The importance of fostering social connections as a preventive measure against cognitive decline in older adults
DOI:
https://doi.org/10.37387/ipc.v13i3.416Keywords:
Socialization, older adults, cognitive decline, multidomain interventions, social isolationAbstract
Building close social ties is crucial for the well-being and health of older adults, as it helps reduce loneliness and depression, while helping prevent cognitive decline. However, this population is particularly vulnerable to social isolation due to factors such as the loss of loved ones and age-related physical disabilities. Social isolation is a significant public health concern because of its strong links to chronic diseases and mental health disorders. Research indicates that the impact of social isolation on mortality is as severe as other well-established risk factors like smoking and hypertension, raising the likelihood of cognitive impairment and severely diminishing quality of life in old age. Social prescription programs and multidomain interventions that include social engagement components have proven effective in mitigating the negative effects of isolation. In Panama, the first multidomain intervention study for the prevention of cognitive decline in older adults was conducted, including physical, cognitive, and social interventions. Significant improvements were found in the combined intervention group, which participated in group cognitive sessions once a week for four months. This group was the only one to show a reduction in depressive symptoms, an improvement in quality of life, and cognitive enhancement. Although opportunities to foster socializing for this age group are limited, this pioneering study in Panama proves that such interventions are feasible and can play a role in promoting healthy aging. The benefits of these interventions not only directly impact participants but also generate broad positive effects on their families and communities.
Downloads
References
Alzheimer’s Association. (2024). ¿Qué es el Alzheimer? ¿Qué es el Alzheimer? https://www.alz.org/alzheimer-demencia/que-es-la-enfermedad-de-alzheimer
Ávila, N. (2018). Envejecimiento: Edad, Salud y Sociedad. Horizonte Sanitario, 17(2).
Beard, J. R., Officer, A. M., & Cassels, A. K. (2016). The World Report on Ageing and Health. The Gerontologist, 56(Suppl 2), S163-S166. https://doi.org/10.1093/geront/gnw037
BID. (2025, enero 24). BID y socios se comprometen a desarrollar la economía plateada. Primer Foro de Economía Plateada Europa-América Latina y el Caribe, Barcelona. https://www.iadb.org/es/noticias/bid-y-socios-se-comprometen-desarrollar-la-economia-plateada
Burr, J. A., Han, S. H., & Tavares, J. L. (2016). Volunteering and Cardiovascular Disease Risk: Does Helping Others Get “Under the Skin?” The Gerontologist, 56(5), 937-947. https://doi.org/10.1093/geront/gnv032
Cacioppo, J. T., & Cacioppo, S. (2014). Social Relationships and Health: The Toxic Effects of Perceived Social Isolation. Social and Personality Psychology Compass, 8(2), 58-72. https://doi.org/10.1111/spc3.12087
Carr, D. C., Kail, B. L., & Rowe, J. W. (2018). The Relation of Volunteering and Subsequent Changes in Physical Disability in Older Adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 73(3), 511-521. https://doi.org/10.1093/geronb/gbx102
Cassilhas, R. C., Viana, V. A. R., Grassmann, V., Santos, R. T., Santos, R. F., Tufik, S., & Mello, M. T. (2007). The Impact of Resistance Exercise on the Cognitive Function of the Elderly. Medicine & Science in Sports & Exercise, 39(8), 1401-1407. https://doi.org/10.1249/mss.0b013e318060111f
Christiansen, J., Lund, R., Qualter, P., Andersen, C. M., Pedersen, S. S., & Lasgaard, M. (2021). Loneliness, Social Isolation, and Chronic Disease Outcomes. Annals of Behavioral Medicine, 55(3), 203-215. https://doi.org/10.1093/abm/kaaa044
Da Silveira, C., Resende, T. D. L., Barcellos, A. B., Cecchele, B., Knob, M. S., Silva, T. D. N., Da Rosa, J. N., Diogo, T. D. S., Filho, I. G. D. S., & Schwanke, C. H. A. (2018). Effect of Exercise on Cognition, Conditioning, Muscle Endurance, and Balance in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. Journal of Geriatric Physical Therapy, 42(2), E15-E22. https://doi.org/10.1519/JPT.0000000000000191
Gavelin, H. M., Lampit, A., Hallock, H., Sabatés, J., & Bahar-Fuchs, A. (2020). Cognition-Oriented Treatments for Older Adults: A Systematic Overview of Systematic Reviews. Neuropsychology Review, 30(2), 167-193. https://doi.org/10.1007/s11065-020-09434-8
Guerrini, M. E. (2010). La vejez. Su abordaje desde el Trabajo Social. Margen: revista de trabajo social y ciencias sociales, 57.
