<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.182051.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>A Machine Learning&#x2013;Based Bibliometric Analysis of Global Research Trends on Loneliness in Older Adults</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: awaiting peer review]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Susanty</surname>
                        <given-names>Sri</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-9955-5000</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Chuang</surname>
                        <given-names>Yeu-Hui</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                    <xref ref-type="aff" rid="a4">4</xref>
                    <xref ref-type="aff" rid="a5">5</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Chiu</surname>
                        <given-names>Hsiao-Yean</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                    <xref ref-type="aff" rid="a6">6</xref>
                    <xref ref-type="aff" rid="a7">7</xref>
                    <xref ref-type="aff" rid="a8">8</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Hasan</surname>
                        <given-names>Faizul</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Software</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-7802-1328</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Faculty of Nursing, Chulalongkorn University, Bangkok, Bangkok, Thailand</aff>
                <aff id="a2">
                    <label>2</label>Nurse Professional Education Study Program, Faculty of Medicine, Universitas Halu Oleo, Kendari, South East Sulawesi, Indonesia</aff>
                <aff id="a3">
                    <label>3</label>School of Nursing, College of Nursing, Taipei Medical University, Taipei City, Taipei City, Taiwan</aff>
                <aff id="a4">
                    <label>4</label>Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei City, Taipei City, Taiwan</aff>
                <aff id="a5">
                    <label>5</label>Research Center in Nursing Clinical Practice, Wan Fang Hospital, Taipei Medical University, Taipei City, Taipei City, Taiwan</aff>
                <aff id="a6">
                    <label>6</label>Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei City, Taipei City, Taiwan</aff>
                <aff id="a7">
                    <label>7</label>Department of Nursing, Taipei Medical University Hospital, Taipei City, Taipei City, Taiwan</aff>
                <aff id="a8">
                    <label>8</label>Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei City, Taipei City, Taiwan</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:faizul.h@chula.ac.th">faizul.h@chula.ac.th</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>26</day>
                <month>5</month>
                <year>2026</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2026</year>
            </pub-date>
            <volume>15</volume>
            <elocation-id>798</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>12</day>
                    <month>5</month>
                    <year>2026</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Susanty S et al.</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/15-798/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>Loneliness in the elderly presents considerable physical and emotional health hazards, constituting a significant public health issue. This study utilizes bibliometric analysis to investigate global research trends, collaborations, and emerging themes in the application of machine learning to mitigate elderly loneliness.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>A thorough examination of the Scopus database was performed for publications spanning from January 1, 2014, to December 31, 2024. The analysis used R packages like Bibliometrix and VOSviewer to look at things like citation metrics, trends in publications, partnerships between institutions, keyword co-occurrences, and networks of co-authors.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>Findings indicate an increasing interest in machine learning methodologies to address loneliness among the elderly, with the United States, China, and Canada at the forefront of publication output. Social media usage, depression, and predictive modeling were among the new themes that emerged, along with important writers and research groups.</p>
                </sec>
                <sec>
                    <title>Conclusions</title>
                    <p>This study gives us important information about how ML research for the well-being of older people is changing and can help us come up with new ways to reduce loneliness in older people.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Loneliness</kwd>
                <kwd>elderly</kwd>
                <kwd>machine learning</kwd>
                <kwd>health and well-being</kwd>
                <kwd>artificial intelligence</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>Second Century Fund (C2F), Chulalongkorn University, Bangkok, Thailand. Funding recipient: Sri Susanty.</funding-source>
                </award-group>
                <funding-statement>This research was supported by the Second Century Fund (C2F), Chulalongkorn University, Bangkok, Thailand. Funding recipient: Sri Susanty.</funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>
Geriatric loneliness (GL) has emerged as a significant public health concern owing to its potential adverse effects on mental and physical health.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>,
                    <xref ref-type="bibr" rid="ref2">2</xref>,
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> The increasing prevalence of loneliness among older individuals globally, as the population ages, has been associated with several adverse outcomes, including depression, cognitive decline, and a diminished quality of life.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>,
                    <xref ref-type="bibr" rid="ref5">5</xref>,
                    <xref ref-type="bibr" rid="ref6">6</xref>
                </sup> Policymakers, researchers, and healthcare providers currently prioritize the resolution of this issue.</p>
            <p>Recent advancements in machine learning (ML) techniques have shown promise in identifying and addressing loneliness among the elderly.
