Social connections as determinants of cognitive health and as targets for social interventions in persons with or at risk of Alzheimer’s disease and related disorders: a scoping review
Social connections have a significant impact on health across age groups, including older adults. Loneliness and social isolation are known risk factors for Alzheimer’s disease and related dementias (ADRD). Yet, we did not find a review focused on meta-analyses and systematic reviews of studies that...
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| Veröffentlicht in: | International psychogeriatrics 2024-02, Vol.36 (2), p.92-118 |
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| container_title | International psychogeriatrics |
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| creator | Joshi, Pallavi Hendrie, Kyle Jester, Dylan J. Dasarathy, Dhweeja Lavretsky, Helen Ku, Benson S. Leutwyler, Heather Torous, John Jeste, Dilip V. Tampi, Rajesh R. |
| description | Social connections have a significant impact on health across age groups, including older adults. Loneliness and social isolation are known risk factors for Alzheimer’s disease and related dementias (ADRD). Yet, we did not find a review focused on meta-analyses and systematic reviews of studies that had examined associations of social connections with cognitive decline and trials of technology-based and other social interventions to enhance social connections in people with ADRD.
We conducted a scoping review of 11 meta-analyses and systematic reviews of social connections as possible determinants of cognitive decline in older adults with or at risk of developing ADRD. We also examined eight systematic reviews of technology-based and other social interventions in persons with ADRD.
The strongest evidence for an association of social connections with lower risk of cognitive decline was related to social engagement and social activities. There was also evidence linking social network size to cognitive function or cognitive decline, but it was not consistently significant. A number of, though not all, studies reported a significant association of marital status with risk of ADRD. Surprisingly, evidence showing that social support reduces the risk of ADRD was weak. To varying degrees, technology-based and other social interventions designed to reduce loneliness in people with ADRD improved social connections and activities as well as quality of life but had no significant impact on cognition. We discuss strengths and limitations of the studies included.
Social engagement and social activities seem to be the most consistent components of social connections for improving cognitive health among individuals with or at risk for ADRD. Socially focused technology-based and other social interventions aid in improving social activities and connections and deserve more research. |
| doi_str_mv | 10.1017/S1041610223000923 |
| format | Article |
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We conducted a scoping review of 11 meta-analyses and systematic reviews of social connections as possible determinants of cognitive decline in older adults with or at risk of developing ADRD. We also examined eight systematic reviews of technology-based and other social interventions in persons with ADRD.
The strongest evidence for an association of social connections with lower risk of cognitive decline was related to social engagement and social activities. There was also evidence linking social network size to cognitive function or cognitive decline, but it was not consistently significant. A number of, though not all, studies reported a significant association of marital status with risk of ADRD. Surprisingly, evidence showing that social support reduces the risk of ADRD was weak. To varying degrees, technology-based and other social interventions designed to reduce loneliness in people with ADRD improved social connections and activities as well as quality of life but had no significant impact on cognition. We discuss strengths and limitations of the studies included.
Social engagement and social activities seem to be the most consistent components of social connections for improving cognitive health among individuals with or at risk for ADRD. Socially focused technology-based and other social interventions aid in improving social activities and connections and deserve more research.