Why your friends are as important as quitting smoking

August 30, 2012 · 15 comments

photo by Josef Vybíral 

Most people associate the word “stress” with traffic jams, long lines, delayed flights, and other fairly obvious problems.  Sure, how you interpret these situations can produce all sorts of mental anguish and health issues but there are other, more subtle forms of stress that also damage your health.  One of the most common and underrated is being lonely.

Being alone for some is different than feeling lonely, however they are often related.  Being alone AND lonely decreases your health and may lead to an early death.

Studies have shown that patients who have been hospitalized for heart failure are far more likely to die without social support and friendship. There is even more evidence showing that social isolation is also a major predictor of early death in healthy people.

photo by Diamond Fara

In fact, “lack of social support has been found to predict all causes of mortality in population studies,” writes Kristina Orth-Gomer, one of the lead authors of a 1993 study on Swedish men. It was designed to measure the connection between social support and coronary heart disease.  The study accounted for many variables, and looked at both connections with close friends and family (“attachment”), and with co-workers and less familiar friends (“social integration”).  After tracking the health of over 1,000 people for six years, the researchers found that:

smoking and lack of social support were the two leading risk factors for CHD in these middle-aged men.

Social interaction was linked with almost as many deaths as smoking.  This was an observational study, because it is not realistic to randomize people into two groups and give them different “doses” of happiness. This is the best available evidence.

After the first study, some of the researchers questioned the results.  So, in 2004, the researchers conducted a follow-up study to the previous one. They found that men with the lowest social interaction had a 66 percent higher risk of coronary heart disease than those with the highest levels of social interaction.

The people with the lowest amount of social support had more than twice the risk of heart disease than those with the most social support.

“In this prospective study of men, we found two dimensions of low social support—low social integration and low emotional attachment—to be predictive of coronary morbidity, independently of other risk factors.”

In other words, being a loner was associated with a much higher risk of heart disease, no matter how you looked at the data.  These results have been confirmed in several other studies.

A Finish study  in 1988 tracked the connection between social support and heart disease.  After analyzing over 13 thousand men and women and adjusting for confounding factors, they found a linear correlation between lack of social support and risk of heart disease.  The more socially isolated the people were, the more likely they were to die of heart disease.

One of the largest studies examining the link between heart disease and social interaction occurred 8 years later in the U.S.  The researchers looked at 32,624 males aged 42-77 who were free of heart disease, stroke and cancer at the beginning of the study.  At the end of the study, the men with the lowest amount of social connection had the highest death rate of almost every disease.

“Compared with men with the highest level of social networks, socially isolated men (not married, fewer than six friends or relatives, no membership in church or community groups) were at increased risk for cardiovascular disease mortality … deaths from accidents and suicides… increased risk of stroke incidence,” wrote the lead author.

Just as obvious forms of stress can damage your health, so too can more subtle forms like social isolation.  Not having some form of social connection increases your chances of dying.  If you want to live as long as possible, spend more time with those you love and enjoy being around.  How many friends do you have?  How much time do you spend with them?  If the answer is “none” and “none”, you may want to make some changes for both your health and those you care about.

When you focus on your health and business as much as I, and many other biohackers do, it’s easy to neglect your relationships.  In the words of Charles Caleb Colton “True friendship is like sound health; the value of it is seldom known until it be lost.”  For your own health, and that of your loved ones, make time, these connections are important. Studies have repeatedly shown that those with the lowest number of social interactions live the shortest lives, so if you want to be Bulletproof, nourish your friendships and spend quality time with your family.

What qualities do you look for in a friend?  What makes you a good friend?  What is your favorite thing to do with friends?

 

 

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  • ryanhand

    Great article Dave. I’ve often thought about what my life might be like if I wasn’t married (and currently with 5 school age kids). This thought usually happens when I can’t get peace-and-quiet to finish a project at home. Despite my short-term need for solitary cave time, I recognize that without my wife/kids, I would be pretty lonely. It would suck to not be able to share my life with others close to me.

    I don’t have a lot of close friends that I spend much time with right now. I just haven’t had the desire to pursue it. But I would imagine that would become more important once the kids are grown up. Except at this rate, we’re going to have 25 grandkids. So being lonely may never be an issue.

    • Dave Asprey

      It’s pretty normal to have less friend time when you have little kids! And cave time causes increases in testosterone. Nothing wrong with that…

  • kalidestroyer

    I don’t doubt that social isolation has a negative impact on one’s physical health; animals studies demonstrate this. However it’s problematic to translate controlled experiments of caged rodents to humans living in the complex environments that we inhabit. What really constitutes a “social experience”, surely the studies linking social interaction with health outcomes rely on self reporting. While “emotional attachment” was measured is this something that is a cause or consequence of genes? I thought the whole point of bio-hacking was to produce desirable outcomes with the least amount of effort (and to quantify that endeavor in a systematic fashion). So is it really better to spend time with friends and drink (alcohol), eat (bad food), and emotionally connect at a deep level or to stay in and eat grass fed beef and take supplements? To be sure, health conscious humans would probably prefer (at an emotional level) to smoke and have friends than be a lonely non-smoker with perfect blood tests, a ripped six-pack, and perfect longevity genes but that doesn’t tell you anything quantifiable about “how bad” it is to one’s physical health to be alone. I thought biohacking was all about quantifying. There are plenty of studies saying people that pray and go to church are happier and live longer; is this an argument for religion or for better studies?

    • Dave Asprey

      Quantifying happiness and moods is possible! Happiness causes positive changes in gene expression. Happiness is programmable…

    • A. Bright

      It seems like you set this question up as an either or proposition: “So is it really better to spend time with friends and drink (alcohol), eat (bad food), and emotionally connect at a deep level or to stay in and eat grass fed beef and take supplements?”

