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

• Published in: Quality of life research 2021-07, Vol.30 (7), p.1913-1924
• Main Authors: Bevilacqua, Gregorio, Jameson, Karen A., Zhang, Jean, Bloom, Ilse, Ward, Kate A., Cooper, Cyrus, Dennison, Elaine M.
• Format: Article
• Language: English
• Subjects: Aged; Anxiety; Cohort analysis; Cohort Studies; Female; Humans; Independent Living - psychology; Male; Medicine; Medicine & Public Health; Older people; Public Health; Quality of Life - psychology; Quality of Life Research; Social isolation; Social Isolation - psychology; Sociology
• ISSN: 0962-9343; 1573-2649
• DOI: 10.1007/s11136-021-02784-7

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