Evidence map›Paper›PMID 27130624›Full record

ArticleJournal of general internal medicine2016

Social Function and Cognitive Status: Results from a US Nationally Representative Survey of Older Adults.

Ashwin A Kotwal, Juyeon Kim, Linda Waite, William Dale

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  9. Social network structure and composition predicting cognitive impairment: racial/ethnic differences among older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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  13. Psychosocial Function in Mild Cognitive Impairment: Social Participation is Associated With Cognitive Performance in Multiple Domains.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  18. Cross-Sectional Trajectories of Social Cognition in Later Life: Exploring Emotion Perception, Theory of Mind, and Emotional Empathy.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  19. Brain Health Attitudes, Awareness and Actions in Middle-Aged Latinos.Journal of immigrant and minority health · 2025
    Article
  20. Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ashwin A KotwalDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA. akotwal@partners.org.
Juyeon KimDepartment of Urban Sociology, University of Seoul, Seoul, South Korea.
Linda WaiteDepartment of Sociology, University of Chicago, Chicago, IL, USA.
William DaleDepartment of Medicine, University of Chicago, Chicago, IL, USA.
University of Chicago · USBrigham and Women's Hospital · USUniversity of Seoul · KR

Funding

National Social Life, Health, and Aging Project: Anaylsis of Wave 1 and Wave 2R37AG030481 · NIA · NATIONAL OPINION RESEARCH CENTER · PI WAITE, LINDA J · 2008 to 2017
$15.4M
National Social Life, Health and Aging Project (RMI)R01AG021487 · NIA · NATIONAL OPINION RESEARCH CENTER · PI WAITE, LINDA J · 2003 to 2007
$12.2M
NSHAP Wave II Partner Data CollectionR01AG033903 · NIA · NATIONAL OPINION RESEARCH CENTER · PI WAITE, LINDA J · 2009 to 2013
$5.8M
NIA NIH HHS R01 AG021487NIA NIH HHS R01 AG033903NIA NIH HHS R37 AG030481
6 · The paper itself

Abstract

backgroundAn early sign of cognitive decline in older adults is often a disruption in social function, but our understanding of this association is limited.

objectiveWe aimed to determine whether those screening positive for early stages of cognitive impairment have differences across multiple dimensions of social function and whether associations differ by gender.

designUnited States nationally representative cohort (2010), the National Social life, Health, and Aging Project (NSHAP).

participantsCommunity-dwelling adults aged 62-90 years (N = 3,310) with a response rate of 76.9 %. MAIN MEASURES: Cognition was measured using a survey adaptation of the Montreal Cognitive Assessment categorized into three groups: normal, mild cognitive impairment (MCI), and dementia. We measured three domains of social relationships, each comprised of two scales: network structure (size and density), social resources (social support and social strain), and social engagement (community involvement and socializing). We used multiple linear regression to characterize the relationship of each social relationship measure to cognition. KEY

resultsIndividuals screened as at risk for MCI and early dementia had smaller network sizes by 0.3 and 0.6 individuals (p < 0.001), and a 10 % and 25 % increase in network density (p < 0.001), respectively. For social resources, individuals at risk for MCI and dementia had 4 % and 14 % less social strain (p = 0.01), but only women had 3 % and 6 % less perceived social support (p = 0.013), respectively. For social engagement, individuals screened positive for MCI and dementia had 8 % and 19 % less community involvement (p = 0.01), but only men had 8 % and 13 % increased social involvement with neighbors and family members (p < 0.001), respectively.

conclusionChanges in social functioning provide an early indication to screen for cognitive loss. Recognition that early cognitive loss is associated with differences in social function can guide counseling efforts and help identify social vulnerabilities to ease the transition to overt dementia for both patients and caregivers.

Indexed as

Social SupportSurveys and QuestionnairesAgedAged, 80 and overAgingCognitionCognitive DysfunctionFemaleGeriatric AssessmentHumansMaleMiddle AgedUnited Statesagingcognitioncommunity dwellingMoCAsocial relationships

Identifiers

PMID27130624
PMCPMC4945567
OpenAlexW2345219376

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.