Skip to main content

Table 3 Studies reporting outcome of Alzheimer’s Disease or dementia

From: Functional social support and cognitive function in middle- and older-aged adults: a systematic review of cross-sectional and cohort studies

Author (year)

Dimension of FSS

Coefficient (CI or P-value)

Interpretation

Study Design: Cross-Sectional

 Conroy et al., 2010 [29]

Perceived / Subjective

Dementia: OR = 1.0 (p = 0.934)

Perceived social support not associated with dementia

 Kotwal et al., 2016 [42]

Perceived / Subjective

Dementia: 0.00 (-0.45, 0.46)

Perceived social support not associated with dementia

 Poey et al., 2017 [52]

Perceived / Subjective

AD: RR = 0.567 (p = 0.174)

Dementia: RR = 1.135 (p = 0.701)

Perceived social support has a protective effect against AD. Perceived support is associated with a small increased risk of non-AD dementia

 Yang et al., 2020 [57]

Perceived / Subjective

Severity of dementia: x2 = 64.70 (p < 0.001)

Greater perceived social support significantly associated with lower severity of dementia

 Henderson et al., 1986 [37]

Satisfaction with FSS

Dementia: 0.06 (p = 0.002)

Participants with dementia reported significantly lower satisfaction with diffuse social relationships than non-demented participants (value for satisfaction with close relationships not reported)

Study Design: Cohort

 Andel et al., 2012 [68]

Social Support at Work

AD: OR = 0.88 (0.76, 1.0) **

Dementia: OR = 0.87 (0.78, 0.97) **

Greater overall social support at work has protective effect against AD and dementia. Significant in case of dementia

 Amieva et al., 2010 [67]

Satisfaction with FSS

AD: RR = 0.84 (0.3, 1.3)

Dementia: RR = 0.77 (0.6, 0.9)

Satisfaction with social support has protective effect against dementia and AD; significant protective effect in case of dementia

 Crooks et al., 2008 [25]

Satisfaction with FSS

Dementia: HR = 0.74 (0.78, 1.23)

Satisfaction with social support reduces risk of dementia

 Camozzato et al., 2015 [71]

Perceived / Subjective

AD: HR = 0.19 (0.07, 0.52)b

Perceived support based on presence of confidants associated with significantly decreased risk of developing AD

 Riddle et al., 2015 [92]

Perceived / Subjective

Dementia: x2 = 0.29 (p = 0.59)

Perceived support did not predict conversion to dementia

 Heser et al., 2014 [77]

Emotional

AD: HR = 0.54 (0.19, 1.55)

Dementia: HR = 1.02 (0.39, 2.66)

Small positive association between emotional support and all-cause dementia. Emotional support has protective effect against AD

 Liu et al., 2020 [85]

Emotional

Dementia: HR = 1.10 (0.88, 1.37)

Receiving emotional social support associated with small (non-significant) increased risk of dementia

 Miyaguni et al., 2021 [87]

Emotional

Dementia: 0.97 (0.94, 0.99)

Receiving emotional support significantly associated with decreased risk of dementia

 Murata et al., 2019 [16]

Emotional

Dementia – Males: HR = 0.95 (0.39, 2.66) a

Dementia – Females: HR = 0.98 (0.82, 1.18) a

Emotional support has small protective effect against dementia in both males and females

 Rote et al., 2021 [93]

Emotional

Low Support

Likely dementia: 40.6%

Increasing dementia: 49.1%

No impairment: 10.3%

High Support

Likely dementia: 43.6%

Increasing dementia: 36.9%

No dementia: 19.5%

Values reported are conditional probabilities. Higher conditional probability of increasing dementia risk group belonging to low emotional support group

 Saito et al., 2018 [94]

Emotional

Dementia: HR = 0.96 (0.89, 1.04) a

Emotional support from family has small protective effect against dementia; effect even smaller in case of emotional support from friends. Small positive association between emotional support from relatives and dementia

 Salinas et al., 2017 [95]

Emotional

Dementia: HR = 0.78 (0.56, 1.09)

Emotional support has protective effect against dementia

 Sörman et al., 2015 [97]

Emotional

Dementia: HR = 0.82 (0.60, 1.11)

AD: HR = 0.72 (0.48, 1.07)

Emotional support has protective effect against dementia and AD

 Heser et al., 2014 [77]

Instrumental

Dementia: HR = 2.34 (0.91, 6.02)

AD: HR = 3.57 (1.12, 11)

Large positive association between instrumental support and dementia and AD; association is significant in case of AD

 Murata et al., 2019 [16]

Instrumental

Dementia: Female: 0.98a (0.88, 1.09)

Dementia: Male: 0.95a (0.83, 1.08)

Instrumental support has a small protective effect against dementia in both males and females

 Riddle et al., 2015 [92]

Instrumental

Dementia: x2 = 1.99 (p = 0.16)

Instrumental support did not predict conversion to dementia

 Rote et al., 2021 [93]

Instrumental

Low Support

Likely dementia: 40.0%

Increasing dementia: 48.4%

No impairment: 11.6%

High Support

Likely dementia: 43.7%

Increasing dementia: 36.8%

No dementia: 19.5%

Values reported are conditional probabilities. Higher conditional probability of increasing dementia risk group belonging to low instrumental support group

 Khondoker et al., 2017 [81]

Positive social support

Dementia: HR = 0.87 (0.72, 1.06)

Positive social support has a small protective effect against dementia

  1. AD Alzheimer's Disease, CI Confidence Interval, FSS Functional Social Support, HR Hazard Ratio, OR Odds Ratio, RR Relative Risk
  2. aEffects merged using Borenstein: Murata et al. (2019) and Saito et al. (2018) both reported specific sources of functional social support (co-residing family, relatives, or friends), which were merged using Borenstein’s equation for reporting in the data tables (Borenstein et al., 2009)
  3. ** Inverse of point estimate and confidence limits taken to convert outcome to yes versus no