</description><identifier>ISSN: 1041-6102</identifier><identifier>EISSN: 1741-203X</identifier><identifier>DOI: 10.1017/S1041610223000923</identifier><identifier>PMID: 37994532</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Age differences ; Age groups ; aging ; Associations ; Caregivers ; Clinical outcomes ; Cognition ; Cognitive ability ; Cognitive functioning ; Cognitive impairment ; Connectedness ; Connections ; Dementia ; digital ; Disease ; Health ; Intervention ; Loneliness ; Marital status ; Medical prognosis ; Medical technology ; Meta-analysis ; Older people ; pets ; Quality of life ; Risk factors ; robots ; Social activities ; Social interventions ; Social isolation ; Social networks ; Social support ; Sociology ; Systematic review ; Technology</subject><ispartof>International psychogeriatrics, 2024-02, Vol.36 (2), p.92-118</ispartof><rights>The Author(s), 2023. Published by Cambridge University Press on behalf of International Psychogeriatric Association</rights><rights>2023 The Author(s), 2023. Published by Cambridge University Press on behalf of International Psychogeriatric Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-60adb1154166527c19d659c589fd0dcf5620d74d9048bc3fa63d4dbe383455123</citedby><cites>FETCH-LOGICAL-c524t-60adb1154166527c19d659c589fd0dcf5620d74d9048bc3fa63d4dbe383455123</cites><orcidid>0000-0001-9990-5085 ; 0000-0001-9878-9633 ; 0000-0002-3770-4074</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1041610223000923/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,230,314,777,781,882,27905,27906,30980,33755,55609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37994532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joshi, Pallavi</creatorcontrib><creatorcontrib>Hendrie, Kyle</creatorcontrib><creatorcontrib>Jester, Dylan J.</creatorcontrib><creatorcontrib>Dasarathy, Dhweeja</creatorcontrib><creatorcontrib>Lavretsky, Helen</creatorcontrib><creatorcontrib>Ku, Benson S.</creatorcontrib><creatorcontrib>Leutwyler, Heather</creatorcontrib><creatorcontrib>Torous, John</creatorcontrib><creatorcontrib>Jeste, Dilip V.</creatorcontrib><creatorcontrib>Tampi, Rajesh R.</creatorcontrib><title>Social connections as determinants of cognitive health and as targets for social interventions in persons with or at risk of Alzheimer’s disease and related disorders: a scoping review</title><title>International psychogeriatrics</title><addtitle>Int. Psychogeriatr</addtitle><description>Social connections have a significant impact on health across age groups, including older adults. Loneliness and social isolation are known risk factors for Alzheimer’s disease and related dementias (ADRD). Yet, we did not find a review focused on meta-analyses and systematic reviews of studies that had examined associations of social connections with cognitive decline and trials of technology-based and other social interventions to enhance social connections in people with ADRD.
We conducted a scoping review of 11 meta-analyses and systematic reviews of social connections as possible determinants of cognitive decline in older adults with or at risk of developing ADRD. We also examined eight systematic reviews of technology-based and other social interventions in persons with ADRD.
The strongest evidence for an association of social connections with lower risk of cognitive decline was related to social engagement and social activities. There was also evidence linking social network size to cognitive function or cognitive decline, but it was not consistently significant. A number of, though not all, studies reported a significant association of marital status with risk of ADRD. Surprisingly, evidence showing that social support reduces the risk of ADRD was weak. To varying degrees, technology-based and other social interventions designed to reduce loneliness in people with ADRD improved social connections and activities as well as quality of life but had no significant impact on cognition. We discuss strengths and limitations of the studies included.
Social engagement and social activities seem to be the most consistent components of social connections for improving cognitive health among individuals with or at risk for ADRD. Socially focused technology-based and other social interventions aid in improving social activities and connections and deserve more research.</description><subject>Age differences</subject><subject>Age groups</subject><subject>aging</subject><subject>Associations</subject><subject>Caregivers</subject><subject>Clinical outcomes</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cognitive functioning</subject><subject>Cognitive impairment</subject><subject>Connectedness</subject><subject>Connections</subject><subject>Dementia</subject><subject>digital</subject><subject>Disease</subject><subject>Health</subject><subject>Intervention</subject><subject>Loneliness</subject><subject>Marital status</subject><subject>Medical prognosis</subject><subject>Medical technology</subject><subject>Meta-analysis</subject><subject>Older people</subject><subject>pets</subject><subject>Quality of life</subject><subject>Risk factors</subject><subject>robots</subject><subject>Social activities</subject><subject>Social interventions</subject><subject>Social isolation</subject><subject>Social networks</subject><subject>Social support</subject><subject>Sociology</subject><subject>Systematic