Social isolation undermines quality of life in older adults

Moreno-Tamayo, Karla; Manrique‐Espinoza, Betty; Ramírez-García, Eliseo; Sánchez-Garcí­a, Sergio

doi:10.1017/s1041610219000310

Cited by 27 publications

(22 citation statements)

References 35 publications

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“…Furthermore, from our data, it is interesting that a stronger social network was a predictor for decreased PCS in older men. This result is counter-intuitive and not in line with previous research [39]. While, at this point, we have no explanation for this association, it also indicates that not only quantity but quality of socials contacts over time are crucial to HRQOL.…”

Section: Discussioncontrasting

confidence: 96%

Loneliness as a gender-specific predictor of physical and mental health-related quality of life in older adults

et al. 2021

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Purpose Health-related quality of life (HRQOL) in older persons is influenced by physical and mental health, as well as by their social contacts and social support. Older women and men have disparate types of social networks; they each value social ties differently and experience loneliness in unique and personal ways. The aim of this study is, therefore, to determine the longitudinal association between loneliness and social isolation with HRQOL in older people—separated by gender. Methods Data stem from the third and fourth follow-up of the ESTHER study—a population-based cohort study of the older population in Germany. A sample of 2171 older women and men (mean age: 69.3 years, range 57–84 years) were included in this study; HRQOL was assessed by using the Short Form-12 questionnaire (SF-12). Data on physical and mental health, loneliness, and social networks were examined in the course of comprehensive home visits by trained study doctors. Gender-specific linear regression analyses were performed to predict physical quality of life (measured by the PCS, physical component score of the SF-12) and mental quality of life (measured by the MCS, mental component score) after three years, adjusted by socioeconomic variables as well as physical, mental, and social well-being. Results At baseline, PCS was 41.3 (SD: 10.0) in women and 42.2 (SD: 9.6) in men (p = .04). MCS was 47.0 (SD: 10.2) in women and 49.6 (SD: 8.6) in men (p < .001). In both genders, PCS and MCS were lower three years later. Loneliness at t0 was negatively associated with both PCS and MCS after three years (t1) among women, and with MCS but not PCS after three years among men. In both genders, the strongest predictor of PCS after three years was PCS at t0 (p < .001), while the strongest predictors of MCS after three years were MCS and PCS at t0. Conclusion HRQOL in elderly women and men is predicted by different biopsychosocial factors. Loneliness predicts decreased MCS after three years in both genders, but decreased PCS after three years only in women. Thus, a greater impact of loneliness on the health of older women can be surmised and should therefore be considered in the context of their medical care.

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Section: Discussioncontrasting

confidence: 96%

Loneliness as a gender-specific predictor of physical and mental health-related quality of life in older adults

et al. 2021

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“…There is extensive evidence that social isolation leads to both a lower quality-of-life and higher incidence of several psychological and physical diseases ( 2 , 3 ). Notably, the risk of death from social isolation is comparable to that imposed by some well-established clinical factors, including alcoholism, smoking, and obesity ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Social Isolation Is Associated With Rapid Kidney Function Decline and the Development of Chronic Kidney Diseases in Middle-Aged and Elderly Adults: Findings From the China Health and Retirement Longitudinal Study (CHARLS)

Zhou

Ning

et al. 2021

Front. Med.

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Background: There is limited evidence on the relationship between social isolation and renal outcomes. To address this gap, this study estimated the prospective relationship of social isolation with rapid kidney function decline and the development of chronic kidney disease (CKD) in middle-aged and elderly Chinese with normal kidney function.Methods: We analyzed data from 3,031 participants aged ≥ 45 years with baseline estimated glomerular filtration rates (eGFR) ≥ 60 ml/min/1.73 m2. All data were obtained from the 2011 and 2015 waves of the Chinese Longitudinal Study of Health and Retirement (CHARLS). eGFR was estimated based on a combination of serum creatinine and cystatin C. The primary outcome was rapid decline in renal function, as defined by an eGFR decrease of > 5 ml/min/1.73 m2 per year, while the secondary outcome was the development of CKD, as defined by an eGFR decrease to a level < 60 ml/min/1.73 m2.Results: During the follow-up of 4 years, 258 (8.5%) participants experienced a rapid decline in renal function, while 87 (2.9%) developed CKD. In the fully adjusted model, high social isolation was significantly related to an increased risk of experiencing a rapid decline in renal function (OR 1.805, 95% CI 1.310–2.487) and CKD onset (OR 1.842, 95% CI 1.084–3.129). Among the five components of social isolation, being unmarried, not participating in social activities, and living alone independently predicted declined renal function.Conclusions: Social isolation is significantly associated with the risk of rapid eGFR decline and CKD onset in middle-aged and older adults with normal kidney function in China.

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“…Using the transformed scale score of WHOQOL-OLD among older adults aged 60 years or above, Zhang et al [ 34 ] reported that the overall QOL score of urban older adults living in Xi’an, China, was 74.28. Internationally, Moreno-Tamayo et al [ 35 ] reported a score of 68.5 among Mexican older adults, and Gobbens et al [ 36 ] reported a score of 91.7 among Dutch older adults. One possible reason for these differences may be the older age of the participants in our study, as advanced age is a risk factor of poor QOL, established in previous studies [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Grip Strength with Quality of Life in the Chinese Oldest Old

Xie

2021

IJERPH

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Emerging studies have suggested an association between grip strength and health-related quality of life (QOL). However, evidence for which specific domains of QOL are associated with grip strength remains limited and inconsistent. Particularly, such evidence is scarce in the oldest old, who constitute one of the most vulnerable populations. This cross-sectional study aimed to examine the association between grip strength and overall QOL as well as specific domains in the oldest old. It included 400 community-dwelling older adults aged 80 years or older from Shanghai, China. QOL was assessed using the WHO Quality of Life of Older Adults instrument, and grip strength was measured using a digital spring-type dynamometer. On average, the overall QOL score was 54.68 (SD = 12.05). Estimates of risk-adjusted linear regressions indicated that higher grip strength was associated with better overall QOL (β = 4.40, p < 0.001) as well as the domains of autonomy (β = 6.74, p < 0.001); fulfillment with past, present, and future activities and achievements (β = 3.52, p = 0.004); and satisfaction with social participation (β = 6.72, p < 0.001). Our findings highlight the importance of maintaining or improving grip strength in delaying or reducing the decline in QOL among the community-dwelling oldest old. Also noteworthy is that the associations between grip strength and specific domains of QOL in the oldest old vary.

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Social isolation undermines quality of life in older adults

Cited by 27 publications

References 35 publications

Loneliness as a gender-specific predictor of physical and mental health-related quality of life in older adults

Loneliness as a gender-specific predictor of physical and mental health-related quality of life in older adults

Social Isolation Is Associated With Rapid Kidney Function Decline and the Development of Chronic Kidney Diseases in Middle-Aged and Elderly Adults: Findings From the China Health and Retirement Longitudinal Study (CHARLS)

Association of Grip Strength with Quality of Life in the Chinese Oldest Old

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