Publications by authors named "Nicole K Valtorta"

Background There is increasing evidence of an association between social relationships and morbidity in general, and cardiovascular disease in particular. However, recent syntheses of the evidence raise two important questions: is it the perceived quality or the more objective quantity of relationships that matters most; and what are the implications of changes in relationships over time? In this study, we investigate the cumulative effects of loneliness and social isolation on incident cardiovascular disease. Design A secondary analysis of prospective follow-up data from the English Longitudinal Study of Ageing (ELSA).

View Article and Find Full Text PDF

Background: loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse.

Objective: to investigate the association between loneliness and care home admission.

View Article and Find Full Text PDF

Background: Deficiencies in older people's social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear.

Objectives: To determine whether social relationships are associated with older adults' use of health services, independently of health-related needs.

View Article and Find Full Text PDF

Background: The influence of social relationships on morbidity is widely accepted, but the size of the risk to cardiovascular health is unclear.

Objective: We undertook a systematic review and meta-analysis to investigate the association between loneliness or social isolation and incident coronary heart disease (CHD) and stroke.

Methods: Sixteen electronic databases were systematically searched for longitudinal studies set in high-income countries and published up until May 2015.

View Article and Find Full Text PDF

Objectives: We present a novel way of classifying and comparing measures of social relationships to help readers interpret the growing literature on loneliness and social isolation and to provide researchers with a starting point to guide their choice of measuring tool.

Methods: Measures of social relationships used in epidemiological studies were identified from two systematic reviews-one review on the association between social relationships and health and social care service use, and a second review on the association between social relationships and health. Questions from each measure were retrieved and tabulated to derive a classification of social relationship measures.

View Article and Find Full Text PDF

Chronic disease has financial consequences for older adults, but it is unclear how this varies between conditions with different disease trajectories. The aim of this study was to review evidence on the financial burden associated with cancer, heart failure or stroke in older people, to identify those most at risk of financial adversity. We systematically searched nine databases for studies with data on the illness-related financial burden (objective), or on the perception of financial hardship (subjective), of older patients and/or their informal caregivers in high-income countries.

View Article and Find Full Text PDF