Prevention & lipidsCohort study

Persistent social connection over time is associated with attenuated biological ageing assessed by AI-enabled electrocardiography

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • longitudinal

Authors' conclusion

Persistent social connection is associated with slower biological ageing and lower mortality.

Study context

Population
Individuals without significant cardiovascular disease (CVD) who completed ≥2 Berkman and Syme Social Network Index questionnaires with paired ECGs within 1 year of each
Participants
17,663 individuals
Exposure
Longitudinal social isolation (SI) status vs persistently connected
Outcome
Δage-gap (change in gap between AI-ECG-predicted age and chronological age from baseline to follow-up)

Main finding

As reported in the abstract

Δage-gap (multivariable linear regression)
Persistently isolated
β +0.412 years; P < 0.001
Becoming isolated
β +0.438 years; P = 0.012

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)P value
All-cause mortality (multivariable Cox) — Becoming isolated vs Persistently connected · independent of chronological age and comorbidities1.94 (1.53–2.46)P < 0.001
All-cause mortality (multivariable Cox) — Persistently isolated vs Persistently connected · independent of chronological age and comorbidities1.66 (1.40–1.96)P < 0.001

Original publication

Persistent social connection over time is associated with attenuated biological ageing assessed by AI-enabled electrocardiography. Eur J Prev Cardiol. Published 16 June 2026. doi:10.1093/eurjpc/zwag212

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