review</subject><subject>Technology</subject><issn>1041-6102</issn><issn>1741-203X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kkuO1DAQhiMEYoaBA7BBltiwafAjTjqwGI1GvKSRWAxI7CzHrqRrSOzGTvcIVlyDq3AcTkKFboaXYBUr__9_ripXUdwV_KHgon50LngpKsGlVJzzRqprxaGoS7GQXL29TmeSF7N-UNzK-YJzqZUobxYHqm6aUit5WHw5jw7twFwMAdyEMWRmM_MwQRox2DBlFjuS-4ATboGtwA7TitngZ99kUw9k6WJieUfCQNEthB0LA1tDyvPxEilHPjuxhPndjD0ZPq4AR0hfP32mSzGDzfCdnWCwE_j5X0yeCI-ZZdnFNYaexC3C5e3iRmeHDHf236PizbOnr09fLM5ePX95enK2cFqW06Li1rdCaJpUpWXtROMr3Ti9bDrPvet0JbmvS9_wctk61dlK-dK3oJaq1FpIdVQc77jrTTuCd9RasoNZJxxt-mCiRfO7EnBl-rg1QnC95HVNhAd7QorvN5AnM2J2MAw2QNxkI5eNpPfQSpP1_h_Wi7hJgfozslG1Flzp2SV2Lpdizgm6q2oEN_NqmL9WgzL3fm3jKvFjF8jwZGcAGiYNOJnsEIIDj4lWw_iI_8WrfUl2bBP6Hn5W_u_UNyK_2rM</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Joshi, Pallavi</creator><creator>Hendrie, Kyle</creator><creator>Jester, Dylan J.</creator><creator>Dasarathy, Dhweeja</creator><creator>Lavretsky, Helen</creator><creator>Ku, Benson S.</creator><creator>Leutwyler, Heather</creator><creator>Torous, John</creator><creator>Jeste, Dilip V.</creator><creator>Tampi, Rajesh R.</creator><general>Cambridge University Press</general><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9990-5085</orcidid><orcidid>https://orcid.org/0000-0001-9878-9633</orcidid><orcidid>https://orcid.org/0000-0002-3770-4074</orcidid></search><sort><creationdate>20240201</creationdate><title>Social connections as determinants of cognitive health and as targets for social interventions in persons with or at risk of Alzheimer’s disease and related disorders: a scoping review</title><author>Joshi, Pallavi ; 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Psychogeriatr</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>36</volume><issue>2</issue><spage>92</spage><epage>118</epage><pages>92-118</pages><issn>1041-6102</issn><eissn>1741-203X</eissn><abstract>Social connections have a significant impact on health across age groups, including older adults. Loneliness and social isolation are known risk factors for Alzheimer’s disease and related dementias (ADRD). Yet, we did not find a review focused on meta-analyses and systematic reviews of studies that had examined associations of social connections with cognitive decline and trials of technology-based and other social interventions to enhance social connections in people with ADRD.
We conducted a scoping review of 11 meta-analyses and systematic reviews of social connections as possible determinants of cognitive decline in older adults with or at risk of developing ADRD. We also examined eight systematic reviews of technology-based and other social interventions in persons with ADRD.
The strongest evidence for an association of social connections with lower risk of cognitive decline was related to social engagement and social activities. There was also evidence linking social network size to cognitive function or cognitive decline, but it was not consistently significant. A number of, though not all, studies reported a significant association of marital status with risk of ADRD. Surprisingly, evidence showing that social support reduces the risk of ADRD was weak. To varying degrees, technology-based and other social interventions designed to reduce loneliness in people with ADRD improved social connections and activities as well as quality of life but had no significant impact on cognition. We discuss strengths and limitations of the studies included.
Social engagement and social activities seem to be the most consistent components of social connections for improving cognitive health among individuals with or at risk for ADRD. Socially focused technology-based and other social interventions aid in improving social activities and connections and deserve more research.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>37994532</pmid><doi>10.1017/S1041610223000923</doi><tpages>27</tpages><orcidid>https://orcid.org/0000-0001-9990-5085</orcidid><orcidid>https://orcid.org/0000-0001-9878-9633</orcidid><orcidid>https://orcid.org/0000-0002-3770-4074</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International psychogeriatrics, 2024-02, Vol.36 (2), p.92-118 |
| issn | 1041-6102 1741-203X |
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| source | Cambridge Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Age differences Age groups aging Associations Caregivers Clinical outcomes Cognition Cognitive ability Cognitive functioning Cognitive impairment Connectedness Connections Dementia digital Disease Health Intervention Loneliness Marital status Medical prognosis Medical technology Meta-analysis Older people pets Quality of life Risk factors robots Social activities Social interventions Social isolation Social networks Social support Sociology Systematic review Technology |
| title | Social connections as determinants of cognitive health and as targets for social interventions in persons with or at risk of Alzheimer’s disease and related disorders: a scoping review |
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