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Being lonely may the increase risk of heart disease in diabetes patients, research suggests. Scientists have found loneliness to be a bigger risk factor for coronary heart disease – a condition where the blood vessels supplying the heart are narrowed or blocked – than diet, exercise, smoking and depression. The researchers said their findings, published in the European Heart Journal, highlight the importance of meaningful social relationships to stay healthy. Study author Professor Lu Qi, of Tulane University School of Public Health and Tropical Medicine in New Orleans, said: “The quality of social contact appears to be more important for heart health in people with diabetes than the number of engagements “We should not downplay the important of loneliness on physical and emotional health. “I would encourage patients with diabetes who feel lonely to join a group or class and try to make friends with people who have shared interests.” For the study, the researchers looked at data from the UK Biobank – an online database of medical and lifestyle records from more than half a million Britons – involving more than 18,000 adults aged between 37 to 73. These people had diabetes but no heart disease at the start of the decade-long study. The researchers used questionnaires to assess loneliness and other factors that may affect relationships such as body mass index (BMI), physical activity, diet, alcohol, smoking, and medications, blood pressure, cholesterol and control of blood sugar. The findings suggest that asking patients with diabetes about loneliness should become part of standard assessment, with referral of those affected to mental health services Prof Lu Qi Over the course of more than 10 years, more than 3,000 people developed heart disease, which included coronary heart disease or stroke. The researchers found those who scored the highest in loneliness had a 26% greater risk of heart disease, compared to people with lower scores. The team also found loneliness to be a bigger risk factor for heart disease than diet, exercise, smoking and depression – but showed a weaker influence when compared to kidney function, cholesterol and BMI. Professor Qi said: “Loneliness ranked higher as a predisposing factor for cardiovascular disease than several lifestyle habits. “We also found that for patients with diabetes, the consequence of physical risk factors (ie poorly controlled blood sugar, high blood pressure, high cholesterol, smoking and poor kidney function) was greater in those who were lonely compared to those who were not.” “The findings suggest that asking patients with diabetes about loneliness should become part of standard assessment, with referral of those affected to mental health services.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 7 ways to save money on your hair Sarcoma Awareness Month: What you need to know about these cancers Bjork’s controversial swan dress to go on display in new exhibition

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Daniel Ricciardo has said he needed to fall back in love with Formula One before taking the opportunity to return to racing with AlphaTauri. The eight-time grand prix winner has not driven in anger since he was axed by McLaren at the end of last season, but will make a surprise return to the grid at the Hungarian Grand Prix next week after replacing Nyck De Vries at Red Bull’s junior team AlphaTauri. The 34-year-old Australian’s career looked to be all but over after he was deemed surplus to requirements by McLaren following two underwhelming seasons with the British team. Ricciardo did return to Red Bull as a reserve driver, but said he needed the enforced time off to ask himself if he really did want to return to racing. “Falling out of love with it took a hit on my confidence and of course if you’re competing in a sport where you’re trying to be the best at something, the best in the world at something, obviously you need full confidence and belief,” Ricciardo said in an interview on F1’s YouTube channel. “When that starts to diminish a bit, your enjoyment drops a bit as well. There’s a lot of factors. Getting back to Red Bull, just the reception I had walking back into that team was in a positive way a little bit overwhelming. “Getting back on the sim, I was a bit unsure how it was going to go, if the car would feel like it used to, if I was going to be like – for the lack of better words – ‘the old me’. “But once I’d done a few sim sessions and started feeling like myself again it brought me back to normal Daniel where I was falling back in love and ready to go again.” Ricciardo said attending the Super Bowl in Arizona in February reminded him of the buzz of a competitive environment, while being at his home grand prix in Melbourne and then the Monaco race helped him get the Formula One bug back. “I’ve enjoyed these six months off and it was really good for me but the more races I started to attend, the more sims I’ve started to do, I was getting the bug back. And then jumping in the car a few days ago I thought, ‘Oh yeah’. It all felt very normal, very familiar… “I didn’t really need to think too much about (accepting the call to return). I think being back in this family, I’m kind of going through it all again…there was no question I was going to say yes.” Ricciardo said joining AlphaTauri for the rest of the season was like going “full circle” given he raced the team, then known as Toro Rosso, in 2012 and 2013, after starting his F1 career with HRT Racing in 2011. AlphaTauri sit last in the constructor’s championship after the opening 10 races of the season and Ricciardo is under no illusions that he will be racing a top-end car any time soon. “I’m excited about it,” he said. “It’s a challenge for sure to jump in and try to hit the ground running. But also I guess I feel like I’ve been through a lot in the last few years where I’m not really scared of anything that’s going to be thrown my way – so I actually really do like the challenge. “It will be a challenge but I don’t know if I’d have it any other way.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How does Max Verstappen and Red Bull compare to the greats of Formula One? Lando Norris ‘honoured’ to join Lewis Hamilton in battle for Formula One glory Lando Norris calls finishing runner-up at British Grand Prix ‘pretty insane’

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