Cumulative loneliness and subsequent memory function and rate of decline among adults aged ≥50 in the United States, 1996 to 2016
dc.contributor.author | Yu, Xuexin | |
dc.contributor.author | Westrick, Ashly C. | |
dc.contributor.author | Kobayashi, Lindsay C. | |
dc.date.accessioned | 2023-03-03T21:08:28Z | |
dc.date.available | 2024-03-03 16:08:26 | en |
dc.date.available | 2023-03-03T21:08:28Z | |
dc.date.issued | 2023-02 | |
dc.identifier.citation | Yu, Xuexin; Westrick, Ashly C.; Kobayashi, Lindsay C. (2023). "Cumulative loneliness and subsequent memory function and rate of decline among adults aged ≥50 in the United States, 1996 to 2016." Alzheimer’s & Dementia 19(2): 578-588. | |
dc.identifier.issn | 1552-5260 | |
dc.identifier.issn | 1552-5279 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/175885 | |
dc.description.abstract | IntroductionThe study objective was to investigate the association between loneliness duration and memory function over a 20-year period.MethodsData were from 9032 adults aged ≥50 in the Health and Retirement Study. Loneliness status (yes vs. no) was assessed biennially from 1996 to 2004 and its duration was categorized as never, 1 time point, 2 time points, and ≥3 time points. Episodic memory was assessed from 2004 to 2016 as a composite of immediate and delayed recall trials combined with proxy-reported memory. Mixed-effects linear regression models were fitted.ResultsA longer duration of loneliness was associated with lower memory scores (P < 0.001) and a faster rate of decline (P < 0.001). The association was stronger among adults aged ≥65 than those aged <65 (three-way interaction P = 0.013) and was stronger among women than men (three-way interaction P = 0.002).DiscussionCumulative loneliness may be a salient risk factor for accelerated memory aging, especially among women aged ≥65.HighlightA longer duration of loneliness was associated with accelerated memory aging.The association was stronger among women than men and among older adults than the younger.Reducing loneliness in mid- to late life may help maintain memory function. | |
dc.publisher | Institute for Social Research, University of Michigan | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | older adults | |
dc.subject.other | United States | |
dc.subject.other | middle aged | |
dc.subject.other | memory aging | |
dc.subject.other | loneliness trajectories | |
dc.title | Cumulative loneliness and subsequent memory function and rate of decline among adults aged ≥50 in the United States, 1996 to 2016 | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Neurology and Neurosciences | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/175885/1/alz12734_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/175885/2/alz12734.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/175885/3/alz12734-sup-0002-SuppMatS2.pdf | |
dc.identifier.doi | 10.1002/alz.12734 | |
dc.identifier.source | Alzheimer’s & Dementia | |
dc.identifier.citedreference | Hawkley LC, Thisted RA, Masi CM, Cacioppo JT. Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. Psychol Aging. 2010; 25 ( 1 ): 132 - 141. doi: 10.1037/a0017805 | |
dc.identifier.citedreference | Van Dongen HPA, Olofsen E, Dinges DF, Maislin G. Mixed-model regression analysis and dealing with interindividual differences. Methods in Enzymology. Academic Press; 2004; 384: 139 - 171. | |
dc.identifier.citedreference | Weuve J, Tchetgen EJ, Glymour MM, et al. Accounting for bias due to selective attrition: the example of smoking and cognitive decline. Epidemiology. 2012; 23 ( 1 ): 119 - 128. doi: 10.1097/EDE.0b013e318230e861 | |
dc.identifier.citedreference | Robins JM, Hernán MA, Brumback B. Marginal structural models and causal inference in epidemiology. Epidemiology. 2000; 11 ( 5 ): 550 - 560. doi: 10.1097/00001648-200009000-00011 | |
dc.identifier.citedreference | Pool LR, Burgard SA, Needham BL, Elliott MR, Langa KM, Mendes de Leon CF. Association of a negative wealth shock with all-cause mortality in middle-aged and older adults in the United States. JAMA. 2018; 319 ( 13 ): 1341 - 1350. doi: 10.1001/jama.2018.2055 | |
