New research suggests that participating in pickleball may reduce feelings of loneliness and social isolation among older adults. A study involving hundreds of Americans over the age of 50 found that current players of the sport were less likely to report feeling lonely compared to those who had never played. The findings, published in the Journal of Primary Care & Community Health, indicate that the sport offers unique opportunities for social connection that other forms of physical activity may lack.
Social isolation has become a pervasive issue in the United States. Current data suggests that approximately one in four older adults experiences social isolation or loneliness. This emotional state carries severe physical consequences. Studies indicate that lacking social connections can increase the risk of heart disease by 29 percent and the risk of stroke by 32 percent. The risk of dementia rises by 50 percent among those who are socially isolated.
Public health officials have struggled to find scalable solutions to this problem. Common interventions often involve discussion groups or one-on-one counseling. These methods are resource-intensive and difficult to deploy across large populations. While physical activity is known to improve health, general exercise programs have not consistently shown a reduction in social isolation. Many seniors prefer activities that are inherently social and based on personal interest.
The researchers behind this new study sought to evaluate pickleball as a potential public health intervention. Pickleball is currently the fastest-growing sport in the United States. It attracted 8.9 million players in 2022. The game combines elements of tennis, badminton, and ping-pong. It is played on a smaller court with a flat paddle and a plastic ball.
“Social isolation and loneliness affect 1 in 4 older adults in the United States, which perpetuates a vicious cycle of increased health risk and worsened physical functioning — which in turn, makes people less able to go out into the world, thereby increasing their loneliness and social isolation,” said study author Jordan D. Kurth, an assistant professor at Penn State College of Medicine.
“Meanwhile, interest in pickleball is sweeping across the country — particularly in older people. We thought that the exploding interest in pickleball might be a possible antidote to the social isolation and loneliness problem.”
The authors of the study reasoned that pickleball might be uniquely suited to combat loneliness. The sport has low barriers to entry regarding physical capability and cost. The court is roughly 30 percent the size of a tennis court. This proximity allows players to converse easily while playing. Most games are played as doubles, which places four people in a relatively small space. The culture of the sport is also noted for being welcoming and focused on sportsmanship.
To test the association between pickleball and social health, the research team conducted a cross-sectional survey. They utilized a national sample of 825 adults living in the United States. All participants were at least 50 years old. The average age of the participants was 61 years. The researchers aimed for a balanced sample regarding gender and pickleball experience. Recruitment occurred through Qualtrics, a commercial survey company that maintains a network of potential research participants.
The researchers divided the participants into three distinct groups based on their history with the sport. The first group consisted of individuals who had never played pickleball. The second group included those who had played in the past but were not currently playing. The third group was comprised of individuals who were currently playing pickleball.
The study employed validated scientific measures to assess the mental and physical health of the respondents. Loneliness was measured using the 3-Item Loneliness Scale. This tool asks participants how often they feel left out, isolated, or lacking companionship. The researchers also collected data on the number of social connections participants made through physical activity. They asked how often participants socialized with these connections outside of the exercise setting.
To ensure the results were not skewed by other factors, the analysis adjusted for various covariates. These included age, sex, body mass index, and smoking status. The researchers also accounted for medical history, such as the presence of diabetes, heart disease, or arthritis. This statistical adjustment allowed the team to isolate the specific relationship between pickleball and loneliness.
The results provided evidence of a strong link between current pickleball participation and lower levels of loneliness. In the overall sample, 57 percent of participants reported feeling lonely. However, the odds of being lonely varied by group.
After adjusting for demographic and health variables, the researchers found that individuals who had never played pickleball were roughly 1.5 times more likely to be lonely than current players. The contrast was even sharper for those who had played in the past but stopped. The group of former players had nearly double the odds of being lonely compared to those who currently played. This suggests that maintaining active participation is associated with better social health outcomes.
The researchers also examined the volume of social connections generated by physical activity. Participants who played pickleball, whether currently or in the past, reported more social connections than those who never played. Current players had made an average of 6.7 social connections through physical activity. In contrast, those who had never played pickleball reported an average of only 3.8 connections derived from any form of exercise.
The depth of these relationships also appeared to differ. The survey asked how often participants engaged with their exercise friends in non-exercise settings. Participants who had a history of playing pickleball reported socializing with these friends more frequently than those who had never played. This indicates that the relationships formed on the pickleball court often extend into other areas of life.
“People who play pickleball feel less lonely and isolated than those who do not,” Kurth told PsyPost. “Additionally, it seems like pickleball might be especially conducive to making social connections compared to other types of exercise.”
It is also worth noting the retention rate observed in the study. Among participants who had ever tried pickleball, 65 percent were still currently playing. This high retention rate suggests the sport is sustainable for older adults. The physical demands are manageable. The equipment is inexpensive. These factors likely contribute to the ability of older adults to maintain the habit over time.
Despite the positive findings, the study has limitations to consider. The research was cross-sectional in design. This means it captured a snapshot of data at a single point in time. It cannot prove causation. It is possible that people who are less lonely are simply more likely to take up pickleball. Conversely, people with more existing friends might be more inclined to join a game.
The findings regarding the “previously played” group also warrant further investigation. This group reported the highest odds of loneliness. It is unclear why they stopped playing. They may have stopped due to injury or other life events. The loss of the social activity may have contributed to a subsequent rise in loneliness.
“Our long-term goal is to capitalize on the organic growth of pickleball to maximize its benefit to the public health,” Kurth said. “This includes a future prospective experimental study of pickleball playing to determine its full impact on the health and well-being of older adults in the United States.”
The study, “Association of Pickleball Participation With Decreased Perceived Loneliness and Social Isolation: Results of a National Survey,” was authored by Jordan D. Kurth, Jonathan Casper, Christopher N. Sciamanna, David E. Conroy, Matthew Silvis, Louise Hawkley, Madeline Sciamanna, Natalia Pierwola-Gawin, Brett R. Gordon, Alexa Troiano, and Quinn Kavanaugh.