      However it is possible to be together and connected with your friends and be different from them. If your friends can’t tolerate some differences that don’t affect them, are they actually friends?

      The number of friends matters less than the quality of friendships, as well as individual temperament, so introverts with fewer friends can still get the benefits as long as the friends they do have they feel a sense of connection and belonging with.

      How you feel is subjective, and quantifiable, if you start tracking it, and the variables on any given day you can start to see what variables will impact your mood. Your mood can impact your health and behavior.

      As for the studies that say people going to church etc– I haven’t seen them, but it’s not surprising they found those results as many people often find a sense of community and belonging through their church, which then fulfills their social experience and attachment needs. However that isn’t an argument for religion, but an argument for seeking out or creating a group with which you feel belonging. Depending on who did the study though, they may not really care about that distinction (that it isn’t going to church per se but the sense of belonging). So better studies may be needed to weed out the confounding variables.

      Furthermore, there is a correlation between good social connections and better health, that can’t be denied. What we aren’t 100% clear on is how exactly that works and what all the factors are.

      There are some studies that indicate that being around someone you have a secure attachment with can help regulate stress levels, using objective and subjective measurement–
      1. (Saliva tests) Insecurely attached toddlers have elevated levels of cortisol during new situations: http://onlinelibrary.wiley.com/doi/10.1111/j.1467-8624.1996.tb01748.x/abstract

      2. (blood work) Disruptions in marriage negatively impact immune function for women (men weren’t studied), especially if the woman still was attached to her ex-husband and couldn’t connect with him: http://pni.osumc.edu/KG%20Publications%20(pdf)/018.pdf

      3. (heart rate and bp) The initial presence of an attachment figure (even when not securely attached) helped reduce anxiety, and when absent during initial phase increased anxiety. http://psycnet.apa.org/journals/psp/70/2/255/

      And studies that take the subjective measure (using a validated questionnaire) of a sense of isolation, and then take objective physiological measurements:

      1. (measuring BP, cholesterol and cortisol) Isolation correlates with poorer health markers: http://www.springerlink.com/content/qw7mkr45w40075l8/

      There are more studies . . . anyway, these were posted to show that you can actually quantify varying attachment and social situations with physiological responses in the human body.

      If cultivating social relationships is too much work, don’t do it. It may not be the right hack for you and you get more out of doing something else. That said, it doesn’t mean it isn’t beneficial.

    • http://www.facebook.com/daniel.berryhill Daniel Berryhill

      Why choose? Instead of meeting at the bar, have friends come over for a dinner party. Feed them some grass fed beef, they’ll love you for it. While they enjoy their beer and wine, have some BP coffee or tea. If your friends can’t spend time with you in a healthy way, are they real friends, or just drinking buddies?

  • Joshua Whiteman

    I am currently working a job without a substantial amount of income. However, I have a huge amount of social interaction on a daily basis. I generally enjoy talking to people of all types, about anything. I am contemplating getting a better paying job, but worry I may have less social interaction and may be putting wealth before health. Beyond work, I interact with my immediate family on a daily basis, but do not have many close friends. My daily load of social interaction, seems to keep me satisfied.

  • Pingback: Two Leading Causes of Coronary Heart Disease: Smoking and Social-Isolation

  • Lance

    “What qualities do you look for in a friend? What makes you a good friend? What is your favorite thing to do with friends?”

    Integrity, funny, and intelligent is a great bonus!

    Gathering for whatever reason to eat, drink and be merry! (and philosophizing on current and past events is also a solid bonus!) :-)

  • david

    Hey dave, great article as usual, let me preface this by saying my comment doesn’t pertain to the above article. Now that I’m caught up on the podcasts for the most part, i have some questions that i haven’t seen covered, and would really appreciate you answering.

    I heard in one podcast that as an adult, you can’t do much to grow taller, however I’m still 16 (6’1″ & 150 lbs), Is there anything I can do right now to maximize my growth potential?

    I have some parental support for this diet, however, neither my mom nor I can afford upgraded coffee beans (or anything on upgraded self), and after a fair amount of coffee research, the ones from sweet marias that are processed using a semi-washed(giling basah) technique from sumatra seem safe, but you say that wet process from south america is mostly safe, which choice do you think is lower risk?

    I have been following the bulletproof diet for about 2 months, and recently in accordance to your latest perspective on safe starches article, where you recommend moderate starch every 3-5 days. I switched to this diet from about 6 months of primal living and have already benefited from elimination of potatoes, mushrooms, and garlic; however, i had very little visible fat to begin with, and I’m not getting the great body comp i was hoping for, why is this?

    Thanks for any advice you can give, and keep producing great articles and podcasts, I really enjoy them.

    • A. Bright

      How often do you floss? Bacteria can also get caught between teeth.

      • david

        i floss every day actually, but i don’t brush, instead I pick at my teeth every night.

  • http://twitter.com/drdark2 Steven J.T.

    If someone enjoys their solitude and thrives, I see no reason to frighten them out of it with data that excludes such individuals.

    • Dave Asprey

      Solitude is great…but you can also have friends. Lonely friendless solitude is different…

  • leno

    Dude, amazing post! Just stumbled across your blog when i heard something about bulletproof coffee..hehe. Solid post, I am newbie digital nomad from africa, now traveling through america and I can just see how isolation is wearing me out. I meet a lot of people and made tons of new friends. What i miss is my “close” friends. Those friendships I invested a lot of time in over the years.

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