Evidence map›Paper›PMID 39284978›Full record

ArticleNature human behaviour2024

Observational and genetic evidence disagree on the association between loneliness and risk of multiple diseases.

Yannis Yan Liang, Mingqing Zhou, Yu He, Weijie Zhang, Qiqi Wu, Tong Luo, Jun Zhang, Fujun Jia, Lu Qi, Sizhi Ai and 1 more

Abstract read
In one paragraph

Article in Nature human behaviour, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Do negative social ties accelerate aging in adults, or does aging erode social ties?Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Susceptibility of Glucose Regulation to Social Isolation.bioRxiv : the preprint server for biology · 2025
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Network analysis of loneliness, mental, and physical health in Czech adolescents.Child and adolescent psychiatry and mental health · 2025
    Article
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

11 authors.

Yannis Yan Liang *Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-6417-4881
Mingqing Zhou *Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-2757-4536
Yu He *Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0000-8767-3491
Weijie ZhangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0003-3709-3570
Qiqi WuCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0001-3062-4493
Tong LuoCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0000-2876-6970
Jun ZhangDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID http://orcid.org/0009-0003-4131-1817
Fujun JiaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0001-8762-370X
Lu QiDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. lqi1@tulane.edu.ORCID http://orcid.org/0000-0002-8041-7791
Sizhi AiCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China. 2022760748@gzhmu.edu.cn.ORCID http://orcid.org/0000-0001-5701-1235
Jihui ZhangCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China. zhangjihui@gzhmu.edu.cn.ORCID http://orcid.org/0000-0002-4976-3039

Funding

National Natural Science Foundation of China (National Science Foundation of China) 32100880
6 · The paper itself

Abstract

Loneliness-the subjective experience of social disconnection-is now widely regarded as a health risk factor. However, whether the associations between loneliness and multiple diseases are consistent with causal effects remains largely unexplored. Here we combined behavioural, genetic and hospitalization data from the UK Biobank to examine the associations of loneliness with a wide range of non-overlapping diseases. During a median 12.2-year follow-up, loneliness was associated with greater risks in 13 of 14 disease categories and 30 of 56 individual diseases considered. Of the 30 diseases significantly associated with loneliness, 26 had genetic data available for Mendelian randomization (MR) analyses. After Benjamini‒Hochberg correction and multiple sensitivity analyses within the MR framework, non-causal associations were identified between genetic liability to loneliness and 20 out of the 26 specific diseases, including cardiovascular diseases, type 2 diabetes mellitus, obesity, chronic liver diseases, chronic kidney disease, most neurological diseases and the other common diseases. Genetic liability to loneliness was only potentially causally associated with the remaining six diseases. Socioeconomic factors, health behaviours, baseline depressive symptoms and comorbidities largely explained the associations between loneliness and diseases. Overall, our study revealed a dissociation between observational and genetic evidence regarding the associations of loneliness with multiple diseases. These findings suggest that loneliness may serve as a potential surrogate marker rather than a causal risk factor for most diseases tested here.

Indexed as

LonelinessMendelian Randomization AnalysisAdultAgedComorbidityFemaleHumansMaleMiddle AgedRisk FactorsUnited Kingdom

Identifiers

PMID39284978
PMCPMC11576506

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.