                <sup>
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup> These methods provide insights into the underlying causes and potential therapies for loneliness by analyzing large databases, identifying patterns, and determining risk factors.
                <sup>
                    <xref ref-type="bibr" rid="ref8">8</xref>
                </sup> Moreover, machine learning models can facilitate the development of predictive tools and interventions customized to the specific needs of each patient.
                <sup>
                    <xref ref-type="bibr" rid="ref9">9</xref>,
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup>
            </p>
            <p>Despite increasing interest in this topic, a comprehensive understanding of the global research landscape remains lacking. Bibliometric analysis serves as an effective tool for investigating research trends, significant authors, collaborations, and emerging topics through a quantitative evaluation of scientific literature.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup> Bibliometric studies that analyze publication trends, citation networks, and keyword co-occurrence can yield insights and inform future research directions.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup>
            </p>
            <p>Bibliometric analysis is advantageous as it provides a more profound comprehension of the topic and suggests new avenues for exploration. An extensive evaluation of GL through machine learning and bibliometric analysis has enabled us to present an overview of the themes, trends, and bibliometric features currently found in this literature collection, covering the ten-year period from 2014 to 2024. The findings of our study offer important insights into loneliness within the geriatric population and indicate potential directions for further investigation utilizing machine learning methodologies in this rapidly developing field through bibliometric analysis.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Methods</title>
            <sec id="sec7">
                <title>Search strategy</title>
                <p>Among the most extensive global databases of scientific literature, Scopus, we looked for relevant articles. Publications such as peer-reviewed journals, conference proceedings, commercial magazines, and book series are among the over 5,000 titles currently available on Scopus. Journal articles, conference proceedings, patents, and other publications covering any and all fields make up its approximately 75 million records. To find relevant documents, we used the following keywords: &#x201c;artificial intelligence&#x201d; OR &#x201c;machine intelligence&#x201d; OR &#x201c;robot*&#x201d; OR &#x201c;robot technology&#x201d; OR &#x201c;assistant robot&#x201d; OR &#x201c;robot-assisted&#x201d; OR &#x201c;computational intelligence&#x201d; OR &#x201c;computer reasoning&#x201d; OR &#x201c;deep learning&#x201d; OR &#x201c;computer vision system&#x201d; OR &#x201c;sentiment analysis&#x201d; OR &#x201c;machine learning&#x201d; OR &#x201c;neural network*&#x201d; OR &#x201c;data learning&#x201d; OR &#x201c;expert* system*&#x201d; OR &#x201c;natural language processing&#x201d; OR &#x201c;support vector machine*&#x201d; OR &#x201c;decision tree*&#x201d; OR &#x201c;data mining&#x201d; OR &#x201c;deep learning&#x201d; OR &#x201c;neural network*&#x201d; OR &#x201c;bayesian network*&#x201d; OR &#x201c;intelligent learning&#x201d; OR &#x201c;feature* learning&#x201d; OR &#x201c;feature* extraction&#x201d; OR &#x201c;feature* mining&#x201d; OR &#x201c;feature* selection&#x201d; OR &#x201c;unsupervised clustering&#x201d; OR &#x201c;image* segmentation&#x201d; OR &#x201c;supervised learning&#x201d; OR &#x201c;semantic segmentation&#x201d; OR &#x201c;deep network*&#x201d; OR &#x201c;neural learning&#x201d; OR &#x201c;neural nets model&#x201d; OR &#x201c;graph mining&#x201d; OR &#x201c;data clustering&#x201d; OR &#x201c;big data&#x201d; OR &#x201c;knowledge graph&#x201d;)) AND ALL ((solitude OR aloneness OR lonesomeness)) AND ALL ((&#x201c;senior&#x2217;&#x201d; OR &#x201c;aged&#x2217;&#x201d; OR &#x201c;elder&#x2217;&#x201d; OR &#x201c;geri&#x2217;&#x201d; OR &#x201c;age&#x2217;&#x201d; OR &#x201c;older adult&#x2217;&#x201d; OR &#x201c;geriatric&#x2217;&#x201d; OR &#x201c;aging&#x201d; OR &#x201c;very elderly&#x201d; OR &#x201c;frail elderly&#x201d;. After a thorough examination of every title of the retrieved articles, two experts who possess a minimum of five years of experience in conducting systematic reviews evaluated and gave their approval to our search strategy. They made their selection from among all of the publications that were pertinent, and any disagreements were settled by consulting with a third author. Finally, all of the retrieved articles were saved.</p>
