Reducing Isolation and Loneliness Through Membership in a Fitness Program for Older Adults: Implications for Health

Brady, Samantha; D’Ambrosio, Lisa; Felts, Adam; Rula, Elizabeth Y.; Kell, Kenneth P.; Coughlin, Joseph F.

doi:10.1177/0733464818807820

Cited by 45 publications

(29 citation statements)

References 45 publications

(52 reference statements)

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“…Hence, the reduction of loneliness may be a secondary outcome in (existing) initiatives that are not directly intended to impact on loneliness. For example, interventions connecting individuals for other purposes, such as fitness groups to improve health, may be effective to reduce loneliness [74]. In conclusion, it should be acknowledged that the factors associated with loneliness vary across different age groups and therefore policy-makers and intervention developers should take these factors into account in efforts to reduce loneliness among adults.…”

Section: Resultsmentioning

confidence: 99%

Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19–65 years): a cross-sectional study in the Netherlands

et al. 2020

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Background: Recognition of loneliness as a health concern among adults stresses the need to understand the factors associated with loneliness. Research into factors of influence in the various phases of the adult life span (19-65 years) is scarce. Therefore, the associations between demographic, social and health-related factors and loneliness among young (19-34 years), early middle-aged (35-49 years) and late middle-aged adults (50-65 years) were explored. Methods: A secondary analysis with a large cross-sectional dataset was performed. Data was collected from September to December 2016 in the Netherlands, by a self-report survey. Loneliness was measured using the De Jong-Gierveld Loneliness Scale. In total, 26,342 adults (19-65 years) participated (response rate: 34%). Multiple logistic regression analyses were performed to examine associations between demographic, social and health-related factors as independent variables, and loneliness as dependent variable among the three age groups. Results: Prevalence of loneliness among young, early and late middle-aged adults was 39.7, 43.3 and 48.2%, respectively. Living alone, frequency of neighbour contact, perceived social exclusion, psychological distress, psychological and emotional wellbeing were consistently associated with loneliness across the groups. The association between ethnicity and loneliness was stronger among young and early middle-aged adults, compared to late middle-aged adults. Young adults showed the strongest association between contact frequency with friends and loneliness. The strength of association between financial imbalance and loneliness gradually decreased from young to late middle-aged adults. Educational level was associated with loneliness among young adults only, while an association between employment status and loneliness was found solely among early middle-aged adults. For late middle-aged adults only, perceived health was associated with loneliness. Frequency of family contact was associated with loneliness, only among early and late middle-aged adults.

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Section: Resultsmentioning

confidence: 99%

Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19–65 years): a cross-sectional study in the Netherlands

et al. 2020

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“…The sample size varied from eight participants [62] to 1193 [34] participants. The ages of the participants ranged from 60, which was the minimum accepted in this paper, to 99 years old [79].…”

Section: Participant Characteristicsmentioning

confidence: 99%

WITHDRAWN: A Systematic Review of the Literature Regarding Physical, Cognitive and Emotional Outcomes in Older Adults Practitioners of Physical Exercise

Araque-Martínez¹,

Artés-Rodríguez²,

Casimiro-Andújar³

et al. 2020

Preprint

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Background: This systematic review provides an overview about those papers with a specific physical exercise intervention aimed to improve physical, cognitive and/or emotional outcomes in healthy older people aged 60 or over. Studies with no intervention whose sample were active healthy older adults were also included.Methods: An exhaustive literature search was done through two databases, including studies from January 2000 to July 2020. Results: Of the 2006 identified records, 66 met the inclusion criteria and were selected. Results from the review showed a wide variety of older adults and lengths of the interventions, from five weeks (the shortest one) to five years. Aerobic exercise, either isolated or combined with strength performance, was also the most common type of exercise recognized in this systematic review.Conclusions: Findings also suggest that the number of studies with all, physical, cognitive and emotional outcomes have been increasing during recent years in healthy older adults.

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“…These results highlight the potential of social isolation to influence future health care utilization in older patients. Programs that address social isolation and loneliness, such as fitness programs for older adults, 33 may be cost-effective interventions as they are likely to reduce health care expenditures. Future research is needed to assess whether such interventions can reduce health care utilization and improve health outcomes for older adults.…”

Section: Resultsmentioning

confidence: 99%

Social Isolation Associated with Future Health Care Utilization

Mosen

Banegas

Tucker-Seeley

et al. 2021

Population Health Management

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Social isolation among individuals ages 65 years and older is associated with poor health outcomes. However, little is known about health care utilization patterns of socially isolated individuals. This retrospective, observational study evaluated associations between social isolation and hospital and emergency department (ED) utilization among Medicare patients ages 65 years and older. In a cohort of 18,557 Medicare members age 65 years and older at Kaiser Permanente Northwest, the authors compared rates of hospitalization and ED visits in the 12 months following a baseline survey between respondents who reported feeling lonely or socially isolated and those who did not, controlling for demographic and health variables and utilization in the 12 months prior to the survey. Statistical analysis was conducted in February 2020. In adjusted models, those who reported ''sometimes'' experiencing social isolation were more likely to have at least 1 hospital admission (odds ratio [OR sometimes ]: 1.17, 95% confidence interval [CI]: 1.01-1.35, P = 0.04), than those who ''rarely'' or ''never'' experienced social isolation. Those who experienced social isolation ''sometimes'' or ''often/always'' were more likely to have at least 1 ED visit (OR sometimes : 1.28, 95% CI: 1.15-1.41, P < 0.0001, and OR often/always : 1.51, 95% CI: 1.25-1.84, P < 0.0001, respectively) than those who ''rarely'' or ''never'' experienced social isolation. These findings suggest that self-reported social isolation may be predictive of future hospital admissions and ED utilization. Research is needed to determine how addressing social isolation needs within the health care system affects health care utilization and health outcomes.

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Reducing Isolation and Loneliness Through Membership in a Fitness Program for Older Adults: Implications for Health

Cited by 45 publications

References 45 publications

Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19–65 years): a cross-sectional study in the Netherlands

Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19–65 years): a cross-sectional study in the Netherlands

WITHDRAWN: A Systematic Review of the Literature Regarding Physical, Cognitive and Emotional Outcomes in Older Adults Practitioners of Physical Exercise

Social Isolation Associated with Future Health Care Utilization

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