Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study

Purpose: This study aimed to clarify the association between reduced appetite and social factors, particularly social networks and loneliness, among community-dwelling older adults. Appetite is a key determinant of nutritional status and overall health in older adults, and its decline has been linke...

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Main Authors: Keisuke Fujii, OTR, PhD, Kento Noritake, MS, Daiki Nakashima, MS, Yuta Kubo, PhD, Kyosuke Yorozuya, PhD, Soma Tsujishita, PhD, Naoki Tomiyama, MS
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950307825000189
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author Keisuke Fujii, OTR, PhD
Kento Noritake, MS
Daiki Nakashima, MS
Yuta Kubo, PhD
Kyosuke Yorozuya, PhD
Soma Tsujishita, PhD
Naoki Tomiyama, MS
author_facet Keisuke Fujii, OTR, PhD
Kento Noritake, MS
Daiki Nakashima, MS
Yuta Kubo, PhD
Kyosuke Yorozuya, PhD
Soma Tsujishita, PhD
Naoki Tomiyama, MS
author_sort Keisuke Fujii, OTR, PhD
collection DOAJ
description Purpose: This study aimed to clarify the association between reduced appetite and social factors, particularly social networks and loneliness, among community-dwelling older adults. Appetite is a key determinant of nutritional status and overall health in older adults, and its decline has been linked to adverse health outcomes, including frailty, sarcopenia, and increased mortality. Methods: Primary assessments included the Japanese version of the Simplified Nutritional Appetite Questionnaire, Lubben Social Network Scale-6, and UCLA Loneliness Scale to evaluate appetite, social networks, and loneliness. Multiple regression analysis was performed with appetite as the dependent variable and social network and loneliness as independent variables. Results: Loneliness was significantly associated with reduced appetite in 126 participants, whereas social network size had no significant relationship with appetite. Conclusions: These findings suggest that in the context of reduced appetite among older adults, subjective loneliness may be a more critical factor than the mere quantity of social contact. The results of this study indicated that reducing loneliness is crucial when considering intervention strategies to improve appetite in older adults. In addition to traditional population-based approaches aimed at expanding social networks, individualized interventions that address loneliness and provide psychological support may be necessary.
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spelling doaj-art-41ffeb4d7fd1420bbdd9e462b044b7f12025-08-20T03:48:27ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-06-012210013610.1016/j.aggp.2025.100136Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional studyKeisuke Fujii, OTR, PhD0Kento Noritake, MS1Daiki Nakashima, MS2Yuta Kubo, PhD3Kyosuke Yorozuya, PhD4Soma Tsujishita, PhD5Naoki Tomiyama, MS6Faculty of Health Science, Suzuka University of Medical Science, 1001-1 Kishioka, Suzuka, Mie 510-0293, Japan; Corresponding author at: Faculty of Health Science, Suzuka University of Medical Science, 1001-1 Kishioka, Suzuka, Mie 510-0293, Japan.Faculty of Health Sciences, Nihon Fukushi University, 26-2 Higashihaemi, Handa, Aichi 475-0012, Japan; Department of Rehabilitation, Tokai Memorial Hospital, 681-47 Oaza Hazama-cho, Kasugai, Aichi, 487-0031, JapanFaculty of Health Science, Naragakuen University, 3-15-1, Nakatomigaoka, Nara, Nara 631-8524, JapanFaculty of Rehabilitation and Care, Seijoh University, 2-172 Fukinodai, Tokai, Aichi 476-8588, JapanFaculty of Rehabilitation and Care, Seijoh University, 2-172 Fukinodai, Tokai, Aichi 476-8588, JapanFaculty of Rehabilitation, Kobe International University, 9-1-6 Koyocho-naka, Higashinada, Kobe, Hyogo, 658-0032, JapanFaculty of Rehabilitation and Care, Seijoh University, 2-172 Fukinodai, Tokai, Aichi 476-8588, JapanPurpose: This study aimed to clarify the association between reduced appetite and social factors, particularly social networks and loneliness, among community-dwelling older adults. Appetite is a key determinant of nutritional status and overall health in older adults, and its decline has been linked to adverse health outcomes, including frailty, sarcopenia, and increased mortality. Methods: Primary assessments included the Japanese version of the Simplified Nutritional Appetite Questionnaire, Lubben Social Network Scale-6, and UCLA Loneliness Scale to evaluate appetite, social networks, and loneliness. Multiple regression analysis was performed with appetite as the dependent variable and social network and loneliness as independent variables. Results: Loneliness was significantly associated with reduced appetite in 126 participants, whereas social network size had no significant relationship with appetite. Conclusions: These findings suggest that in the context of reduced appetite among older adults, subjective loneliness may be a more critical factor than the mere quantity of social contact. The results of this study indicated that reducing loneliness is crucial when considering intervention strategies to improve appetite in older adults. In addition to traditional population-based approaches aimed at expanding social networks, individualized interventions that address loneliness and provide psychological support may be necessary.http://www.sciencedirect.com/science/article/pii/S2950307825000189AnorexiaSocial isolationPsychosocial factorsGeriatric nutritionMental healthPsychological support
spellingShingle Keisuke Fujii, OTR, PhD
Kento Noritake, MS
Daiki Nakashima, MS
Yuta Kubo, PhD
Kyosuke Yorozuya, PhD
Soma Tsujishita, PhD
Naoki Tomiyama, MS
Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
Archives of Gerontology and Geriatrics Plus
Anorexia
Social isolation
Psychosocial factors
Geriatric nutrition
Mental health
Psychological support
title Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
title_full Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
title_fullStr Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
title_full_unstemmed Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
title_short Associations among appetite, social networks, and loneliness in community-dwelling older adults: A cross-sectional study
title_sort associations among appetite social networks and loneliness in community dwelling older adults a cross sectional study
topic Anorexia
Social isolation
Psychosocial factors
Geriatric nutrition
Mental health
Psychological support
url http://www.sciencedirect.com/science/article/pii/S2950307825000189
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