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Associations of loneliness with risk of Alzheimer's disease dementia in the Framingham Heart Study
Author(s) -
AkhterKhan Samia C.,
Tao Qiushan,
Ang Ting Fang Alvin,
Itchapurapu Indira Swetha,
Alosco Michael L.,
Mez Jesse,
Piers Ryan J.,
Steffens David C.,
Au Rhoda,
Qiu Wei Qiao
Publication year - 2021
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1002/alz.12327
Subject(s) - loneliness , dementia , hazard ratio , psychology , depression (economics) , ucla loneliness scale , proportional hazards model , gerontology , medicine , clinical psychology , confidence interval , psychiatry , disease , economics , macroeconomics
The relationship between persistent loneliness and Alzheimer's disease (AD) is unclear. We examined the relationship between different types of mid‐life loneliness and the development of dementia and AD. Methods Loneliness was assessed in cognitively normal adults using one item from the Center for Epidemiologic Studies Depression Scale. We defined loneliness as no loneliness, transient loneliness, incident loneliness,or persistent loneliness, and applied Cox regression models and Kaplan‐Meier plots with dementia and AD as outcomes ( n = 2880). Results After adjusting for demographics, social network, physical health, and apolipoprotein E ε4, persistent loneliness was associated with higher (hazard ratio [HR], 1.91; 95% confidence interval [CI] 1.25–2.90; P < .01), and transient loneliness with lower (HR, 0.34; 95% CI 0.14–0.84; P < .05), risk of dementia onset, compared to no loneliness. Results were similar for AD risk. Discussion Persistent loneliness in mid‐life is an independent risk factor for dementia and AD, whereas recovery from loneliness suggests resilience to dementia risk.