Loneliness Linked to Increased Risk of Parkinson’s Disease: Study

This is the first time emotional health has been linked to the condition.
Loneliness Linked to Increased Risk of Parkinson’s Disease: Study
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George Citroner
10/13/2023
Updated:
10/26/2023
0:00

Is it possible that preventing Parkinson’s disease—the second-most common neurodegenerative disease after Alzheimer’s disease—could be as simple as calling a friend or visiting a neighbor?

Doctors have long known that genetics, toxins, and head injuries can increase the risk of developing this progressive movement disorder, but new research published in JAMA Neurology indicates that loneliness could also play a pivotal role.
This is the first time an emotional state has been established as a potential risk factor for Parkinson’s, according to the study authors. Previous research has linked loneliness to Alzheimer’s and dementia.

A Glimpse Into the 15-Year Study

Researchers at Florida State University analyzed data on nearly 500,000 participants aged 38 to 73 from the UK Biobank biomedical database and research resource, which houses extensive genetic and health data from more than half a million UK residents.

The researchers tracked health surveys and status over 15 years. In that time, more than 2,800 people developed Parkinson’s disease.

Participants self-reported loneliness by answering the question “Do you often feel lonely?”

Social isolation was measured by the frequency of friend or family visits, frequency of leisure or social activities, and household size.

Researchers controlled for various factors known to influence Parkinson’s risk, including demographics, diabetes, genes, socioeconomic status, social isolation, smoking, physical activity, and body mass index.

Results showed that loneliness was significantly associated with eventual Parkinson’s diagnosis. This held true across age, genetic risk, and sex. However, accounting for chronic conditions such as diabetes reduced the association by 13.1 percent.

In sensitivity analysis excluding participants under 50, the relationship persisted. Loneliness didn’t link to Parkinson’s in the first five years after baseline but became associated over the subsequent 10 years.

How Can Loneliness Lead to Parkinson’s?

An estimated half a million Americans have Parkinson’s disease. But the actual number is probably much higher, as the condition is difficult to diagnose early.
Previous research has already linked loneliness to cognitive decline, dementia, Alzheimer’s risk, and some serious physical health issues, including hypertension and obesity.

Loneliness may increase Parkinson’s risk through inflammatory and metabolic pathways, the new study’s authors suggest.

Stress-induced inflammation could damage neurons that produce dopamine, essential for normal motor control. Over time, this may contribute to Parkinson’s development.
Another explanation is social interaction’s effect on the brain. Socializing stimulates the brain and promotes neuroplasticity, the brain’s ability to change and reorganize connections in response to learning or having an experience. Interacting releases chemicals that grow new neurons, potentially protecting against neurodegeneration such as that involved in Parkinson’s disease.
Loneliness and social isolation may also lead to a sedentary lifestyle, another risk factor for Parkinson’s disease.

“Loneliness has been correlated similarly to smoking and obesity,” Dr. Zehra Ali, who specializes in geriatric psychiatry at Northwell Staten Island University Hospital in New York and who wasn’t associated with the study, told The Epoch Times.

“It increases the risk of depression, alcohol dependence, and dementia,” he added. “It can negatively impact physical health as it increases the risk of cardiovascular disease, metabolic syndrome, coronary artery disease, and stroke.”

The Loneliness Epidemic

In May, U.S. Surgeon General Dr. Vivek Murthy released an advisory on the “epidemic of loneliness and isolation” affecting the country. “Given the significant health consequences of loneliness and isolation, we must prioritize building social connection the same way we have prioritized other critical public health issues such as tobacco, obesity, and substance use disorders,” he said in a press statement.

Dr. Murthy’s report shows declining social connections, especially among youth. It finds that about half of adults are lonely, costing billions in health care.

“We should be careful not to confuse social isolation and loneliness,” Dr. Anissa Abi-Dargham, chair of the Department of Psychiatry and Behavioral Health at Stony Brook University in New York, told The Epoch Times. “Loneliness is more like the discrepancy between how much people want to feel connected and how much they are, between their reality and their wishes.”

Isolation doesn’t always mean loneliness, according to Dr. Abi-Dargham. “People can be within groups yet feel lonely,” she noted. “And that is what is really stressful.” On the other hand, some isolated people may feel connected; loneliness is subjective.

Social media also plays a role, replacing real connections with pseudo-connections lacking close confidants.

“Yet there isn’t really one person that’s extremely close that you can confide in and feel connected to,” Dr. Abi-Dargham said.

The relationship between loneliness and Parkinson’s disease is complex and multifaceted. Although more research into the link between the two conditions is necessary, social interaction and activity may help maintain brain health and reduce Parkinson’s risk.

George Citroner reports on health and medicine, covering topics that include cancer, infectious diseases, and neurodegenerative conditions. He was awarded the Media Orthopaedic Reporting Excellence (MORE) award in 2020 for a story on osteoporosis risk in men.
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