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Marriage may protect against heart disease/stroke and associated risk of death.

The single, divorced, and widowed at heightened risk, pooled data analysis suggests

Date: June 18, 2018
Source: British Medical Journal (BMJ).

Marriage may protect against the development of heart disease/stroke as well as influencing who is more likely to die of it, suggests a pooled analysis of the available data, published online in the journal Heart.

The findings prompt the researchers to suggest that marital status should be included as a risk factor for heart disease/stroke and likely survival in its own right.

Most (80%) cardiovascular disease can be attributed to well known risk factors: age; sex; high blood pressure; high cholesterol; smoking; and diabetes. But it’s not clear what influences the remaining 20 per cent.

Pooled analysis of the data revealed that, compared with people who were married, those who weren’t (never married, divorced, widowed) were at heightened risk of developing cardiovascular disease (42%) and coronary artery heart disease (16%).

Not being married was also associated with a heightened risk of dying from both coronary heart disease (42%) and stroke (55%).

When the data were broken down further, the analysis showed that divorce was associated with a 35 per cent higher risk of developing heart disease for both men and women, while widowers of both sexes were 16 per cent more likely to have a stroke.

While there was no difference in the risk of death following a stroke between the married and the unmarried, this was not the case after a heart attack, the risk of which was significantly higher (42%) among those who had never married.

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