Health. In order to live long, it is better to live with the chosen one of your heart

In 2017, an Atlanta University study published in the Journal of the American Heart Association found a statistical link between a person’s marital status and their risk of dying.

In this case, the study, which included more than 6,000 patients, showed that single, divorced, separated, widowed, or unmarried people had a 52% increased risk of death from cardiac arrest compared to married people…

In practice, the patients were followed for 3.7 years and during this time there were more than 1,000 deaths. Specifically, the study showed that the risk of death from cardiac arrest was 40% higher in people who were never married; 41% for divorced or separated people; and 71% for widowed persons. “I was somewhat surprised by the magnitude of the impact of marriage on heart patients,” the study’s lead author said in a statement from the University of Atlanta.

These data are consistent with a 2007 French study by Insee. To partially explain this finding, the Atlanta researcher highlighted the social support that marriage provides and having a companion to “support oneself.

Lack of self-confidence in dealing with illnesses

Five years later, this care criterion is also the focus of a new study presented at the Congress of the European Society of Cardiology (ESC) in Madrid. “Social support helps people cope with long-term illness,” study author Dr. Wuerzburg, Germany.

“Spouses can help with treatment adherence, encourage and develop healthier behaviors that could impact longevity. In this study, unmarried patients had fewer social interactions than married patients and lacked the confidence to manage their heart failure. We are investigating whether these factors could explain the survival rate of these patients. »

This time, the presented study included 1,008 patients hospitalized for heart failure between 2004 and 2007; 633 (63%) were married and 375 (37%) single, including 195 widowed, 96 unmarried and 84 separated or divorced. First, quality of life, social limitations (1) and self-efficacy (2) were measured using a questionnaire specially designed for patients with heart failure. Depressed mood was also assessed using a standard patient health questionnaire.

“In terms of general quality of life or depressed mood,” explains Fabian Kerwagen, we found no difference between the two populations. In contrast, the unmarried group performed worse than the married group on social limitations and self-efficacy. »

Adjust the dosage according to the level of celibacy

During follow-up, 679 (67%) patients died, and being single rather than married was associated with a higher risk of death from all causes. Similar to the 2017 study, widowed patients had the highest risk of death, with an increased risk of 1.7 for death from any cause and 2.22 for death from cardiovascular disease compared to the married group.

“The link between marriage and longevity highlights the importance of social support for patients with heart failure. A link that has really been demonstrated with the implementation of social distancing during the pandemic. Healthcare professionals should consider asking patients about their marital status and more generally their social group to recommend support through support groups to fill potential gaps,” continues Fabian Kerwagen. A note for the many patients around the world and in France?

In 2017, the authors even went so far as to suggest that it might be important to consider a patient’s marital status when treating their coronary artery disease! It would be a question of adapting the dosage to the degree of celibacy… A criterion that is not integrated into the recipes or the care at the moment!

Cardiovascular diseases in France and worldwide

These diseases are a collection of disorders that affect the heart and blood vessels. According to the World Health Organization (WHO), cardiovascular disease is the leading cause of death worldwide, and by 2030 nearly 23.6 million people will die from cardiovascular disease (mainly heart disease or stroke).

The main risk factors for these pathologies are poor nutrition, physical inactivity, smoking and harmful alcohol consumption. The WHO claims that these behavioral risk factors are responsible for about 80% of coronary heart disease and stroke.

In France, according to the French Federation of Cardiology, these pathologies are the leading cause of death in women and those over 65 and the second in men. They cause 31% of deaths, with these figures increasing every year, and are believed to be the are responsible for approximately 140,000 deaths per year or 400 deaths per day.

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