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Changes in Loneliness, Social Isolation, and Social Support: A Gender‐Disaggregated Analysis of Their Associations With Dementia and Cognitive Decline in Older Adults
Htet Lin Htun, Achamyeleh Birhanu Teshale, Haoxiong Sun, Joanne L. Ryan, Alice J. Owen, Robyn L. Woods, Raj C. Shah, Trevor T.‐J. Chong et al.. International Journal of Geriatric Psychiatry, 2025-03-01
Topic: Risk, prevention and care in population studies
At baseline, participants were aged 70-95 years (mean: 75.2 ± 4.3), with 54% being women. Overall, 81.1% of men and 71.7% of women reported never feeling lonely at baseline, while transient, incident, and persistent loneliness were experienced by 4.9%, 8.4%, and 5.5% of men and 8.5%, 11.6%, and 8.3% of women, respectively. Over a median 8-year follow-up, incident loneliness in men (HR: 1.52, 95% CI: 1.08-2.13) and persistent loneliness in women (HR: 2.14, 95% CI: 1.55-2.97) were associated with a greater dementia risk, compared to those who were never lonely. No increased risk was observed for transient loneliness. Despite the remarkably low prevalence of social isolation and poor social support in this initially healthy cohort, both were associated with cognitive decline (secondary outcome) but not with dementia risk. Persistent loneliness in people aged 70+, especially in women, was associated with a higher risk of dementia and cognitive decline.
Key findings
- At baseline, participants were aged 70-95 years (mean: 75.2 ± 4.3), with 54% being women.
- Overall, 81.1% of men and 71.7% of women reported never feeling lonely at baseline, while transient, incident, and persistent loneliness were experienced by 4.9%, 8.4%, and 5.5% of men and 8.5%, 11.6%, and 8.3% of women, respectively.
- Over a median 8-year follow-up, incident loneliness in men (HR: 1.52, 95% CI: 1.08-2.13) and persistent loneliness in women (HR: 2.14, 95% CI: 1.55-2.97) were associated with a greater dementia risk, compared to those who were never lonely.
- No increased risk was observed for transient loneliness.
- Despite the remarkably low prevalence of social isolation and poor social support in this initially healthy cohort, both were associated with cognitive decline (secondary outcome) but not with dementia risk.
Why it matters
In this study of adults aged 70 to 95 followed for a median of 8 years, incident loneliness in men and persistent loneliness in women were associated with higher dementia risk, while transient loneliness was not. Social isolation and poor social support were associated with cognitive decline but not with dementia risk, so the findings point to loneliness as a possible risk marker rather than a proven target for preventing or curing Alzheimer's disease.
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Study details
- Effect size81.1%; 71.7%; 4.9%
- Evidence strengthModerate
How this study scored 47/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (International Journal of Geriatric Psychiatry) |
| Journal's citation record | 2 / 4 | International Journal of Geriatric Psychiatry: journal h-index 190 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 13 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 4.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 4 / 6 | Cited 8.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 13 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Rosanne Freak‐Poli: h-index 38 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Monash University: institution h-index 1,146 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 7 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40044457) |
| Free to read | 2 / 2 | Free to read |
| Total | 47 / 100 | — |
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Read the original
- DOI: 10.1002/gps.70065
- PubMed: 40044457
- Original source →
- Free full text: International Journal of Geriatric Psychiatry →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Htun, H. L., Teshale, A. B., Sun, H., Ryan, J. L., Owen, A. J., Woods, R. L., et al. (2025). Changes in Loneliness, Social Isolation, and Social Support: A Gender‐Disaggregated Analysis of Their Associations With Dementia and Cognitive Decline in Older Adults. International Journal of Geriatric Psychiatry. https://doi.org/10.1002/gps.70065
Vancouver
Htun HL, Teshale AB, Sun H, Ryan JL, Owen AJ, Woods RL, et al. Changes in Loneliness, Social Isolation, and Social Support: A Gender‐Disaggregated Analysis of Their Associations With Dementia and Cognitive Decline in Older Adults. International Journal of Geriatric Psychiatry. 2025. doi:10.1002/gps.70065. PMID: 40044457.
BibTeX
@article{htun2025-40044457,
author = {Htun, Htet Lin and Teshale, Achamyeleh Birhanu and Sun, Haoxiong and Ryan, Joanne L. and Owen, Alice J. and Woods, Robyn L. and Shah, Raj C. and Chong, Trevor T.‐J. and others},
title = {{Changes in Loneliness, Social Isolation, and Social Support: A Gender‐Disaggregated Analysis of Their Associations With Dementia and Cognitive Decline in Older Adults}},
journal = {International Journal of Geriatric Psychiatry},
year = {2025},
doi = {10.1002/gps.70065},
pmid = {40044457},
url = {https://doi.org/10.1002/gps.70065}
}
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