Evidence map›Paper›PMID 36617781›Full record

SynthesisJournal of Alzheimer's disease : JAD2023

Loneliness and Cognitive Function in Older Adults Without Dementia: A Systematic Review and Meta-Analysis.

Karra D Harrington, Shradha Vasan, Jee Eun Kang, Martin J Sliwinski, Michelle H Lim

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 pooled it
13.1field-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

44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. [PAPPS update on older people 2024].Atencion primaria · 2024
    Guideline
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Loneliness Moderates Affective Responses to Uplifts in Everyday Life.Personality and individual differences · 2026
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Exploring the influence of loneliness on cognitive decline: differential effects in Black and White older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  20. Review
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

5 authors at 3 institutions in 2 countries.

Karra D HarringtonIverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, VIC, Australia.
Shradha VasanIverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, VIC, Australia.
Jee Eun KangCenter for Healthy Aging, The Pennsylvania State University, University Park, PA, USA.
Martin J SliwinskiCenter for Healthy Aging, The Pennsylvania State University, University Park, PA, USA.
Michelle H LimIverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, VIC, Australia.
Pennsylvania State University · USSwinburne University of Technology · AUUniversity of Sydney · AU

Funding

Psychosocial Determinants and Biological Pathway to Healthy Aging (Pathways)T32AG049676 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LYNN M. MARTIRE · 2016 to 2026
$3.9M
NIA NIH HHS T32 AG049676
6 · The paper itself

Abstract

backgroundLoneliness has been highlighted as a risk factor for dementia. However, the nature of the relationship between loneliness and cognitive function prior to onset of dementia is unclear.

objectiveThe aim of this systematic review and meta-analysis was to examine the relationship between loneliness and cognitive function in samples screened for dementia at study commencement.

methodsFive electronic databases (PubMed, PsycNET, Web of Science, EBSCOhost, Scopus) were searched from inception to August 31, 2021. A narrative review and random-effects meta-analysis were conducted on studies meeting search criteria. PROSPERO registration number: CRD42020155539.

resultsThe sixteen studies that met inclusion criteria involved 30,267 individuals, with mean age ranging from 63.0 to 84.9 years. Studies varied in dementia screening criteria, measurement of loneliness and cognitive function, and statistical modeling approach. The narrative review indicated that loneliness was associated with poorer global cognition, episodic memory, working memory, visuospatial function, processing speed, and semantic verbal fluency. Results of the meta-analysis indicated that loneliness was negatively associated with global cognitive function (overall r = -0.08; 95% CI = -0.14, -0.02; n = 6). Due to lack of sufficient data and heterogeneity between studies, we were unable to explore associations with other cognitive domains or longitudinal associations.

conclusionLoneliness is associated with subtle impairment across multiple cognitive domains in older adults who were screened for dementia. Better characterization of this relationship will provide important information about how loneliness contributes to the clinical and pathological sequalae of AD and be informative for risk reduction and early detection strategies.

Indexed as

Cognitive DysfunctionDementiaMemory, EpisodicAgedAged, 80 and overCognitionHumansLonelinessAlzheimer diseasecognitiondementialoneliness

Identifiers

PMID36617781
PMCPMC9983432
OpenAlexW4313458575

What OpenQuestion holds

Textmetadata
LicenceTDM
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.