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Loneliness predicts reduced physical activity: Cross-sectional & longitudinal analyses.
Open accessAbstract
OBJECTIVE: To determine cross-sectional and prospective associations between loneliness and physical activity, and to evaluate the roles of social control and emotion regulation as mediators of these associations. DESIGN: A population-based sample of 229 White, Black, and Hispanic men and women, age 50 to 68 years at study onset, were tested annually for each of 3 years. MAIN OUTCOME MEASURES: Physical activity probability, and changes in physical activity probability over a 3-year period. RESULTS: Replicating and extending prior cross-sectional research, loneliness was associated with a significantly reduced odds of physical activity (OR = 0.65 per SD of loneliness) net of sociodemographic variables (age, gender, ethnicity, education, income), psychosocial variables (depressive symptoms, perceived stress, hostility, social support), and self-rated health. This association was mediated by hedonic emotion regulation, but not by social control as indexed by measures of social network size, marital status, contact with close ties, group membership, or religious group affiliation. Longitudinal analyses revealed that loneliness predicted diminished odds of physical activity in the next two years (OR = 0.61), and greater likelihood of transitioning from physical activity to inactivity (OR = 1.58). CONCLUSION: Loneliness among middle and older age adults is an independent risk factor for physical inactivity and increases the likelihood that physical activity will be discontinued over time.
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“Loneliness predicts reduced physical activity (Hawkley et al., 2009) and increased blood pressure in older adults (Hawkley et al., 2009, 2006).”
From Maladaptive autonomic regulation in PTSD accelerates physiological aging (2015) · cites this paper as Hawkley et al., 2009
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“diminished executive control [30, 31]”
From Loneliness matters: a theoretical and empirical review of consequences and mechanisms (2010) · cites this paper as [31]
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“Both loneliness and social isolation are associated with poorer health behaviors including smoking, physical inactivity, and poorer sleep (Cacioppo et al., 2002;Hawkley, Thisted, & Cacioppo, 2009;Theeke, 2010).”
From Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review (2015) · cites this paper as Hawkley, Thisted, & Cacioppo, 2009
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“Compromised regulation of emotion in lonely individuals explained their diminished likelihood of performing any physical activity, and loneliness also predicted a decrease in physical activity over time [31].”
From Loneliness matters: a theoretical and empirical review of consequences and mechanisms (2010) · cites this paper as [31]
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“In middle-aged and older adults, greater loneliness was associated with less effort applied to the maintenance and optimization of positive emotions [31].”
From Loneliness matters: a theoretical and empirical review of consequences and mechanisms (2010) · cites this paper as [31]
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“studies of isolation and health behaviors indicate that social control does not explain many of the effects of isolation in humans.10,11”
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Self-citationThe Effect of Loneliness on Distinct Health Outcomes: A Comprehensive Review and Meta-Analysis
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BackgroundLoneliness, Social Isolation, and Cardiovascular Health
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“Four further longitudinal studies examined the reverse mechanism, namely the influence of loneliness on physical activity over a period of two (Hawkley et al., 2009; Newall et al., 2012; Theeke, 2010) and six”
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“Moreover, researchers have identified close associations between the presence of depressive symptoms and loneliness (Barg et al., 2006; Cacioppo et al., 2006, 2010; Hawkley et al., 2009; Hawkley and Cacioppo, 2010).”
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MethodImpact of COVID ‐19 stay‐at‐home orders on weight ‐ related behaviours among patients with obesity
Almandoz, J. P., Xie, L., Schellinger, J. N., Mathew, M. S., Gazda, C., Ofori, A., Kukreja, S. S., & Messiah, S. E. (2020) · Clinical Obesity · doi:10.1111/cob.12386 · Cited by 216
“Previous research has demonstrated that dieters experiencing loneliness have less dietary restraint and that loneliness is predictive of physical inactivity.(20,21) This was consistent with our findings that almost half of respondents reported reduced exercise time and intensity.”
