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Lonely Men Face Steeper Mental Health Losses Than Physical Ones, Research Suggests

In A Nutshell

  • Men who are both lonely and socially isolated have nearly six fewer years of life free from depression or anxiety, according to a study of more than 277,000 UK adults.
  • Women in the same situation have about 3.7 fewer mental-health-free years, with both sexes losing far more years to mental illness than to physical disease.
  • A healthier lifestyle was linked to a smaller health gap for people dealing with social isolation, but showed no such effect for loneliness.
  • The study is observational, so it cannot prove that loneliness or isolation directly causes the shorter disease-free life expectancy.

Men who feel both lonely and cut off from others have nearly six fewer years of life free from depression or anxiety, according to a massive new study. That gap dwarfs the roughly two fewer years linked to physical diseases like heart disease or cancer.

Researchers tracking more than 277,000 adults in the UK Biobank found that women in the same situation, lonely and isolated, had about 3.7 fewer years of mental health free life. Both sexes showed a smaller gap tied to physical illness than to mental illness, suggesting that feeling alone weighs more heavily on the mind than the body. Loneliness, the findings suggest, is not just a passing bad mood.

That scale let researchers calculate something called disease-free life expectancy, an estimate of how many healthy years a person can expect before illness sets in. Published in Nature Communications, the study puts a specific number on a link researchers have studied for years: how loneliness and isolation relate to overall health.

Researchers Screened Out Seven Chronic Diseases at the Start

Data for the study came from the UK Biobank, a long-running health project that recruited adults ages 40 to 69 starting in the mid-2000s. Researchers narrowed the group to 277,489 people who did not yet have any of seven major health problems at the start: type 2 diabetes, heart disease, long-term lung disease, brain diseases such as dementia, cancer, depression, and anxiety.

Loneliness and social isolation were measured separately, because they are not the same thing. Loneliness is about how a person feels: whether they often feel alone, and whether they have someone to confide in. Social isolation is about actual contact with others, such as how often someone sees friends or family, whether they live alone, or whether they take part in social activities. Based on their answers, participants fell into four groups: those with neither issue, those with loneliness only, those with isolation only, and those dealing with both.

Researchers then followed medical and death records for a median of about 13 to 14 years, tracking who developed one of the seven conditions and who died. From that information, they estimated, starting from age 50, how many disease-free years each group could expect to live.

lonely life infographic
Loneliness and isolation are linked to more years lost to mental illness than to physical disease, a massive new study finds. (Image by StudyFinds)

Mental Health Losses Outweigh Physical Disease Losses

Women who felt neither lonely nor isolated could expect roughly 25.5 disease-free years starting at age 50. Women dealing with both loneliness and isolation could expect about 22.6, a difference of roughly 3 years. Men who felt neither issue could expect about 21.8 disease-free years, while men facing both had about 2.2 fewer years off that total.

When researchers separated physical illness from mental illness, the pattern got sharper. For physical disease alone, women with both loneliness and isolation had about 2.4 fewer years, and men had about 1.7 fewer years. For mental disorders alone, the gap jumped to 3.7 fewer years for women and 5.8 fewer years for men.

Researchers also looked at lifestyle habits like smoking, diet, exercise, sleep, and body weight. Among people dealing with social isolation, those with healthier habits showed a smaller gap in disease-free years than those with unhealthy habits. Among socially isolated women with the healthiest habits, there was essentially no difference in mental-health-free years compared to women who were not isolated at all. Loneliness followed a different pattern. The size of the gap linked to loneliness shifted somewhat across lifestyle groups, but it did not meaningfully shrink as habits improved, unlike the pattern seen with isolation.

Earlier research offers a possible explanation, according to the authors: health differences tied to loneliness and isolation may be partly explained by their close ties to depression, and some studies suggest loneliness and depression share overlapping genetic roots. Men and women may also lean on different kinds of support to feel connected, the authors note, with men often relying more on practical support and women more on emotional closeness. That difference may help explain why the mental health toll looked different by sex, though the authors frame it as a possible explanation rather than a confirmed mechanism.

Healthy Habits Ease Isolation, Not Loneliness

Loneliness and social isolation appear to behave differently, and that difference carries real consequences in this data. Encouraging someone to eat better, move more, sleep well, or quit smoking was linked to a smaller gap in disease-free years among people dealing with isolation. That same pattern did not show up for loneliness, where the gap held roughly steady regardless of lifestyle habits in this study.

Authors of the study suggest lifestyle changes may be a useful piece of the response to isolation but may not be the priority for loneliness, which likely calls for a different approach, such as building meaningful connection rather than healthier habits alone. They stress that more research is needed to confirm this. Still, the size of the gap in years free of depression and anxiety suggests isolation and loneliness deserve separate strategies rather than a single fix applied to both.


Disclaimer: This article is based on a peer-reviewed study and reflects the findings and interpretations of the study’s authors. The research is observational and does not prove that loneliness or social isolation directly causes shorter disease-free life expectancy. This content is for general informational purposes and is not medical advice. Anyone concerned about loneliness, isolation, or their mental health should speak with a qualified health professional.


Paper Notes

Limitations

Loneliness and social isolation were measured using short questionnaires (two and three questions, respectively), which may not capture the full complexity of social relationships, though similar scales have been used in other studies, the authors note. Because loneliness and isolation were only measured once, at the start of the study, researchers could not track how these feelings changed over time, which may have led to an underestimate of the true health effects. This study is observational, meaning it cannot prove that loneliness or isolation directly causes shorter disease-free life expectancy. Lifestyle factors were self-reported, which can introduce measurement error, and the healthy lifestyle categories used were fairly broad. UK Biobank also has a low participant response rate (5.5%), meaning results may not perfectly represent the general population, though the authors note prior research has found UK Biobank findings are generally consistent with more representative UK samples.

Funding and Disclosures

This study was supported by a startup grant at Fudan University and by grants from the National Heart, Lung, and Blood Institute and the National Institute of Diabetes and Digestive and Kidney Diseases. The authors declared no competing interests.

Publication Details

Title: “Associations of loneliness, social isolation and healthy lifestyle with life expectancy free of major physical disease and mental disorder” Authors: Xuan Wang, Hao Ma, Yoriko Heianza, Zhaoxia Liang, Oscar H. Franco, Lu Qi Journal: Nature Communications (2026) DOI: 10.1038/s41467-026-74498-8

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