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Pet Ownership and Cardiovascular Risk: A Scientific Statement From the American Heart Association
Open accessAbstract
C ardiovascular disease (CVD) is the leading cause of death in the United States. 1 Despite efforts promoting primary and secondary CVD prevention, [2][3][4][5][6][7][8] obesity and physical inactivity remain at epidemic proportions, with >60% of Americans adults overweight or obese and >50% not performing recommended levels of physical activity.9 Similarly, hypertension, hypercholesterolemia, and other CVD risk factors remain poorly controlled in many Americans.Despite numerous pharmacological and device-based advances in the management of patients with established CVD, morbidity and mortality associated with this condition remain substantial.Hence, a critical need exists for novel strategies and interventions that can potentially reduce the risk of CVD and its attendant morbidity and mortality.Numerous studies have explored the relationship between pet (primarily dog or cat) ownership and CVD, with many reporting beneficial effects, including increased physical activity, favorable lipid profiles, lower systemic blood pressure, improved autonomic tone, diminished sympathetic responses to stress, and improved survival after an acute coronary syndrome.Accordingly, the potential cardiovascular benefits of pet ownership have received considerable lay press and medical media coverage and attention from the Centers for Disease Control and Prevention 10 and have been the focus of a meeting sponsored by the National Institutes of Health.11 The purpose of this American Heart Association Scientific Statement is to critically assess the data regarding the influence of pet ownership on the presence and reduction of CVD risk factors and CVD risk. Pet Ownership and Systemic HypertensionSome, but not all, studies of pet ownership and systemic blood pressure have found an association between pet ownership and lower blood pressure.An Australian study of 5741 participants attending a free screening clinic found that pet owners had significantly (P=0.03)lower systolic blood pressures than pet nonowners despite similar body mass index (BMI) and socioeconomic profiles.12 In a study of 240 married couples with or without pets, both systolic and diastolic blood pressures were significantly (P<0.01)lower in participants with a pet (dog or cat) than in those without a pet (Allen et al 13 and personal communication from Karen Allen on P values, August 12, 2012).An online electronic survey of dog owners (n=536) and nonowners (n=380) found a greater adjusted odds ratio (OR) of self-reported hypertension in nonowners (OR, 1.71; 95% confidence interval [CI], 1.03-2.83).14 A study of 1179 subjects found that pet owners had lower systolic blood pressure (132.8 versus 139.5 mm Hg), pulse pressure (55.5 versus 63.9 mm Hg), and mean arterial pressure (105.0 versus 107.6 mm Hg) than nonowners and a lower incidence of hypertension (OR, 0.62; 95% CI, 0.49-0.80);however, after adjustment for age and other confounders, pet ownership was no longer associated with a lower blood pressure or incidence of hypertension.15 A community survey of 5079 middle-aged adults found pet
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“Nevertheless, given the preponderance of the evidence, the American Heart Association has released a statement acknowledging the relationship and causality of pet ownership in the attenuation of cardiovascular disease risk [57].”
From The Benefit of Pets and Animal-Assisted Therapy to the Health of Older Individuals (2014) · cites this paper as [57]
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“Owning and walking a dog is recognized as contributing to human health (34, 35).”
From The Evolution of Psychological and Behavioral Consequences of Self-Isolation During Lockdown: A Longitudinal Study Across United Kingdom and Italy (2022) · cites this paper as [35]
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The chemical load of companion animals from a One Health perspective
Villette, C., Sauleau, E., Zumsteg, J., Sibilia, J., Maho, Y. L., & Heintz, D. (2026) · Science in One Health · doi:10.1016/j.soh.2026.100173
Metadata
- Authors
- Levine, G. N., Allen, K., Braun, L. T., Christian, H. E., Friedmann, E., Taubert, K. A., Thomas, S. A., Wells, D. L., & Lange, R. A.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- University at Buffalo, State University of New York (US)
- Rush University (US)
- The University of Western Australia (AU)
- University of Maryland, College Park (US)
- World Heart Federation (CH)
- ORCID
- Venue
- Circulation
- Published
- 2013-06-11
- Volume
- 127
- Issue
- 23
- Pages
- 2353-2363
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2124131697
- Cited by
- 299
- References
- 82
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 25 · 2023: 22 · 2022: 23 · 2021: 28 · 2020: 32 · 2019: 38 · 2018: 24 · 2017: 22 · 2016: 21 · 2015: 12 · 2014: 13 · 2013: 3
- FWCI
- 10.83
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Circulation (publishedVersion, other-oa)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Human-Animal Interaction Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- pet ownership, cardiovascular risk, cardiovascular disease, hypertension, blood pressure, dogs, cats, physical activity, obesity, lipid profile, acute coronary syndrome, stress response, cardiovascular risk factors, companion animals, human-animal interaction, secondary prevention, animal-assisted therapy, psychosocial factors, social support, social isolation, loneliness, social connectedness
- MeSH terms
- Animals, Human-Animal Bond, Cardiovascular Diseases, Cats, Dogs, Hemodynamics, Humans, Hyperlipidemias, Hypertension, Obesity, Stress, Psychological, Exercise, Survival Analysis, Evidence-Based Medicine, Pets
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