Impact of the COVID-19 Pandemic on Older Adults: Rapid Review.
COVID-19
aged individuals
impact
older adults
rapid review
review
Journal
JMIR aging
ISSN: 2561-7605
Titre abrégé: JMIR Aging
Pays: Canada
ID NLM: 101740387
Informations de publication
Date de publication:
12 Apr 2021
12 Apr 2021
Historique:
received:
16
12
2020
accepted:
10
03
2021
revised:
07
03
2021
pubmed:
16
3
2021
medline:
16
3
2021
entrez:
15
3
2021
Statut:
epublish
Résumé
The COVID-19 pandemic has drastically changed the lives of countless members of the general population. Older adults are known to experience loneliness, age discrimination, and excessive worry. It is therefore reasonable to anticipate that they would experience greater negative outcomes related to the COVID-19 pandemic given their increased isolation and risk for complications than younger adults. This study aims to synthesize the existing research on the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults. The secondary objective is to investigate the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults with Alzheimer disease and related dementias. A rapid review of the published literature was conducted on October 6, 2020, through a search of 6 online databases to synthesize results from published original studies regarding the impact of the COVID-19 pandemic on older adults. The Human Development Model conceptual framework-Disability Creation Process was used to describe and understand interactions between personal factors, environmental factors, and life habits. Methods and results are reported following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement. A total of 135 records were included from the initial search strategy of 13,452 individual studies. Of these, 113 (83.7%) studies were determined to be of level 4 according to the levels of evidence classification by the Centre for Evidence-Based Medicine. The presence of psychological symptoms, exacerbation of ageism, and physical deterioration of aged populations were reported in the included studies. Decreased social life and fewer in-person social interactions reported during the COVID-19 pandemic were occasionally associated with reduced quality of life and increased depression. Difficulties accessing services, sleep disturbances, and a reduction of physical activity were also noted. Our results highlight the need for adequate isolation and protective measures. Older adults represent a heterogeneous group, which could explain the contradictory results found in the literature. Individual, organizational, and institutional strategies should be established to ensure that older adults are able to maintain social contacts, preserve family ties, and maintain the ability to give or receive help during the current pandemic. Future studies should focus on specific consequences and needs of more at-risk older adults to ensure their inclusion, both in public health recommendations and considerations made by policy makers.
Sections du résumé
BACKGROUND
BACKGROUND
The COVID-19 pandemic has drastically changed the lives of countless members of the general population. Older adults are known to experience loneliness, age discrimination, and excessive worry. It is therefore reasonable to anticipate that they would experience greater negative outcomes related to the COVID-19 pandemic given their increased isolation and risk for complications than younger adults.
OBJECTIVE
OBJECTIVE
This study aims to synthesize the existing research on the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults. The secondary objective is to investigate the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults with Alzheimer disease and related dementias.
METHODS
METHODS
A rapid review of the published literature was conducted on October 6, 2020, through a search of 6 online databases to synthesize results from published original studies regarding the impact of the COVID-19 pandemic on older adults. The Human Development Model conceptual framework-Disability Creation Process was used to describe and understand interactions between personal factors, environmental factors, and life habits. Methods and results are reported following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement.
RESULTS
RESULTS
A total of 135 records were included from the initial search strategy of 13,452 individual studies. Of these, 113 (83.7%) studies were determined to be of level 4 according to the levels of evidence classification by the Centre for Evidence-Based Medicine. The presence of psychological symptoms, exacerbation of ageism, and physical deterioration of aged populations were reported in the included studies. Decreased social life and fewer in-person social interactions reported during the COVID-19 pandemic were occasionally associated with reduced quality of life and increased depression. Difficulties accessing services, sleep disturbances, and a reduction of physical activity were also noted.
CONCLUSIONS
CONCLUSIONS
Our results highlight the need for adequate isolation and protective measures. Older adults represent a heterogeneous group, which could explain the contradictory results found in the literature. Individual, organizational, and institutional strategies should be established to ensure that older adults are able to maintain social contacts, preserve family ties, and maintain the ability to give or receive help during the current pandemic. Future studies should focus on specific consequences and needs of more at-risk older adults to ensure their inclusion, both in public health recommendations and considerations made by policy makers.
