Loneliness Is Associated with Frailty in Community‐Dwelling Elderly Adults

Herrera-Badilla, Ariana; Navarrete‐Reyes, Ana Patricia; Amieva, Hélène; Ávila-Funes, José Alberto

doi:10.1111/jgs.13308

Cited by 57 publications

(52 citation statements)

References 12 publications

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“…The hypothesis that the feeling of loneliness increases the chances of the elderly being pre-frail or frail is supported by the data found in this study and is in line with previous research (13,(36)(37) . Researchers suggest the existence of two potential mechanisms that link loneliness to the frailty syndrome: low physical activity and precarious feeding.…”

Section: Discussionsupporting

confidence: 92%

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

et al. 2019

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Objective: to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers. Method: a cross - sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables). Results: there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility. Conclusion: elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.

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Section: Discussionsupporting

confidence: 92%

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

et al. 2019

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“…If there is perceived isolation or loneliness, this increased threat and desire to connect can create physiologic changes that in turn increase morbidity and mortality . Ultimately, it is important for healthcare providers to recognize that the health effects of loneliness extend deeply into many aspects of adult health including increased risks of frailty, cardiac diseases, dementia, diabetes, loss of function, and early death …”

Section: Epidemiologymentioning

confidence: 99%

“…18 Ultimately, it is important for healthcare providers to recognize that the health effects of loneliness extend deeply into many aspects of adult health including increased risks of frailty, cardiac diseases, dementia, diabetes, loss of function, and early death. 1,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Persons with serious illness, life-limiting illness, or specific chronic health conditions may experience heightened risks for loneliness or unique circumstances because of their conditions. For example, among a sample of adults living with human immunodeficiency virus (HIV), 58% reported symptoms of loneliness, and they reported higher rates of substance use and poor health-related quality of life.…”

Section: Health Effects Of Loneliness and Social Isolationmentioning

confidence: 99%

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

Perissinotto

Holt‐Lunstad

Periyakoil

et al. 2019

J American Geriatrics Society

136

144

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Loneliness and social isolation are strongly associated with several adverse health outcomes in older persons including death and functional impairments. The strength of these associations has been compared with smoking. Accordingly, loneliness and isolation have significant public health implications. Despite the adverse impacts of loneliness and social isolation on quality of life, and their strong association with health outcomes, the evaluation of loneliness and isolation have not been integrated into medical care. The risks for loneliness may be of particular concern to persons with serious illness as patients and caregivers cope with the experience of loss, loss of independence, and increasing care needs. To date, there has been no uniform way of evaluating and documenting loneliness and social isolation as a part of a review of a patient's social determinants of health. This article provides a framework for healthcare systems, providers, and community members working with older adults to (1) understand loneliness, isolation, and its counterpart social connection; (2) describe the different ways loneliness affects health; and (3) create a framework for asking about and documenting these experiences. Finally, because the lack of studies assessing whether targeting loneliness can improve health outcomes is a major gap, we provide guidance on the future of interventions. J Am Geriatr Soc 67:657–662, 2019.

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“…Loneliness is another large problem among older persons; around 20%–30% report loneliness (Yang & Victor, ). Loneliness has been associated with frailty (Herrera‐Badilla, Navarrete‐Reyes, Amieva, & Avila‐Funes, ) and a fall in the previous year (Hajek & Konig, ). Hence, the co‐occurrence of these and other health problems is common (Navickas, Petric, Feigl, & Seychell, ; Onder et al, ).…”

Section: Introductonmentioning

confidence: 99%

A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components

Franse

Zhang

Grieken

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate specific process components of the Urban Health Centres Europe (UHCE) approach; a coordinated preventive care approach aimed at healthy ageing by decreasing falls, polypharmacy, loneliness and frailty among older persons in community settings of five cities in the United Kingdom, Greece, Croatia, the Netherlands and Spain. Design Mixed methods evaluation of specific process components of the UHCE approach: reach of the target population, dose of the intervention actually delivered and received by participants and satisfaction and experience of main stakeholders involved in the approach. Methods The UHCE approach intervention consisted of a preventive assessment, shared decision‐making on a care plan and enrolment in one or more of four coordinated care‐pathways that targeted falls, polypharmacy, loneliness and frailty. Quantitative data from a questionnaire and quantitative/qualitative data from logbooks were collected among older persons involved in the approach. Qualitative data from focus groups were collected among older persons, informal caregivers and professionals involved in the approach. Quantitative data were analysed by means of descriptive statistics and multilevel logistic regression models. Qualitative data were analysed through thematic analysis. Results Having limited function was associated with non‐enrolment in falls and loneliness care‐pathways (both p < .01). The mean rating of the approach was 8.3/10 (SD 1.9). Feeling supported by a care professional and meeting people were main benefits for older persons. Mistrust towards unfamiliar care providers, lack of confidence to engage in care activities and health constraints were main barriers towards engagement in care. Conclusions Although the UHCE approach was received generally positively, health constraints and psychosocial barriers prevented older person's engagement in care. Impact Coordinated preventive care approaches for older community‐dwelling persons should address health constraints and psychosocial barriers that hinder older person's engagement in care. Trial registration: ISRCTN registry number is ISRCTN52788952. Date of registration is 13/03/2017.

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Loneliness Is Associated with Frailty in Community‐Dwelling Elderly Adults

Cited by 57 publications

References 12 publications

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components

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