Association of the combination of social isolation and living alone with cognitive impairment in community-dwelling older adults: The IRIDE Cohort Study
•Social isolation among older adults living alone leads to cognitive impairment.•Living alone may be associated with cognitive impairment, but findings remain inconsistent.•Regardless of living alone, social isolation was associated with cognitive impairment.•Healthcare workers should focus on socia...
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| Veröffentlicht in: | Archives of gerontology and geriatrics 2024-12, Vol.127, p.105571, Article 105571 |
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| container_title | Archives of gerontology and geriatrics |
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| creator | Imamura, Keigo Kawai, Hisashi Ejiri, Manami Abe, Takumi Yamashita, Mari Sasai, Hiroyuki Obuchi, Shuichi Suzuki, Hiroyuki Fujiwara, Yoshinori Awata, Shuichi Toba, Kenji |
| description | •Social isolation among older adults living alone leads to cognitive impairment.•Living alone may be associated with cognitive impairment, but findings remain inconsistent.•Regardless of living alone, social isolation was associated with cognitive impairment.•Healthcare workers should focus on social interactions to prevent cognitive impairment.
Living alone has been associated with cognitive impairment; however, findings have been inconsistent. Social isolation among older adults who live alone may contribute to cognitive impairment. This study was carried out to examine the association of social isolation and living alone with cognitive impairment in community-dwelling older adults.
In this cross-sectional study, data from the Integrated Research Initiative for Living Well with Dementia Cohort Study, which comprises pooled data from five community-based geriatric cohorts, was used. Social isolation was defined as infrequent interactions with others. Participants were categorized into four groups based on their social isolation and living alone statuses. Cognitive function was assessed using the Mini-Mental State Examination, with a score |
| doi_str_mv | 10.1016/j.archger.2024.105571 |
| format | Article |
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Living alone has been associated with cognitive impairment; however, findings have been inconsistent. Social isolation among older adults who live alone may contribute to cognitive impairment. This study was carried out to examine the association of social isolation and living alone with cognitive impairment in community-dwelling older adults.
In this cross-sectional study, data from the Integrated Research Initiative for Living Well with Dementia Cohort Study, which comprises pooled data from five community-based geriatric cohorts, was used. Social isolation was defined as infrequent interactions with others. Participants were categorized into four groups based on their social isolation and living alone statuses. Cognitive function was assessed using the Mini-Mental State Examination, with a score <24 indicating cognitive impairment. The association between social isolation combined with living alone and cognitive impairment was analyzed using logistic regression.
Of the 4362 participants included in the analysis (mean age 75.6 years, 44.3 % male), 11 % had cognitive impairment. Regardless of living alone, social isolation was associated with cognitive impairment (no social isolation x not living alone: reference, social isolation x not living alone; odds ratio (OR): 1.74, 95 % confidence interval (CI): 1.29–2.33, social isolation x living alone; OR: 2.10, 95 % CI: 1.46–3.01).
Social isolation is associated with cognitive impairment; however, living alone is not intrinsically associated with cognitive impairment in older adults. Healthcare providers must focus on social interactions to prevent cognitive impairment in older adults rather than simply focusing on living arrangements.</description><identifier>ISSN: 0167-4943</identifier><identifier>ISSN: 1872-6976</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2024.105571</identifier><identifier>PMID: 39002518</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Cognitive Dysfunction - epidemiology ; Cognitive Dysfunction - psychology ; Cognitive function ; Cohort Studies ; Cross-Sectional Studies ; Female ; Geriatric Assessment - methods ; Humans ; Independent Living - psychology ; Independent Living - statistics & numerical data ; Living alone ; Male ; Mental Status and Dementia Tests ; Older adults ; Social isolation ; Social Isolation - psychology</subject><ispartof>Archives of gerontology and geriatrics, 2024-12, Vol.127, p.105571, Article 105571</ispartof><rights>2024 Elsevier B.V.</rights><rights>Copyright © 2024 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c243t-f3d2c85860ae66932c3e965f0e22fcd3da2ed318f33bd0a2ffa277a70af3f8ae3</cites><orcidid>0000-0002-6440-670X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2024.105571$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39002518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imamura, Keigo</creatorcontrib><creatorcontrib>Kawai, Hisashi</creatorcontrib><creatorcontrib>Ejiri, Manami</creatorcontrib><creatorcontrib>Abe, Takumi</creatorcontrib><creatorcontrib>Yamashita, Mari</creatorcontrib><creatorcontrib>Sasai, Hiroyuki</creatorcontrib><creatorcontrib>Obuchi, Shuichi</creatorcontrib><creatorcontrib>Suzuki, Hiroyuki</creatorcontrib><creatorcontrib>Fujiwara, Yoshinori</creatorcontrib><creatorcontrib>Awata, Shuichi</creatorcontrib><creatorcontrib>Toba, Kenji</creatorcontrib><creatorcontrib>IRIDE Cohort Investigators</creatorcontrib><title>Association of the combination of social isolation and living alone with cognitive impairment in community-dwelling older adults: The IRIDE Cohort Study</title><title>Archives of gerontology and geriatrics</title><addtitle>Arch Gerontol Geriatr</addtitle><description>•Social isolation among older adults living alone leads to cognitive impairment.•Living alone may be associated with cognitive impairment, but findings remain inconsistent.•Regardless of living alone, social isolation was associated with cognitive impairment.•Healthcare workers should focus on social interactions to prevent cognitive impairment.
