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Social Isolation Causally Speeds Cognitive Decline in Older Adults, Peer-Reviewed Study Finds

Causal-inference analysis of 2004–2018 U.S. data ties reduced social contact to faster decline across demographic groups.

Overview

  • The effect was independent of whether participants felt lonely, with about 6% of the impact mediated by loneliness.
  • Researchers examined 137,653 cognitive assessments from 30,421 adults in the U.S. Health and Retirement Study.
  • Using the g-formula counterfactual method, the team estimated a direct causal effect of objective social isolation on cognitive trajectories.
  • Reducing isolation was linked to cognitive protection across gender, race and ethnicity, and education categories with only minor differences.
  • The authors call for public-health measures to build social connection, including targeted support for people living alone, given dementia’s prevalence and the lack of a cure.