Hwang, J., Wang, L., Siever, J., Medico, T. D., & Jones, C. A. (2019). Loneliness and social isolation among older adults in a community exercise program: A qualitative study. Aging & Mental Health, 23(6), 736-742. https://doi.org/10.1080/13607863.2018.1450835
Kamegaya, T., Araki, Y., Kigure, H., Long‐Term‐Care Prevention Team of Maebashi City, & Yamaguchi, H. (2014). Twelve‐week physical and leisure activity programme improved cognitive function in community‐dwelling elderly subjects: A randomized controlled trial. Psychogeriatrics, 14(1), 47-54. https://doi.org/10.1111/psyg.12038
Karp, A., Paillard-Borg, S., Wang, H.-X., Silverstein, M., Winblad, B., & Fratiglioni, L. (2006). Mental, Physical and Social Components in Leisure Activities Equally Contribute to Decrease Dementia Risk. Dementia and Geriatric Cognitive Disorders, 21(2), 65-73. https://doi.org/10.1159/000089919
Kim, E. S., Whillans, A. V., Lee, M. T., Chen, Y., & VanderWeele, T. J. (2020). Volunteering and Subsequent Health and Well-Being in Older Adults: An Outcome-Wide Longitudinal Approach. American Journal of Preventive Medicine, 59(2), 176-186. https://doi.org/10.1016/j.amepre.2020.03.004
Lara-Díaz, M. F., Beltrán-Rojas, J. C., & Araque-Jaramillo, S. M. (2019). Resultados de un programa de estimulación lingüística y cognitiva dirigido a adultos mayores y su impacto en la calidad de vida. Revista de la Facultad de Medicina, 67(1), 75-81. https://doi.org/10.15446/revfacmed.v67n1.60831
Lee, Y., & Jean Yeung, W.-J. (2019). Gender matters: Productive social engagement and the subsequent cognitive changes among older adults. Social Science & Medicine, 229, 87-95. https://doi.org/10.1016/j.socscimed.2018.08.024
Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157-171. https://doi.org/10.1016/j.puhe.2017.07.035
Livingston, G., Huntley, J., Liu, K. Y., Costafreda, S. G., Selbæk, G., Alladi, S., Ames, D., Banerjee, S., Burns, A., Brayne, C., Fox, N. C., Ferri, C. P., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Nakasujja, N., Rockwood, K., … Mukadam, N. (2024). Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. The Lancet, 404(10452), 572-628. https://doi.org/10.1016/S0140-6736(24)01296-0
Maffei, L., Andreassi, M. G., Angelucci, A., Baldacci, F., Baroncelli, L., Begenisic, T., Bellinvia, P. F., Berardi, N., Biagi, L., Bonaccorsi, J., Bonanni, E., Bonuccelli, U., Borghini, A., Braschi, C., Broccardi, M., Bruno, R. M., Caleo, M., Carlesi, C., Carnicelli, L., … Volpi, L. (2017). Randomized trial on the effects of a combined physical/cognitive training in aged MCI subjects: The Train the Brain study. Scientific Reports, 7(1), 39471. https://doi.org/10.1038/srep39471
Maki, Y., Ura, C., Yamaguchi, T., Murai, T., Isahai, M., Kaiho, A., Yamagami, T., Tanaka, S., Miyamae, F., Sugiyama, M., Awata, S., Takahashi, R., & Yamaguchi, H. (2012). Effects of Intervention Using a Community‐Based Walking Program for Prevention of Mental Decline: A Randomized Controlled Trial. Journal of the American Geriatrics Society, 60(3), 505-510. https://doi.org/10.1111/j.1532-5415.2011.03838.x
National Institute on Aging. (2024). Soledad y aislamiento social: Sugerencias para mantener las conexiones sociales. https://www.nia.nih.gov/espanol/soledad-aislamiento-social/soledad-aislamiento-social-consejos-mantenerse-conectado