ResultLoneliness and Social Isolation as Risk Factors: The Power of Social Connection in Prevention
Holt‐Lunstad, J. (2021) · American Journal of Lifestyle Medicine · doi:10.1177/15598276211009454 · Cited by 253
Use of Direct Versus Indirect Approaches to Measure Loneliness in Later Life
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A time-lagged momentary assessment study on daily life physical activity and affect.
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“Loneliness is important because it is associated with a range of negative outcomes including low levels of physical activity (Hawkley et al. 2009), poor physical and mental health (Cornwell and Waite 2009; Thurston and Kubzansky 2009; Luanaigh and Lawlor 2008), elevated mortality (Shiovitz-Ezra and Ayalon 2009; Patter…”
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Development and validation of a 6‐item Revised UCLA Loneliness Scale (RULS‐6) using Rasch analysis
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“The findings of this study are supported by similar studies of associations between social isolation, loneliness, and health-risk behaviour in other populations (Berkman et al., 2000; Cacioppo et al., 2002; Hawkley et al., 2009; Kaplan et al., 1991; Kharicha et al., 2007; Lauder et al., 2006; Locher et al., 2005; Shan…”
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Srivastav, A. K., Sharma, N., & Samuel, A. J. (2020) · Clinical Epidemiology and Global Health · doi:10.1016/j.cegh.2020.07.003 · Cited by 156
“This findings can be supported by study that shows individuals who are stayed at home or lonely are found to be less active.(23) Social isolation was significantly associated with physical activity so individuals who are in social isolation are less physically active and also more likely to report multiple health risk…”
The Impact of Loneliness on Quality of Life and Patient Satisfaction Among Older, Sicker Adults
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“…also characterized by vision, hearing, and mobility impairments, which can dramatically affect social connectedness by limiting the ability to drive (Perissinotto et al., 2012; Schnittger et al., 2012), walk (Buchman et al., 2010; Hawkley et al., 2009), or hear conversations (Pronk et al., 2011).”
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“For example, loneliness is associated with poor self-regulation which may lead to behavioral changes such as decreased exercise or changes in eating habits causing motor decline [24].”
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“Although findings have varied between studies, some previous research has indicated that feeling lonely may be linked to a number of risky health behaviours such as alcohol use and abuse [8,42,43,44], smoking [6,7], recreational drug use [45], and physical inactivity [46].”
ResultStickley, A., Koyanagi, A., Koposov, R., Blatný, M., Hrdlička, M., Schwab-Stone, M., & Ruchkin, V. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0829-2 · Cited by 136
Brain-body interactions underlying the association of loneliness with mental and physical health
Quadt, L., Esposito, G., Critchley, H., & Garfinkel, S. N. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.06.015 · Cited by 154
Association of Hearing Loss and Loneliness in Older Adults
Sung, Y.-K., Li, L., Blake, C. R., Betz, J., & Lin, F. R. (2015) · Journal of Aging and Health · doi:10.1177/0898264315614570 · Cited by 144
Kim, J., Lee, S., Chun, S., Han, A., & Heo, J. (2017) · Annals of Leisure Research · doi:10.1080/11745398.2016.1238308 · Cited by 132
“Previous findings have demonstrated that older adults who suffer from loneliness tend to experience a lack of motivation to be physically active (e.g. Eloranta, Routasalo, and Arve 2008; Hawkley, Thisted, and Cacioppo 2009).”
BackgroundLoneliness and the metabolic syndrome in a population-based sample of middle-aged and older adults.
Whisman, M. A. (2010) · Health Psychology · doi:10.1037/a0020760 · Cited by 133
Toward a Better Understanding of Loneliness In Community-Dwelling Older Adults
Smith, J. M. (2012) · The Journal of Psychology · doi:10.1080/00223980.2011.602132 · Cited by 136
“It has often been overlooked and “underappreciated” by health care professionals (Hawkley, Thisted, & Cacioppo, 2009 , p.”
