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	<title>Married status and lifespan - Revision history</title>
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	<updated>2026-04-05T19:56:21Z</updated>
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		<updated>2024-06-07T01:05:11Z</updated>

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		<updated>2023-02-03T18:23:37Z</updated>

		<summary type="html">&lt;p&gt;3 revisions imported&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;https://pubmed.ncbi.nlm.nih.gov/22975777/ p.15&amp;lt;br/&amp;gt;&lt;br /&gt;
if a man in the Netherlands has a wife after 65, then he lives until 81, and if not, only until 77&amp;lt;br/&amp;gt;&lt;br /&gt;
four years difference&amp;lt;br/&amp;gt;&lt;br /&gt;
How much can depend on the wife&amp;lt;br/&amp;gt;&lt;br /&gt;
Though it is not adjusted for many things such as alcohol consumption, smoking, healthy eating, following the recommendations of doctors, etc.&lt;br /&gt;
&amp;lt;br/&amp;gt;&amp;lt;br/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
It is clear why married status might slightly help even for a highly motivated life extensionist: S.O. can call an ambulance, take care of illness, etc (also even highly motivational people sometimes lose their motivation for a while).&amp;lt;br/&amp;gt;&lt;br /&gt;
On the other hand, S.O. can be a source of chronic stress.&amp;lt;br/&amp;gt;&lt;br /&gt;
Probably much of influence of S.O. existence on lifespan comes from its influence on bad habits or from reverse causality from marriage selection (more healthy / wealthy people are more likely to get married). Perhaps also the effect is different for introverts and extroverts.&lt;br /&gt;
&amp;lt;br/&amp;gt;&amp;lt;br/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Most of papers (and especially meta-analyses) on married status influence on lifespan are not really interesting. Let&amp;#039;s show that on one example:&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/32161813/&amp;lt;br/&amp;gt;&lt;br /&gt;
meta-analysis with 2 mln deaths. For men  never married / married  RR = 1.67 (1.52 - 1.83)  (supp.fig.1c)&amp;lt;br/&amp;gt;&lt;br /&gt;
RR = 1.67 (1.52 - 1.83)  it&amp;#039;s about -5 years (minus 4 - 5.6) &amp;lt;br/&amp;gt;&lt;br /&gt;
mostly due to higher mortality of CVD -- for men, never marr/marr   RR = 2.06 (1.50 - 2.82)  (supp.fig.5d)&amp;lt;br/&amp;gt;&lt;br /&gt;
cancer mortality for men doesn&amp;#039;t depend on married status: never married / married RR = 1.03 (0.89 - 1.18)   (supp.fig.3d)&amp;lt;br/&amp;gt;&lt;br /&gt;
But this meta-analysis is of low quality. Let&amp;#039;s open one of the studies with the highest weight:&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/23482379/  (Frisch, Danemark, 6.5mln adults)  21% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
we see in tables 2, 4 -- they don&amp;#039;t adjust on many important things.&amp;lt;br/&amp;gt;&lt;br /&gt;
While it&amp;#039;s obvious that we need to adjust for healthy eating, physical activity, alcohol  etc etc&amp;lt;br/&amp;gt;&lt;br /&gt;
So perhaps never married may have worse diet habits, take less care of their health, drink more alcohol, etc.&amp;lt;br/&amp;gt;&lt;br /&gt;
Let&amp;#039;s open another study of their meta-analysis with a big weight:&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/16905719/  (NHIS)  19% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
Again, no adjustments in tables for healthy eating, physical activity, alcohol   etc &amp;lt;br/&amp;gt;&lt;br /&gt;
Also for 65+ years,  RR = 1.097 (0.704 - 1.353).   RR is higher for younger people (who don&amp;#039;t really die often). &amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/9545122/  (Nilsson)  18% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
data taken from table 4, where authors adjust only for age.&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/17484786/  (Ikeda 2007)  9% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
Table 2 -- only 74 people died in single group of all causes. Too few. Though RR=1.85 CI 1.46 - 2.34&amp;lt;br/&amp;gt;&lt;br /&gt;
Adjusted for smoking, alcohol, physical activity. Not adjusted for healthy eating. Not too bad.&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/19501442/ (Molloy) 9% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
data taken from table 2 -- but there there is adjustment only for age&amp;lt;br/&amp;gt;&lt;br /&gt;
https://pubmed.ncbi.nlm.nih.gov/10854957/ (Johnson)  10% of total weight&amp;lt;br/&amp;gt;&lt;br /&gt;
for age 65+,  RR = 1.10 (1.02 - 1.18).  Not enough adjustments.&amp;lt;br/&amp;gt;&lt;/div&gt;</summary>
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