Cited by 351Health disparities and outcomesAging, Health, and DisabilityPhysical Activity and Health

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Social Isolation, Loneliness, and Health Behaviors at Older Ages: Longitudinal Cohort Study

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Kobayashi, Lindsay C, Steptoe, Andrew·2018·Annals of Behavioral Medicine

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Abstract

Background: The prospective associations between social isolation, loneliness, and health behaviors are uncertain, despite the potential importance of these relationships over time for outcomes including mortality. Purpose: To examine the associations between baseline social isolation, baseline loneliness, and engagement in health behaviors over 10 years among older adults. Methods: Data were from 3,392 men and women aged ≥52 years in the English Longitudinal Study of Ageing from 2004/2005 to 2014/2015. Modified Poisson regression was specified to estimate relative risks (RRs) and 95% confidence intervals for the associations between baseline social isolation, baseline loneliness, and consistent weekly moderate-to-vigorous physical activity, consistent five daily fruit and vegetable servings, daily alcohol drinking at any time point, smoking at any time point, and a consistently overweight/obese body mass index over the follow-up (all yes vs. no). Models were population weighted and adjusted for sociodemographic factors, health indicators, and depressive symptoms, with mutual adjustment for social isolation and loneliness. Results: Socially isolated participants were less likely than non-isolated participants to consistently report weekly moderate-to-vigorous physical activity (RR = 0.86; 0.77-0.97) or five daily fruit and vegetable servings (RR = 0.81; 0.63-1.04). They were less likely to be consistently overweight or obese (RR = 0.86; 0.77-0.97) and more likely to smoke at any time point (RR = 1.46; 1.17-1.82). Loneliness was not associated with health behaviors or body mass index in adjusted models. Among smokers, loneliness was negatively associated with successful smoking cessation over the follow-up (RR = 0.31; 0.11-0.90). Conclusions: Social isolation was associated with a range of health-related behaviors, and loneliness was associated with smoking cessation over a 10 year follow-up in older English adults.

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Authors: Kobayashi, L. C., & Steptoe, A.
Affiliations: Harvard University (US)
University College London (GB)
Corresponding author: Steptoe, Andrew
ORCID: Kobayashi, Lindsay C
Steptoe, Andrew
Venue: Annals of Behavioral Medicine
Publisher: Oxford University Press (OUP)
Published: 2018-01-25
Volume: 52
Issue: 7
Pages: 582-593
ISSN: 0742-5554 (ISSN-L)
0883-6612
1532-4796
DOI: 10.1093/abm/kax033
PMC: PMC6377432
OpenAlex: W2793714205
Cited by: 351
References: 62
Citations by year: 2026: 39 · 2025: 47 · 2024: 57 · 2023: 56 · 2022: 49 · 2021: 55 · 2020: 31 · 2019: 14 · 2018: 3
FWCI: 27.57
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: academic.oup.com/journals/pages/about_us/legal/notices (vor)
Locations: Annals of Behavioral Medicine (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: National Institute on Aging (2RO1AG7644-01A1, 2RO1AG017644)
Topics: Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords: social isolation, loneliness, health behavior, older adults, physical activity, fruit and vegetable intake, alcohol consumption, smoking, smoking cessation, overweight and obesity, English Longitudinal Study of Ageing
MeSH terms: Diet, Healthy, Age Factors, Aged, Aged, 80 and over, Alcohol Drinking, Female, Humans, Loneliness, Longitudinal Studies, Male, Middle Aged, Risk, Sex Factors, Social Isolation, Health Behavior, Exercise, Body Mass Index, Poisson Distribution, Marital Status

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Social Isolation, Loneliness, and Health Behaviors at Older Ages: Longitudinal Cohort Study

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