Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study.
Identifieur interne : 000604 ( Main/Corpus ); précédent : 000603; suivant : 000605Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study.
Auteurs : Keir E J. Philip ; Michael I. Polkey ; Nicholas S. Hopkinson ; Andrew Steptoe ; Daisy FancourtSource :
- Scientific reports [ 2045-2322 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (psychology), Coronavirus Infections (virology), England (epidemiology), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Interpersonal Relations (MeSH), Loneliness (psychology), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (prevention & control), Physical Functional Performance (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (psychology), Pneumonia, Viral (virology), Quarantine (psychology), Social Isolation (psychology).
- MESH :
- geographic , epidemiology : England.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- psychology : Coronavirus Infections, Loneliness, Pneumonia, Viral, Quarantine, Social Isolation.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Aged, Betacoronavirus, Female, Follow-Up Studies, Humans, Interpersonal Relations, Longitudinal Studies, Male, Middle Aged, Physical Functional Performance.
Abstract
Isolation and loneliness are related to various aspects of health. Physical performance is a central component of health. However, its relationship with isolation and loneliness is not well understood. We therefore assessed the relationship between loneliness, different aspects of social isolation, and physical performance over time. 8,780 participants from the English Longitudinal Study of Ageing, assessed three times over 8 years of follow-up, were included. Measures included physical performance (Short Physical Performance Battery), loneliness (modified UCLA Loneliness Scale), and isolation considered in three ways (domestic isolation, social disengagement, low social contact). Fixed effects regression models were used to estimate the relationship between changes in these parameters. Missing data were imputed to account for variable response and ensure a representative sample. Loneliness, domestic isolation and social disengagement were longitudinally associated with poorer physical performance when accounting for both time-invariant and time-variant confounders (loneliness: coef = - 0.06, 95% CI - 0.09 to - 0.02; domestic isolation: coef = - 0.32, 95% CI - 0.46 to - 0.19; social disengagement: coef = - 0.10, 95% CI - 0.12 to - 0.07). Low social contact was not associated with physical performance. These findings suggest social participation and subjectively meaningful interpersonal interactions are related to physical performance, and highlight additional considerations regarding social distancing related to COVID-19 control measures.
DOI: 10.1038/s41598-020-70483-3
PubMed: 32807857
PubMed Central: PMC7431531
Links to Exploration step
pubmed:32807857Le document en format XML
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Polkey</name><affiliation><nlm:affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Hopkinson, Nicholas S" sort="Hopkinson, Nicholas S" uniqKey="Hopkinson N" first="Nicholas S" last="Hopkinson">Nicholas S. Hopkinson</name><affiliation><nlm:affiliation>NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name><affiliation><nlm:affiliation>Department of Behavioural Science and Health, University College London, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Fancourt, Daisy" sort="Fancourt, Daisy" uniqKey="Fancourt D" first="Daisy" last="Fancourt">Daisy Fancourt</name><affiliation><nlm:affiliation>Department of Behavioural Science and Health, University College London, London, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32807857</idno><idno type="pmid">32807857</idno><idno type="doi">10.1038/s41598-020-70483-3</idno><idno type="pmc">PMC7431531</idno><idno type="wicri:Area/Main/Corpus">000604</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000604</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study.</title><author><name sortKey="Philip, Keir E J" sort="Philip, Keir E J" uniqKey="Philip K" first="Keir E J" last="Philip">Keir E J. Philip</name><affiliation><nlm:affiliation>NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK. k.philip@imperial.ac.uk.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK. k.philip@imperial.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Polkey, Michael I" sort="Polkey, Michael I" uniqKey="Polkey M" first="Michael I" last="Polkey">Michael I. Polkey</name><affiliation><nlm:affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Hopkinson, Nicholas S" sort="Hopkinson, Nicholas S" uniqKey="Hopkinson N" first="Nicholas S" last="Hopkinson">Nicholas S. Hopkinson</name><affiliation><nlm:affiliation>NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name><affiliation><nlm:affiliation>Department of Behavioural Science and Health, University College London, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Fancourt, Daisy" sort="Fancourt, Daisy" uniqKey="Fancourt D" first="Daisy" last="Fancourt">Daisy Fancourt</name><affiliation><nlm:affiliation>Department of Behavioural Science and Health, University College London, London, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Scientific reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (psychology)</term><term>Coronavirus Infections (virology)</term><term>England (epidemiology)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Interpersonal Relations (MeSH)</term><term>Loneliness (psychology)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (prevention & control)</term><term>Physical Functional Performance (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (psychology)</term><term>Pneumonia, Viral (virology)</term><term>Quarantine (psychology)</term><term>Social Isolation (psychology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>England</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term><term>Loneliness</term><term>Pneumonia, Viral</term><term>Quarantine</term><term>Social Isolation</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Betacoronavirus</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Interpersonal