Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study

BackgroundAdverse psychosocial factors play an important role in cardio-cerebral vascular disease (CCVD). The aim of this study was to evaluate the impact of the cumulative burden of loneliness on the risk of CCVD in the Chinese older adult.MethodsA total of 6,181 Chinese older adult over the age of...

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Main Authors: Dishan Wu, Xing Hu, Lingbing Meng, Jianyi Li, Jiapei Xu, Luyao Zhang, Qinan Ma, Hui Li, Xuezhai Zeng, Juan Li, Qiuxia Zhang, Deping Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1307927/full
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author Dishan Wu
Dishan Wu
Xing Hu
Lingbing Meng
Lingbing Meng
Jianyi Li
Jianyi Li
Jiapei Xu
Jiapei Xu
Luyao Zhang
Luyao Zhang
Qinan Ma
Qinan Ma
Hui Li
Xuezhai Zeng
Juan Li
Juan Li
Qiuxia Zhang
Deping Liu
Deping Liu
author_facet Dishan Wu
Dishan Wu
Xing Hu
Lingbing Meng
Lingbing Meng
Jianyi Li
Jianyi Li
Jiapei Xu
Jiapei Xu
Luyao Zhang
Luyao Zhang
Qinan Ma
Qinan Ma
Hui Li
Xuezhai Zeng
Juan Li
Juan Li
Qiuxia Zhang
Deping Liu
Deping Liu
author_sort Dishan Wu
collection DOAJ
description BackgroundAdverse psychosocial factors play an important role in cardio-cerebral vascular disease (CCVD). The aim of this study was to evaluate the impact of the cumulative burden of loneliness on the risk of CCVD in the Chinese older adult.MethodsA total of 6,181 Chinese older adult over the age of 62 in the monitoring survey of the fourth Sample Survey of the Aged Population in Urban and Rural China (SSAPUR) were included in this study. The loneliness cumulative burden (scored by cumulative degree) was weighted by the loneliness score for two consecutive years (2017–2018) and divided into low- and high-burden groups. The outcome was defined as the incidence of CCVD 1 year later (2018–2019). A multivariate logistic regression model was used to examine the relationship between the cumulative burden of loneliness and the new onset of CCVD.ResultsAmong participants, 18.9% had a higher cumulative burden of loneliness, and 11.5% had a CCVD incidence within 1 year. After multivariate adjustment, the risk of developing CCVD in the high-burden group was approximately 37% higher than that in the low-burden group (OR 1.373, 95%CI 1.096–1.721; p = 0.006). Similar results were obtained when calculating the burden based on cumulative time. Longitudinal change in loneliness was not significantly associated with an increased risk of CCVD. A higher cumulative burden of loneliness may predict a higher risk of developing CCVD in older adult individuals aged 62–72 years or in those with diabetes.ConclusionThe cumulative burden of loneliness can be used to assess the risk of new-onset CCVD in the older adult in the short term.
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spelling doaj.art-ede046306e2a4334a7885679cbf873f62024-02-13T04:23:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13079271307927Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort studyDishan Wu0Dishan Wu1Xing Hu2Lingbing Meng3Lingbing Meng4Jianyi Li5Jianyi Li6Jiapei Xu7Jiapei Xu8Luyao Zhang9Luyao Zhang10Qinan Ma11Qinan Ma12Hui Li13Xuezhai Zeng14Juan Li15Juan Li16Qiuxia Zhang17Deping Liu18Deping Liu19Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaHealth Service Department of the Guard Bureau of the Joint Staff Department, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Peking University Fifth School of Clinical Medicine, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Peking University Fifth School of Clinical Medicine, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaCenter on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, ChinaState Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, ChinaChina Research Center on Aging, Beijing, ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaGraduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBackgroundAdverse psychosocial factors play an important role in cardio-cerebral vascular disease (CCVD). The aim of this study was to evaluate the impact of the cumulative burden of loneliness on the risk of CCVD in the Chinese older adult.MethodsA total of 6,181 Chinese older adult over the age of 62 in the monitoring survey of the fourth Sample Survey of the Aged Population in Urban and Rural China (SSAPUR) were included in this study. The loneliness cumulative burden (scored by cumulative degree) was weighted by the loneliness score for two consecutive years (2017–2018) and divided into low- and high-burden groups. The outcome was defined as the incidence of CCVD 1 year later (2018–2019). A multivariate logistic regression model was used to examine the relationship between the cumulative burden of loneliness and the new onset of CCVD.ResultsAmong participants, 18.9% had a higher cumulative burden of loneliness, and 11.5% had a CCVD incidence within 1 year. After multivariate adjustment, the risk of developing CCVD in the high-burden group was approximately 37% higher than that in the low-burden group (OR 1.373, 95%CI 1.096–1.721; p = 0.006). Similar results were obtained when calculating the burden based on cumulative time. Longitudinal change in loneliness was not significantly associated with an increased risk of CCVD. A higher cumulative burden of loneliness may predict a higher risk of developing CCVD in older adult individuals aged 62–72 years or in those with diabetes.ConclusionThe cumulative burden of loneliness can be used to assess the risk of new-onset CCVD in the older adult in the short term.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1307927/fulllonelinesscardio-cerebral vascular diseasescumulative burdenolder adultlongitudinal change
spellingShingle Dishan Wu
Dishan Wu
Xing Hu
Lingbing Meng
Lingbing Meng
Jianyi Li
Jianyi Li
Jiapei Xu
Jiapei Xu
Luyao Zhang
Luyao Zhang
Qinan Ma
Qinan Ma
Hui Li
Xuezhai Zeng
Juan Li
Juan Li
Qiuxia Zhang
Deping Liu
Deping Liu
Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
Frontiers in Public Health
loneliness
cardio-cerebral vascular diseases
cumulative burden
older adult
longitudinal change
title Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
title_full Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
title_fullStr Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
title_full_unstemmed Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
title_short Influence of loneliness burden on cardio-cerebral vascular disease among the Chinese older adult: a national cohort study
title_sort influence of loneliness burden on cardio cerebral vascular disease among the chinese older adult a national cohort study
topic loneliness
cardio-cerebral vascular diseases
cumulative burden
older adult
longitudinal change
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1307927/full
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