Evidence map›Paper›PMID 21492978›Full record

ArticleSocial science & medicine (1982)2011

Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adults.

Kathi L Heffner, Molly E Waring, Mary B Roberts, Charles B Eaton, Robert Gramling

Open access · greenAbstract read
In one paragraph

Article in Social science & medicine (1982), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  7. Cumulative loneliness and memory function among U.S. older adults: the role of depressive symptoms.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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  13. Increases in Psychological Stress Are Associated With Higher Fasting Glucose in US Chinese Immigrants.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024
    Article
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Kathi L HeffnerThe Rochester Center for Mind-Body Research, Department of Psychiatry, University of Rochester, 300 Crittenden Boulevard, Box PSYCH-BPSM, Rochester, NY 14642, United States. kathi_heffner@urmc.rochester.edu
Molly E Waring
Mary B Roberts
Charles B Eaton
Robert Gramling
Brown University · USUniversity of Massachusetts Chan Medical School · USUniversity of Rochester · USUniversity of Rochester Medical Center · US

Funding

UNIVERSITY OF MASSACHUSETTS CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCEUL1RR031982 · NCRR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SULLIVAN, JOHN LEWIS · 2010 to 2011
$6.8M
The Rochester Center for Mind-Body ResearchR24AG031089 · NIA · UNIVERSITY OF ROCHESTER · PI MOYNIHAN, JAN A · 2007 to 2009
$3.0M
Population impact of raising perceptions of heritable riskR03HG004158 · NHGRI · UNIVERSITY OF ROCHESTER · PI GRAMLING, ROBERT E · 2007 to 2008
$150k
CVD Risk Perception, Behavioral Support and 25-year SurvivalR03NR010409 · NINR · UNIVERSITY OF ROCHESTER · PI GRAMLING, ROBERT E · 2007 to 2008
$138k
NCRR NIH HHS UL1 RR031982NHGRI NIH HHS 1R03HG004158NHGRI NIH HHS R03 HG004158NIA NIH HHS 1R24AG031089NIA NIH HHS R24 AG031089NINR NIH HHS 1R03NR010409NINR NIH HHS R03 NR010409
6 · The paper itself

Abstract

Social isolation confers increased risk for coronary heart disease (CHD) events and mortality. In two recent studies, low levels of social integration among older adults were related to higher levels of C-reactive protein (CRP), a marker of inflammation, suggesting a possible biological link between social isolation and CHD. The current study examined relationships among social isolation, CRP, and 15-year CHD death in a community sample of US adults aged 40 years and older without a prior history of myocardial infarction. A nested case-cohort study was conducted from a parent cohort of community-dwelling adults from the southeastern New England region of the United States (N = 2321) who were interviewed in 1989 and 1990. CRP levels were measured from stored sera provided by the nested case-cohort (n = 370), which included all cases of CHD death observed through 2005 (n = 48), and a random sample of non-cases. We found that the most socially isolated individuals had two-and-a-half times the odds of elevated CRP levels compared to the most socially integrated. In separate logistic regression models, both social isolation and CRP predicted later CHD death. The most socially isolated continued to have more than twice the odds of CHD death compared to the most socially integrated in a model adjusting for CRP and more traditional CHD risk factors. The current findings support social isolation as an independent risk factor of both high levels of CRP and CHD death in middle-aged adults without a prior history of myocardial infarction. Prospective study of inflammatory pathways related to social isolation and mortality are needed to fully delineate whether and how CRP or other inflammatory markers contribute to mechanisms linking social isolation to CVD health.

Indexed as

Social IsolationAdultAgedCase-Control StudiesCohort StudiesCoronary DiseaseC-Reactive ProteinFemaleHealth SurveysHumansMaleMiddle AgedNew EnglandC-Reactive Protein

Identifiers

PMID21492978
PMCPMC3090468
OpenAlexW2081320959

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.