Identifiants
pubmed: 33720839
pii: v4i2e26474
doi: 10.2196/26474
pmc: PMC8043147
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e26474Informations de copyright
©Audrey Lebrasseur, Noémie Fortin-Bédard, Josiane Lettre, Emilie Raymond, Eve-Line Bussières, Nolwenn Lapierre, Julie Faieta, Claude Vincent, Louise Duchesne, Marie-Christine Ouellet, Eric Gagnon, André Tourigny, Marie-Ève Lamontagne, François Routhier. Originally published in JMIR Aging (http://aging.jmir.org), 12.04.2021.
Références
J Med Internet Res. 2020 Aug 6;22(8):e20328
pubmed: 32716899
J Med Life. 2020 Jul-Sep;13(3):300-305
pubmed: 33072200
Int J Ment Health Addict. 2020 May 28;:1-9
pubmed: 32837422
J Gen Intern Med. 2020 Nov;35(11):3285-3292
pubmed: 32875509
JAMA Netw Open. 2020 Sep 1;3(9):e2019686
pubmed: 32876685
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):460-470
pubmed: 32507061
Death Stud. 2020 Sep 22;:1-6
pubmed: 32960745
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e4-e9
pubmed: 32599622
Asia Pac Psychiatry. 2020 Aug 24;:e12412
pubmed: 32830876
Environ Int. 2018 Dec;121(Pt 1):1027-1031
pubmed: 30166065
J Gerontol B Psychol Sci Soc Sci. 2020 Aug 05;:
pubmed: 32756931
Front Psychol. 2020 Sep 30;11:585308
pubmed: 33101154
J Am Med Dir Assoc. 2020 Jul;21(7):966-967
pubmed: 32505516
Front Psychiatry. 2020 Aug 19;11:821
pubmed: 32973575
Ind Psychiatry J. 2009 Jan;18(1):51-5
pubmed: 21234164
Int J Environ Res Public Health. 2020 Jun 18;17(12):
pubmed: 32570737
Int J Geriatr Psychiatry. 2020 Dec;35(12):1458-1465
pubmed: 32909299
J Affect Disord. 2020 Dec 1;277:977-985
pubmed: 33065842
Transl Behav Med. 2021 Mar 16;11(2):323-331
pubmed: 33021631
J Am Geriatr Soc. 2020 Jun;68(6):1126-1128
pubmed: 32392620
Epidemiol Serv Saude. 2020;29(4):e2020427
pubmed: 32844918
Front Public Health. 2020 Sep 30;8:575091
pubmed: 33102424
J Sleep Res. 2021 Feb;30(1):e13119
pubmed: 32596936
J Nutr Health Aging. 2020;24(9):948-950
pubmed: 33155619
Int Psychogeriatr. 2020 Nov;32(11):1365-1370
pubmed: 32438934
Front Psychiatry. 2020 Aug 28;11:866
pubmed: 33005158
Int J Infect Dis. 2020 Nov;100:431-433
pubmed: 32947051
PLoS One. 2020 Jun 18;15(6):e0234850
pubmed: 32555642
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e30-e37
pubmed: 32674138
JMIR Aging. 2020 May 7;3(1):e19007
pubmed: 32356777
Prev Med. 2020 Oct;139:106231
pubmed: 32758507
J Am Med Dir Assoc. 2020 Jul;21(7):948-950
pubmed: 32674825
Age Ageing. 2020 Aug 24;49(5):692-695
pubmed: 32377666
Gerontol Geriatr Med. 2020 Sep 16;6:2333721420960259
pubmed: 32984443
Am J Geriatr Psychiatry. 2020 Nov;28(11):1146-1155
pubmed: 32919872
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720953682
pubmed: 32865107
J Affect Disord. 2020 Dec 1;277:75-84
