Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/54956 https://doi.org/10.1016/j.maturitas.2020.11.010 |
Resumo: | Background: The modern Geriatric Giants have evolved to encompass four new syndromes, of frailty (linked to fatigue and physical inactivity), sarcopenia, anorexia of ageing, and cognitive impairment. In parallel, loneliness has been established as a risk factor for adverse mental and physical health outcomes among older adults. Objective: To analyse loneliness as a predictor of the modern Geriatric Giants in European older adults, using a longitudinal design of nationally representative data. Design: Longitudinal population-based cohort study. Subjects: Data from countries that participated in waves 5 and 6 of the Survey of Health, Ageing, and Retirement in Europe project. The sizes of the subsamples analysed ranged from 17,742 for physical inactivity to 24,524 for anorexia of ageing. Methods: Loneliness (measured from wave 5) was the independent variable of interest. The dependent variables were incidence of fatigue, physical inactivity, sarcopenia, anorexia of ageing, and cognitive impairment from wave 5 (baseline) to wave 6. Poisson regression models were used for multivariable analysis, obtaining Relative Risk (RR) and 95 % confidence intervals (CI). Results: The prevalence of loneliness ranged from 9.2%–12.4% at wave 5. The 2-year incidence of fatigue was 16 % (95 % CI: 15.5–16.5), physical inactivity 9.8 % (95 % CI: 9.4–10.3), sarcopenia 5.6 % (95 % CI: 5.3–5.9), anorexia of aging 5.4 % (95 % CI: 5.1–5.7), and cognitive impairment 10.3 % (95 % CI: 9.9–10.8). The multivariable analysis showed that loneliness was a predictive factor for fatigue (30 %, CI: 17–45 % higher risk), physical inactivity (24 %, CI: 7–43 % higher risk) and cognitive impairment (26 %, CI: 9–46 % higher risk), adjusted by age, sex, number of chronic diseases, education level, region and depression. Conclusions: Loneliness is an independent risk factor for fatigue, physical inactivity, and cognitive impairment in older adults. The incidence of anorexia of ageing and sarcopenia was not associated with loneliness over the 2- year observation period |
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Souza, Dyego Leandro Bezerra deGarriga, Maria GineRoig, Javier JerezPlanas, Laura CollSkelton, Dawn A.Inzitari, MarcoBooth, Joannehttps://orcid.org/0000-0001-8426-31202023-10-09T20:29:44Z2023-10-09T20:29:44Z2020SOUZA, Leandro Bezerra de; GINÉ-GARRIGA, Maria; JEREZ-ROIG, Javier; COLL-PLANAS, Laura; SKELTON, Dawn A.; INZITARI, Marco; BOOTH, Joanne. Is loneliness a predictor of the modern geriatric giants? Analysis from the survey of health, ageing, and retirement in Europe. Maturitas, [S.L.], v. 144, p. 93-101, fev. 2021. Elsevier BV. http://dx.doi.org/10.1016/j.maturitas.2020.11.010. Disponível em: https://www.sciencedirect.com/science/article/pii/S0378512220304448?via%3Dihub. Acesso em: 08 set. 2023.https://repositorio.ufrn.br/handle/123456789/54956https://doi.org/10.1016/j.maturitas.2020.11.010Elsevierlonelinessanorexiacohort studiesmodern geriatric giantsIs loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground: The modern Geriatric Giants have evolved to encompass four new syndromes, of frailty (linked to fatigue and physical inactivity), sarcopenia, anorexia of ageing, and cognitive impairment. In parallel, loneliness has been established as a risk factor for adverse mental and physical health outcomes among older adults. Objective: To analyse loneliness as a predictor of the modern Geriatric Giants in European older adults, using a longitudinal design of nationally representative data. Design: Longitudinal population-based cohort study. Subjects: Data from countries that participated in waves 5 and 6 of the Survey of Health, Ageing, and Retirement in Europe project. The sizes of the subsamples analysed ranged from 17,742 for physical inactivity to 24,524 for anorexia of ageing. Methods: Loneliness (measured from wave 5) was the independent variable of interest. The dependent variables were incidence of fatigue, physical inactivity, sarcopenia, anorexia of ageing, and cognitive impairment from wave 5 (baseline) to wave 6. Poisson regression models were used for multivariable analysis, obtaining Relative Risk (RR) and 95 % confidence intervals (CI). Results: The prevalence of loneliness ranged from 9.2%–12.4% at wave 5. The 2-year incidence of fatigue was 16 % (95 % CI: 15.5–16.5), physical inactivity 9.8 % (95 % CI: 9.4–10.3), sarcopenia 5.6 % (95 % CI: 5.3–5.9), anorexia of aging 5.4 % (95 % CI: 5.1–5.7), and cognitive impairment 10.3 % (95 % CI: 9.9–10.8). The multivariable analysis showed that loneliness was a predictive factor for fatigue (30 %, CI: 17–45 % higher risk), physical inactivity (24 %, CI: 7–43 % higher risk) and cognitive impairment (26 %, CI: 9–46 % higher risk), adjusted by age, sex, number of chronic diseases, education level, region and depression. Conclusions: Loneliness is an independent risk factor for fatigue, physical inactivity, and cognitive impairment in older adults. The incidence of anorexia of ageing and sarcopenia was not associated with loneliness over the 2- year observation periodengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/54956/2/license.txte9597aa2854d128fd968be5edc8a28d9MD52123456789/549562023-10-09 17:30:21.68oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-10-09T20:30:21Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
