care in the aged. Thus, preventive skin care in the elderly is very likely to be underused.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Kottner, A. Lichterfeld, U. Blume-Peytavi und A. Kuhlmey geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Klinik für Dermatologie, Venerologie und Allergologie, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland

    J. Kottner, A. Lichterfeld, U. Blume-Peytavi & A. Kuhlmey

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  1. J. Kottner
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  2. A. Lichterfeld
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  3. U. Blume-Peytavi
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Correspondence to J. Kottner.

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Kottner, J., Lichterfeld, A., Blume-Peytavi, U. et al. Förderung der Hautgesundheit im Alter. Z Gerontol Geriat 48, 231–236 (2015). https://doi.org/10.1007/s00391-014-0614-0

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