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Social Isolation Linked to Higher Risk of Developing Dementia

A recent study found that the risk of developing dementia is 27% higher among older adults who lack regular social contact and interaction with others.

The study, conducted by researchers from the Johns Hopkins University School of Medicine, was published in the Journal of the American Geriatrics Society. It used data from a group of 5,022 participants aged 65 and older (with an average age of 76) as part of a long-term study titled National Health and Aging Trends.

At the time of the study, the participants were not living in a nursing home, residential care facility or other institution. They were asked to complete a two-hour, in-person interview to assess cognitive function, health status and overall well-being.

Initially, about 23% of the participants were socially isolated but showed no signs of dementia. The other 77% of participants were not considered socially isolated.

According to the study, social isolation is characterized by interacting with others infrequently and having few relationships. The researchers considered if participants lived with others, attended religious services, participated in social events, or discussed “important matters” with two or more people in the past year. Participants who engaged in none of the above were considered socially isolated.

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During the nine years of the study, researchers periodically administered cognitive tests. The study showed that 26% of the participants considered socially isolated developed dementia, compared with 20% of those who were not deemed socially isolated.

In total, 21% of all participants had developed dementia, leading researchers to conclude that the risk of developing dementia over nine years was 27% higher in socially isolated older adults.

Social isolation among older adults is associated with greater dementia risk. Elucidating the pathway by which social isolation impacts dementia may offer meaningful insights for the development of novel solutions to prevent or ameliorate dementia across diverse racial and ethnic groups.”

Dr. Alison Huang, a senior research associate at the Johns Hopkins Bloomberg School of Public Health, said, “one possible explanation is that having fewer opportunities to socialize with others decreases cognitive engagement as well, potentially contributing to increased risk of dementia.”

Dr. Thomas Cudjoe, an assistant professor of medicine at Johns Hopkins and a senior author of the study, stated  in a news release that “social connections matter for our cognitive health, and it is potentially easily modifiable for older adults without the use of medication.”

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The Centers for Disease Control and Prevention says that around 5.8 million Americans have Alzheimer’s disease, the most common form of dementia.  Being socially isolated “has also been linked to poor mental health and emotional well-being in older people.”

Another study that used data from participants in the same National Health and Aging Trends study “found that more than 70% of people age 65 and up who were not socially isolated at their initial appointment had a working cellphone and/or computer, and regularly used email or texting to initiate and respond to others.”

This second study, conducted over four years, found that older adults who used these technologies showed a 31% lower risk for social isolation than other participants. 

Dr. Mfon Umoh, a postdoctoral fellow in geriatric medicine at the Johns Hopkins University School of Medicine, said that “basic communications technology is a great tool to combat social isolation.” 

“This study shows that access and use of simple technologies are important factors that protect older adults against social isolation, which is associated with significant health risks. This is encouraging because it means simple interventions may be meaningful.”

Memory Loss

These Lifestyle Changes Can Delay Dementia Symptoms, Study Suggests

In a new study performed in the UK, scientists measured how 12 major lifestyle changes could help prevent dementia symptoms and delay its development within patients. Things like excessive drinking, exposure to air pollution, and head injuries all increase the risk of dementia, however, if these factors, among the eight others, are addressed early on, it could delay or even prevent dementia symptoms from appearing by nearly 40%. 

50 million people suffer from dementia worldwide. England alone is projected to have 1.2 million cases by 2040, which has acted as an extreme motivation for scientists and doctors looking into ways to treat dementia and slow down its detrimental effects. Professor Gill Livingston was a co-author of the study who claims that while some things like genetics can’t be avoided in terms of potential risk for dementia, lifestyle changes can have an extreme impact on one’s risk. 

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“Dementia is potentially preventable – you can do things to reduce your risk of dementia, whatever stage of life you’re at.”

Even individuals with a high genetic risk of contracting the illness can reduce that risk by implementing these changes into their own lives. The specific report that was recently published builds off a previous study from the Lancet Commission on dementia prevention which addressed nine lifestyle changes that were shown to reduce the risk of dementia by a third. Those changes were a part of this new study as well and included things like midlife hearing loss, depression, a lack of early-childhood education, and smoking.

The three additional lifestyle choices that were included in this study showed that 1% of all dementia cases worldwide, approximately 500,000, are attributed to mid-life excessive alcohol intake. 2% of all dementia cases (~1,000,000) are a result of exposure to air pollution at an older age, and 3% of cases (~1,500,000) are caused by mid-life head injuries. 

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While many of the factors can be taken on in one’s personal life, Livingston believes that it’s mainly up to government officials to implement new systemic changes that can reduce these risks. The report itself includes nine recommendations for the UK government specifically to tackle including improving air quality. 

Livingston also stated that in the past, every decade within the past 30 years has shown a consecutive 15% reduction in dementia risk in North America and Europe likely due to citizens implementing personal lifestyle changes such as quitting smoking. Smoking is thought to be one of the main reasons behind this reduction, as anti-smoking campaigns have grown immensely especially within the last decade. 

Fiona Matthews is a professor of epidemiology, and while she wasn’t involved in the study, she’s studied dementia and the risk-factors for many years. Matthews agrees with Livingston’s point that while there is personal responsibility to make these changes if you’re at risk, the government needs to be doing more to help its citizens do that. 

“Tackling lifestyle risk factors, personally and as a society, remain important, inequalities in population health, as highlighted by Covid-19, should be targeted. The crucial component is the absence of treatments that delay or postpone dementia.” 

The impact of these lifestyle interventions will be greatest among lower to middle class households, due to the fact that they have no control over the societal/world elements that increase the risk of dementia.