pubmed: 32799107
PLoS One. 2020 Sep 4;15(9):e0238341
pubmed: 32886671
Front Psychol. 2020 Jul 27;11:1895
pubmed: 32849110
Epilepsia. 2020 Sep;61(9):1884-1893
pubmed: 32761900
J Am Med Dir Assoc. 2020 Dec;21(12):1746-1750.e3
pubmed: 33148480
J Alzheimers Dis. 2020;76(1):41-47
pubmed: 32568211
Int J Environ Res Public Health. 2020 Sep 10;17(18):
pubmed: 32927829
Am J Geriatr Psychiatry. 2020 Sep;28(9):989-992
pubmed: 32593495
Am J Geriatr Psychiatry. 2020 Sep;28(9):983-988
pubmed: 32622730
Br J Gen Pract. 2020 Oct 29;70(700):e817-e824
pubmed: 32988955
J Am Geriatr Soc. 2020 Aug;68(8):1661-1665
pubmed: 32338787
Cancer Epidemiol Biomarkers Prev. 2020 Dec;29(12):2583-2590
pubmed: 32978173
Ugeskr Laeger. 2015 Mar 16;177(12):V11140591
pubmed: 25786839
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):506-514
pubmed: 32507060
Aging Ment Health. 2020 Sep 1;:1-8
pubmed: 32870024
Psychiatry Clin Neurosci. 2020 Oct;74(10):542-549
pubmed: 32602150
J Public Health (Oxf). 2020 Nov 23;42(4):672-678
pubmed: 32657323
Am J Geriatr Psychiatry. 2020 Dec;28(12):1287-1298
pubmed: 32951996
Epidemiol Serv Saude. 2020 Sep 25;29(4):e2020407
pubmed: 32997069
Gerontologist. 2021 Jan 21;61(1):48-58
pubmed: 32955079
Front Psychiatry. 2020 Sep 09;11:578015
pubmed: 33033486
Am J Geriatr Psychiatry. 2020 Oct;28(10):1040-1045
pubmed: 32718855
Int J Environ Res Public Health. 2020 Jun 10;17(11):
pubmed: 32532013
J Psychosom Res. 2020 Dec;139:110278
pubmed: 33075602
Am J Geriatr Psychiatry. 2020 Oct;28(10):1046-1057
pubmed: 32713754
Int J Geriatr Psychiatry. 2020 Dec;35(12):1442-1448
pubmed: 32748399
West J Emerg Med. 2020 Apr 14;21(3):514-525
pubmed: 32302279
Int J Environ Res Public Health. 2020 Jul 17;17(14):
pubmed: 32709003
Health Aff (Millwood). 2014 Apr;33(4):650-7
pubmed: 24711327
Cad Saude Publica. 2020 Apr 30;36(4):e00054020
pubmed: 32374806
J Gerontol Soc Work. 2020 Aug-Oct;63(6-7):598-601
pubmed: 32744477
J Affect Disord. 2020 Dec 1;277:540-548
pubmed: 32889378
Front Psychiatry. 2020 Aug 19;11:842
pubmed: 32973584
J Am Geriatr Soc. 2021 Jan;69(1):20-29
pubmed: 32965024
Gerontol Geriatr Med. 2020 Sep 25;6:2333721420959242
pubmed: 33029549
Gynecol Oncol. 2020 Nov;159(2):470-475
pubmed: 32981694
J Psychosom Res. 2020 Nov;138:110253
pubmed: 32979696
Health Rep. 2020 Jun 24;31(4):22-27
pubmed: 32644764
Psychiatry Res. 2020 Sep;291:113294
pubmed: 32763552
Scand J Public Health. 2021 Feb;49(1):79-87
pubmed: 32907495
Am J Geriatr Psychiatry. 2020 Nov;28(11):1185-1194
pubmed: 32736918
Cancers (Basel). 2020 Aug 14;12(8):
pubmed: 32823999
Am J Geriatr Psychiatry. 2020 Nov;28(11):1200-1204
pubmed: 32561276
BMJ Open. 2020 Sep 15;10(9):e040620
pubmed: 32933965