dc.identifier.citedreference | Cacioppo JT, Hawkley LC, Ernst JM, et al. Loneliness within a nomological net: an evolutionary perspective. J Res Pers. 2006; 40 ( 6 ): 1054 - 1085. doi: 10.1016/j.jrp.2005.11.007 | |
dc.identifier.citedreference | Akerlind I, Hörnquist JO. Loneliness and alcohol abuse: a review of evidences of an interplay. Soc Sci Med. 1992; 34 ( 4 ): 405 - 414. doi: 10.1016/0277-9536(92)90300-f | |
dc.identifier.citedreference | Hawkley LC, Thisted RA, Cacioppo JT. Loneliness predicts reduced physical activity: cross-sectional & longitudinal analyses. Health Psychol. 2009; 28 ( 3 ): 354 - 363. doi: 10.1037/a0014400 | |
dc.identifier.citedreference | Dyal SR, Valente TW. A systematic review of loneliness and smoking: small effects, big implications. Subst Use Misuse. 2015; 50 ( 13 ): 1697 - 1716. doi: 10.3109/10826084.2015.1027933 | |
dc.identifier.citedreference | Kurina LM, Knutson KL, Hawkley LC, Cacioppo JT, Lauderdale DS, Ober C. Loneliness is associated with sleep fragmentation in a communal society. Sleep. 2011; 34 ( 11 ): 1519 - 1526. doi: 10.5665/sleep.1390 | |
dc.identifier.citedreference | Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart. 2016; 102 ( 13 ): 1009 - 1016. doi: 10.1136/heartjnl-2015-308790 | |
dc.identifier.citedreference | Lee SL, Pearce E, Ajnakina O, et al. The association between loneliness and depressive symptoms among adults aged 50 years and older: a 12-year population-based cohort study. Lancet Psychiatry. 2021; 8 ( 1 ): 48 - 57. doi: 10.1016/S2215-0366(20)30383-7 | |
dc.identifier.citedreference | Ju YS, Ooms SJ, Sutphen C, et al. Slow wave sleep disruption increases cerebrospinal fluid amyloid-β levels. Brain. 2017; 140 ( 8 ): 2104 - 2111. doi: 10.1093/brain/awx148 | |
dc.identifier.citedreference | Spira AP, Chen-Edinboro LP, Wu MN, Yaffe K. Impact of sleep on the risk of cognitive decline and dementia. Curr Opin Psychiatry. 2014; 27 ( 6 ): 478 - 483. doi: 10.1097/YCO.0000000000000106 | |
dc.identifier.citedreference | Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020; 396 ( 10248 ): 413 - 446. doi: 10.1016/S0140-6736(20)30367-6 | |
dc.identifier.citedreference | Zeki Al Hazzouri A, Caunca MR, Nobrega JC, et al. Greater depressive symptoms, cognition, and markers of brain aging. Northern Manhattan Study. Neurology. 2018; 90 ( 23 ): e2077 - e2085. doi: 10.1212/wnl.0000000000005639 | |
dc.identifier.citedreference | Ong AD, Rothstein JD, Uchino BN. Loneliness accentuates age differences in cardiovascular responses to social evaluative threat. Psychol Aging. 2012; 27 ( 1 ): 190 - 198. doi: 10.1037/a0025570 | |
dc.identifier.citedreference | Hawkley LC, Masi CM, Berry JD, Cacioppo JT. Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychol Aging. 2006; 21 ( 1 ): 152 - 164. doi: 10.1037/0882-7974.21.1.152 | |
dc.identifier.citedreference | Boehlen FH, Maatouk I, Friederich H-C, Schoettker B, Brenner H, Wild B. Loneliness as a gender-specific predictor of physical and mental health-related quality of life in older adults. Qual Life Res. 2021; 31 ( 7 ): 2023 - 2033. doi: 10.1007/s11136-021-03055-1 | |
dc.identifier.citedreference | Liu H, Zhang M, Yang Q, Yu B. Gender differences in the influence of social isolation and loneliness on depressive symptoms in college students: a longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2020; 55 ( 2 ): 251 - 257. doi: 10.1007/s00127-019-01726-6 | |
dc.identifier.citedreference | Zhou Z, Wang P, Fang Y. Loneliness and the risk of dementia among older Chinese adults: gender differences. Aging Ment Health. 2018; 22 ( 4 ): 519 - 525. doi: 10.1080/13607863.2016.1277976 | |
dc.identifier.citedreference | Borys S, Perlman D. Gender differences in loneliness. Pers Soc Psychol Bull. 1985; 11 ( 1 ): 63 - 74. doi: 10.1177/0146167285111006 | |
dc.identifier.citedreference | Russell DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess. 1996; 66 ( 1 ): 20 - 40. doi: 10.1207/s15327752jpa6601_2 | |
