Long-term outcomes of major abdominal surgery and postoperative delirium after multimodal prehabilitation of older patients.

Purpose: The long-term outcomes of surgery followed by delirium after multimodal prehabilitation program are largely unknown. We conducted this study to assess the effects of prehabilitation on 1-year mortality and of postoperative delirium on 1-year mortality and functional outcomes.

Methods: The subjects of this study were patients aged ≥ 70 years who underwent elective surgery for abdominal aortic aneurysm (AAA) or colorectal cancer (CRC) between January 2013, and June 2018.

A multicomponent prehabilitation pathway to reduce the incidence of delirium in elderly patients in need of major abdominal surgery: study protocol for a before-and-after study.

Background: Due to the increase in elderly patients who undergo major abdominal surgery there is a subsequent increase in postoperative complications, prolonged hospital stays, health-care costs and mortality rates. Delirium is a frequent and severe complication in the 'frail' elderly patient. Different preoperative approaches have been suggested to decrease incidence of delirium by improving patients' baseline health.

[A woman with speech and swallowing disorder].

A 78-year-old woman with a history of rheumatoid arthritis has been developing progressive speech and swallowing problems since 3 weeks. A CT scan of her head and neck showed a subluxation of the dens, which caused basilar invagination. This severe complication of rheumatoid arthritis is rare.

Eight-year follow-up of school-based intervention on childhood overweight--the Kiel Obesity Prevention Study.

Objective: The aim of this study was to evaluate the 8-year outcome of school-based intervention on weight status, lifestyle and blood pressure (BP) as part of the Kiel Obesity Prevention Study (KOPS).

Methods: Within a quasi-randomized controlled trial, 240 intervention (I) and 952 non-intervention (NI) students at age 6 and 14 years were assessed in schools. Six nutrition units followed by 20-min running games were performed within the first year at school.

Clustering of lifestyle factors and association with overweight in adolescents of the Kiel Obesity Prevention Study.

Objective: To identify lifestyle clusters in adolescents and to characterize their association with overweight and obesity.

Design: Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study.

Setting: Schools in Kiel, Germany.

Determinants of the prevalence and incidence of overweight in children and adolescents.

Objective: To systematically analyse determinants of overweight prevalence and incidence in children and adolescents, as a basis of treatment and prevention.

Design: Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study (KOPS).

Setting: Schools in Kiel, Germany.

Energy gain and energy gap in normal-weight children: longitudinal data of the KOPS.

Population-based prevention of overweight needs evidence-based goals consistent with our present knowledge about energy gap (i.e., daily imbalance between energy intake and energy expenditure resulting in overweight).

Association of different obesity indices with blood pressure and blood lipids in children and adolescents.

The aim of the present study was to compare individual associations of BMI, triceps skinfold (TSF), waist circumference (WC) and percentage fat mass (%FM) with blood pressure (BP) and blood lipids in children and adolescents. Cross-sectional data on BMI, TSF, WC, %FM as well as on BP, TAG and HDL were analysed in 4220 (BP) and 729 (lipids) 9-11-year-old children and 3174 (BP) and 536 (lipids) 13-16-year-old adolescents as part of the Kiel Obesity Prevention Study. All obesity indices were similarly associated with BP and blood lipids.