Luchetti, M., Terracciano, A., Aschwanden, D., Lee, J. H., Stéphan, Y., & Sutin, A. R. (2020) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5304 · Cited by 133
Sleep and mental health in athletes during COVID-19 lockdown
Facer‐Childs, E. R., Hoffman, D. T., Tran, J. N., Drummond, S. P. A., & Rajaratnam, S. M. W. (2021) · SLEEP · doi:10.1093/sleep/zsaa261 · Cited by 143
“In addition, social isolation and loneliness are associated with reduced physical activity [30] and an increase in depressive symptoms [31].”
BackgroundNewall, N. E. G., Chipperfield, J. G., Bailis, D. S., & Stewart, T. L. (2013) · Health Psychology · doi:10.1037/a0029413 · Cited by 119
Mund, M., & Neyer, F. J. (2015) · Journal of Personality · doi:10.1111/jopy.12188 · Cited by 131
Maladaptive autonomic regulation in PTSD accelerates physiological aging
Williamson, J. B., Porges, E. C., Lamb, D. G., & Porges, S. W. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01571 · Cited by 116
“Loneliness predicts reduced physical activity (Hawkley et al., 2009) and increased blood pressure in older adults (Hawkley et al., 2009, 2006).”
BackgroundSocial network type and health-related behaviors: Evidence from an American national survey
Shiovitz-Ezra, S., & Litwin, H. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.04.031 · Cited by 115
“Data on participants in the Chicago Health, Aging, and Social Relations Study revealed that loneliness was associated with transitioning from physically active to sedentary status (Hawkley et al., 2009).”
BackgroundChen, Z., Fan, V. S., Belza, B. L., Pike, K. C., & Nguyen, H. Q. (2017) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201701-026oc · Cited by 121
Longitudinal Relationships Among Visual Acuity, Daily Functional Status, and Mortality
Christ, S. L., Zheng, D., Swenor, B. K., Lam, B. L., West, S. K., Tannenbaum, S. L., Muñoz, B. E., & Lee, D. J. (2014) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2014.2847 · Cited by 116
Emotional Well-Being and Public Health: Proposal for a Model National Initiative
Feller, S. C., Castillo, E. G., Greenberg, J. M., Abascal, P., Horn, R. V., & Wells, K. B. (2018) · Public Health Reports · doi:10.1177/0033354918754540 · Cited by 133
“In addition, loneliness and social isolation have been associated with unhealthy behaviors, such as smoking, physical inactivity, and poor sleep.(18-20) In older adults, loneliness has been associated with decreased functional status and increased mortality.”
BackgroundLoneliness in Care Homes: A Neglected Area of Research?
Victor, C. R. (2012) · Aging Health · doi:10.2217/ahe.12.65 · Cited by 119
The Pathophysiology of Perceived Social Isolation: Effects on Health and Mortality
Bhatti, A. B., & Haq, A. U. (2017) · Cureus · doi:10.7759/cureus.994 · Cited by 103
Genome-Wide Association Study of Loneliness Demonstrates a Role for Common Variation
Gao, J., Davis, L. K., Hart, A. B., Sanchez‐Roige, S., Han, L., Cacioppo, J. T., & Palmer, A. A. (2016) · Neuropsychopharmacology · doi:10.1038/npp.2016.197 · Cited by 111
“…Cacioppo et al, 2006; VanderWeele et al, 2011), lower subjective well-being (Kong and You, 2013; VanderWeele et al, 2012), heightened vigilance for social threats (Cacioppo et al, 2015b), and decreased executive functioning (Baumeister and DeWall, 2005; Cacioppo et al, 2000; Hawkley et al, 2009).”
