A 2010 meta-analysis of 148 studies covering 308,849 people found that participants with stronger social relationships had a 50% greater likelihood of survival over the follow-up period than those with weaker relationships. The finding held across age, sex and starting health.
Health advice tends to focus on what can be counted: steps, hours of sleep, blood pressure. Researchers at Brigham Young University pooled the evidence on something harder to count, the strength of a person's relationships.
What the review did
The team combined 148 studies that had measured people's social relationships and then followed them over time. Together the studies included 308,849 people.
The studies measured relationships in different ways. Some used a single fact, such as whether a person lived alone. Others used fuller measures of social integration: marriage, contact with friends and family, and involvement in community groups.
What it found
- People with stronger social relationships were 50% more likely to be alive at the end of follow-up
- The result held across age, sex, health at the start, and cause of death
- The fuller measures of social integration showed the strongest link, with odds of survival 91% higher
- Living alone versus with others, taken alone, showed the weakest link
The authors concluded that the effect of social relationships on the risk of death is comparable with well-established risk factors.
Why connection could affect health
Several explanations have been proposed, and they likely work together:
- People close to you notice changes and push you to get care
- Shared routines such as meals and walks support healthier habits
- Support during hard periods lowers the physical load of stress
- A sense of purpose and belonging is linked with better mood and sleep
Small steps that add up
- Put one recurring plan on the calendar, such as a weekly walk or coffee
- Combine it with movement. A walk with a friend covers two habits. Our guide to 7,000 daily steps explains the target
- Join something that meets regularly: a class, a faith community, a volunteer shift
- Call instead of texting once a week
When to talk with a clinician
Persistent loneliness, low mood, or loss of interest in things you used to enjoy are worth raising with a licensed clinician. If you are in crisis in the US, call or text 988.
This article is educational and is not medical advice. Talk with a licensed clinician about your own health.
References
- Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7(7):e1000316. Source
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