Evidence map›Paper›PMID 39973056›Full record

SynthesisPsychological medicine2025

Loneliness and cognition in older adults: A meta-analysis of harmonized studies from the United States, England, India, China, South Africa, Mexico, and Chile.

Ji Hyun Lee, Angelina R Sutin, André Hajek, Selin Karakose, Damaris Aschwanden, Páraic S O'Súilleabháin, Yannick Stephan, Antonio Terracciano, Martina Luchetti

Abstract readMeta-Analysis
In one paragraph

Synthesis in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Loneliness and Plasma Biomarkers of Neurodegeneration in Community-Dwelling Older Adults: Cross-Sectional and Longitudinal Analyses.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ji Hyun LeeDepartment of Human Development and Community Health, Montana State University, Bozeman, MT, USA.ORCID 0000-0003-3810-9186
Angelina R SutinDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, Tallahassee, FL, USA.ORCID 0000-0002-1824-8974
André HajekDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-6886-2745
Selin KarakoseDepartment of Geriatrics, College of Medicine, Florida State University, Tallahassee, FL, USA.ORCID 0000-0001-8629-4422
Damaris AschwandenDepartment of Geriatrics, College of Medicine, Florida State University, Tallahassee, FL, USA.ORCID 0000-0002-0899-624X
Páraic S O'SúilleabháinDepartment of Psychology, University of Limerick, Limerick, Ireland.ORCID 0000-0002-1423-7119
Yannick StephanEuroMov, University of Montpellier, Montpellier, France.ORCID 0000-0002-8029-8809
Antonio TerraccianoDepartment of Geriatrics, College of Medicine, Florida State University, Tallahassee, FL, USA.ORCID 0000-0001-5799-8885
Martina LuchettiDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, Tallahassee, FL, USA.ORCID 0000-0002-7370-8443

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
SOCIAL AND ECONOMIC PREDICTORS OF PHYSICAL AND COGNITIVE FUNCTIONP01AG041710 · NIA · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Julia Katherine Rohr · 2013 to 2026
$37.3M
Leveraging a natural experiment to estimate the causal impact of blood sugar on dementia and cognition in IndiaR01AG051125 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jinkook Lee · 2015 to 2026
$26.8M
China Health and Retirement Longitudinal StudyR01AG037031 · NIA · PEKING UNIVERSITY · PI STRAUSS, JOHN A, WANG, YAFENG · 2010 to 2024
$15.1M
STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B · 1999 to 2024
$14.0M
Health and Retirement Study: Harmonized Cognitive Assessment Protocol (HCAP)U01AG058499 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LANGA, KENNETH M · 2018 to 2023
$8.3M
Genetics of Alzheimer's Disease in MexicoR56AG059756 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARRAL RODRIGUEZ, SANDRA, MAYEUX, RICHARD P · 2018 to 2019
$5.0M
Modifiable Protective and Risk Factors of Late-Life Cognitive Health and DementiaRF1AG055273 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LANGA, KENNETH M, LEE, JINKOOK · 2017 to 2017
$4.0M
Personality and Dementia: Mechanisms and TrajectoriesR01AG068093 · NIA · FLORIDA STATE UNIVERSITY · PI TERRACCIANO, ANTONIO · 2020 to 2024
$3.0M
Prenatal and Early Life Antecedents of Personality: An Intergenerational Lifespan ApproachRF1AG053297 · NIA · FLORIDA STATE UNIVERSITY · PI SUTIN, ANGELINA R · 2023 to 2023
$2.2M
Harmonized Cognitive and Dementia Assessment in ChinaR01AG053228 · NIA · PEKING UNIVERSITY · PI HUANG, YUEQIN, STRAUSS, JOHN A · 2016 to 2019
$1.7M
NIA NIH HHS P01 AG041710NIA NIH HHS P30 AG012836NIA NIH HHS R01 AG017644NIA NIH HHS R01 AG037031NIA NIH HHS R01 AG051125NIA NIH HHS R01 AG051158NIA NIH HHS R01 AG053228NIA NIH HHS R01 AG068093NIA NIH HHS R01AG068093NIA NIH HHS R56 AG059756NIA NIH HHS RF1 AG053297NIA NIH HHS RF1 AG055273NIA NIH HHS U01 AG009740NIA NIH HHS U01 AG058499Wellcome Trust
6 · The paper itself

Abstract

backgroundLoneliness is a risk factor for late-life dementia. There is less consistent evidence of its association with cognitive performance. This study examined the replicability of the association between loneliness and overall and domain-specific cognitive function and informant-rated cognitive decline in cohorts from seven countries: the United States, England, India, China, South Africa, Mexico, and Chile.

methodsData were from the Harmonized Cognitive Assessment Protocol administered in seven population-based studies (total N > 20,000). Participants reported their loneliness, completed a battery of cognitive tests, and nominated a knowledgeable informant to rate their cognitive decline. Random-effect meta-analyses were used to summarize the associations from each cohort.

resultsLoneliness was associated with poor overall cognitive performance and informant-rated cognitive decline controlling for sociodemographic factors (meta-analytic correlation for overall cognition = -.10 [95% CI = -.13, -.06] and informant-rated decline = .16 [95% CI = .14, .17]). Despite some heterogeneity, the associations were significant across samples from Africa, Asia, Europe, North, Central, and South America. The meta-analysis also indicated an association with specific cognitive domains: episodic memory, speed-attention, visuospatial abilities, numeric reasoning, and verbal fluency. The associations were attenuated but persisted when depressive symptoms were added as a covariate. Depression, cognitive impairment, and sociodemographic factors did not consistently moderate the associations across samples.

conclusionsLoneliness is associated with poor performance across multiple domains of cognition and observer-rated cognitive decline, associations that replicated across diverse world regions and cultures.

Indexed as

CognitionCognitive DysfunctionLonelinessAgedAged, 80 and overChileChinaEnglandFemaleHumansIndiaMaleMexicoMiddle AgedSouth AfricaUnited Statescognitionlonelinessmeta-analysisolder adults

Identifiers

PMID39973056
PMCPMC11939032

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.