Cardiometabolic & kidneyCohort study

Joint association of loneliness and traditional risk factor control and incident cardiovascular disease in diabetes patients

Eur Heart JPublished

  • Prospective cohort study
  • UK Biobank

Authors' conclusion

Among diabetes patients, loneliness, but not social isolation scale, is associated with a higher risk of CVD and shows an additive interaction with the degree of risk factor control.

Study context

Population
Participants diagnosed with diabetes, UK Biobank
Participants
18,509 participants
Exposure
Loneliness scale 1 and 2 vs 0
Outcome
Incident CVD
Follow-up
Mean 10.7 years

Main finding

As reported in the abstract

CVD
fully adjusted
Each group vs loneliness 0Hazard ratio (95% CI)
Loneliness 1
1.11(1.02 and 1.20)
Loneliness 2
1.26(1.11 and 1.42)

Observational data: associations, not effects.

Further findings

Social isolation and cardiovascular disease (CVD)

No significant associations for social isolation

Relative strength for predicting CVD

Loneliness ranked higher than lifestyle risk factors

Loneliness × degree of risk factor control (HbA1c, blood pressure (BP), low-density lipoprotein cholesterol (LDL-C), smoking, kidney condition)

Significant additive interaction on CVD risk
P for additive interaction = 0.005

Original publication

Joint association of loneliness and traditional risk factor control and incident cardiovascular disease in diabetes patients. Eur Heart J. Published 29 June 2023. doi:10.1093/eurheartj/ehad306

Summarised from the published abstract; every number is checked against it