Evidence map›Paper›PMID 30118489›Full record

ArticlePloS one2018

Social isolation, cognitive reserve, and cognition in healthy older people.

Isobel E M Evans, David J Llewellyn, Fiona E Matthews, Robert T Woods, Carol Brayne, Linda Clare, CFAS-Wales research team

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

124 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. Living Alone, Early Tau Pathology, and Loneliness in Cognitively Unimpaired Older Adults During the COVID-19 Pandemic.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Isobel E M EvansCentre for Research in Ageing and Cognitive Health (REACH), School of Psychology, University of Exeter, Exeter, United Kingdom.
David J LlewellynUniversity of Exeter Medical School, Exeter, United Kingdom.
Fiona E MatthewsInstitute of Health and Society, Faculty of Medicine, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0002-1728-2388
Robert T WoodsDementia Services Development Centre Wales, School of Healthcare Sciences, Bangor University, Bangor, United Kingdom.
Carol BrayneInstitute of Public Health, University of Cambridge, Cambridge, United Kingdom.
Linda ClareCentre for Research in Ageing and Cognitive Health (REACH), School of Psychology, University of Exeter, Exeter, United Kingdom.
CFAS-Wales research team

Funding

Medical Research Council G0601022Medical Research Council G9901400
6 · The paper itself

Abstract

There is evidence to suggest that social isolation is associated with poor cognitive health, although findings are contradictory. One reason for inconsistency in reported findings may be a lack of consideration of underlying mechanisms that could influence this relationship. Cognitive reserve is a theoretical concept that may account for the role of social isolation and its association with cognitive outcomes in later life. Therefore, we aimed to examine the relationship between social isolation and cognition in later life, and to consider the role of cognitive reserve in this relationship. Baseline and two year follow-up data from the Cognitive Function and Ageing Study-Wales (CFAS-Wales) were analysed. Social isolation was assessed using the Lubben Social Network Scale-6 (LSNS-6), cognitive function was assessed using the Cambridge Cognitive Examination (CAMCOG), and cognitive reserve was assessed using a proxy measure of education, occupational complexity, and cognitive activity. Linear regression modelling was used to assess the relationship between social isolation and cognition. To assess the role of cognitive reserve in this relationship, moderation analysis was used to test for interaction effects. After controlling for age, gender, education, and physically limiting health conditions, social isolation was associated with cognitive function at baseline and two year follow-up. Cognitive reserve moderated this association longitudinally. Findings suggest that maintaining a socially active lifestyle in later life may enhance cognitive reserve and benefit cognitive function. This has important implications for interventions that may target social isolation to improve cognitive function.

Indexed as

CognitionCognitive ReserveAgedAged, 80 and overCognitive AgingFemaleFollow-Up StudiesHealthy AgingHumansLinear ModelsMaleSocial IsolationWales

Identifiers

PMID30118489
PMCPMC6097646

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.