Social isolation due to COVID-19: impact on loneliness, sedentary behavior, and falls in older adults

Soares, Beatriz Caruso; Costa, Daniele Alves; Xavier, Juliana de Faria; Viveiro, Larissa Alamino Pereira de; Antunes, Thaiany Pedrozo Campos; Mendes, Fernanda Grazielli; Oliveira, Mayara Assis Kovachich de; Bomfim, Cristina Petravicius; Hsien, Kung Su; Silva, Érika Christina Gouveia e; Pompeu, José Eduardo

doi:10.1080/13607863.2021.2003296

Cited by 14 publications

(6 citation statements)

References 19 publications

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“…Korhonen et al 17 found that an increase in the number of falls positively correlated with the fear of falling and that, as the physical activity levels of individuals decreased, the risk of falling increased. The results of a study conducted in Brazil showed that the adoption of social isolation policies due to the COVID‐19 pandemic caused an increase in loneliness and sedentary behavior in the older adult population, but that this did not affect the number of falls 18 . We observed that the estimated effect of fear of movement on the level of physical activity in older people who were exposed to social isolation during the pandemic period was 9.5%.…”

Section: Discussionmentioning

confidence: 68%

“…The results of a study conducted in Brazil showed that the adoption of social isolation policies due to the COVID‐19 pandemic caused an increase in loneliness and sedentary behavior in the older adult population, but that this did not affect the number of falls. 18 We observed that the estimated effect of fear of movement on the level of physical activity in older people who were exposed to social isolation during the pandemic period was 9.5%. Also, the fall risk observed in this population could explain 16.1% of individuals’ physical activity levels.…”

Section: Discussionmentioning

confidence: 86%

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The effects of social isolation due to COVID‐19 on the fear of movement, falling, and physical activity in older people

2022

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Objective This study investigates the interaction between fear of movement, fall risk, and physical activity levels in ageing individuals who experienced social isolation during the COVID‐19 pandemic. Methods In this descriptive and cross‐sectional study, 254 eligible participants used an online background survey. Individuals’ fear of movement was evaluated by the kinesiophobia causes scale, fall risk by the falls efficacy scale, and physical activity levels by the physical activity scale for the ageing. Results The fear of movement had a significant positive interaction on fall risk ( β = 0.471, R 2 = 0.495, p < 0.001). The fall risk had a negative effect on physical activity ( β = −1.686, R 2 = 0.161, p < 0.001). The fear of movement and fall risk explained 15.6% of the change in physical activity levels of ageing individuals ( p < 0.001). Conclusions These results showed a significant interaction between physical activity levels and fear of movement, with a high fall risk in ageing individuals during the pandemic period.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 86%

The effects of social isolation due to COVID‐19 on the fear of movement, falling, and physical activity in older people

2022

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“…The results of this study are especially relevant in post‐COVID‐19 pandemic situations when there are greater risks of having an unhealthy routine or being socially isolated (Caruso Soares et al, 2021). Although still rarely implemented in clinical settings (Clark et al, 2013), Lifestyle Redesign® is an emerging and recommended practice.…”

Section: Discussionmentioning

confidence: 93%

Feasibility of Lifestyle Redesign® for community‐dwelling older adults with and without disabilities: Results from an exploratory descriptive qualitative clinical research design

Levasseur

Lévesque

Lacasse-Bédard

et al. 2022

Aus Occup Therapy J

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Introduction: Although Lifestyle Redesign ® has been shown to be effective in improving older adults' health and well-being, little is known about the feasibility of implementing this programme to develop meaningful and healthpromoting routines of community-dwelling older adults in Canada. This study thus aimed to explore the feasibility of implementing a culturally-adapted 6-month version of Lifestyle Redesign ® with community-dwelling older French-Canadians with and without disabilities.Methods: An exploratory descriptive qualitative clinical research design was used with 17 older adults living at home or in a seniors' residence, divided into two groups participating in Lifestyle Redesign ® . Semi-structured interviews were conducted with participants and the occupational therapist who delivered the programme and recorded clinical notes.Findings: Participants were aged between 65 and 90; they were mainly women (n = 11; 64.7%), and seven (41.2%) had disabilities. The intervention was tailored to the participants' needs, interests, and capacities in each group (e.g. modules selected, number of individual sessions, and assistance of volunteer). Over the 6-month period, older adults participated in an average of about 25 group sessions with the occupational therapist and in four or five outings with their group (e.g. restaurant, market, and museum) and attended between 5 and 11 individual sessions with the occupational therapist. The most common reasons for missing group sessions were being ill, working, or having another appointment. Personal facilitators and barriers to participation in the intervention were mainly related to abilities, needs, spiritual life, and health. Environmental facilitators were mostly the regularity of the sessions, group, and external support, including human resources to deliver the intervention, whereas barriers were the residence's time restrictions and staff's attitudes, cost of some activities targeted in the programme, and transportation problems.

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“…These ndings align with other studies [44] showing an increased risk of falling in older people. It is well-established that falls can be associated with the social isolation and loneliness experienced by older people [45]. Furthermore, chronic fatigue syndrome presents a signi cant concern among older people with a negative impact on global health, with a higher prevalence in women [41].…”

Section: Sample Characteristicsmentioning

confidence: 99%

The association between loneliness and mental health disorders in older people after the COVID-19 pandemic

Araújo,

Sousa,

Sampaio

et al. 2024

Preprint

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Background Acknowledging the exacerbated impact of the COVID-19 pandemic on the mental health status of the general population, particularly the older population, this study aimed to explore the association between loneliness and mental health disorders in older people after the COVID-19 pandemic. Methods A cross-sectional survey using the SHARE database was conducted from June to August 2020 amid the COVID-19 pandemic. Results The sample comprised 847 participants, including 393 (46.4%) men, with an overall mean age of 74.6 years (sd = 6.7 years). Concerning mental health indicators, 441 (52.1%) reported feelings of nervousness, 384 (45.3%) experienced sadness or depression, 349 (41.2%) encountered sleeping difficulties, and 280 (33.1%) reported experiencing loneliness often or some of the time. The results revealed increased loneliness feelings for women who had worse health, increased fear of falling, dizziness, heightened fatigue, anxiety, depression, and concurrent health and sleep problems. Notably, age and medication had no impact on feeling lonely. Conclusions The pandemic has adversely affected the mental well-being of older population. These findings provide valuable insights for the development of targeted strategies to prevent mental health problems.

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Social isolation due to COVID-19: impact on loneliness, sedentary behavior, and falls in older adults

Cited by 14 publications

References 19 publications

The effects of social isolation due to COVID‐19 on the fear of movement, falling, and physical activity in older people

The effects of social isolation due to COVID‐19 on the fear of movement, falling, and physical activity in older people

Feasibility of Lifestyle Redesign® for community‐dwelling older adults with and without disabilities: Results from an exploratory descriptive qualitative clinical research design

The association between loneliness and mental health disorders in older people after the COVID-19 pandemic

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