Lonely Individuals May Have Increased Risk for AMI, Stroke
Social isolation linked to increased mortality among individuals with history of AMI or stroke
(HealthDay News) -- Isolation and loneliness may be associated with increased risk for acute myocardial infarction (AMI) and stroke, according to a study published online in Heart.
Christian Hakulinen, PhD, from the University of Helsinki, and colleagues used data from 479,054 individuals from the UK Biobank to examine whether social isolation and loneliness predict AMI, stroke, and associated mortality.
The researchers found that 5731 individuals had a first AMI and 3471 had a first stroke over 7.1 years. Social isolation was associated with higher risk of AMI and stroke (hazard ratios, 1.43 [95% confidence interval, 1.3 to 1.55] and 1.39 [95% confidence interval, 1.25 to 1.54], respectively) in models adjusted for demographics. The hazard ratios for AMI and stroke were attenuated by 84 and 83%, respectively, after adjustment for all other risk factors (hazard ratio, 1.07 [95% confidence interval, 0.99 to 1.06] and 1.06 [95% confidence interval, 0.96 to 1.19], respectively). Similar results were seen for loneliness. In the fully adjusted model, social isolation, but not loneliness, was associated with increased mortality among those with a history of AMI (hazard ratio, 1.25; 95% confidence interval, 1.03 to 1.51) and stroke (hazard ratio, 1.32; 95% confidence interval, 1.08 to 1.61).
"Isolated and lonely persons are at increased risk of AMI and stroke, and, among those with a history of AMI or stroke, increased risk of death," the authors write.
Hakulinen C, Pulkki-Råback L, Virtanen M, et al. Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479 054 men and women. BMJ. doi:10.1136/heartjnl-2017-312663