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Association Between Osteoarthritis and Social Isolation: Data From the EPOSA Study
Paola Siviero1, Nicola Veronese1, Toby Smith2
1National Research Council, Institute of Neuroscience-Aging Branch, Padova, Italy.
Journal of the American Geriatrics Society
|September 19, 2019
Summary
Osteoarthritis (OA) significantly increases the risk of developing social isolation in older adults. This finding highlights the need for healthcare providers to consider OA's impact on social well-being.
Area of Science:
- Gerontology
- Public Health
- Rheumatology
Background:
- Social isolation is a growing concern among aging populations.
- Osteoarthritis (OA) is a prevalent condition affecting mobility and quality of life in older adults.
- Understanding the interplay between chronic conditions and social determinants of health is crucial.
Purpose of the Study:
- To investigate the association between clinical osteoarthritis and the incidence of social isolation.
- To identify risk factors for social isolation in a European cohort of older adults.
Main Methods:
- Prospective observational study using data from the European Project on OSteoArthritis (EPOSA).
- Inclusion of 1967 community-dwelling older adults across six European countries with 12-18 months follow-up.
- Assessment of social isolation via Lubben Social Network Scale and Maastricht Social Participation Profile; clinical OA diagnosis based on American College of Rheumatology criteria.
Main Results:
- 13.9% of participants experienced incident social isolation.
- Clinical osteoarthritis of the hip and/or knee (with or without hand OA) was significantly associated with a 1.47-fold increased risk of social isolation.
- Cognitive impairment, depression, and worse walking time also predicted incident social isolation.
Conclusions:
- Clinical osteoarthritis, particularly affecting the hip and knee, is a significant risk factor for incident social isolation in older adults.
- These findings underscore the importance of addressing OA management to mitigate social isolation.
- Healthcare professionals should be vigilant for social isolation risk in patients with osteoarthritis.
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