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The association between social isolation and musculoskeletal health in older community-dwelling adults: findings from the Hertfordshire Cohort Study

The association between social isolation and musculoskeletal health in older community-dwelling adults: findings from the Hertfordshire Cohort Study
The association between social isolation and musculoskeletal health in older community-dwelling adults: findings from the Hertfordshire Cohort Study
Purpose: social isolation has been associated with both physical and psychological adverse outcomes and is prevalent in older adults. We investigated the impact of social isolation on bone mineral density (BMD) and physical capability in community-dwelling older adults. Methods: data were collected in 2011 and 2017 from the Hertfordshire Cohort Study. In 2011, we assessed social isolation using the six-item Lubben Social Network Scale (LSNS-6) and the Maastricht Social Participation Profile (MSSP) and depressive and anxiety symptoms using the Hospital Anxiety and Depression Scale (HADS). Physical capability was assessed by performing tests of gait speed, chair stands, timed up and go and balance at both time points. BMD was assessed using dual X-ray absorptiometry (DXA) at both time points. Results: data were available from 369 participants in 2011 and 184 in 2017. Forty percent of men and 42.4% of women were socially isolated. Isolated participants had higher odds of depressive disorder (OR 3.01, 95% CI 1.27–7.11, p < 0.02). Social isolation at baseline was associated with poor physical capability scores at follow-up (OR 5.53, 95% CI 1.09–27.99, p < 0.04). No associations were found between social isolation and BMD at either time point. Conclusions: social isolation was associated with higher odds of having depressive symptoms and predicted the development of poor physical capability 6 years later. Further longitudinal studies that include loneliness as a covariate are warranted.
10.1007%2Fs11136-021-02784-7
0962-9343
Bevilacqua, Gregorio
e93e3b18-7d1e-4da5-9fcd-e6b4637e1c2e
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Zhang, Jean
437abe90-46ac-46de-8183-042c36ed3398
Bloom, Ilse
af2a38ab-3255-414d-afa1-e3089ee45e3f
Ward, Kate
39bd4db1-c948-4e32-930e-7bec8deb54c7
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Bevilacqua, Gregorio
e93e3b18-7d1e-4da5-9fcd-e6b4637e1c2e
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Zhang, Jean
437abe90-46ac-46de-8183-042c36ed3398
Bloom, Ilse
af2a38ab-3255-414d-afa1-e3089ee45e3f
Ward, Kate
39bd4db1-c948-4e32-930e-7bec8deb54c7
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1

Bevilacqua, Gregorio, Jameson, Karen, Zhang, Jean, Bloom, Ilse, Ward, Kate, Cooper, Cyrus and Dennison, Elaine (2021) The association between social isolation and musculoskeletal health in older community-dwelling adults: findings from the Hertfordshire Cohort Study. Quality of Life Research. (doi:10.1007%2Fs11136-021-02784-7).

Record type: Article

Abstract

Purpose: social isolation has been associated with both physical and psychological adverse outcomes and is prevalent in older adults. We investigated the impact of social isolation on bone mineral density (BMD) and physical capability in community-dwelling older adults. Methods: data were collected in 2011 and 2017 from the Hertfordshire Cohort Study. In 2011, we assessed social isolation using the six-item Lubben Social Network Scale (LSNS-6) and the Maastricht Social Participation Profile (MSSP) and depressive and anxiety symptoms using the Hospital Anxiety and Depression Scale (HADS). Physical capability was assessed by performing tests of gait speed, chair stands, timed up and go and balance at both time points. BMD was assessed using dual X-ray absorptiometry (DXA) at both time points. Results: data were available from 369 participants in 2011 and 184 in 2017. Forty percent of men and 42.4% of women were socially isolated. Isolated participants had higher odds of depressive disorder (OR 3.01, 95% CI 1.27–7.11, p < 0.02). Social isolation at baseline was associated with poor physical capability scores at follow-up (OR 5.53, 95% CI 1.09–27.99, p < 0.04). No associations were found between social isolation and BMD at either time point. Conclusions: social isolation was associated with higher odds of having depressive symptoms and predicted the development of poor physical capability 6 years later. Further longitudinal studies that include loneliness as a covariate are warranted.

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Table 1 Characteristics of study participants_Resubmission
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Table 2 Participants by social isolation_Resubmission
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Table 3 Social isolation vs physical functioning
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Accepted/In Press date: 29 January 2021
e-pub ahead of print date: 17 February 2021

Identifiers

Local EPrints ID: 447192
URI: http://eprints.soton.ac.uk/id/eprint/447192
ISSN: 0962-9343
PURE UUID: 923521a3-4a45-47de-bb88-039df32b799e
ORCID for Gregorio Bevilacqua: ORCID iD orcid.org/0000-0001-7819-1482
ORCID for Ilse Bloom: ORCID iD orcid.org/0000-0002-4893-1790
ORCID for Kate Ward: ORCID iD orcid.org/0000-0001-7034-6750
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961

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Date deposited: 04 Mar 2021 17:42
Last modified: 05 Mar 2021 02:45

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Contributors

Author: Gregorio Bevilacqua ORCID iD
Author: Karen Jameson
Author: Jean Zhang
Author: Ilse Bloom ORCID iD
Author: Kate Ward ORCID iD
Author: Cyrus Cooper ORCID iD
Author: Elaine Dennison ORCID iD

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