            </sec>
            <sec id="sec8">
                <title>Screening</title>
                <p>Only articles that utilized machine learning as a result and focused on generative learning were incorporated into the bibliometric analysis. No language restrictions were imposed. Letters, editorials, conference abstracts, and book chapters were excluded from consideration. In contrast, research papers and reviews published in peer-reviewed journals were included in the selection process. Due to the focus on the ten-year trend, publications issued before 2014 were excluded from consideration. Two experts in bibliometric analysis, possessing extensive experience, assessed the acquired articles in accordance with established standards and guidelines.
                    <sup>
                        <xref ref-type="bibr" rid="ref13">13</xref>
                    </sup>
                </p>
            </sec>
            <sec id="sec9">
                <title>Bibliometric analysis</title>
                <p>To produce consistent and measurable data pertinent to policy management, bibliometric analysis
                    <sup>
                        <xref ref-type="bibr" rid="ref14">14</xref>
                    </sup> serves as a quantitative assessment of scientific research, evaluating and examining prevailing research trends within a specific domain.
                    <sup>
                        <xref ref-type="bibr" rid="ref15">15</xref>
                    </sup> Bibliometric analysis offers a comprehensive overview of a research subject and identifies potential areas for further investigation, along with the methodologies that authors have employed to achieve their objectives.
                    <sup>
                        <xref ref-type="bibr" rid="ref16">16</xref>
                    </sup> Displaying the complete field will facilitate readers&#x2019; comprehension of GL research patterns and trends.</p>
                <p>The publication patterns of the leading ten publications, institutes, authors, and countries were analyzed. The categories, percentages, and frequencies for each journal were presented. Ratios, frequencies, and percentages of related authors were computed for each country, considering both single and multiple countries. The frequency and citation rates for each author and institution were provided as well. Countries, journals, institutions, and authors were ranked based on their publication volume and research impact. Data were constructed and visualized utilizing VOSviewer (Leiden University) and Bibliometrix (an R package).</p>
            </sec>
        </sec>
        <sec id="sec10" sec-type="results">
            <title>Results</title>
            <sec id="sec11">
                <title>Publication output</title>
                <p>A total of 267 items were identified through the electronic database search. After screening, 112 individuals were excluded. The comprehensive bibliometric analysis comprised 155 publications. 
                    <xref ref-type="fig" rid="f1">
Figure 1</xref> illustrates the growth in the number of GL articles over the past decade.</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>
Figure 1. </label>
                    <caption>
                        <title>The distribution of articles by year between 2014 and 2024.</title>
                    </caption>
                    <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/200953/a700d8a5-c984-4fe8-8636-576b260643cb_figure1.gif"/>
                </fig>
                <p>
                    <xref ref-type="table" rid="T1">
Table 1</xref> presents the geographical distribution of the ten leading countries in GL research publications. The United States produced the highest number of publications (18), followed by China (14) and Canada (9). China exhibited the highest multiple country publication (MCP) ratio at 0.5, followed by Canada at 0.444 and the United Kingdom at 0.429. 
