ArticleBMC geriatrics2022
Impact of transient and chronic loneliness on progression and reversion of frailty in community-dwelling older adults: four-year follow-up.
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 6 papers.
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Who cites it
6 citing papers in PubMed, 18 citations in OpenAlex.
- The Psychology of Social Isolation and Loneliness in Later Life.Clinics in geriatric medicine · 2025Review
- Longitudinal transitions in frailty and health-related quality of life investigated by a 5-year community study.Scientific reports · 2025Article
- The relationship between social frailty and loneliness in community-dwelling older adults: a cross-sectional study.BMC geriatrics · 2024Article
- Loneliness Predicts Progression of Frailty in Married and Widowed, but Not Unmarried Community Dwelling Older Adults.The Journal of frailty & aging · 2024Article
- Disability and loneliness in the United Kingdom: cross-sectional and longitudinal analyses of trends and transitions.BMC public health · 2023Article
- Predictors of loneliness onset and maintenance in European older adults during the COVID-19 pandemic.Frontiers in psychology · 2023Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty is a common condition in older adults that is characterized by transitions between frailty states in both directions (progression and reversion) over time. Loneliness has been reported to be associated with the incidence of frailty, but few studies have explored the impact of persistent loneliness over time on frailty. In this study, we aimed to whether and how two different types of loneliness, transient and chronic, were associated with changes in frailty status in older adults.
methodsThe analytic sample contained 2961 adults aged ≥ 60 years who completed interviews for both the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study. The logistic regression model was used to examine the relationship between transient and chronic loneliness and progression and reversion of frailty. Demographics (age, sex, education level, marital status, urban-rural residence), living alone, chronic conditions, physical function, and depressive symptoms from the 2011 wave were adjusted.
resultsAfter four years, 21% of the studied sample reported progression, 20% reported reversion in frailty, 31% reported transient loneliness, and 14% reported chronic loneliness. There was no significant difference in participants who reported transient loneliness (OR = 1.10, 95% CI [0.89,1.37]), or chronic loneliness (OR = 1.14, 95% CI [0.84,1.57]) on the progression of frailty, compared with no report of loneliness. Participants reporting chronic loneliness (OR = 0.68, 95% CI [0.50,0.93]) were less likely to report reversion in their level of frailty compared to participants who did not report loneliness but not transient loneliness (OR = 0.87, 95% CI [0.70,1.08]).
conclusionsRoughly the same percentage, a fifth, of older Chinese adults progressed or reversed in frailty status without active intervention. Chronic loneliness was related to a lower probability of reversion in the frail group than in the no loneliness group, but not in the transient loneliness group. More attention should be given to older adults with chronic loneliness.
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