# How is the Beginning and End of Frequent Laughter Associated With Changes in Loneliness Amongst Older People in Japan? A JAGES Longitudinal Study

**Authors:** André Hajek, Naoki Kondo, Hans‐Helmut König

PMC · DOI: 10.1002/gps.70177 · International Journal of Geriatric Psychiatry · 2025-11-20

## TL;DR

This study explores how starting to laugh frequently is linked to reduced loneliness in older Japanese adults over time.

## Contribution

The study is the first to use longitudinal data to show that starting frequent laughter is associated with lower loneliness in older adults.

## Key findings

- Starting frequent laughter is associated with decreased loneliness in older adults.
- Stopping frequent laughter is not significantly linked to changes in loneliness.
- Frequent laughter may help prevent loneliness-related negative outcomes.

## Abstract

Little is known about the association between frequency of laughter and loneliness—in particular based on longitudinal data. Therefore, our aim was to examine how the onset and the end of frequent laughter is associated with changes in loneliness amongst older people in Japan.

Longitudinal data were taken from the Japan Gerontological Evaluation Study (JAGES, waves 6 and 7 with n = 5262 observations, mean age was 74.4 years, SD: 5.8 years). The widely used and psychometrically sound UCLA‐3 was used to quantify loneliness. Frequency of laughing served as key independent variable. Asymmetric linear fixed effects regressions were used, adjusting for several time‐varying covariates.

After adjusting for several sociodemographic, lifestyle‐related and health‐related time‐varying factors, there was a significant association between the onset of frequent laughing and decreases in loneliness (β = −0.18, p < 0.05). Age and sex did not moderate this association. In contrast, the cessation of frequent laughter was not significantly associated with changes in loneliness.

Starting frequent laughter may help to avoid negative consequences such as loneliness among older adults in Japan. This may emphasize the importance of finding ways to start laughing frequently. Efforts to reduce loneliness are important because it is in turn associated with outcomes such as morbidity and mortality.

Longitudinal data were taken from the Japan Gerontological Evaluation Study.Onset of frequent laughing was associated with decreases in loneliness.Cessation of frequent laughter was not significantly associated with loneliness.Starting frequent laughter may help to avoid negative consequences.This stresses the importance of finding ways to start laughing frequently.

Longitudinal data were taken from the Japan Gerontological Evaluation Study.

Onset of frequent laughing was associated with decreases in loneliness.

Cessation of frequent laughter was not significantly associated with loneliness.

Starting frequent laughter may help to avoid negative consequences.

This stresses the importance of finding ways to start laughing frequently.

## Full-text entities

- **Diseases:** hip arthritis (MESH:D001168), inflammation (MESH:D007249), pneumonia (MESH:D011014), anxiety (MESH:D001007), heart disease (MESH:D006331), fractures (MESH:D050723), dyslipidemia (MESH:D050171), diseases of kidney and prostate (MESH:D007674), Parkinson's disease (MESH:D010300), Alzheimer's disease (MESH:D000544), COVID-19 (MESH:D000086382), Depression (MESH:D003866), diabetes mellitus (MESH:D003920), ear disease (MESH:D004427), immune diseases (MESH:D007154), respiratory disease (MESH:D012140), trauma (MESH:D014947), falls (MESH:C537863), Functional impairment (MESH:D003072), cancer (MESH:D009369), bronchitis (MESH:D001991), dementia (MESH:D003704), eye disease (MESH:D005128), osteoporosis (MESH:D010024), cerebral hemorrhage (MESH:D002543), stroke (MESH:D020521), hyperlipidemia (MESH:D006949), diseases of the gastrointestinal tract, liver, and gall bladder (MESH:D005705), frailty (MESH:D000073496), hypertension (MESH:D006973), cerebral infarction (MESH:D002544), musculoskeletal diseases (MESH:D009140)
- **Chemicals:** Alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

38 references — full list in the complete paper: https://tomesphere.com/paper/PMC12634939/full.md

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Source: https://tomesphere.com/paper/PMC12634939