                    <xref ref-type="fig" rid="f2">
Figure 2</xref> illustrates the countries that are linked through at least one research collaboration.</p>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>
Table 1. </label>
                    <caption>
                        <title>Top 10 countries that published in 2014&#x2013;2024.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Rank</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Country</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Articles</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">SCP</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">MCP</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Freq</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">MCP ratio</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">18</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">14</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.116</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.222</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">China</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">14</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.09</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.5</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Canada</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.058</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.444</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">United Kingdom</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.045</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.429</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Switzerland</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.039</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.5</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Australia</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.032</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.2</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">France</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.032</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.2</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Austria</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.026</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Italy</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.026</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="middle">10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Netherlands</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.026</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.25</td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <p>MCP&#x00a0;=&#x00a0;multiple country publications; SCP&#x00a0;=&#x00a0;single country publications.</p>
                    </table-wrap-foot>
                </table-wrap>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>
Figure 2. </label>
                    <caption>
                        <title>The co-authorship network of country that contributed to the topic during 2014 and 2024.</title>
                    </caption>
                    <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/200953/a700d8a5-c984-4fe8-8636-576b260643cb_figure2.gif"/>
                </fig>
                <p>
                    <xref ref-type="table" rid="T2">
Table 2</xref> displays the ten leading institutes in GL research productivity. The University of California and the University of Pennsylvania each published seven articles, leading all universities, while the University of Copenhagen and the University of Zurich each published six articles.</p>
                <table-wrap id="T2" orientation="portrait" position="float">
                    <label>
Table 2. </label>
                    <caption>
                        <title>Top 10 institutions that published mangrove conservation papers 2014&#x2013;2024.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Rank</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Affiliation</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Country</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Articles</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of California</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Pennsylvania</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Copenhagen</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Denmark</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Zurich</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Switzerland</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Osaka University</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Japan</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Tsukuba</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Japan</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Tampere University</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Finland</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Maryland</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Rhode Island</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">University of Toronto</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">USA</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">4</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <p>
In order to conduct a co-authorship study and offer a thorough perspective of the entirety of the nation network in GL research, the VOSviewer tool was employed. The relationship between two nations is determined by the total number of publications that they have jointly authored. The study of authorship by nation produced a single cluster, which consisted of fifteen authors who are related to one another in that they have each published at least one paper. These categories are shown in 
                    <xref ref-type="fig" rid="f3">
Figure 3</xref>.</p>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>
Figure 3. </label>
                    <caption>
                        <title>The co-authorship network of authors who contributed to the topic, 2014&#x2013;2024.</title>
                    </caption>
                    <graphic id="gr3" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/200953/a700d8a5-c984-4fe8-8636-576b260643cb_figure3.gif"/>
                </fig>
                <p>When it comes to the subject of GL research, 267 publications were published by 640 different authors. The most prominent ten GL research authors are enumerated in 
                    <xref ref-type="table" rid="T3">
Table 3</xref>. Three papers were published by Rigaud AS, and three papers were published by Pino M, who were the leading authors.</p>
                <table-wrap id="T3" orientation="portrait" position="float">
                    <label>
Table 3. </label>
                    <caption>
                        <title>Top 10 authors that published in 2014&#x2013;2024.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Rank</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Authors</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Articles</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Pino M.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Rigaud A.S.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Bayor A.A.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Brereton M.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Campo E.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Friedel E.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Heinz A.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Isabet B.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Kislev E.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Liu Y.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
            </sec>
            <sec id="sec12">
                <title>Co-occurrence analysis of top 100 keywords</title>
                <p>The 267 articles consisted of five distinct keyword clusters. 
