Changes in Social Network Size Are Associated With Cognitive Changes in the Oldest-Old
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Changes in Social Network Size Are Associated With Cognitive Changes in the Oldest-Old. / Röhr, Susanne; Löbner, Margrit; Gühne, Uta; Heser, Kathrin; Kleineidam, Luca; Pentzek, Michael; Fuchs, Angela; Eisele, Marion; Kaduszkiewicz, Hanna; König, Hans-Helmut; Brettschneider, Christian; Wiese, Birgitt; Mamone, Silke; Weyerer, Siegfried; Werle, Jochen; Bickel, Horst; Weeg, Dagmar; Maier, Wolfgang; Scherer, Martin; Wagner, Michael; Riedel-Heller, Steffi G.
in: FRONT PSYCHIATRY, Jahrgang 11, 04.05.2020, S. 330.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Changes in Social Network Size Are Associated With Cognitive Changes in the Oldest-Old
AU - Röhr, Susanne
AU - Löbner, Margrit
AU - Gühne, Uta
AU - Heser, Kathrin
AU - Kleineidam, Luca
AU - Pentzek, Michael
AU - Fuchs, Angela
AU - Eisele, Marion
AU - Kaduszkiewicz, Hanna
AU - König, Hans-Helmut
AU - Brettschneider, Christian
AU - Wiese, Birgitt
AU - Mamone, Silke
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Bickel, Horst
AU - Weeg, Dagmar
AU - Maier, Wolfgang
AU - Scherer, Martin
AU - Wagner, Michael
AU - Riedel-Heller, Steffi G.
N1 - Copyright © 2020 Röhr, Löbner, Gühne, Heser, Kleineidam, Pentzek, Fuchs, Eisele, Kaduszkiewicz, König, Brettschneider, Wiese, Mamone, Weyerer, Werle, Bickel, Weeg, Maier, Scherer, Wagner and Riedel-Heller.
PY - 2020/5/4
Y1 - 2020/5/4
N2 - Objectives: Social isolation is increasing in aging societies and several studies have shown a relation with worse cognition in old age. However, less is known about the association in the oldest-old (85+); the group that is at highest risk for both social isolation and dementia.Methods: Analyses were based on follow-up 5 to 9 of the longitudinal German study on aging, cognition, and dementia in primary care patients (AgeCoDe) and the study on needs, health service use, costs, and health-related quality of life in a large sample of oldest-old primary care patients (AgeQualiDe), a multi-center population-based prospective cohort study. Measurements included the Lubben Social Network Scale (LSNS-6), with a score below 12 indicating social isolation, as well as the Mini-Mental Status Examination (MMSE) as an indicator of cognitive function.Results: Dementia-free study participants (n = 942) were M = 86.4 (SD = 3.0) years old at observation onset, 68.2% were women. One third (32.3%) of them were socially isolated. Adjusted linear hybrid mixed effects models revealed significantly lower cognitive function in individuals with smaller social networks (β = 0.5, 95% CI = 0.3-0.7, p < .001). Moreover, changes in an individual's social network size were significantly associated with cognitive changes over time (β = 0.2, 95% CI = 0.1-0.4, p = .003), indicating worse cognitive function with shrinking social networks.Conclusion: Social isolation is highly prevalent among oldest-old individuals, being a risk factor for decreases in cognitive function. Consequently, it is important to maintain a socially active lifestyle into very old age. Likewise, this calls for effective ways to prevent social isolation.
AB - Objectives: Social isolation is increasing in aging societies and several studies have shown a relation with worse cognition in old age. However, less is known about the association in the oldest-old (85+); the group that is at highest risk for both social isolation and dementia.Methods: Analyses were based on follow-up 5 to 9 of the longitudinal German study on aging, cognition, and dementia in primary care patients (AgeCoDe) and the study on needs, health service use, costs, and health-related quality of life in a large sample of oldest-old primary care patients (AgeQualiDe), a multi-center population-based prospective cohort study. Measurements included the Lubben Social Network Scale (LSNS-6), with a score below 12 indicating social isolation, as well as the Mini-Mental Status Examination (MMSE) as an indicator of cognitive function.Results: Dementia-free study participants (n = 942) were M = 86.4 (SD = 3.0) years old at observation onset, 68.2% were women. One third (32.3%) of them were socially isolated. Adjusted linear hybrid mixed effects models revealed significantly lower cognitive function in individuals with smaller social networks (β = 0.5, 95% CI = 0.3-0.7, p < .001). Moreover, changes in an individual's social network size were significantly associated with cognitive changes over time (β = 0.2, 95% CI = 0.1-0.4, p = .003), indicating worse cognitive function with shrinking social networks.Conclusion: Social isolation is highly prevalent among oldest-old individuals, being a risk factor for decreases in cognitive function. Consequently, it is important to maintain a socially active lifestyle into very old age. Likewise, this calls for effective ways to prevent social isolation.
U2 - 10.3389/fpsyt.2020.00330
DO - 10.3389/fpsyt.2020.00330
M3 - SCORING: Journal article
VL - 11
SP - 330
JO - FRONT PSYCHIATRY
JF - FRONT PSYCHIATRY
SN - 1664-0640
ER -