Living alone has been associated with cognitive impairment; however, findings have been inconsistent. Social isolation among older adults who live alone may contribute to cognitive impairment. This study was carried out to examine the association of social isolation and living alone with cognitive impairment in community-dwelling older adults.
In this cross-sectional study, data from the Integrated Research Initiative for Living Well with Dementia Cohort Study, which comprises pooled data from five community-based geriatric cohorts, was used. Social isolation was defined as infrequent interactions with others. Participants were categorized into four groups based on their social isolation and living alone statuses. Cognitive function was assessed using the Mini-Mental State Examination, with a score <24 indicating cognitive impairment. The association between social isolation combined with living alone and cognitive impairment was analyzed using logistic regression.
Of the 4362 participants included in the analysis (mean age 75.6 years, 44.3 % male), 11 % had cognitive impairment. Regardless of living alone, social isolation was associated with cognitive impairment (no social isolation x not living alone: reference, social isolation x not living alone; odds ratio (OR): 1.74, 95 % confidence interval (CI): 1.29–2.33, social isolation x living alone; OR: 2.10, 95 % CI: 1.46–3.01).
Social isolation is associated with cognitive impairment; however, living alone is not intrinsically associated with cognitive impairment in older adults. Healthcare providers must focus on social interactions to prevent cognitive impairment in older adults rather than simply focusing on living arrangements.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive Dysfunction - epidemiology</subject><subject>Cognitive Dysfunction - psychology</subject><subject>Cognitive function</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Humans</subject><subject>Independent Living - psychology</subject><subject>Independent Living - statistics & numerical data</subject><subject>Living alone</subject><subject>Male</subject><subject>Mental Status and Dementia Tests</subject><subject>Older adults</subject><subject>Social isolation</subject><subject>Social Isolation - psychology</subject><issn>0167-4943</issn><issn>1872-6976</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVGPEyEUhYnRuHX1J2h49GUqAzPDjC9m0121ySYmuj4TCpeWhoEKTDf9J_5cqVP31SeSc8-555IPobc1Wdak7j7slzKq3RbikhLaFK1tef0MLeqe06obePccLYqPV83QsCv0KqU9IaQhtHuJrthACG3rfoF-36QUlJXZBo-DwXkHWIVxY_2T9HfusE3BzZr0Gjt7tH6LpQse8KPNu5LaepvtEbAdD9LGEXzG1p-3jVOZnCr9CM6dU8FpiFjqyeX0ET-UyvX39e0dXoVdiBn_yJM-vUYvjHQJ3lzea_Tz893D6mt1_-3LenVzXynasFwZpqnq274jErpuYFQxGLrWEKDUKM20pKBZ3RvGNppIaoyknEtOpGGml8Cu0ft57yGGXxOkLEabVDlUeghTEozwYWjbgbNibWeriiGlCEYcoh1lPImaiDMUsRcXKOIMRcxQSu7dpWLajKCfUv8oFMOn2QDlo0db4klZ8Aq0jaCy0MH-p-IPaD2jyA</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Imamura, Keigo</creator><creator>Kawai, Hisashi</creator><creator>Ejiri, Manami</creator><creator>Abe, Takumi</creator><creator>Yamashita, Mari</creator><creator>Sasai, Hiroyuki</creator><creator>Obuchi, Shuichi</creator><creator>Suzuki, Hiroyuki</creator><creator>Fujiwara, Yoshinori</creator><creator>Awata, Shuichi</creator><creator>Toba, Kenji</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6440-670X</orcidid></search><sort><creationdate>202412</creationdate><title>Association of the combination of social isolation and living alone with cognitive impairment in community-dwelling older adults: The IRIDE Cohort Study</title><author>Imamura, Keigo ; Kawai, Hisashi ; Ejiri, Manami ; Abe, Takumi ; Yamashita, Mari ; Sasai, Hiroyuki ; Obuchi, Shuichi ; Suzuki, Hiroyuki ; Fujiwara, Yoshinori ; Awata, Shuichi ; Toba, Kenji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c243t-f3d2c85860ae66932c3e965f0e22fcd3da2ed318f33bd0a2ffa277a70af3f8ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cognitive Dysfunction - psychology</topic><topic>Cognitive function</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Humans</topic><topic>Independent Living - psychology</topic><topic>Independent Living - statistics & numerical data</topic><topic>Living alone</topic><topic>Male</topic><topic>Mental Status and Dementia Tests</topic><topic>Older adults</topic><topic>Social isolation</topic><topic>Social Isolation - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imamura, Keigo</creatorcontrib><creatorcontrib>Kawai, Hisashi</creatorcontrib><creatorcontrib>Ejiri, Manami</creatorcontrib><creatorcontrib>Abe, Takumi</creatorcontrib><creatorcontrib>Yamashita, Mari</creatorcontrib><creatorcontrib>Sasai, Hiroyuki</creatorcontrib><creatorcontrib>Obuchi, Shuichi</creatorcontrib><creatorcontrib>Suzuki, Hiroyuki</creatorcontrib><creatorcontrib>Fujiwara, Yoshinori</creatorcontrib><creatorcontrib>Awata, Shuichi</creatorcontrib><creatorcontrib>Toba, Kenji</creatorcontrib><creatorcontrib>IRIDE Cohort Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imamura, Keigo</au><au>Kawai, Hisashi</au><au>Ejiri, Manami</au><au>Abe, Takumi</au><au>Yamashita, Mari</au><au>Sasai, Hiroyuki</au><au>Obuchi, Shuichi</au><au>Suzuki, Hiroyuki</au><au>Fujiwara, Yoshinori</au><au>Awata, Shuichi</au><au>Toba, Kenji</au><aucorp>IRIDE Cohort Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of the combination of social isolation and living alone with cognitive impairment in community-dwelling older adults: The IRIDE Cohort Study</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><addtitle>Arch Gerontol Geriatr</addtitle><date>2024-12</date><risdate>2024</risdate><volume>127</volume><spage>105571</spage><pages>105571-</pages><artnum>105571</artnum><issn>0167-4943</issn><issn>1872-6976</issn><eissn>1872-6976</eissn><abstract>•Social isolation among older adults living alone leads to cognitive impairment.•Living alone may be associated with cognitive impairment, but findings remain inconsistent.•Regardless of living alone, social isolation was associated with cognitive impairment.•Healthcare workers should focus on social interactions to prevent cognitive impairment.
Living alone has been associated with cognitive impairment; however, findings have been inconsistent. Social isolation among older adults who live alone may contribute to cognitive impairment. This study was carried out to examine the association of social isolation and living alone with cognitive impairment in community-dwelling older adults.
In this cross-sectional study, data from the Integrated Research Initiative for Living Well with Dementia Cohort Study, which comprises pooled data from five community-based geriatric cohorts, was used. Social isolation was defined as infrequent interactions with others. Participants were categorized into four groups based on their social isolation and living alone statuses. Cognitive function was assessed using the Mini-Mental State Examination, with a score <24 indicating cognitive impairment. The association between social isolation combined with living alone and cognitive impairment was analyzed using logistic regression.
Of the 4362 participants included in the analysis (mean age 75.6 years, 44.3 % male), 11 % had cognitive impairment. Regardless of living alone, social isolation was associated with cognitive impairment (no social isolation x not living alone: reference, social isolation x not living alone; odds ratio (OR): 1.74, 95 % confidence interval (CI): 1.29–2.33, social isolation x living alone; OR: 2.10, 95 % CI: 1.46–3.01).
Social isolation is associated with cognitive impairment; however, living alone is not intrinsically associated with cognitive impairment in older adults. Healthcare providers must focus on social interactions to prevent cognitive impairment in older adults rather than simply focusing on living arrangements.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>39002518</pmid><doi>10.1016/j.archger.2024.105571</doi><orcidid>https://orcid.org/0000-0002-6440-670X</orcidid></addata></record> |
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| ispartof | Archives of gerontology and geriatrics, 2024-12, Vol.127, p.105571, Article 105571 |
| issn | 0167-4943 1872-6976 1872-6976 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Aged, 80 and over Cognitive Dysfunction - epidemiology Cognitive Dysfunction - psychology Cognitive function Cohort Studies Cross-Sectional Studies Female Geriatric Assessment - methods Humans Independent Living - psychology Independent Living - statistics & numerical data Living alone Male Mental Status and Dementia Tests Older adults Social isolation Social Isolation - psychology |
| title | Association of the combination of social isolation and living alone with cognitive impairment in community-dwelling older adults: The IRIDE Cohort Study |
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