Relations</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Physical Functional Performance</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Isolation and loneliness are related to various aspects of health. Physical performance is a central component of health. However, its relationship with isolation and loneliness is not well understood. We therefore assessed the relationship between loneliness, different aspects of social isolation, and physical performance over time. 8,780 participants from the English Longitudinal Study of Ageing, assessed three times over 8 years of follow-up, were included. Measures included physical performance (Short Physical Performance Battery), loneliness (modified UCLA Loneliness Scale), and isolation considered in three ways (domestic isolation, social disengagement, low social contact). Fixed effects regression models were used to estimate the relationship between changes in these parameters. Missing data were imputed to account for variable response and ensure a representative sample. Loneliness, domestic isolation and social disengagement were longitudinally associated with poorer physical performance when accounting for both time-invariant and time-variant confounders (loneliness: coef = - 0.06, 95% CI - 0.09 to - 0.02; domestic isolation: coef = - 0.32, 95% CI - 0.46 to - 0.19; social disengagement: coef = - 0.10, 95% CI - 0.12 to - 0.07). Low social contact was not associated with physical performance. These findings suggest social participation and subjectively meaningful interpersonal interactions are related to physical performance, and highlight additional considerations regarding social distancing related to COVID-19 control measures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32807857</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2045-2322</ISSN><JournalIssue CitedMedium="Internet"><Volume>10</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>08</Month><Day>17</Day></PubDate></JournalIssue><Title>Scientific reports</Title><ISOAbbreviation>Sci Rep</ISOAbbreviation></Journal><ArticleTitle>Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study.</ArticleTitle><Pagination><MedlinePgn>13908</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/s41598-020-70483-3</ELocationID><Abstract><AbstractText>Isolation and loneliness are related to various aspects of health. Physical performance is a central component of health. However, its relationship with isolation and loneliness is not well understood. We therefore assessed the relationship between loneliness, different aspects of social isolation, and physical performance over time. 8,780 participants from the English Longitudinal Study of Ageing, assessed three times over 8 years of follow-up, were included. Measures included physical performance (Short Physical Performance Battery), loneliness (modified UCLA Loneliness Scale), and isolation considered in three ways (domestic isolation, social disengagement, low social contact). Fixed effects regression models were used to estimate the relationship between changes in these parameters. Missing data were imputed to account for variable response and ensure a representative sample. Loneliness, domestic isolation and social disengagement were longitudinally associated with poorer physical performance when accounting for both time-invariant and time-variant confounders (loneliness: coef = - 0.06, 95% CI - 0.09 to - 0.02; domestic isolation: coef = - 0.32, 95% CI - 0.46 to - 0.19; social disengagement: coef = - 0.10, 95% CI - 0.12 to - 0.07). Low social contact was not associated with physical performance. These findings suggest social participation and subjectively meaningful interpersonal interactions are related to physical performance, and highlight additional considerations regarding social distancing related to COVID-19 control measures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Philip</LastName><ForeName>Keir E J</ForeName><Initials>KEJ</Initials><Identifier Source="ORCID">0000-0001-9614-3580</Identifier><AffiliationInfo><Affiliation>NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK. k.philip@imperial.ac.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK. k.philip@imperial.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Polkey</LastName><ForeName>Michael I</ForeName><Initials>MI</Initials><AffiliationInfo><Affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hopkinson</LastName><ForeName>Nicholas S</ForeName><Initials>NS</Initials><AffiliationInfo><Affiliation>NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steptoe</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Behavioural Science and Health, University College London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fancourt</LastName><ForeName>Daisy</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Behavioural Science and Health, University College London, London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>Academic Clinical Fellowship</GrantID><Agency>National Institute for Health Research</Agency><Country>International</Country></Grant><Grant><GrantID>Imperial College Clinician Investigator Scholarship</GrantID><Agency>Imperial College London</Agency><Country>International</Country></Grant><Grant><GrantID>205407/Z/16/Z</GrantID><Agency>The Wellcome Trust</Agency><Country>International</Country></Grant><Grant><GrantID>WEL/FR-000022583</GrantID><Agency>The Nuffield Foundation</Agency><Country>International</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, 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MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004739" MajorTopicYN="N" Type="Geographic">England</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007398" MajorTopicYN="N">Interpersonal Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008132" MajorTopicYN="N">Loneliness</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000076604" MajorTopicYN="Y">Physical Functional Performance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName 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