Ng, T.-P., Nyunt, M. S. Z., Feng, L., Feng, L., Niti, M., Tan, B. Y., Chan, G., Khoo, S. A., Chan, S. M., Yap, P., & Yap, K. B. (2017). Multi-domains lifestyle interventions reduces depressive symptoms among frail and pre-frail older persons: Randomized controlled trial. The Journal of Nutrition, Health and Aging, 21(8), 918-926. https://doi.org/10.1007/s12603-016-0867-y
OMS. (2002). Active Ageing: A policy framework. OMS. https://iris.who.int/handle/10665/67215
OMS. (2017). Global strategy and action plan on ageing and health. World Health Organization. https://iris.who.int/handle/10665/329960
OMS. (2024, octubre 1). Envejecimiento y Salud. Envejecimiento y Salud. https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health
OPS & CEPAL. (2023). Perspectivas demográficas del envejecimiento poblacional en la Región de las Américas. OPS y CEPAL. https://doi.org/10.37774/9789275326794
Owen, R., Berry, K., & Brown, L. J. E. (2022). Enhancing Older Adults’ Well-Being and Quality of Life Through Purposeful Activity: A Systematic Review of Intervention Studies. The Gerontologist, 62(6), e317-e327. https://doi.org/10.1093/geront/gnab017
Palma-Ayllón, E., & Escarabajal-Arrieta, M. D. (2021). Efectos de la soledad en la salud de las personas mayores. Gerokomos, 32(1), 22-25. https://doi.org/10.4321/S1134-928X2021000100006
Pantell, M., Rehkopf, D., Jutte, D., Syme, S. L., Balmes, J., & Adler, N. (2013). Social Isolation: A Predictor of Mortality Comparable to Traditional Clinical Risk Factors. American Journal of Public Health, 103(11), 2056-2062. https://doi.org/10.2105/AJPH.2013.301261
Paquet, C., Whitehead, J., Shah, R., Adams, A. M., Dooley, D., Spreng, R. N., Aunio, A.-L., & Dubé, L. (2023). Social Prescription Interventions Addressing Social Isolation and Loneliness in Older Adults: Meta-Review Integrating On-the-Ground Resources. Journal of Medical Internet Research, 25, e40213. https://doi.org/10.2196/40213
Paradela, R. S., Calandri, I., Castro, N. P., Garat, E., Delgado, C., Crivelli, L., Yaffe, K., Ferri, C. P., Mukadam, N., Livingston, G., & Suemoto, C. K. (2024). Population attributable fractions for risk factors for dementia in seven Latin American countries: An analysis using cross-sectional survey data. The Lancet Global Health, 12(10), e1600-e1610. https://doi.org/10.1016/S2214-109X(24)00275-4
Rejeski, W. J., & Mihalko, S. L. (2001). Physical Activity and Quality of Life in Older Adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(Supplement 2), 23-35. https://doi.org/10.1093/gerona/56.suppl_2.23
Santini, Z. I., Jose, P. E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K. R., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): A longitudinal mediation analysis. The Lancet Public Health, 5(1), e62-e70. https://doi.org/10.1016/S2468-2667(19)30230-0
Seino, S., Nishi, M., Murayama, H., Narita, M., Yokoyama, Y., Nofuji, Y., Taniguchi, Y., Amano, H., Kitamura, A., & Shinkai, S. (2017). Effects of a multifactorial intervention comprising resistance exercise, nutritional and psychosocial programs on frailty and functional health in community‐dwelling older adults: A randomized, controlled, cross‐over trial. Geriatrics & Gerontology International, 17(11), 2034-2045. https://doi.org/10.1111/ggi.13016