                    <xref ref-type="table" rid="T4">
Table 4</xref> presents the ten most frequently used keywords in the retrieved articles. Human, ageing, male, female, and loneliness were significant categories identified. The co-occurrence analysis of the top 100 phrases revealed the research hotspots in GL (
                    <xref ref-type="fig" rid="f4">
Figure 4</xref>).</p>
                <table-wrap id="T4" orientation="portrait" position="float">
                    <label>
Table 4. </label>
                    <caption>
                        <title>Top 10 author keywords 2014&#x2013;2024.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Rank</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Keywords</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Occurrences</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Human</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">76</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Aged</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">64</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Male</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">63</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Female</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">62</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Humans</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">59</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Loneliness</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">50</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Article</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">44</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Adult</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">36</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Social isolation</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">36</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Machine learning</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">21</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <fig fig-type="figure" id="f4" orientation="portrait" position="float">
                    <label>
Figure 4. </label>
                    <caption>
                        <title>The co-occurrence network of the top 100 keywords in this research, 2014&#x2013;2024.</title>
                    </caption>
                    <graphic id="gr4" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/200953/a700d8a5-c984-4fe8-8636-576b260643cb_figure4.gif"/>
                </fig>
            </sec>
            <sec id="sec13">
                <title>Reference co-citation analysis</title>
                <p>We conducted an in-depth examination of the knowledge base within the GL research domain. 
                    <xref ref-type="table" rid="T5">
Table 5</xref> presents the ten most highly cited articles. As of June 1, 2024 Arbabshirani, Plis,
                    <sup>
                        <xref ref-type="bibr" rid="ref17">17</xref>
                    </sup> had the highest citation count, totalling 602. Published in NeuroImage in 2017. 
                    <xref ref-type="fig" rid="f5">
Figure 5</xref> illustrates the three-field
 plot.</p>
                <table-wrap id="T5" orientation="portrait" position="float">
                    <label>
Table 5. </label>
                    <caption>
                        <title>Top 10 high cited articles 2014&#x2013;2024.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Rank</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">First author/journal</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">DOI</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Total citations</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">TC/Year</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Arbabshirani, Plis,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref17">17</xref>
                                    </sup> Neuroimage</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1016/j.neuroimage.2016.02.079</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">602</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">75.25</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Lim, Gleeson,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref26">26</xref>
                                    </sup> Soc Psychiatry Psychiatr Epidemiol</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1007/s00127-020-01889-7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">185</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">37.00</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Schriber and Guyer,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref27">27</xref>
                                    </sup> Dev Cognitive Neurosci</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1016/j.dcn.2015.12.009</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">163</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">18.11</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Tsai, Shillair and Cotten,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref28">28</xref>
                                    </sup> 2017, J Appl Gerontol</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1177/0733464815609440</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">157</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">19.63</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">5</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Landeiro, Barrows,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref29">29</xref>
                                    </sup> Bmj Open</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1136/bmjopen-2016-013778</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">136</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">17.00</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Shackman, Tromp,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref30">30</xref>
                                    </sup> Psychol Bull</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1037/bul0000073</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">123</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">13.67</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Tomova, Wang,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref31">31</xref>
                                    </sup> Nat Neurosci</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1038/s41593-020-00742-z</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">111</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">22.20</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Mateos-P&#x00e9;rez, Dadar,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref32">32</xref>
                                    </sup> Neuroimage Clin</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1016/j.nicl.2018.08.019</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">110</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">15.71</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Waytz and Gray,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref33">33</xref>
                                    </sup> Perspect Psychol Sci</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1177/1745691617746509</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">95</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">13.57</td>
                            </tr>
                            <tr>
                                <td align="center" colspan="1" rowspan="1" valign="top">10</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Hopkins and McKay,
                                    <sup>
                                        <xref ref-type="bibr" rid="ref34">34</xref>
                                    </sup> Technol Forecast Soc Change</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">10.1016/j.techfore.2018.07.032</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">73</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">12.17</td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <p>DOI&#x00a0;=&#x00a0;digital object identifiers; TC&#x00a0;=&#x00a0;total citation.</p>
                    </table-wrap-foot>
                </table-wrap>
                <fig fig-type="figure" id="f5" orientation="portrait" position="float">
                    <label>
Figure 5. </label>
                    <caption>
                        <title>Three-Field plot of publications, 2014&#x2013;2024.</title>
                    </caption>
                    <graphic id="gr5" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/200953/a700d8a5-c984-4fe8-8636-576b260643cb_figure5.gif"/>
                </fig>
            </sec>
        </sec>
        <sec id="sec14" sec-type="discussion">
            <title>Discussion</title>
            <p>To the best of our knowledge, this is the inaugural bibliometric investigation examining GL through a machine learning methodology. This bibliometric analysis demonstrated a growing worldwide scholarly interest in utilising machine learning technologies to combat loneliness among the elderly. The persistent increase in publications over the past decade underscores the significance of this issue as a significant public health concern, as well as the potential for machine learning methodologies to provide valuable insights and solutions.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>,
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup>
            </p>
            <p>This study identifies the United States, China, and Canada as leading countries due to their robust research infrastructure, funding opportunities, and ageing populations.