dc.identifier.citedreference | Evans IEM, Llewellyn DJ, Matthews FE, et al. Living alone and cognitive function in later life. Arch Gerontol Geriatr. 2019; 81: 222 - 233. doi: 10.1016/j.archger.2018.12.014 | |
dc.identifier.citedreference | Wilson RS, Krueger KR, Arnold SE, et al. Loneliness and risk of Alzheimer disease. Arch Gen Psychiatry. 2007; 64 ( 2 ): 234 - 240. doi: 10.1001/archpsyc.64.2.234 | |
dc.identifier.citedreference | Rafnsson SB, Orrell M, d’Orsi E, Hogervorst E, Steptoe A. Loneliness, social integration, and incident dementia over 6 years: prospective findings from the English Longitudinal Study of Ageing. J Gerontol B Psychol Sci Sco Sci. 2017; 75 ( 1 ): 114 - 124. doi: 10.1093/geronb/gbx087 | |
dc.identifier.citedreference | Shankar A, Hamer M, McMunn A, Steptoe A. Social isolation and loneliness: relationships with cognitive function during 4 years of follow-up in the English longitudinal study of ageing. Psychosom Med. 2013; 75 ( 2 ): 161 - 170. doi: 10.1097/PSY.0b013e31827f09cd | |
dc.identifier.citedreference | Holwerda TJ, Deeg DJ, Beekman AT, et al. Feelings of loneliness, but not social isolation, predict dementia onset: results from the Amsterdam Study of the Elderly (AMSTEL). J Neurol Neurosurg Psychiatry. 2014; 85 ( 2 ): 135 - 142. doi: 10.1136/jnnp-2012-302755 | |
dc.identifier.citedreference | Poey JL, Burr JA, Roberts JS. Social connectedness, perceived isolation, and dementia: does the social environment moderate the relationship between genetic risk and cognitive well-being? Gerontologist. 2017; 57 ( 6 ): 1031 - 1040. doi: 10.1093/geront/gnw154 | |
dc.identifier.citedreference | Boss L, Kang DH, Branson S. Loneliness and cognitive function in the older adult: a systematic review. Int Psychogeriatr. 2015; 27 ( 4 ): 541 - 553. doi: 10.1017/s1041610214002749 | |
dc.identifier.citedreference | Donovan NJ, Wu Q, Rentz DM, Sperling RA, Marshall GA, Glymour MM. Loneliness, depression and cognitive function in older U.S. adults. Int J Geriatr Psychiatry. 2017; 32 ( 5 ): 564 - 573. doi: 10.1002/gps.4495 | |
dc.identifier.citedreference | Smoyak SA. Loneliness: a sourcebook of current theory, research and therapy. J Psychosoc Nurs Ment Health Ser. 1984; 22 ( 6 ): 40 - 41. doi: 10.3928/0279-3695-19840601-09 | |
dc.identifier.citedreference | Mund M, Freuding MM, Möbius K, Horn N, Neyer FJ. The stability and change of loneliness across the life span: a meta-analysis of longitudinal studies. Pers Soc Psychol Rev. 2020; 24 ( 1 ): 24 - 52. doi: 10.1177/1088868319850738 | |
dc.identifier.citedreference | Saczynski JS, Pfeifer LA, Masaki K, et al. The effect of social engagement on incident dementia: the Honolulu-Asia Aging Study. Am J Epidemiol. 2006; 163 ( 5 ): 433 - 440. doi: 10.1093/aje/kwj061 | |
dc.identifier.citedreference | Sutin AR, Stephan Y, Luchetti M, Terracciano A. Loneliness and risk of dementia. J Gerontol B Psychol Sci Sco Sci. 2018; 75 ( 7 ): 1414 - 1422. doi: 10.1093/geronb/gby112 | |
dc.identifier.citedreference | Rawtaer I, Gao Q, Nyunt MSZ, et al. Psychosocial risk and protective factors and incident mild cognitive impairment and dementia in community dwelling elderly: findings from the Singapore Longitudinal Ageing Study. J Alzheimers Dis. 2017; 57: 603 - 611. doi: 10.3233/JAD-160862 | |
dc.identifier.citedreference | Okely JA, Deary IJ. Longitudinal associations between loneliness and cognitive ability in the Lothian Birth Cohort 1936. J Gerontol B Psychol Sci Soc Sci. 2019; 74 ( 8 ): 1376 - 1386. doi: 10.1093/geronb/gby086 | |
dc.identifier.citedreference | Kaup AR, Byers AL, Falvey C, et al. Trajectories of depressive symptoms in older adults and risk of dementia. JAMA Psychiatry. 2016; 73 ( 5 ): 525 - 531. doi: 10.1001/jamapsychiatry.2016.0004 | |
dc.identifier.citedreference | Li G, Wang LY, Shofer JB, et al. Temporal relationship between depression and dementia: findings from a large community-based 15-year follow-up study. Arch Gen Psychiatry. 2011; 68 ( 9 ): 970 - 977. doi: 10.1001/archgenpsychiatry.2011.86 | |