BackgroundSelf-citationCai, Z.-X., Yang, Y., & Zhang, J.-J. (2021) · BMC Public Health · doi:10.1186/s12889-021-11546-6 · Cited by 92
Physical activity profile of the Iranian population: STEPS survey, 2016
Mohebi, F., Mohajer, B., Yoosefi, M., Sheidaei, A., Zokaei, H., Damerchilu, B., Mehregan, A., Shahbal, N., Rezaee, K., Khezrian, M., et al. (2019) · BMC Public Health · doi:10.1186/s12889-019-7592-5 · Cited by 95
Inoue, T., Maeda, K., Satake, S., Matsui, Y., & Arai, H. (2021) · Aging Clinical and Experimental Research · doi:10.1007/s40520-021-01968-y · Cited by 99
Jeong, E. J., Kim, D. J., & Lee, D. M. (2016) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2016.1232908 · Cited by 91
Overweight and Lonely? A Representative Study on Loneliness in Obese People and Its Determinants
Jung, F. U. C. E., & Luck‐Sikorski, C. (2019) · Obesity Facts · doi:10.1159/000500095 · Cited by 99
Using and Interpreting Mental Health Measures in the National Social Life, Health, and Aging Project
Payne, C., Hedberg, E. C., Kozloski, M., Dale, W., & McClintock, M. K. (2014) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbu100 · Cited by 90
Loneliness among cancer caregivers: A narrative review
Gray, T. F., Azizoddin, D. R., & Nersesian, P. V. (2019) · Palliative & Supportive Care · doi:10.1017/s1478951519000804 · Cited by 90
“…is associated with poor psychological health, including anxiety (Hawkley and Cacioppo, 2010), fatigue (Cacioppo et al., 2002), depression (Hawkley et al., 2009; Cacioppo et al., 2010; Luo et al., 2012; Jaremka et al., 2014), psychosis (DeNiro, 1995), and suicide (Stickley and Koyanagi,…”
BackgroundConnectome-based individualized prediction of loneliness
Feng, C., Wang, L., Li, T., & Xu, P. (2019) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsz020 · Cited by 90
“Taken together, previous neuroimaging evidence indicates diverse manifestations of loneliness in multiple neuropsychological processes (Cacioppo and Hawkley, 2009; Cacioppo et al., 2014).”
BackgroundInternet use, social isolation and loneliness in older adults
Stockwell, S., Stubbs, B., Jackson, S. E., Fisher, A., Yang, L., & Smith, L. (2020) · Ageing and Society · doi:10.1017/s0144686x20000550 · Cited by 100
“Loneliness has been shown to be a risk factor for sedentariness and lower likelihood of engaging in physical activity, and increased likelihood of discontinuing physical activity (Hawkley et al., 2009; Netz et al., 2013; Hawkley and Kocherginsky, 2017), and is also a risk factor for obesity, smoking and alcohol abuse…”
BackgroundLoneliness, daily pain, and perceptions of interpersonal events in adults with fibromyalgia.
Wolf, L., & Davis, M. C. (2014) · Health Psychology · doi:10.1037/hea0000059 · Cited by 95
Elovainio, M., Lahti, J., Pirinen, M., Pulkki-Råback, L., Malmberg, A., Lipsanen, J., Virtanen, M., Kivimäki, M., & Hakulinen, C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-053936 · Cited by 85
A meta-analysis of loneliness and risk of dementia using longitudinal data from >600,000 individuals
Luchetti, M., Aschwanden, D., Sesker, A. A., Zhu, X., O’Súilleabháin, P. S., Stéphan, Y., Terracciano, A., & Sutin, A. R. (2024) · Nature Mental Health · doi:10.1038/s44220-024-00328-9 · Cited by 91
“For instance, lonely individuals tend to engage in unhealthy behaviors (for example, physical inactivity), experience heightened stress and immune dysfunction 57–59 , all of which may affect cognition.”
