Marriage is (literally) good for the heart

PARIS — Even if marriage is sometimes more a bed of nails than roses, living into old age with a partner may help ward off heart disease and stroke, researchers said on Tuesday.

A sweeping survey of research conducted over the last two decades covering more than 2 million people aged 42 to 77 found that being hitched significantly reduced the risk of both maladies, they reported in the medical journal Heart.

The study examined ethnically varied populations in Europe, North America, the Middle East and Asia, adding weight to the results.

Compared to people living in spousal union, the divorced, widowed or never married were 42 per cent more likely to develop cardiovascular disease and 16 per cent more likely to have coronary heart disease, the study found.

The risk of dying was likewise elevated for the non-married, by 42 per cent from coronary heart disease and by 55 per cent from stroke.

The results were nearly the same for men and women, except for stroke, to which men were more susceptible. 

“These findings may suggest that marital status should be considered in the risk assessment for cardiovascular disease,” concluded a team led by Chun Wai Wong, a researcher at Royal Stoke Hospital’s department of cardiology, in Stoke-on-Trent in Britain.

Four-fifths of all cardiovascular disease can be attributed to a proven set of “risk factors”: advanced age, being a man, high-blood pressure, high cholesterol, smoking and diabetes. 

Marriage, in other words, could be an important share of the missing 20 per cent.

More precisely, living together — with or without a wedding band — is probably the operative factor, if indeed conjugal status has any impact at all.

But most of the 34 studies reviewed by Wong and colleagues did not identify couples out of wedlock or same-sex unions, so it was not possible to know whether, statistically, such arrangements were the equivalent of being wed.

Because the study was observational rather than based on a controlled experiment  no clear conclusions could be drawn as to cause-and-effect.

Having someone around to take care of one’s health problems and keep track of one’s meds is probably a plus, as are two incomes or pensions instead of one.