Across rheumatic diseases

Loneliness, traditional risk factor control, genetic predisposition, and development of musculoskeletal disorders

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Loneliness is associated with increased MSK disorder risk, shows an interaction with the degree of risk factor control, and its absence may modify genetic predisposition.

Study context

Population
UK Biobank participantsmedian follow-up 13.3 years
Participants
315,197 participants
Exposure
Loneliness and social isolation vs their absence
Outcome
Incidence of any MSK disorder
Methodological detailsUK Biobank, Cox regression, polygenic risk score
  • UK Biobank
  • Cox regression
  • Polygenic risk score

Main finding

As reported in the abstract

Overall MSK disorders
Each group vs no loneliness or social isolationHazard ratio (95% CI)
Loneliness
1.14(1.11–1.17)
Social isolation
0.96(0.94–0.99)
Musculoskeletal (MSK) cases documented
79 689

Observational data: associations, not effects.

Secondary outcomes

Relative importance vs traditional risk factors

Loneliness ranked higher in relative strength than most of the traditional risk factors
Significant interactions (additive and multiplicative) between loneliness and traditional risk factor control

Overall MSK disorders by genetic risk

Loneliness consistently associated with increased risk across genetic risk strata
Absence of loneliness offset the genetic risk of overall MSK disorders (joint analysis)

Five specific MSK conditions (OA, gout, RA, low back pain, neck pain)

Largely consistent patterns of results

Original publication

Loneliness, traditional risk factor control, genetic predisposition, and development of musculoskeletal disorders. Rheumatology (Oxford). Published 26 June 2026. doi:10.1093/rheumatology/keag326

Composed by AI from the published abstract and checked against it. How Briefs are made →

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