                <sup>
                    <xref ref-type="bibr" rid="ref18">18</xref>,
                    <xref ref-type="bibr" rid="ref19">19</xref>
                </sup> Countries such as the United Kingdom, Switzerland, and Australia significantly contributed to the study output, indicating a heightened global awareness and commitment to addressing loneliness in the elderly population.</p>
            <p>This study identifies key institutions and authors as the principal drivers of research in this discipline. Collaborations among these institutions and researchers facilitate information sharing, resource pooling, and the development of interdisciplinary approaches to address the complex issue of loneliness in the elderly.
                <sup>
                    <xref ref-type="bibr" rid="ref20">20</xref>
                </sup>
            </p>
            <p>Co-occurrence analysis revealed several emerging topics and trends, such as social media, depression, and artificial intelligence.
                <sup>
                    <xref ref-type="bibr" rid="ref21">21</xref>, 
                    <xref ref-type="bibr" rid="ref22">22</xref>, 
                    <xref ref-type="bibr" rid="ref23">23</xref>
                </sup> The findings highlight the relationship between loneliness and mental health disorders, along with the potential of machine learning methods for creating predictive tools and personalised therapies.</p>
            <p>Identifying prominent authors and their research topics may facilitate future collaborations and the dissemination of information. Expanding the existing body of research and leveraging the expertise of these professionals may facilitate the exploration of new strategies to mitigate loneliness among the elderly.
                <sup>
                    <xref ref-type="bibr" rid="ref24">24</xref>,
                    <xref ref-type="bibr" rid="ref25">25</xref>
                </sup>
            </p>
            <p>This bibliometric study provides valuable insights, yet it is important to acknowledge its significant limitations. Relying exclusively on the Scopus database may result in the exclusion of pertinent articles from various sources. The precision of the metadata associated with the articles imposes constraints on the analysis. Thirdly, bibliometric analysis prioritises quantitative evaluation over qualitative assessment of study findings and methodologies. The study does not account for potential biases or limitations in the machine learning techniques utilised in the analysed papers. Previous or contemporary developments may be excluded from the 2014&#x2013;2024 time frame. In addition to these limitations, the findings underscore the growing importance of employing machine learning to tackle loneliness among the elderly, potentially guiding future treatment strategies and research initiatives.</p>
        </sec>
        <sec id="sec15" sec-type="conclusion">
            <title>Conclusion</title>
            <p>In conclusion, this study highlights the increasing global focus on utilising machine learning to address the problem of loneliness in the elderly population. This bibliometric analysis emphasises key authors, collaborative efforts, and emerging themes such as social media, depression, and predictive modelling. It also indicates increasing trends in studies, primarily from the US, China, and Canada. These findings can guide future studies, collaborative efforts, and the creation of effective treatments focused on improving the quality of life for the elderly. This study underscores the significance of bibliometric analysis in tackling this crucial public health concern.</p>
        </sec>
        <sec id="sec16">
            <title>Ethics approval</title>
            <p>No ethical approval and consent were required for the current study.</p>
        </sec>
    </body>
    <back>
        <sec id="sec19" sec-type="data-availability">
            <title>Data availability statement</title>
            <p>All datasets supporting this article are accessible via the following link: 
                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.5281/zenodo.20093647">https://doi.org/10.5281/zenodo.20093647</ext-link>.
                <sup>
                    <xref ref-type="bibr" rid="ref35">35</xref>
                </sup>
            </p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International.</ext-link>
            </p>
        </sec>
        <ack>
            <title>Acknowledgements</title>
            <p>None.</p>
        </ack>
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