ArticleEuropean heart journal open2022
Social relationships and the risk of incident heart failure: results from a prospective population-based study of older men.
Article in European heart journal open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Social frailty and mortality risk in middle-aged and older adults: a prospective cohort study.GeroScience · 2026Article
- Self-perceived quality of life, health, and physical activity among older adults: the roles of marital status and residence during the COVID-19 pandemic.Croatian medical journal · 2026Article
- Social isolation, loneliness and the relationship with serum biomarkers, functional parameters and mortality in older adults.Aging clinical and experimental research · 2025Article
- Loneliness and repetitive negative thinking mediate the link between social health and cardiac distress in heart disease patients.Scientific reports · 2025Article
- A systematic review to identify assessment instruments for social isolation or loneliness in adults with heart failure.NPJ cardiovascular health · 2025Article
- Risk factors and prognostic impact of unwanted loneliness in heart failure.Scientific reports · 2024Article
- Social isolation and susceptibility for developing heart failure: are we exchanging a global pandemic for a new crisis in the making?European heart journal open · 2022Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsLimited social relationships, particularly in older adults, have been implicated as a risk factor for cardiovascular disease. However, little is known about the associations between poor social relationships and heart failure incidence. METHODS AND
resultsProspective study of socially representative men aged 60-79 years drawn from general practices in 24 British towns and followed up for a maximum of 18 years. A total of 3698 participants with no previous diagnosis of heart failure were included. Information on social relationships was based on a combination of marital status, living circumstances, and social contacts with friends and family. These provided information on contact frequency, contact satisfaction, and a social relationship score (low to high) combining frequency and satisfaction with contact. Heart failure included both incidents non-fatal heart failure and death from heart failure. Among 3698 participants, 330 developed heart failure. Men with low compared to high frequency of contact with family and friends had an increased risk of incident heart failure [hazard ratio (HR) 1.59, 95% confidence interval (CI) 1.15-2.18]; this remained statistically significant after adjustment for social class, behavioural, and biological risk factors. Low compared to high scores for satisfaction with contacts was associated with increased risk of heart failure (adjusted HR = 1.54; 95% CI 1.14-2.07). Lower social relationship scores (combining frequency and satisfaction with contact) were associated with greater risk of incident heart failure (adjusted HR = 1.38, 95% CI 1.02-1.87). Marital status and living alone were not significantly associated with heart failure.
conclusionWeaker social relationships appear to increase the risk of developing heart failure in older age. Further research is needed to investigate pathways underlying these associations and to test whether interventions to strengthen social relationships can reduce the risk of heart failure.
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