Osteoporosis & bone health

The association of loneliness with bone mineral density, osteoporosis, osteopenia, fall, and sarcopenia among older adults: results from Mr. and Ms. Os (Hong Kong) study

Osteoporos IntPublished Prospective cohort study

Study context

Population
Community-dwelling older Chinese adults in the Mr. OS and Ms. OS Hong Kong cohorts466 in longitudinal analyses
Participants
1,053 adults
Exposure
Severe loneliness vs absence of loneliness
Outcome
BMD, osteoporosis, osteopenia, falls and sarcopenia
Methodological detailscross-sectional and longitudinal analyses, community-dwelling older Chinese adults, adjusted regression models
  • Cross-sectional and longitudinal analyses
  • Community-dwelling older Chinese adults
  • Adjusted regression models

Main finding

As reported in the abstract

Musculoskeletal outcomes at baseline:
  • Cross-sectional
  • Adjusted
Severe loneliness vs Absence of lonelinessEstimate (95% CI)
vs those without either condition
OR (osteoporosis) 3.278(1.187–9.051)
vs those without either condition
OR (osteopenia) 2.471(1.303–4.684)
Musculoskeletal outcomes at baseline (cross-sectional, adjusted)
β (hip bone mineral density (BMD)) −0.031 (95% CI −0.053 to −0.008)
Musculoskeletal outcomes at baseline (cross-sectional, adjusted)
β (femoral neck BMD) −0.027 (95% CI −0.047 to −0.006)
Each unit increase in emotional loneliness score associated with lower hip and femoral neck BMD and increased odds of osteoporosis and osteopenia
P < 0.05
Loneliness not cross-sectionally associated with falls or sarcopenia
P > 0.05

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Positive SARC-F (≥ 4) at follow-up (longitudinal) · follow-up (4 years)Adjusted for baseline level and covariates2.302 (1.024–5.177)
Positive SARC-F (≥ 4) at follow-up (longitudinal) — Higher social loneliness scores, OR
1.340 (95% CI 1.076, 1.667)

Falls at follow-up (longitudinal)

Loneliness did not significantly predict falls after full adjustment

Original publication

The association of loneliness with bone mineral density, osteoporosis, osteopenia, fall, and sarcopenia among older adults: results from Mr. and Ms. Os (Hong Kong) study. Osteoporos Int. Published 18 October 2025. doi:10.1007/s00198-025-07720-w

Composed by AI from the published abstract and checked against it. How Briefs are made →

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