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Care of the older person
Higher risk of physical frailty in older person is associated with increased levels of loneliness rather than social isolation
  1. Ganapathy Ganesalingam
  1. College of Nursing Midwifery and Health Care, University of West London, West London, UK
  1. Correspondence to Mr. Ganapathy Ganesalingam, College of Nursing Midwifery and Health Care, University of West London, West London TW8 9GA, UK; gana.ganesalingam{at}

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Commentary on: Gale CR, Westbury L, Cooper C. Social isolation and loneliness as risk factors for the progression of frailty: the English Longitudinal study of aging. Age Ageing 2018;47:392–7.

Implications for practice and research

  • Health professionals need to have deeper knowledge and understanding to support and prevent older persons experiencing loneliness, social isolation and the increased risk of frailty.

  • Research needs to be carried out with diverse ethnic groups to identify, what they consider experiences of social isolation and loneliness and what support can be provided to prevent physical frailty.


Recently, research has focused on social isolation and loneliness in older person.1 Studies tend to focus on frailty, physical health, mental health, mortality and public health link to risk for social isolation and loneliness in …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.