For Heart Attack and Stroke Survivors, Dog Ownership Is Associated with a Longer Life     

Living alone after a cardiac event and not owning a dog may be hazardous to your health. A recently released study, published in Circulation: Cardiovascular Quality and Outcomes, a journal of the American Heart Association (AHA), reported that dog ownership may be associated with longer life and better cardiovascular outcomes, especially for those heart attack and stroke survivors who live alone.

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The study found that dog ownership was associated with a 33 percent lower risk of early death for heart attack survivors living alone and 27 percent reduced risk of early death for stroke survivors living alone, compared to those individuals who did not own a dog. The researchers say that dog ownership was associated with a 24 percent reduced risk of all-cause mortality and a 31 percent lower risk of death by heart attack or stroke compared to non-owners.

“The findings in these two well-done studies and analyses build upon prior studies and the conclusions of the 2013 AHA Scientific Statement ‘Pet Ownership and Cardiovascular Risk’ that dog ownership is associated with reductions in factors that contribute to cardiac risk and to cardiovascular events,” said Glenn N. Levine, M.D., chair of the writing group of the AHA’s Oct. 8 scientific statement on pet ownership.

“Further, these two studies provide good, quality data indicating dog ownership is associated with reduced cardiac and all-cause mortality. While these non-randomized studies cannot ‘prove’ that adopting or owning a dog directly leads to reduced mortality, these robust findings are certainly at least suggestive of this,” adds Levine.

According to the researchers, given previous research demonstrating how social isolation and lack of physical activity can negatively impact patients, they note that researchers in both the study and meta-analysis sought to determine how dog ownership affected overall health outcomes. Prior studies have shown that dog ownership alleviates social isolation, improves physical activity and even lowers blood pressure — leading researchers to believe dog owners could potentially have better cardiovascular outcomes compared to non-owners, they say.

 Dog ownership and survival of Cardiac Event

In this study, researchers compared the health outcomes of dog owners and non-owners after a heart attack or stroke using health data provided by the Swedish National Patient Register. Patients studied were Swedish residents ages 40-85 who experienced heart attack or ischemic stroke from 2001-2012.

Compared to people who did not own a dog, research findings indicated that for dog owners, the risk of death for heart attack patients living alone after hospitalization was 33 percent lower, and 15 percent lower for those living with a partner or child.

The study’s findings found that the risk of death for stroke patients living alone after hospitalization was 27 percent lower and 12 lower for those living with a partner or child.

In the study, nearly 182,000 people were recorded to have had a heart attack, with almost 6 percent being dog owners, and nearly 155,000 people were recorded to have had an ischemic stroke, with almost 5 percent being dog owners. Dog ownership was confirmed by data from the Swedish Board of Agriculture by the re view of registrations of dog ownership that have been mandatory since 2001 and through the Swedish Kennel Club (all pedigree dogs have been registered since 1889).

The researchers believe that the lower risk of death associated with dog ownership could be explained by an increase in physical activity and the decreased depression and loneliness, both of which have been connected to dog ownership in previous studies.

“We know that social isolation is a strong risk factor for worse health outcomes and premature death. Previous studies have indicated that dog owners experience less social isolation and have more interaction with other people,” said Tove Fall, D. V. M., professor at Uppsala University in Sweden. “Furthermore, keeping a dog is a good motivation for physical activity, which is an important factor in rehabilitation and mental health,” says the veterinarian.

While this study draws from a large sample, potential misclassifications of dog ownership in couples living together, death of a dog and change of ownership could have affected the outcomes of the study.

“The results of this study suggest positive effects of dog ownership for patients who have experienced a heart attack or stroke. However, more research is needed to confirm a causal relationship and giving recommendations about prescribing dogs for prevention. Moreover, from an animal welfare perspective, dogs should only be acquired by people who feel they have the capacity and knowledge to give the pet a good life,” say the researchers.

Co-authors of the study are Mwenya Mubanga, M.D., M.P.H.; Liisa Byberg, Ph.D.; Agneta Egenvall, V.M.D., Ph.D.; Erik Ingelsson, MD, Ph.D. and Tove Fall, V.M.D., Ph.D. Agria Research Foundation and the Swedish Research Council for Environment, Agricultural Sciences and Spatial Planning (FORMAS), grant number 2013-1673 funded the study.

 A Meta-Analysis of Dog Ownership and Survival

Researchers reviewed patient data of over 3.8 million people taken from 10 separate research studies for a composite meta-analysis study. Of the 10 studies they reviewed, nine included comparison of all-cause mortality outcomes for dog owners and non-owners, and four compared cardiovascular outcomes for dog owners and non-owners.

The researchers found that compared to non-owners, dog owners experienced a 24 percent reduced risk of all-cause mortality, a 65 percent reduced risk of mortality after heart attack, and a 31 percent reduced risk of mortality due to cardiovascular-related issues.

“Having a dog was associated with increased physical exercise, lower blood pressure levels and better cholesterol profile in previous reports,” says Caroline Kramer, M.D. Ph.D., assistant professor of Medicine at the University of Toronto and an endocrinologist and clinician scientist at Leadership Sinai Centre for Diabetes at Mount Sinai Hospital, part of Sinai Health System. “As such, the findings that people who owned dogs lived longer and their risk for cardiovascular death was also lower are somewhat expected,” she says.

The studies considered eligible for the meta-analysis included those conducted among adults age 18 or older, original data from an original prospective study, evaluated dog ownership at the beginning of the study and reported all-cause or cardiovascular mortality of patients. Studies were excluded if they were retrospective, did not provide an absolute number of events that occurred and reported non-fatal cardiovascular events.

“Our findings suggest that having a dog is associated with longer life. Our analyses did not account for confounders such as better fitness or an overall healthier lifestyle that could be associated with dog ownership. The results, however, were very positive,” said Dr. Kramer. “The next step on this topic would be an interventional study to evaluate cardiovascular outcomes after adopting a dog and the social and psychological benefits of dog ownership. As a dog owner myself, I can say that adopting Romeo (the author’s miniature Schnauzer) has increased my steps and physical activity each day, and he has filled my daily routine with joy and unconditional love,” she adds.