Gerontologists have emphasised that older adults are not only recipients of support but also important support providers. Using data from the first wave of the Netherlands Kinship Panel Study of 727 middle-generation adults aged 45 to 79 years, we examined the associations between loneliness and giving support up, across and down family lineages. Overall, the findings were consistent more with an altruism perspective, that giving brings rewards, than with an exchange perspective, which emphasises the costs of giving support. The results showed an inverse relationship between the number of generations supported and loneliness, and that those engaged in balanced exchanges with family members in three generations (parents, siblings and childre...