dc.identifier.citedreference | Zhong BL, Chen SL, Tu X, Conwell Y. Loneliness and cognitive function in older adults: findings from the Chinese Longitudinal Healthy Longevity Survey. J Gerontol B Psychol Sci Sco Sci. 2017; 72 ( 1 ): 120 - 128. doi: 10.1093/geronb/gbw037 | |
dc.identifier.citedreference | Akhter-Khan SC, Tao Q, Ang TFA, et al. Associations of loneliness with risk of Alzheimer’s disease dementia in the Framingham Heart Study. Alzheimers Dement. 2021; 17 ( 10 ): 1619 - 1627. doi: 10.1002/alz.12327 | |
dc.identifier.citedreference | Lara E, Caballero FF, Rico-Uribe LA, et al. Are loneliness and social isolation associated with cognitive decline? Int J Geriatr Psychiatry. 2019; 34 ( 11 ): 1613 - 1622. doi: 10.1002/gps.5174 | |
dc.identifier.citedreference | Hawkley LC, Masi CM, Berry JD, Cacioppo JT. Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychol Aging. 2006; 21 ( 1 ): 152 - 164. doi: 10.1037/0882-7974.21.1.152 | |
dc.identifier.citedreference | Yu B, Steptoe A, Niu K, Jia X. Social isolation and loneliness as risk factors for grip strength decline among older women and men in China. J Am Med Dir Assoc. 2020; 21 ( 12 ): 1926 - 1930. doi: 10.1016/j.jamda.2020.06.029 | |
dc.identifier.citedreference | Weiner MR, Monin JK, Mota N, Pietrzak RH. Age differences in the association of social support and mental health in male US veterans: results from the National Health and Resilience in Veterans Study. Am J Geriatr Psychiatry. 2016; 24 ( 4 ): 327 - 336. doi: 10.1016/j.jagp.2015.11.007 | |
dc.identifier.citedreference | Antonucci TC, Akiyama H. An examination of sex differences in social support among older men and women. Sex Roles. 1987; 17 ( 11 ): 737 - 749. doi: 10.1007/BF00287685 | |
dc.identifier.citedreference | Sonnega A, Faul JD, Ofstedal MB, Langa KM, Phillips JW, Weir DR. Cohort profile: the health and retirement study (HRS). Int J Epidemiol. 2014; 43 ( 2 ): 576 - 585. doi: 10.1093/ije/dyu067 | |
dc.identifier.citedreference | Langa KM, Ryan LH, McCammon RJ, et al. The health and retirement study harmonized cognitive assessment protocol project: study design and methods. Neuroepidemiology. 2020; 54 ( 1 ): 64 - 74. doi: 10.1159/000503004 | |
dc.identifier.citedreference | Steffick DE. Documentation of affective functioning measures in the Health and Retirement Study. Ann Arbor, Michigan: Institute for Social Research, University of Michigan; 2020. | |
dc.identifier.citedreference | Lewinsohn PM, Seeley JR, Roberts RE, Allen NB. Center for epidemiologic studies depression scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging. 1997; 12 ( 2 ): 277 - 287. doi: 10.1037//0882-7974.12.2.277 | |
dc.identifier.citedreference | Mary Beth O, Gwenith GF, Herzog AR. Documentation of cognitive functioning measures in the Health and Retirement Study. Ann Arbor, Michigan: Institute for Social Research, University of Michigan; 2005. | |
dc.identifier.citedreference | Wu Q, Tchetgen EJ, Osypuk TL, White K, Mujahid M, Maria Glymour M. Combining direct and proxy assessments to reduce attrition bias in a longitudinal study. Alzheimer Dis Assoc Disord. 2013; 27 ( 3 ): 207 - 212. doi: 10.1097/WAD.0b013e31826cfe90 | |
dc.identifier.citedreference | Whitlock EL, Diaz-Ramirez LG, Smith AK, et al. Association of coronary artery bypass grafting vs percutaneous coronary intervention with memory decline in older adults undergoing coronary revascularization. JAMA. 2021; 325 ( 19 ): 1955 - 1964. doi: 10.1001/jama.2021.5150 | |
dc.identifier.citedreference | Shaw JG, Farid M, Noel-Miller C, et al. Social isolation and medicare spending: among older adults, objective social isolation increases expenditures while loneliness does not. J Aging Health. 2017; 29 ( 7 ): 1119 - 1143. doi: 10.1177/0898264317703559 | |
dc.identifier.citedreference | Peng S, Roth AR. Social isolation and loneliness before and during the covid-19 pandemic: a longitudinal study of US adults older than 50. J Gerontol B Psychol Sci Sco Sci. 2022; 77 ( 7 ): e185 - e190. doi: 10.1093/geronb/gbab068 | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.