Wong, N. M. L., Liu, H.-L., Lin, C., Huang, C., Wai, Y. Y., Lee, S., & Lee, T. M. C. (2016) · Psychological Medicine · doi:10.1017/s0033291716001033 · Cited by 85
“Previous research has identified close associations between perceived loneliness and increased depressive symptoms (Cacioppo et al. 2006; Hawkley et al. 2009); with a more recent study showing loneliness as a predictor of later increases in depressive symptoms over 1-year intervals (Cacioppo et al.…”
BackgroundBedrov, A., & Gable, S. L. (2022) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2021.0441 · Cited by 93
Loneliness and Mental Health in a Representative Sample of Community-Dwelling Spanish Older Adults
Losada‐Baltar, A., Márquez‐González, M., García‐Ortiz, L., Gómez-Marcos, M. Á., Fernández-Fernández, V., & Rodríguez‐Sánchez, E. (2012) · The Journal of Psychology · doi:10.1080/00223980.2011.582523 · Cited by 102
“Specifically, loneliness was found to predict increases in depression and systolic blood pressure and decreases in physical activity (Cacioppo et al, 2010 ; see also Hawkley, Thisted, & Cacioppo, 2009 ; Hawkley, Thisted, Masi, & Cacioppo, 2010 ).”
BackgroundOne is the loneliest number: Involuntary celibacy (incel), mental health, and loneliness
Sparks, B., Zidenberg, A. M., & Olver, M. E. (2023) · Current Psychology · doi:10.1007/s12144-023-04275-z · Cited by 85
“On the contrary, loneliness has been associated with an increased risk of depression, pain, fatigue, inactivity, and mortality (Domènech-Abella et al., 2017; Hawkley et al., 2009; Jaremka et al., 2013; Tanskanen & Anttila, 2016).”
Loneliness in a day: Activity engagement, time alone, and experienced emotions.
Queen, T. L., Stawski, R. S., Ryan, L. H., & Smith, J. (2014) · Psychology and Aging · doi:10.1037/a0036889 · Cited by 88
Masters Athletes: Exemplars of Successful Aging?
Geard, D., Reaburn, P. R. J., Rebar, A. L., & Dionigi, R. A. (2016) · Journal of Aging and Physical Activity · doi:10.1123/japa.2016-0050 · Cited by 88
Is Sensory Loss an Understudied Risk Factor for Frailty? A Systematic Review and Meta-analysis
Tan, B. K. J., Man, R. E. K., Gan, A. T. L., Fenwick, E., Varadaraj, V., Swenor, B. K., Gupta, P., Wong, T. Y., Trevisan, C., Lorenzo‐López, L., et al. (2020) · The Journals of Gerontology Series A · doi:10.1093/gerona/glaa171 · Cited by 84
Social reward and support effects on exercise experiences and performance: Evidence from parkrun
Davis, A., MacCarron, P., & Cohen, E. E. A. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256546 · Cited by 101
“Evidence suggests that one problem compounds the other, with loneliness having been identified as a risk factor for physical inactivity [10, 11] and physical inactivity as a risk factor for psychiatric and psychosocial health problems that are directly or indirectly associated with depression and loneliness [12, 13].”
Background
Metadata
- Authors
- Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T.
- Affiliations
- University of Chicago (US)
- Venue
- Health Psychology
- Published
- 2009-05
- Volume
- 28
- Issue
- 3
- Pages
- 354-363
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC2791498
- OpenAlex
- W2148269494
- Cited by
- 608
- References
- 58
- Citations by year
- 2026: 23 · 2025: 49 · 2024: 48 · 2023: 47 · 2022: 59 · 2021: 66 · 2020: 50 · 2019: 38 · 2018: 33 · 2017: 28 · 2016: 30 · 2015: 29 · 2014: 28 · 2013: 27 · 2012: 22
- FWCI
- 17.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (PO1 AG18911)
- Templeton Foundation
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- loneliness, physical activity, physical inactivity, social control, emotion regulation, mediation, middle-aged and older adults, physical activity decline, social networks, marital status
- MeSH terms
- Aged, Attitude to Health, Cross-Sectional Studies, Depression, Female, Hostility, Humans, Loneliness, Longitudinal Studies, Male, Middle Aged, Motor Activity, Personality Inventory, Prospective Studies, Social Identification, Socioeconomic Factors
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