Evidence map›Paper›PMID 30651092›Full record

ArticleBMC public health2019

Associations between social isolation, loneliness, and objective physical activity in older men and women.

Stephanie Schrempft, Marta Jackowska, Mark Hamer, Andrew Steptoe

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In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 246 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
246citing papers in PubMed, 3 pooled it
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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

246 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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186 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

4 authors.

Stephanie SchrempftDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
Marta JackowskaDepartment of Psychology, University of Roehampton, London, SW15 5PJ, UK.
Mark HamerSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK.
Andrew SteptoeDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK. a.steptoe@ucl.ac.uk.

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
CONTROL OF RENIN RELEASE IN ISOLATED JG CELLSK08HL001365 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI JOHNS, DEARING W · 1985 to 1988
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British Heart Foundation PG/13/65/30440NIA NIH HHS R01 AG017644
6 · The paper itself

Abstract

backgroundThe impact of social isolation and loneliness on health risk may be mediated by a combination of direct biological processes and lifestyle factors. This study tested the hypothesis that social isolation and loneliness are associated with less objective physical activity and more sedentary behavior in older adults.

methodsWrist-mounted accelerometers were worn over 7 days by 267 community-based men (n = 136) and women (n = 131) aged 50-81 years (mean 66.01), taking part in the English Longitudinal Study of Ageing (ELSA; wave 6, 2012-13). Associations between social isolation or loneliness and objective activity were analyzed using linear regressions, with total activity counts and time spent in sedentary behavior and light and moderate/vigorous activity as the outcome variables. Social isolation and loneliness were assessed with standard questionnaires, and poor health, mobility limitations and depressive symptoms were included as covariates.

resultsTotal 24 h activity counts were lower in isolated compared with non-isolated respondents independently of gender, age, socioeconomic status, marital status, smoking, alcohol consumption, self-rated health, limiting longstanding illness, mobility limitations, depressive symptoms, and loneliness (β = - 0.130, p = 0.028). Time spent in sedentary behavior over the day and evening was greater in isolated participants (β = 0.143, p = 0.013), while light (β = - 0.143, p = 0.015) and moderate/vigorous (β = - 0.112, p = 0.051) physical activity were less frequent. Physical activity was greater on weekdays than weekend days, but associations with social isolation were similar. Loneliness was not associated with physical activity or sedentary behavior in multivariable analysis.

conclusionsThese findings suggest that greater social isolation in older men and women is related to reduced everyday objective physical activity and greater sedentary time. Differences in physical activity may contribute to the increased risk of ill-health and poor wellbeing associated with isolation.

Indexed as

AgedAged, 80 and overExerciseFemaleGoalsHumansLonelinessLongitudinal StudiesMaleMiddle AgedSedentary BehaviorSocial IsolationSurveys and QuestionnairesAgeingLonelinessObjective physical activityOlder adultsSocial isolation

Identifiers

PMID30651092
PMCPMC6335852

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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.