Paul Elise, Bu Feifei, Fancourt Daisy
Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Curr Cardiol Rep. 2021 May 7;23(6):68. doi: 10.1007/s11886-021-01495-2.
In this review, we synthesise recent research on the association between loneliness and cardiovascular disease (CVD). We present evidence for mechanisms underlying this association and propose directions for future research.
Loneliness is related to increased risk of early mortality and CVD comparable to other well-established risk factors such as obesity or smoking. Loneliness has been linked to higher rates of incident CVD, poorer CVD patient outcomes, and early mortality from CVD. Loneliness likely affects risk for these outcomes via health-related behaviours (e.g. physical inactivity and smoking), biological mechanisms (e.g. inflammation, stress reactivity), and psychological factors (e.g. depression) to indirectly damage health.
在本综述中,我们综合了近期关于孤独与心血管疾病(CVD)之间关联的研究。我们展示了这种关联背后机制的证据,并提出了未来研究的方向。
孤独与早期死亡风险增加以及心血管疾病相关,其风险程度与肥胖或吸烟等其他已明确的风险因素相当。孤独与心血管疾病的发病率较高、心血管疾病患者预后较差以及心血管疾病导致的早期死亡有关。孤独可能通过与健康相关的行为(如缺乏身体活动和吸烟)、生物学机制(如炎症、应激反应性)和心理因素(如抑郁)影响这些结果的风险,从而间接损害健康。