title |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
spellingShingle |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe Souza, Dyego Leandro Bezerra de loneliness anorexia cohort studies modern geriatric giants |
title_short |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
title_full |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
title_fullStr |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
title_full_unstemmed |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
title_sort |
Is loneliness a predictor of the modern geriatric giants? analysis from the survey of health, ageing, and retirement in Europe |
author |
Souza, Dyego Leandro Bezerra de |
author_facet |
Souza, Dyego Leandro Bezerra de Garriga, Maria Gine Roig, Javier Jerez Planas, Laura Coll Skelton, Dawn A. Inzitari, Marco Booth, Joanne |
author_role |
author |
author2 |
Garriga, Maria Gine Roig, Javier Jerez Planas, Laura Coll Skelton, Dawn A. Inzitari, Marco Booth, Joanne |
author2_role |
author author author author author author |
dc.contributor.authorID.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-8426-3120 |
dc.contributor.author.fl_str_mv |
Souza, Dyego Leandro Bezerra de Garriga, Maria Gine Roig, Javier Jerez Planas, Laura Coll Skelton, Dawn A. Inzitari, Marco Booth, Joanne |
dc.subject.por.fl_str_mv |
loneliness anorexia cohort studies modern geriatric giants |
topic |
loneliness anorexia cohort studies modern geriatric giants |
description |
Background: The modern Geriatric Giants have evolved to encompass four new syndromes, of frailty (linked to fatigue and physical inactivity), sarcopenia, anorexia of ageing, and cognitive impairment. In parallel, loneliness has been established as a risk factor for adverse mental and physical health outcomes among older adults. Objective: To analyse loneliness as a predictor of the modern Geriatric Giants in European older adults, using a longitudinal design of nationally representative data. Design: Longitudinal population-based cohort study. Subjects: Data from countries that participated in waves 5 and 6 of the Survey of Health, Ageing, and Retirement in Europe project. The sizes of the subsamples analysed ranged from 17,742 for physical inactivity to 24,524 for anorexia of ageing. Methods: Loneliness (measured from wave 5) was the independent variable of interest. The dependent variables were incidence of fatigue, physical inactivity, sarcopenia, anorexia of ageing, and cognitive impairment from wave 5 (baseline) to wave 6. Poisson regression models were used for multivariable analysis, obtaining Relative Risk (RR) and 95 % confidence intervals (CI). Results: The prevalence of loneliness ranged from 9.2%–12.4% at wave 5. The 2-year incidence of fatigue was 16 % (95 % CI: 15.5–16.5), physical inactivity 9.8 % (95 % CI: 9.4–10.3), sarcopenia 5.6 % (95 % CI: 5.3–5.9), anorexia of aging 5.4 % (95 % CI: 5.1–5.7), and cognitive impairment 10.3 % (95 % CI: 9.9–10.8). The multivariable analysis showed that loneliness was a predictive factor for fatigue (30 %, CI: 17–45 % higher risk), physical inactivity (24 %, CI: 7–43 % higher risk) and cognitive impairment (26 %, CI: 9–46 % higher risk), adjusted by age, sex, number of chronic diseases, education level, region and depression. Conclusions: Loneliness is an independent risk factor for fatigue, physical inactivity, and cognitive impairment in older adults. The incidence of anorexia of ageing and sarcopenia was not associated with loneliness over the 2- year observation period |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2023-10-09T20:29:44Z |
dc.date.available.fl_str_mv |
2023-10-09T20:29:44Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SOUZA, Leandro Bezerra de; GINÉ-GARRIGA, Maria; JEREZ-ROIG, Javier; COLL-PLANAS, Laura; SKELTON, Dawn A.; INZITARI, Marco; BOOTH, Joanne. Is loneliness a predictor of the modern geriatric giants? Analysis from the survey of health, ageing, and retirement in Europe. Maturitas, [S.L.], v. 144, p. 93-101, fev. 2021. Elsevier BV. http://dx.doi.org/10.1016/j.maturitas.2020.11.010. Disponível em: https://www.sciencedirect.com/science/article/pii/S0378512220304448?via%3Dihub. Acesso em: 08 set. 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/54956 |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1016/j.maturitas.2020.11.010 |
identifier_str_mv |
SOUZA, Leandro Bezerra de; GINÉ-GARRIGA, Maria; JEREZ-ROIG, Javier; COLL-PLANAS, Laura; SKELTON, Dawn A.; INZITARI, Marco; BOOTH, Joanne. Is loneliness a predictor of the modern geriatric giants? Analysis from the survey of health, ageing, and retirement in Europe. Maturitas, [S.L.], v. 144, p. 93-101, fev. 2021. Elsevier BV. http://dx.doi.org/10.1016/j.maturitas.2020.11.010. Disponível em: https://www.sciencedirect.com/science/article/pii/S0378512220304448?via%3Dihub. Acesso em: 08 set. 2023. |
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https://repositorio.ufrn.br/handle/123456789/54956 https://doi.org/10.1016/j.maturitas.2020.11.010 |
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eng |
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eng |
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Elsevier |
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Elsevier |
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