J Air Transp Manag. 2020 Aug;87:101865
pubmed: 32834691
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e59-e64
pubmed: 32886773
Health Info Libr J. 2009 Jun;26(2):91-108
pubmed: 19490148
J Epidemiol Community Health. 2021 Mar;75(3):224-231
pubmed: 32978210
Int J Environ Res Public Health. 2020 Sep 12;17(18):
pubmed: 32932641
Eur J Neurol. 2020 Sep;27(9):1744-1747
pubmed: 32449791
J Affect Disord. 2021 Jan 1;278:131-135
pubmed: 32956962
J Community Health. 2020 Aug;45(4):689-695
pubmed: 32468155
Int J Geriatr Psychiatry. 2021 Mar;36(3):393-402
pubmed: 32946619
PLoS One. 2020 Jul 28;15(7):e0236562
pubmed: 32722711
Am J Geriatr Psychiatry. 2020 Sep;28(9):924-932
pubmed: 32682619
Psychiatry Res. 2020 Sep;291:113267
pubmed: 32623266
BMJ Open. 2020 Sep 9;10(9):e040951
pubmed: 32912958
Int J Geriatr Psychiatry. 2020 Dec;35(12):1449-1457
pubmed: 32892460
Am J Obstet Gynecol. 2020 Nov;223(5):725.e1-725.e9
pubmed: 32598911
J Clin Nurs. 2020 Nov;29(21-22):4387-4402
pubmed: 32891063
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e24-e29
pubmed: 32470120
N Engl J Med. 2020 Aug 20;383(8):e56
pubmed: 32767891
Psychol Trauma. 2020 Sep;12(6):572-575
pubmed: 32744843
Rev Panam Salud Publica. 2020 Jun 29;44:e81
pubmed: 32612645
J Clin Epidemiol. 2021 Feb;130:13-22
pubmed: 33068715
Gerontology. 2020;66(5):431-438
pubmed: 32585674
J Am Med Dir Assoc. 2020 Nov;21(11):1569-1570
pubmed: 33036911
Front Psychol. 2020 Sep 29;11:579460
pubmed: 33132989
J Med Internet Res. 2020 Aug 6;22(8):e20186
pubmed: 32701459
Aging Ment Health. 2018 Nov;22(11):1456-1464
pubmed: 28795587
Nature. 2020 Aug;584(7821):430-436
pubmed: 32640463
ESMO Open. 2020 Oct;5(5):e000970
pubmed: 33097653
Int J Environ Res Public Health. 2020 Jun 20;17(12):
pubmed: 32575763
J Headache Pain. 2020 Sep 24;21(1):115
pubmed: 32972360
Psychol Trauma. 2020 Aug;12(S1):S58-S60
pubmed: 32525372
J Affect Disord. 2020 Dec 1;277:153-158
pubmed: 32828002
J Clin Med. 2020 May 29;9(6):
pubmed: 32486074
Am J Geriatr Psychiatry. 2020 Sep;28(9):993-998
pubmed: 32576424
Aging Ment Health. 2011 Nov;15(8):985-94
pubmed: 21749221
J Am Geriatr Soc. 2020 May;68(5):949-950
pubmed: 32277470
Int J Environ Res Public Health. 2020 Jul 30;17(15):
pubmed: 32751459
J Appl Gerontol. 2020 Nov;39(11):1175-1183
pubmed: 32697126
Gerontologist. 2021 Jan 21;61(1):30-35
pubmed: 32808660
Gerontologist. 2021 Feb 23;61(2):176-186
pubmed: 32977334
Front Psychol. 2020 Sep 18;11:565688
pubmed: 33071893
J Clin Nurs. 2020 Jul;29(13-14):2044-2046
pubmed: 32239784
PLoS One. 2020 Sep 24;15(9):e0239698
pubmed: 32970764
Acta Psychiatr Scand. 2020 Sep;142(3):249-256
pubmed: 32716520
Encephale. 2020 Jun;46(3S):S53-S59
pubmed: 32475692
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):396-402
