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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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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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”
From Social isolation (2011) · cites this paper as [10]
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Wesley, Y. E. (2014) · Journal of Women s Health Care · doi:10.4172/2167-0420.1000166 · Cited by 3
“Volume 3 • Issue 4 • 1000166 J Women’s Health Care ISSN: 2167-0420 JWHC, an open access journal loneliness impacts one’s health [13].”
BackgroundMenezes, A. S., Dos-Santos-Silva, R. J., Tribess, S., Romo-Pérez, V., & Júnior, J. S. V. (2015) · Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte · doi:10.15366/rimcafd2015.60.010 · Cited by 3
Relationship of loneliness and subjective chewing discomfort in the elderly
Cho, H.-K., Jung, Y., Heo, H., Youm, Y., Song, K., & Choi, Y. (2020) · 대한구강보건학회지 · doi:10.11149/jkaoh.2020.44.2.85 · Cited by 3
Care by companionship – a proposal for prescription friends
Waterhouse, B., & O’Connor, R. J. (2009) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.2009.090409 · Cited by 3
Borik, Y. (2016) · CUNY Academic Works (City University of New York) · Cited by 3
Predictors of Quality of Life Among Refugees Aging Out-of-place
Owino, J., & Fuller, H. R. (2025) · Journal of Cross-Cultural Gerontology · doi:10.1007/s10823-025-09530-3 · Cited by 2
“Research indicates that loneliness can lead to mental and physical health issues, making it a significant risk factor for poorer health outcomes (Hawkley et al., 2009).”
Maclean, J. (2025) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2025.2513033 · Cited by 3
“Transient loneliness, being situational, may be more easily mitigated by positive online interactions, while individuals with chronic loneliness may find such interactions less fulfilling due to a more enduring sense of social disconnection (Reissmann et al., 2021; Hawkley et al., 2009).”
InfluentialManera, K., Smith, B. J., Owen, A. J., & Freak‐Poli, R. (2025) · Health & Social Care in the Community · doi:10.1155/hsc/3212813 · Cited by 2
“Qualitative and quantitative studies in older adults have explored the infuence of social health on health behaviours, including physical activity (PA) [4–7].”
Mobility Justice for Persons With Disability: Body–Environment Interactions and Velomobility
Norcliffe, G. B., & Radford, J. (2025) · International Journal of Disability and Social Justice · doi:10.13169/intljofdissocjus.5.1.0002 · Cited by 2
Sun, L., Liao, Y., Gu, Z., Wan, X., & Liu, N. (2026) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2026.112553 · Cited by 2
A Review of the Effects and Interventions of Loneliness
郑, 婉. (2019) · Advances in Psychology · doi:10.12677/ap.2019.93073 · Cited by 2
Loneliness and shyness from the perspective of emotion regulation
Kelek, Ş., Awan, E. A., & Koç, M. (2024) · Journal of Human Sciences · doi:10.14687/jhs.v21i3.6394 · Cited by 2
“…of the time, lonely persons use unhelpful emotion regulation tactics (expressive suppression) and rely the least on healthy emotion regulation procedures (cognitive reappraisal) without the assistance or advice of a counselor (Hawkley et al., 2009; Kearns & Creaven, 2017 ; Marroquín et al., 2016).”
BackgroundLoneliness and low fruit and vegetable consumption among adults in Japan
Stickley, A., Shirama, A., & Sumiyoshi, T. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1365628 · Cited by 2
Firoz, M., Syal, A., & Shukla, A. (2025) · International Journal of Conflict Management · doi:10.1108/ijcma-11-2024-0307 · Cited by 2
Facilitating digital communication in seniors
Blake, & RAY, P. K. (2016) · IEEE International Symposium on Technology and Society (ISTAS) · doi:10.1109/istas.2016.7764044 · Cited by 2
“Loneliness is associated with higher stress ratings, an increased risk of cardiac deaths [2], depression [3], reduced movement [4] and other psychiatric disorders such as schizophrenia [5].”
BackgroundLoneliness Makes Consumers Avoid Unsafe Food
Hu, S., Chen, R., Zhang, N., & Zhu, J. (2018) · Sustainability · doi:10.3390/su10092998 · Cited by 2
“When consumers feel lonely, they have an implicit hypervigilance towards social threats [21], with high sensitivity to social threatening stimuli [22].”
