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Social isolation and loneliness are under-recognized determinants of cardiovascular and brain health, the report found. "There is strong evidence linking social isolation and loneliness with increased risk of worse heart and brain health in general," Cené said.
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Read More »"Social isolation and loneliness are also associated with worse prognosis in individuals who already have coronary heart disease or stroke," Cené said. That includes an increased risk of recurrent stroke and mortality, the statement said. The report also found a two-way relationship between social isolation and mental health risk factors. Those who were socially isolated were more likely to experience depression, and those with depression were more likely to be socially isolated. However, evidence of a link between social isolation, loneliness and cognitive impairment or dementia was sparse or mixed. People who are socially isolated or lonely may engage in behaviors that further harm heart and brain health, such as eating fewer fruits and vegetables, not getting enough physical activity and being too sedentary, according to the statement. Several large studies found an association between loneliness and a higher likelihood of smoking. Socio-environmental factors also likely play a role, the statement found. Factors such as transportation, living arrangements and dissatisfaction with family relationships, along with the pandemic and natural disasters, can contribute to how socially isolated or connected people are. Studies show fitness programs and recreational activities at senior centers, along with programs that combat negative thinking, can help reduce social isolation and loneliness, the statement notes. The writing group called for more research into how such interventions could help. "Clinicians should ask patients about the frequency of their social activity and whether they are satisfied with their level of interactions with friends and family," Cené said. "They should then be prepared to refer people who are socially isolated or lonely – especially those with a history of heart disease or stroke – to community resources to help them connect with others." American Heart Association News' mental health coverage is supported by Diane and Daniel Shimer. AHA News is solely responsible for all content and editorial decisions. If you have questions or comments about this American Heart Association News story, please email [email protected].
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