Takramah, W. K., & Asem, L. (2022). The efficacy of pharmacological interventions to improve cognitive and behavior symptoms in people with dementia: A systematic review and meta‐analysis. Health Science Reports, 5(6), e913. https://doi.org/10.1002/hsr2.913
Wang, Y., Tang, S., Hou, T., Cong, L., Du, Y., & Qiu, C. (2022). Multimodal Interventions to Delay Dementia and Disability in Rural China (MIND‐China): An Update 2018‐2021. Alzheimer’s & Dementia, 18(S11), e061546. https://doi.org/10.1002/alz.061546
Warner, L. M., Jiang, D., Yeung, D. Y., Choi, N. G., Ho, R. T. H., Kwok, J. Y. Y., Song, Y., & Chou, K.-L. (2024). Study protocol of the ‘HEAL-HOA’ dual randomized controlled trial: Testing the effects of volunteering on loneliness, social, and mental health in older adults. Contemporary Clinical Trials Communications, 38, 101275. https://doi.org/10.1016/j.conctc.2024.101275
Yaffe, K., Fiocco, A. J., Lindquist, K., Vittinghoff, E., Simonsick, E. M., Newman, A. B., Satterfield, S., Rosano, C., Rubin, S. M., Ayonayon, H. N., & Harris, T. B. (2009). Predictors of maintaining cognitive function in older adults: The Health ABC Study. Neurology, 72(23), 2029-2035. https://doi.org/10.1212/WNL.0b013e3181a92c36
Yeung, D. Y.-L., Jiang, D., Warner, L. M., Choi, N. G., Ho, R. T. H., Kwok, J. Y. Y., & Chou, K.-L. (2025). The effects of volunteering on loneliness among lonely older adults: The HEAL-HOA dual randomised controlled trial. The Lancet Healthy Longevity, 6(1), 100664. https://doi.org/10.1016/j.lanhl.2024.100664
Zucchella, C., Sinforiani, E., Tamburin, S., Federico, A., Mantovani, E., Bernini, S., Casale, R., & Bartolo, M. (2018). The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment. Frontiers in Neurology, 9, 1058. https://doi.org/10.3389/fneur.2018.01058
Zülke, A. E., Pabst, A., Luppa, M., Roehr, S., Seidling, H., Oey, A., Cardona, M. I., Blotenberg, I., Bauer, A., Weise, S., Zöllinger, I., Sanftenberg, L., Brettschneider, C., Döhring, J., Lunden, L., Czock, D., Haefeli, W. E., Wiese, B., Hoffmann, W., … Riedel‐Heller, S. G. (2024). A multidomain intervention against cognitive decline in an at‐risk‐population in Germany: Results from the cluster‐randomized AgeWell.de trial. Alzheimer’s & Dementia, 20(1), 615-628. https://doi.org/10.1002/alz.13486
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 https://revistas.usma.ac.pa/ojs/index.php/ipc/stats/reportsinfo:eu-repo/semantics/openAccess

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
1. The authors preserves the patrimonial rights (copyright) of the published works, and favors and allows their reuse.
2. The journal (and its contents) use Creative Commons licenses, specifically the CC BY NC SA type, where: "the beneficiary of the license has the right to copy, distribute, display and represent the work and make derivative works provided you acknowledge and cite the work in the manner specified by the author or licensor."
3. They can be copied, used, disseminated, transmitted and exhibited publicly, provided that: i) the authorship and the original source of its publication (magazine, publisher and URL, DOI of the work) are cited; ii) are not used for commercial purposes.
4. Conditions of self-archiving. Authors are encouraged to electronically disseminate the post-print versions (version evaluated and accepted for publication), as it favors their circulation and dissemination, increases their citation and reach among the academic community.