Skip to main content
. 2025 Aug 25;23:50. doi: 10.1186/s12963-025-00414-9

Table 2.

Multivariable Cox regression analyses of social isolation and all-cause, cause-specific, and premature mortality stratified by metabolic syndrome status in the UK biobank and NHANES cohorts

UK biobank NHANES
Mets population Without Mets Mets population Without Mets
HR (95%CI) p HR (95%CI) p HR (95%CI) p HR (95%CI) p
All-cause mortality All-cause mortality
Not isolated Ref Ref Ref Ref Not isolated Ref Ref Ref Ref
Isolated 1.30 (1.23 to 1.39) <0.001 1.51 (1.43 to 1.58) <0.001 Isolated 1.14(1.07 to 1.21) <0.001 1.60(1.39 to 1.83) <0.001
Cardiovascular disease mortality Cardiovascular disease mortality
Not isolated Ref Ref Ref Ref Not isolated Ref Ref Ref Ref
Isolated 1.21 (1.12 to 1.31) <0.001 1.75 (1.52 to 2.02) <0.001 Isolated 1.54(1.20 to 1.97) <0.001 1.75(1.39 to 2.18) <0.001
Cancer mortality Cancer mortality
Not isolated Ref Ref Ref Ref Not isolated Ref Ref Ref Ref
Isolated 1.12 (1.07 to 1.17) <0.001 1.30 (1.22 to 1.40) <0.001 Isolated 1.48(1.11 to 1.98) 0.007 1.47(1.14 to 1.90) 0.003
Other-cause mortality Other-cause mortality
Not isolated Ref Ref Ref Ref Not isolated Ref Ref Ref Ref
Isolated 1.38 (1.26 to 1.53) <0.001 1.76 (1.63 to 1.91) <0.001 Isolated 1.71(1.39 to 2.09) <0.001 1.56(1.27 to 1.91) <0.001
Premature death < 70 Premature death < 70
Not isolated Ref Ref Ref Ref Not isolated Ref Ref Ref Ref
Isolated 1.39 (1.27 to 1.51) <0.001 1.54 (1.44 to 1.65) <0.001 Isolated 1.09(1.00 to 1.18) 0.04 1.39(1.15 to 1.69) <0.001

CI: Confidence Interval; HR: Hazard Ratio; Ref: reference; Mets: Metabolic Syndrome

This model adjusted for sex, age, body mass index (BMI), race, income level, education level, smoking status, alcohol consumption, physical activity, dietary quality, family history of diabetes or heart disease, and comorbidities (including cardiovascular disease, cancer, and chronic obstructive pulmonary disease). Additionally, in the UK Biobank cohort, adjustment was made for assessment center. Complete tables of unadjusted and adjusted models are provided in Supplementary Tables 1 and 2