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Bewegung und körperliches Training als Interventionen in der Gerontopsychiatrie

Exercise and physical training as interventions in gerontopsychiatry

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Zusammenfassung

Die Behandlung von psychischen Krankheitsbildern älterer Menschen ist oftmals durch Limitationen in der Wirksamkeit und Verträglichkeit der pharmakologisch dominierten Standardtherapie geprägt. Wirksame Alternativen und Ergänzungen durch nichtpharmakologische Therapieverfahren spielen daher bei diesen Patienten eine besonders eminente Rolle. Bewegung und körperliches Training sind Interventionen, für deren Effektivität eine hohe Evidenz in der Prophylaxe und Therapie von psychischen und kognitiven Störungen besteht. Dieser Beitrag basiert auf einer selektiven Literatursuche und gibt einen Überblick über den aktuellen Wissensstand in Bezug auf die Wirkmechanismen, die Effekte auf häufig auftretende Störungsbilder und die Modalitäten der Interventionen.

Abstract

The treatment of mental disorders in older adults is often restricted by limitations in efficacy and tolerability of pharmacologically dominated standard therapeutic strategies. Therefore, nonpharmacological therapeutic alternatives and supplements play a crucial role in these patients. Structured exercise and training are interventions that are associated with a high level of evidence in prevention and treatment of mental and cognitive disorders. This article is based on a selective search of the literature and provides an overview of the current scientific evidence with respect to the mechanisms of action, the effects on frequently occurring clinical disorders and modalities of the exercise interventions.

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Authors and Affiliations

  1. Klinik für Gerontopsychiatrie, Klinikum Christophsbad Göppingen, Faurndauer Str. 6–28, 73035, Göppingen, Deutschland

    Karsten Henkel

  2. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland

    Karsten Henkel

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Correspondence to Karsten Henkel.

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Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Henkel, K. Bewegung und körperliches Training als Interventionen in der Gerontopsychiatrie. Z Gerontol Geriat 53, 728–734 (2020). https://doi.org/10.1007/s00391-020-01810-6

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