Institutionalization

Exposure

5 papers9 findings

  • 4 independent labs in 3 countries
  • Funders: Conselho Nacional de Desenvolvimento Científico e Tecnológico and 6 more
  • Humans5

Outcomes

5

Frailty

no changein humans1

1 study
  1. Institutionalization has no effect on frailty in humans (p = 0.674).

    “No significant differences were found in frailty levels between the groups (p = 0.674).”

    Humanscommunity-dwelling vs institutionalizedn = 77

    Comparison of Frailty and Autonomy Levels in Older Adults According to Place of Residence

    Healthcare (Basel, Switzerland)12 Mar 2026

Autonomy

downin humans1

1 study
  1. Institutionalization decreases autonomy in humans (94.21 ± 10.81 vs 75.53 ± 23.21, p < 0.001).

    “Older adults in the community showed significantly higher levels of autonomy (94.21 ± 10.81) compared to those who were institutionalized (75.53 ± 23.21; p < 0.001).”

    Humanscommunity-dwelling vs institutionalizedn = 77

    Comparison of Frailty and Autonomy Levels in Older Adults According to Place of Residence

    Healthcare (Basel, Switzerland)12 Mar 2026

Melatonin

upin humans1

1 study
  1. Institutionalization increases melatonin in humans.

    “Blood cortisol (p = 0.0309) and melatonin (p = 0.0407) were also elevated.”

    Humansinstitutionalized individuals vs individuals living with family members

    Hormonal and Cytokine Imbalances Promote a Proinflammatory Profile in Institutionalized Elderly

    Brain sciences5 Dec 2025

More on Melatonin

Cortisol

upin humans1

1 study
  1. Institutionalization increases cortisol in humans.

    “Blood cortisol (p = 0.0309) and melatonin (p = 0.0407) were also elevated.”

    Humansinstitutionalized individuals vs individuals living with family members

    Hormonal and Cytokine Imbalances Promote a Proinflammatory Profile in Institutionalized Elderly

    Brain sciences5 Dec 2025

More on Cortisol

IL-6

upin humans1

1 study
  1. Institutionalization increases IL-6 in humans.

    “Institutionalized individuals showed higher IL-6 (p = 0.0261) and IFN-γ (p = 0.0065)”

    Humansinstitutionalized individuals vs individuals living with family members

    Hormonal and Cytokine Imbalances Promote a Proinflammatory Profile in Institutionalized Elderly

    Brain sciences5 Dec 2025

More on IL-6

Associations

4

Depression

upin humans1

1 study
  1. Institutionalization is associated with depression in humans.

    “Institutionalized participants reported significantly higher depression scores, with mean scores at the commonly used GDS-15 screening threshold.”

    Humansinstitutionalized vs community-dwellingn = 190

    Depression, anxiety, anger, and loneliness in older adults: comparing residential contexts and examining the role of loneliness

    BMC geriatrics15 May 2026

More on Depression

Physical activity

downin humans1

1 study
  1. Institutionalization is associated with physical activity in humans (∆% = - 64.3%, p = 0.027X).

    “lower physical activity (∆% = - 64.3%, p = 0.027X)”

    Humans

    Fatores de Risco Cardiovascular de Pessoas Idosas em Situação de Acolhimento Doméstico ou Institucional

    Preprint2 Apr 2025

Stroke

upin humans1

1 study
  1. Institutionalization is associated with stroke in humans (∆% = 3.4%, p = 0.002).

    “Institutionalized elderly individuals had a higher prevalence of cardiovascular diseases, especially diabetes (∆% = 47.6%, p = 0.015) and stroke (∆% = 3.4%, p = 0.002)”

    Humans

    Fatores de Risco Cardiovascular de Pessoas Idosas em Situação de Acolhimento Doméstico ou Institucional

    Preprint2 Apr 2025

More on Stroke

Diabetes

upin humans1

1 study
  1. Institutionalization is associated with diabetes in humans (∆% = 47.6%, p = 0.015).

    “Institutionalized elderly individuals had a higher prevalence of cardiovascular diseases, especially diabetes (∆% = 47.6%, p = 0.015)”

    Humans

    Fatores de Risco Cardiovascular de Pessoas Idosas em Situação de Acolhimento Doméstico ou Institucional

    Preprint2 Apr 2025

More on Diabetes

Funding

1 grant since 2018

Health and Medical Research FundHK$432.3k

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