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This is an archive article published on August 31, 2024

New heart disease risk: PGI study shows loneliness growing, as risky as smoking and drinking

Sitting idle and depressed for two hours is equal to smoking one cigarette and has a similar health impact, say researchers.

lonelinessThe prevalence of loneliness was 66.4 per cent in this group of elderly women as they reported a lack of companionship (64.8 per cent), being left out in life (45.2 per cent) and being isolated from others (52.8 per cent). (Express photo)

If smoking, alcohol and obesity have so far been known enemies of your physical health, then add loneliness as a risk factor. Researchers at the Department of Psychiatry, PGIMER, Chandigarh, have found that loneliness is fast emerging as a public health crisis, with it being no longer confined to urban pockets but a reality in rural areas as well. And since existing literature links loneliness to serious damage to physical health, the researchers urge that it be addressed more seriously.

WHAT DID THE STUDY FIND

Published in the Indian Journal of Psychological Medicine, the PGI study maps loneliness among adults in rural areas. “Most of the study’s subjects,” says Dr Aseem Mehra, assistant professor of psychiatry and principal investigator of the study, “were women, married, with a mean age of 67.6 years and belonging to a non-nuclear family.” The prevalence of loneliness was 66.4 per cent in this group of elderly women as they reported a lack of companionship (64.8 per cent), being left out in life (45.2 per cent) and being isolated from others (52.8 per cent). “Those who were single at the time of the study reported significantly more loneliness than married ones. Those from nuclear families and middle socio-economic status reported a significantly higher level of loneliness,” explains Dr Mehra.

WHY THE RURAL LONELINESS DATA IS WORRISOME

Emerging literature, says Dr Mehra, suggests that loneliness has several adverse impacts in the form of an increased risk cardiovascular diseases, premature mortality, depression, dementia, anxiety and so on. “The effects are almost comparable with the adverse consequences of smoking, alcohol, or obesity,” he adds.

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Dr Rahul Chakravarty, Department of Psychiatry, PGI, and co-author of the study, says like pre-diabetes, which accelerates to diabetes if not controlled, unaddressed loneliness, too, can lead to severe depression, anxiety and other mental and physical health issues. “Lethargy, headaches, lack of hunger, overeating junk food in the young, joint pains, fatigue and obesity are classic symptoms we often see in people who are lonely and stressed. They are not motivated to work, step out, or meet people. Sitting idle and depressed for two hours is equal to smoking one cigarette and has a similar health impact,” explains Dr Chakravarty.

Anchal Sharma, counselling psychologist at the Department of Mental Health and Behavioural Sciences, Fortis Hospital, Mohali, says that loneliness is often seen as just an emotional state, but its effects can significantly impact our physical health. “Research has shown that individuals who experience persistent loneliness are at a higher risk for cardiovascular diseases such as high blood pressure, heart disease and stroke. This is because loneliness triggers a stress response in the body, leading to increased levels of cortisol, a stress hormone that, when elevated over time, can damage blood vessels and organs,” says Sharma.

Loneliness can weaken the immune system, making the body more susceptible to infections and illnesses. This can also slow down the healing process, prolonging recovery from injuries or surgeries. Sleep disturbances are another common consequence of loneliness, which can further exacerbate health issues by reducing the body’s ability to repair and regenerate. “In addition to these direct effects, loneliness often leads to a poor diet, lack of exercise, and increased substance use,” she adds.

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