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July 10, 2024

Loneliness · stroke risk

Loneliness Might Cause Stroke and Premature Death – A Study Shows

by - Dr. Gurpreet Singh Padda, MD, MBA, MHP

Summary: Loneliness, a feeling of distress caused by a lack of socialization, is among the significant contributors to chronic ailments like obesity, chronic pain, depression, sleep disorders, and substance abuse disorders. Now, one of the new studies shows that loneliness may increase stroke risk by 56%.

Wrong dietary choices and a sedentary lifestyle are among the top two causes of chronic diseases. However, there are many other reasons. The epidemic of chronic ailments cannot be explained based on just two of these factors. 

Other contributing factors are insufficient sleep, declining mental and brain health, social isolation and loneliness, and more. It is vital to understand the role of each of these factors in chronic health issues. It is vital to understand how various factors increase the risk of obesity, heart disease, dementia, mental health issues, and more.

One of the lesser-discussed risk factors for chronic ailments is loneliness. Loneliness is a feeling of distress and pain due to less contact with other humans, or due to social isolation. It is also vital to differentiate between social isolation and loneliness. Loneliness is an emotional response that increases the risk of chronic ailments. This response often stems from a lack of socialization, but not necessarily and not always.

Loneliness increases the risk of various psychiatric and brain disorders. Thus, those suffering from loneliness are more likely to experience sleep problems, depression, dementia, and even metabolic disorders like diabetes. Loneliness even increases the risk of immune dysfunction, causing issues like lupus and rheumatoid arthritis. 

 

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Loneliness increases the risk of obesity, binge eating, hypertension, and much more. Studies also show that loneliness is among the most significant causes of alcohol abuse. However, it is not only that, as loneliness increases addiction risk to various substances and reduces stress resilience. 

All this means that loneliness is also among the significant causes of painful conditions. It means that those suffering from loneliness are also more likely to develop chronic pain. Consequently, these individuals are also much more likely to engage in self-harm or end their lives with suicide.

Here, it is vital to understand how different harmful factors are interrelated, with one increasing the risk of another. For example, loneliness increases the risk of obesity, mental health issues, and pain. However, those living in pain are also more likely to be socially isolated and experience loneliness.

So, multiple factors are increasing the risk of chronic health issues. This explains why dietary measures and exercise may not always help. Moreover, those experiencing loneliness and mental health issues are less likely to stick to lifestyle changes. 

Now, one of the new studies published in one of the highly reputed journals, eClinicalMedicine (The Lancet), shows that loneliness can significantly increase stroke risk.

This study analyzed the data of 12,161 individuals for stroke risk over a 10-12 year period. The study divided these individuals into different groups, such as those experiencing significant loneliness and those not experiencing much loneliness. They found that loneliness increased stroke risk by as much as 56%.

Here, it is also vital to understand that they adjusted their data for depression and social isolation. Since loneliness is an emotional response, a feeling of distress, it is different from social isolation. Not all people lacking social contact have the feeling of loneliness. On the other hand, many living in families may also experience loneliness as they might not be satisfied with their relationships and the quality of social contacts. Differentiating between social isolation and loneliness helps us understand the complexity of the issues.

Finally, all this highlights the importance of a multidimensional approach, such as an interventional pain management clinic in St. Louis, to prevent and manage chronic health issues like depression, chronic pain, obesity, diabetes, heart disease, and stroke. Therefore, apart from exercise and dietary measures, one should consider improving sleep, countering loneliness, and more.

Frequently Asked Questions

Can loneliness cause a stroke?

Loneliness raises the risk. A study in eClinicalMedicine (The Lancet) followed 12,161 people for 10 to 12 years and compared those with significant loneliness to those without it. Loneliness increased stroke risk by as much as 56%. The researchers adjusted their data for depression and social isolation, so the effect belongs to loneliness itself, not to those overlapping factors.

What is the difference between loneliness and social isolation?

Social isolation is a lack of contact with other people. Loneliness is the feeling of distress and pain that can come with it, and the two do not always travel together. Some people with little social contact never feel lonely. Others live in full households and still feel lonely because their relationships do not satisfy them. It is the emotional response that drives the health risk.

What health problems are linked to loneliness?

The list is long. Loneliness raises the risk of sleep problems, depression, dementia and diabetes. It feeds immune dysfunction behind conditions like lupus and rheumatoid arthritis. It is tied to obesity, binge eating and high blood pressure, and it is among the most significant causes of alcohol abuse. It raises addiction risk to other substances and lowers stress resilience, and now stroke joins the list.

Can loneliness cause chronic pain?

Yes, and the link runs both ways. People who feel lonely are more likely to develop chronic pain, and people living in pain are more likely to become isolated and lonely. Each problem feeds the other. That loop is one reason diet and exercise alone do not always work, and why lonely people find it harder to stick with lifestyle changes. Countering loneliness belongs in the treatment plan.

Source:

Soh, Y., Kawachi, I., Kubzansky, L. D., Berkman, L. F., & Tiemeier, H. (2024). Chronic loneliness and the risk of incident stroke in middle and late adulthood: A longitudinal cohort study of U.S. older adults. eClinicalMedicine, 0(0). https://doi.org/10.1016/j.eclinm.2024.102639 

Dr. Gurpreet Singh Padda, MD, MBA, MHP

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