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Ziel der Arbeit ist es, funktionale Einschr\u00e4nkungen bei Hochaltrigen in Deutschland anhand eines globalen Indikators (Global Activity Limitation Indicator - GALI) und bereichsspezifischer Indikatoren (Alltagsfunktionalit\u00e4t, Mobilit\u00e4t, Sensorik, Harninkontinenz) zu beschreiben. Erg\u00e4nzend wird Gebrechlichkeit (Frailty) als Risikofaktor untersucht.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>\n                      Die Analysen basieren auf Daten des Deutschen Alterssurveys (DEAS) 2023 (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009938) und der Studie Gesundheit 65+ 2021\/2022 (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20092028) f\u00fcr Personen ab 80\u00a0Jahren in Privathaushalten. Der GALI wird datensatz\u00fcbergreifend, weitere Indikatoren datensatzspezifisch ausgewertet. Die Ergebnisse werden nach Geschlecht und Einkommen differenziert.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Etwa ein Viertel der Hochaltrigen ist stark funktional eingeschr\u00e4nkt; dies zeigt sich konsistent in beiden Datens\u00e4tzen. Bei der Alltagsfunktionalit\u00e4t zeigen M\u00e4nner signifikant bessere Werte als Frauen. Rund ein Drittel ist beim Gehen von mehr als einem Kilometer und knapp ein Sechstel beim Treppensteigen stark eingeschr\u00e4nkt. Schwere sensorische Einschr\u00e4nkungen betreffen 10\u202f% beim Sehen und 27\u202f% beim H\u00f6ren. Harninkontinenz berichten 40\u202f% der Hochaltrigen, Frauen h\u00e4ufiger als M\u00e4nner. Knapp die H\u00e4lfte ist nach den gew\u00e4hlten Kriterien robust, 43\u202f% \u201epre-frail\u201c und 8,6\u202f% \u201efrail\u201c. Unterschiede zwischen Einkommensgruppen zeigen sich nur teilweise und nicht konsistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Funktionale Einschr\u00e4nkungen sind bei Hochaltrigen in Privathaushalten weitverbreitet, insbesondere bei Frauen und teils bei niedrigen Einkommen. Sensorische Defizite, Harninkontinenz und Frailty sind h\u00e4ufig und haben eine hohe Versorgungsrelevanz. Pr\u00e4vention und Versorgung sollten fr\u00fch, geschlechter- und soziallagenbezogen ansetzen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00103-026-04280-0","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:55:41Z","timestamp":1786449341000},"page":"991-999","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["K\u00f6rperliche Funktionsf\u00e4higkeit und Gebrechlichkeit (Frailty) im hohen Alter in Deutschland","Physical functioning and frailty in very old age in Germany"],"prefix":"10.1007","volume":"69","author":[{"given":"Sonja","family":"Nowossadeck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svenja M.","family":"Spuling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Stuth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"4280_CR1","unstructured":"World Health Organization (2015) World report on ageing and health., Geneva"},{"key":"4280_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0277-9536(94)90294-1","volume":"38","author":"LM Verbrugge","year":"1994","unstructured":"Verbrugge\u00a0LM, Jette\u00a0AM (1994) The disablement process. 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Deutsches Zentrum f\u00fcr Altersfragen, Berlin"}],"container-title":["Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00103-026-04280-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00103-026-04280-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00103-026-04280-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:22:18Z","timestamp":1789035738000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00103-026-04280-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":41,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["4280"],"URL":"https:\/\/doi.org\/10.1007\/s00103-026-04280-0","relation":{},"ISSN":["1436-9990","1437-1588"],"issn-type":[{"value":"1436-9990","type":"print"},{"value":"1437-1588","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]},"assertion":[{"value":"31 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"S.\u00a0Nowossadeck, S.M.\u00a0Spuling, S.\u00a0Stuth und J.\u00a0Fuchs geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"In \u00dcbereinstimmung mit der Deklaration von Helsinki wurden die Teilnehmenden des DEAS \u00fcber das genaue Verfahren der Studie informiert und haben freiwillig teilgenommen. Alle Teilnehmenden gaben ihre Zustimmung. Die Studie Gesundheit\u00a065+ wurde von der Ethikkommission der Berliner \u00c4rztekammer gepr\u00fcft und f\u00fcr unbedenklich erkl\u00e4rt (Ethikvotum Nr. Eth-50\/19). Sie wurde in \u00dcbereinstimmung mit der Deklaration von Helsinki durchgef\u00fchrt. Alle Teilnehmenden wurden \u00fcber die Ziele der Studie informiert und haben freiwillig teilgenommen. Die erhobenen Daten wurden pseudonymisiert verarbeitet. Der Deutsche Alterssurvey (DEAS) wird gem\u00e4\u00df den gesetzlichen Bestimmungen der Datenschutz-Grundverordnung (DSGVO) durchgef\u00fchrt. Im Vorfeld der Studie wurde die Durchf\u00fchrung der Studie sowohl durch den Datenschutzbeauftragten des Deutschen Zentrums f\u00fcr Alterfragen als auch die Datenschutzbeauftragte des infas Instituts f\u00fcr angewandte Sozialwissenschaft gepr\u00fcft und als unbedenklich bewertet. Beide Institute tragen gem\u00e4\u00df Artikel\u00a026 DSGVO gemeinsam die datenschutzrechtliche Verantwortung. Die Studie Gesundheit\u00a065+ wurde unter strikter Einhaltung der datenschutzrechtlichen Bestimmungen der DSGVO und des Bundesdatenschutzgesetzes (BDSG) durchgef\u00fchrt. Im Vorfeld der Studie wurde die Durchf\u00fchrung der Studie durch die beh\u00f6rdliche Datenschutzbeauftrage des Robert Koch-Instituts als unbedenklich bewertet.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}