BackgroundLoneliness and its Relationship with Diabetes Mellitus
Agarwal, S. K. (2022) · East African Scholars Journal of Medical Sciences · doi:10.36349/easms.2022.v05i04.002 · Cited by 1
Environmental Neuroscience and Environmental Psychology
Berman, M. G., Hayes, D. J., & Krpan, K. M. (2015) · Oxford University Press eBooks · doi:10.1093/obo/9780199828340-0174 · Cited by 3
Composite Structure of Personal Networks, Age, and Well-being in Poland
Nowak, K., & Duda, T. (2010) · Polish Psychological Bulletin · doi:10.2478/v10059-010-0023-1 · Cited by 1
Facetten, Quellen und Auswirkungen von Einsamkeit
Landmann, H., & Buecker, S. (2022) · Kulturen der Gesellschaft · doi:10.14361/9783839463505-004 · Cited by 4
Kaets, V. (2023) · Forum Kinder- und Jugendsport · doi:10.1007/s43594-023-00084-1 · Cited by 1
“In Bezug auf den Sport ist aus der bisherigen Forschung bekannt, dass körperliche Aktivität zu einer Verringerung von Einsamkeitbeitragenkann,bestehendesEinsamkeitserleben indessen jedoch die Wahrscheinlichkeit verringert, körperlich aktiv zu werden (Hawkley et al. 2009; Pels und Kleinert 2016).”
BackgroundSchenk, M., Baldofski, S., Hall, F., Urbansky, T., Strauß, M., Kohls, E., & Rummel‐Kluge, C. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-024-02808-w · Cited by 3
“…associated with lone-liness (e.g. age < 30 years and > 65 years [3, 30], female gender, low income) [20], it has also been found that people experiencing loneliness are more likely to experience physical health risks [31] and were reducing their physical activity [32] in longitudinal studies.”
Association of Social Participation with Cardiovascular Risk Factors: A Systematic Review
Miura, M., Ikeda, A., Sato, S., Muraki, I., Okamura, T., Ohira, T., Miyazaki, J., Ishihara, M., Okamoto, K., Kamijima, J., et al. (2025) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.rv22035 · Cited by 1
“Low social participation may lead to social isolation and loneliness, which could be associated with adverse health behaviors such as decreased physical activity 18, 19) .”
Lee, S. C., Choi, W., Yoon, S., & Noh, S. R. (2025) · Korean Journal of Stress Research · doi:10.17547/kjsr.2025.33.2.93 · Cited by 1
Cumulative loneliness and memory function among U.S. older adults: the role of depressive symptoms
Yu, X., Hazzouri, A. Z. A., Cho, T., Zahodne, L. B., Gross, A. L., Needham, B. L., Langa, K. M., & Kobayashi, L. C. (2025) · The Journals of Gerontology Series A · doi:10.1093/gerona/glaf143 · Cited by 1
Szczęśniak, M., Świątek, A. H., Szczerba, A., Szpunar, K., & Falewicz, A. (2025) · Brain Sciences · doi:10.3390/brainsci15090946 · Cited by 3
“Moreover, loneliness promotes bad health habits, which means that it leads to decreased or a lack of physical activity [24].”
Minnes, D., Grosman‐Rimon, L., Noylinger, Y., Nakhoul, A., Shkara, F. A., Keshet, E., Menachemi, D. M., Gendler, Y., Rimon, J., Stall, N. M., et al. (2025) · Gerontology · doi:10.1159/000547022 · Cited by 3
“Loneliness is associated with various adverse health outcomes, including depression [14], impaired sleep and daytime functioning [15], reduced physical activity [16], cognitive impairment [17], and dementia [18].”
Zhou, X., Amran, M. S., Surat, S., & Yin, H. (2025) · Adolescents · doi:10.3390/adolescents5040051 · Cited by 1
“According to Cacioppo’s Evolutionary Theory of Loneliness (ETL), compared with non-lonely individuals, lonely individuals perceive the social world as more threatening, imagine more negative social interactions, and remember more negative social information [15].”
Asilioglu, A., Vogrin, S., Woessner, M. N., Behne, J., Tacey, A., Pascoe, M. C., Tran, P., Bauer, C., Jourdan, L., Gori, M. D., et al. (2025) · Journal of Health Psychology · doi:10.1177/13591053251375313 · Cited by 1
“…of education, having greater levels of pain, having multiple joints impacted by OA, or having comorbid health conditions (Buchman et al., 2009; Hawkley et al., 2009; Philip et al., 2020; Shankar et al., 2011; Siviero et al., 2020; Vancampfort et al., 2019; Wood et al., 2016; Zheng et al.,…”
Loneliness moderates affective responses to uplifts in everyday life
Kang, J. E., Jones, D. R., Graham‐Engeland, J. E., & Sliwinski, M. J. (2025) · Personality and Individual Differences · doi:10.1016/j.paid.2025.113516 · Cited by 1
Loneliness: Coping and Flourishing
Rokach, A., & Patel, K. (2025) · Springer eBooks · doi:10.1007/978-3-032-02959-1_21 · Cited by 1
Cumulative experience of loneliness and frailty progression: A prospective cohort study
Hu, C., Han, B., Geng, H., He, Y., Li, R., Xu, T., Zhang, J., & Jin, L. (2026) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2026.01.009 · Cited by 1
Testing a conceptual framework of loneliness, social isolation and health outcomes in older adults
Pillay, A., Ning, K., AshaRani, P. V., Abdin, E., Wang, P., Jeyagurunathan, A., Zhang, Y., Sambasivam, R., Vaingankar, J. A., Shafie, S., et al. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07003-x · Cited by 1
“These findings are in line with previous research [25, 53].”
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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