Having bad relationships, whether with a partner, friends or co-workers, is just as harmful to health as having an unhealthy lifestyle, being a smoker or being obese, according to a study published in the February issue of the journal General Psychiatry.

Researchers at the University of Queensland in Australia found that middle-aged women who fail to have satisfying social connections are at greater risk of developing chronic health conditions years later.

To reach their conclusion, the scientists followed the evolution of the health of 7,694 healthy Australian women, aged between 45 and 50 years, over two decades.

At the start of the survey, none of them had been diagnosed with common long-term conditions such as depression, anxiety, diabetes, high blood pressure, heart disease, stroke, chronic obstructive pulmonary disease (COPD), asthma, osteoporosis, arthritis or cancer.

Every three years, participants were asked how satisfied they were with their romantic partners, family, friends, and co-workers. Meanwhile, researchers tracked the onset of the listed diseases.

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Approximately six out of ten women (58%) have developed more than one of the conditions. The risk of developing multiple diseases was twice as high among those who reported the lowest level of satisfaction with social relationships compared to the most satisfied.

Well-established risk factors such as socioeconomic status, lifestyle and menopause together accounted for less than a fifth of the chances of developing the long-term conditions, according to the researchers.

The results showed that all types of relationships are equally important for health in old age and their quality should be treated as a risk factor.

University of Queensland scientists believe the findings have significant implications for the management and intervention of chronic diseases at individual, community, national and global levels.

“These implications may help advise women about the benefits of initiating or maintaining diverse, high-quality social relationships during midlife and early old age,” the study authors wrote in a statement.

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