Over a 15-year period, adults who had fewer social connections were 2.66 times more likely to die from coronary heart disease than those with more social connections, even when accounting for age,...
Mechanism
Synthesis from 1 study
People who feel very alone for a long time tend to have more swelling in their bodies, which slowly damages their heart arteries. This damage makes heart attacks more likely, even if they don’t smoke or have high cholesterol.
Most probable mechanism
When people feel very alone for a long time, their bodies produce more of a chemical that causes swelling inside blood vessels. This swelling damages the inside of the arteries over time, making plaques build up faster. These plaques can block blood flow to the heart, leading to heart attacks and death.
Chronic social isolation is associated with elevated levels of circulating C-reactive protein, a marker of systemic inflammation
Elevated systemic inflammation promotes endothelial dysfunction and vascular smooth muscle cell activation, accelerating atherosclerotic plaque formation in coronary arteries
Progressive atherosclerosis increases the likelihood of plaque rupture, thrombosis, and acute coronary events leading to death
Evidence from Studies
Supporting (1)
Community contributions welcome
Contradicting (0)
Community contributions welcome
Gold Standard Evidence Needed
According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.