The impact of loneliness and social isolation during COVID-19 on cognition in older adults: a scoping review

Abstract

BackgroundThe COVID-19 pandemic required implementation of public health measures to reduce the spread of SARS CoV-2. This resulted in social isolation and loneliness for many older adults. Loneliness and social isolation are associated with cognitive decline, however, the impact of this during COVID-19 has not been fully characterized.ObjectiveThe aim of this scoping review was to explore the impact of social isolation and loneliness during COVID-19 on cognition in older adults.Eligibility criteriaEligible studies occurred during the COVID-19 pandemic, enrolled older adults and reported longitudinal quantitative data on both loneliness (exposure) and cognition (outcome).Sources of evidenceA comprehensive search was conducted in CINAHL, Medline, PubMed, and Psychinfo databases (updated October 10, 2023).Charting methodsStudies were screened independently by two reviewers and study characteristics, including participant demographics, loneliness and cognition measurement tools, study objectives, methods and results were extracted.ResultsThe search yielded 415 results, and seven were included in the final data synthesis. All studies were conducted between 2019 and 2023. Six studies enrolled community-dwelling individuals while the remaining study was conducted in long-term care. In 6 studies, loneliness and/or social isolation was correlated with poorer cognitive function. In the seventh study, subjective memory worsened, while objective cognitive testing did not.ConclusionLoneliness and social isolation during COVID-19 were correlated with cognitive decline in older adults. The long-term effect of these impacts remains to be shown. Future studies may focus on interventions to mitigate the effects of loneliness and social isolation during future pandemics.

Impact of Intergenerational Shokuiku (Food and Nutrition Education) Programs on Alleviating Loneliness in Japanese Communities across Ages

“…Loneliness is a risk factor for both mental and physical morbidity [ 1 , 2 ]. Moreover, it is related to physical and social frailty [ 3 , 4 ] and cognitive decline [ 5 ] among older adults, oral health [ 6 ] among adults, and a higher risk for suicidal behavior [ 7 ] and depression [ 8 ] among adolescents. A meta-analysis of 345 studies reported that loneliness levels increased linearly with increasing calendar years between 1976 and 2019 [ 9 ].…”

More Adult Women than Men at High Cardiometabolic Risk Reported Worse Lifestyles and Self-Reported Health Status in the COVID-19 Lockdown

“…This population has a heightened vulnerability to the effects of confinement compared to other age groups [22], mainly because they face an increased risk of severe complications from infectious diseases like COVID-19, attributed to their compromised immune systems and prevalent pre-existing medical conditions [23]. Moreover, prolonged social isolation, restrictions on PA and limited access to medical services during lockdown can significantly impact their mental health, increasing the risk of depression, anxiety and cognitive decline [24], as well as diminishing their quality of life [25,26]. There is also evidence of different effects of lockdown in men and women, although results are still inconclusive and contradictory [27].…”