Miura Moemi, Ikeda Ai, Sato Shiho, Muraki Isao, Okamura Tomonori, Ohira Tetsuya, Miyazaki Junji, Ishihara Maho, Okamoto Kana, Kamijima Juna, Li Qisheng, Ikeda Shiori, Yamagishi Kazumasa, Tanigawa Takeshi
Department of Public Health, Juntendo University Graduate School of Medicine.
Faculty of International Liberal Arts, Juntendo University.
J Atheroscler Thromb. 2025 Aug 1;32(8):897-910. doi: 10.5551/jat.RV22035. Epub 2025 May 24.
Although social participation, defined as involvement in social activities, may be beneficial for cardiovascular health, evidence about the association remains limited. This systematic review summarized the relationship between social participation and cardiovascular risk factors.
Original articles of longitudinal observational studies published in English before January 1, 2024, were searched via PubMed, Scopus, and Cochrane Library. Two investigators selected eligible literature for four health outcomes: hypertension, diabetes, dyslipidemia, and obesity.
Eight articles (including duplicates) covering cohort studies were included. The results indicated that social participation is associated with lower hypertension risk, but gender differences may exist in the association between social participation and hypertension. Two articles from a Japanese cohort study were found on diabetes, both of which reported significant preventive association with social participation. The only study on dyslipidemia showed a higher hyperlipidemia risk among women, but not men, with social participation. Two studies on the risk of obesity showed inconsistent results, with one reporting the association between social participation and maintenance of smaller waist circumference only among men, while the other found no association with body mass index.
There is some evidence of the association between social participation and better cardiovascular health outcomes. However, evidence on gender differences and validation of the methodology for measuring social participation was still lacking.
社会参与被定义为参与社会活动，虽然它可能对心血管健康有益，但关于这种关联的证据仍然有限。本系统评价总结了社会参与与心血管危险因素之间的关系。
通过PubMed、Scopus和Cochrane图书馆检索2024年1月1日前发表的英文纵向观察性研究的原始文章。两名研究人员选择了符合条件的文献，涉及四个健康结局：高血压、糖尿病、血脂异常和肥胖。
纳入了8篇（包括重复的）涵盖队列研究的文章。结果表明，社会参与与较低的高血压风险相关，但社会参与与高血压之间的关联可能存在性别差异。在糖尿病方面，发现了两篇来自日本队列研究的文章，两者均报告了与社会参与有显著的预防关联。关于血脂异常的唯一一项研究表明，社会参与的女性患高脂血症的风险较高，而男性则不然。两项关于肥胖风险的研究结果不一致，一项研究报告仅在男性中社会参与与维持较小腰围之间存在关联，而另一项研究则未发现与体重指数有关联。
有一些证据表明社会参与与更好的心血管健康结局之间存在关联。然而，关于性别差异以及衡量社会参与方法的有效性的证据仍然缺乏。