pubmed: 32475255
J Sex Med. 2020 Jul;17(7):1229-1236
pubmed: 32411271
Int J Environ Res Public Health. 2020 Sep 01;17(17):
pubmed: 32882922
J Aging Health. 2020 Jan-Feb;32(1):52-60
pubmed: 30289338
Epidemiol Prev. 2020 Sep-Dec;44(5-6 Suppl 2):353-362
pubmed: 33412829
Int J Environ Res Public Health. 2020 Jul 26;17(15):
pubmed: 32722624
Appl Econ Perspect Policy. 2020 Oct 02;:
pubmed: 33042510
Health Place. 2020 Nov;66:102440
pubmed: 32947185
Gerontologist. 2021 Jan 21;61(1):36-47
pubmed: 32886764
Public Health Nutr. 2021 Feb;24(2):275-281
pubmed: 32972479
Compr Psychiatry. 2020 Oct;102:152192
pubmed: 32688022
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e53-e58
pubmed: 32778899
Int J Environ Res Public Health. 2020 Aug 26;17(17):
pubmed: 32858870
Psychiatry Res. 2020 Sep;291:113138
pubmed: 32562931
Lancet. 2020 Jun 27;395(10242):1973-1987
pubmed: 32497510
Int Psychogeriatr. 2020 Nov;32(11):1371-1375
pubmed: 32613924
Psychiatry Res. 2020 Jun;288:112992
pubmed: 32302816
Am J Geriatr Psychiatry. 2020 Aug;28(8):889-890
pubmed: 32425468
Geriatr Nurs. 2021 Jan-Feb;42(1):188-195
pubmed: 32863038
Braz J Psychiatry. 2014 Jan-Mar;36(1):76-88
pubmed: 24554274
J Public Health (Oxf). 2021 Apr 12;43(1):53-60
pubmed: 32880635
QJM. 2020 Oct 1;113(10):731-738
pubmed: 32678901
Front Oncol. 2020 Jul 10;10:1270
pubmed: 32754447
PLoS One. 2020 Jul 6;15(7):e0235871
pubmed: 32628735
Sleep Med. 2020 Oct;74:81-85
pubmed: 32841849
J Geriatr Oncol. 2021 Mar;12(2):190-195
pubmed: 32978104
Brain Behav Immun. 2020 Jul;87:172-176
pubmed: 32405150
Psychol Med. 2020 May 14;:1-7
pubmed: 32404217
Nutrients. 2020 Aug 03;12(8):
pubmed: 32756458
Int J Environ Res Public Health. 2020 Jun 07;17(11):
pubmed: 32517294
Ir J Psychol Med. 2020 Sep 30;:1-8
pubmed: 32996441
Pers Individ Dif. 2020 Dec 1;167:110233
pubmed: 32834283
JMIR Public Health Surveill. 2020 Sep 18;6(3):e19630
pubmed: 32589149
Int J Environ Res Public Health. 2020 Aug 13;17(16):
pubmed: 32823740
J Alzheimers Dis. 2020;76(2):481-489
pubmed: 32651328
Saudi J Gastroenterol. 2020 Sep-Oct;26(5):249-255
pubmed: 32496223
Indian J Psychiatry. 2020 May-Jun;62(3):266-272
pubmed: 32773869
Infect Dis Poverty. 2020 May 29;9(1):58
pubmed: 32471513
Int Psychogeriatr. 2020 Oct;32(10):1217-1220
pubmed: 32450943
Lancet Psychiatry. 2020 Oct;7(10):883-892
pubmed: 32707037
Am J Geriatr Psychiatry. 2020 Oct;28(10):1020-1024
pubmed: 32771312
J Trauma Stress. 2020 Aug;33(4):365-370
pubmed: 32662129
Public Health. 2020 Sep;186:31-34
pubmed: 32768621
WMJ. 2020 Sep;119(3):171-176
pubmed: 33091284
Work Aging Retire. 2020 Oct;6(4):207-228
pubmed: 33214905
J Gerontol B Psychol Sci Soc Sci. 2021 Jan 18;76(2):e17-e23
pubmed: 32427341