Probing Connections Between Social Connectedness, Mortality Risk, and Brain Age: A Preregistered Study

Many lifestyle and psychosocial factors are associated with a longer lifespan; central among these is social connectedness, or the feeling of belongingness, identification, and bond as part of meaningful human relationships. Decades of research have established that social connectedness is related not only to better mental health (e.g., less loneliness and depression) but also to improved physical health (e.g., decreased inflammatory markers, reduced cortisol activity). Recent methodological advances allow for the investigation of a novel marker of biological health by deriving a predicted “age of the brain” from a structural neuroimaging scan. Discrepancies between a person’s algorithm-predicted brain-age and chronological age (i.e., the brain-age gap) have been found to predict mortality and psychopathology risk with accuracy rivaling other known measures of aging. This preregistered investigation uses the Midlife in the United States (MIDUS) study to examine connections between the quality of social connections, the brain-age gap, and markers of mortality risk to understand the longevity-promoting associations of social connectedness from a novel biological vantage point. While social connectedness was associated with markers of mortality risk (number of chronic conditions and ability to perform activities of daily living), our models did not find significant links between social connectedness and the brain-age gap, or the brain-age gap and mortality risk. Supplemental and sensitivity analyses suggest alternate approaches to investigating these associations and overcoming limitations. While plentiful evidence underscores that being socially connected is good for the mind, future research should continue to consider whether it impacts neural markers of aging and longevity.