Background: This article provides new insights into the impact of social engagement on CVD risk factors in older
adults. We hypothesized that objective (social participation, social ties and marital status) and subjective (emotional
support) aspects of social engagement are independently associated with objective measures of cardiovascular risk.
Methods: Data from the English Longitudinal Study on Ageing (ELSA) were analyzed. The effects of social
participation, social ties, marital status, and emotional support on hypertension, obesity, high sensitivity C-reactive
protein, and fibrinogen were estimated by logistic regression controlling for age, sex, education, physical function,
depression, cardiovascular disease, other chronic diseases, physical activity, and smoking.
Results: Social participation is a consistent predictor of low risk for four risk factors, even after controlling for a
wide range of covariates. Being married is associated with lower risk for hypertension. Social ...
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