4.6 Review

Social isolation and loneliness: Undervalued risk factors for disease states and mortality

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WILEY
DOI: 10.1111/eci.14032

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cardiovascular disease; kidney disease; loneliness; mortality; social isolation

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Social isolation and loneliness are often overlooked conditions that have a negative impact on quality of life, overall health, and mortality. This review discusses the health consequences of these conditions, including potential causes, pathophysiological processes, associations with non-communicable diseases, and effects on health-related behaviors. It also explores current and novel management strategies. Healthcare professionals should be knowledgeable about social isolation and loneliness, thoroughly assess patients, and provide education and treatment options through shared decision-making. Further research is needed to better understand the underlying mechanisms and improve treatment strategies for these conditions.
Social isolation and loneliness are two common but undervalued conditions associated with a poor quality of life, decreased overall health and mortality. In this review, we aim to discuss the health consequences of social isolation and loneliness. We first provide the potential causes of these two conditions. Then, we explain the pathophysiological processes underlying the effects of social isolation and loneliness in disease states. Afterwards, we explain the important associations between these conditions and different non-communicable diseases, as well as the impact of social isolation and loneliness on health-related behaviours. Finally, we discuss the current and novel potential management strategies for these conditions. Healthcare professionals who attend to socially isolated and/or lonely patients should be fully competent in these conditions and assess their patients thoroughly to detect and properly understand the effects of isolation and loneliness. Patients should be offered education and treatment alternatives through shared decision-making. Future studies are needed to understand the underlying mechanisms better and to improve the treatment strategies for both social isolation and loneliness.

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