Evidence map›Paper›PMID 29735350›Full record

ArticleSocial science & medicine (1982)2018

Loneliness in middle age and biomarkers of systemic inflammation: Findings from Midlife in the United States.

Paula V Nersesian, Hae-Ra Han, Gayane Yenokyan, Roger S Blumenthal, Marie T Nolan, Melissa D Hladek, Sarah L Szanton

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
–field-weighted citation impact
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

65 citing papers in PubMed.

  1. Trial
  2. Article
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  5. Racial/ethnic variation of neighborhood social cohesion, loneliness, and cognitive functioning among midlife and older U.S. adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  6. Article
  7. Article
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  9. Does Loneliness Hurt? Effect of Loneliness on Inflammator Biomarkers, Appetite Hormone Regulation, and Cognitive Function Among Typically Developing Adolescents.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
  10. Article
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  13. 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
    Article
  14. Article
  15. Article
  16. Article
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  20. Article

5 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

7 authors.

Paula V NersesianJohns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: pnersesian@jhu.edu.
Hae-Ra HanJohns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: hhan2@jhu.edu.
Gayane YenokyanJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: gyenoky1@jhu.edu.
Roger S BlumenthalJohns Hopkins School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA. Electronic address: rblument@jhmi.edu.
Marie T NolanJohns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: mnolan3@jhu.edu.
Melissa D HladekJohns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: mhladek1@jhu.edu.
Sarah L SzantonJohns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205, USA; Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA. Electronic address: sszanto1@jhu.edu.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
U19 MIDlife in the United States-Diversity Supplement-WellsU19AG051426 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHRISTOPHER L COE · 2016 to 2026
$74.8M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
STATISTICS COREP01AG020166 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI RYFF, CAROL D. · 2002 to 2015
$50.6M
ZDV &3TC NEVIRAPINE COMBINATION THERAPY IN HIV 1 INFECTED INFANTS &M01RR000865 · NCRR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WASHINGTON, ARNOLD E. · 1985 to 2011
$43.4M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
WIHS INTENSIVE PHARMACOKINETIC STUDY (IPS)M01RR023942 · NCRR · GEORGETOWN UNIVERSITY · PI FEDEROFF, HOWARD J. · 2007 to 2009
$6.9M
Institute for Clinical and Translational ResearchTL1TR001078 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$1.9M
Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
NCATS NIH HHS TL1 TR001078NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR002373NCATS NIH HHS UL1 TR003098NCRR NIH HHS M01 RR000865NCRR NIH HHS M01 RR023942NIA NIH HHS P01 AG020166NIA NIH HHS U19 AG051426NINR NIH HHS T32 NR012704
6 · The paper itself

Abstract

objectiveMiddle-aged adults who are lonely have an elevated likelihood of death. Systemic inflammation may contribute to these increased odds. Using population-level data, this study tested if systemic inflammation is associated with loneliness in a broad age range of middle-aged adults in the United States.

methodsThis study used data from the Midlife in the US (MIDUS) survey Biomarker Project, which collected data on psychological, social, and physiological measures from a sample of middle-aged adults. This sample included the 927 participants who were 35-64 years at Biomarker Project data collection. MIDUS collected baseline data from 1995-1996 and a follow-up survey was conducted from 2004-2006. The baseline Milwaukee sample of African Americans was collected in 2005-2006 and the biomarker database was collected in 2004-2009. Biomarkers were obtained from a fasting blood sample. Self-reported loneliness was categorized as feeling lonely or not feeling lonely. Hierarchical regressions examined the association between biomarkers of systemic inflammation (interleukin-6, fibrinogen, C-reactive protein) and feeling lonely, adjusted for covariates.

resultsTwenty-nine percent of the sample reported feeling lonely most or some of the time. There was a positive significant relationship between loneliness and the three systemic inflammation biomarkers after controlling for covariates: interleukin-6 (n = 873) (b [se] = 0.07 [0.03], p = .014); fibrinogen (n = 867) (b [se] = 18.24 [7.12], p = .011); and C-reactive protein (n = 867) (b [se] = 0.08 [0.04], p = .035).

conclusionsFeeling lonely is associated with systemic inflammation in middle-aged community-dwelling US adults.

Indexed as

LonelinessAdultBiomarkersC-Reactive ProteinFemaleFibrinogenHumansInflammationInterleukin-6MaleMiddle AgedUnited StatesBiomarkersC-Reactive ProteinFibrinogenInterleukin-6C-reactive proteinFibrinogenInterleukin-6LonelinessMiddle ageSystemic inflammation

Identifiers

PMID29735350
PMCPMC6013269

What OpenQuestion holds

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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.