ArticleBMC geriatrics2022
Associations of social isolation, social participation, and loneliness with frailty in older adults in Singapore: a panel data analysis.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
56 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Meta-analysis of factors influencing depression in the elderly before and after the COVID-19 pandemic in 2023.BMC geriatrics · 2026Pooled it
- Multidimensional frailty as a predictor of mortality among older adults: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Intervention for Social Frailty Focusing on Physical Activity and Reducing Loneliness: A Randomized Controlled Trial.Clinical interventions in aging · 2025Trial
- Message framing effects on attitude and intention toward social participation in old age.BMC public health · 2023Trial
- Loneliness, Social Isolation, and Chronic Disease Outcomes in Adults: A Systematic Review.Cureus · 2026Review
- Social support and associated factors among community-dwelling older adults in Singapore - a cross-sectional study.BMC geriatrics · 2026Article
- Metabolic Consequences of Adverse Social Transitions among Aging Adults: A Gender-Sensitive Prospective Study of the Canadian Longitudinal Study on Aging Cohort (2011-2021).Journal of obesity & metabolic syndrome · 2026Article
- Longitudinal bidirectional associations among sarcopenia risk, social isolation, and frailty in Chinese older adults using an item response theory-derived frailty index.Frontiers in public health · 2026Observational
- Factors influencing older adults' intention to use social chatbots: examining technology acceptance, anthropomorphism, authenticity, and artificial intelligence social interaction.Innovation in aging · 2026Article
- The experience of social isolation among community-dwelling older adults: a qualitative study.BMC geriatrics · 2025Article
- Resilience and loneliness among older adults: an analysis using decision tree techniques.Aging clinical and experimental research · 2025Article
- Intergenerational approach of community dance program for older adults in singapore: a feasibility cluster-controlled trial.BMC geriatrics · 2025Article
- The independent association of social isolation and loneliness with cognitive frailty in Chinese older adults: a cross-sectional study.BMC public health · 2025Article
- Health commitment's associations with health outcomes are independent of health behaviours: insights from a cross-sectional population health survey in Singapore.BMC public health · 2025Article
- Exploring the mediating roles of depression and cognitive function in the association between sarcopenia and frailty: A Cox survival analysis approach.Journal of advanced research · 2025Article
- Ageing well in the urban environment: meeting the health and social needs of older Adults - study protocol for a prospective, longitudinal mixed-methods study.BMC geriatrics · 2025Article
- Association of health promotion behaviors with frailty in Chinese middle-aged and older adults: a cross-sectional study.BMC geriatrics · 2025Article
- Undernutrition and Increased Healthcare Demand: Evidence from a Community-Based Longitudinal Panel Study in Singapore.Nutrients · 2025Article
- Associations of social engagement and loneliness with the progression and reversal of frailty: longitudinal investigations of 2 prospective cohorts from the UK and the USA.American journal of epidemiology · 2025Article
- Frailty and loneliness among community-dwelling older adults: examining reciprocal associations within a measurement burst design.BMC geriatrics · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a shortage of research evidence about how social isolation, social participation, and loneliness were longitudinally associated with frailty. This study was to 1) examine the associations of social isolation, social participation, and loneliness with level of frailty among community-dwelling older adults using panel data, and 2) explore the moderating effect of gender on the association of social isolation, social participation and loneliness with frailty.
methodsThe study included 606 participants aged 60 years and above from the longitudinal Population Health Index Survey conducted in Singapore. At each timepoint, level of frailty was determined using the Clinical Frailty Scale. Social isolation was assessed by the Lubben Social Network Scale-6, and loneliness was assessed using the three-item UCLA Loneliness Scale. Fixed-effects ordinal logistic regressions were conducted with level of frailty as the dependent variable and social isolation and loneliness as the independent variables, adjusting for time-varying socio-demographic, lifestyle, and health-related factors.
resultsIncrease in social participation was associated with lower level of frailty (odds ratio: 0.96, 95% confidence interval: 0.93-0.99) and feeling lonely was associated with higher level of frailty (odds ratio: 2.90, 95% confidence interval: 1.44-5.84). Social isolation was not associated with frailty. Gender did not have moderating effect on these associations.
conclusionsThis study observed that social isolation and loneliness had differential longitudinal association with level of frailty among community-dwelling older adults and suggested that loneliness and frailty should be measured and addressed concurrently among community-dwelling older adults.
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