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Using the New "Life's Essential 8" Metrics to Evaluate Trends in Cardiovascular Health Among US Adults From 2005 to 2018: Analysis of Serial Cross-sectional Studies.

Authors :
Li C
Li Y
Zhao M
Zhang C
Bovet P
Xi B
Source :
JMIR public health and surveillance [JMIR Public Health Surveill] 2023 May 08; Vol. 9, pp. e45521. Date of Electronic Publication: 2023 May 08.
Publication Year :
2023

Abstract

Background: The recently published "Life's Essential 8" (LE8) by the American Heart Association has overcome some limitations in evaluating cardiovascular health (CVH) in the previous "Life's Simple 7."<br />Objective: We aimed to examine the secular trends in CVH, as assessed by the LE8, in US adults from 2005 to 2018.<br />Methods: Using cross-sectional data from the National Health and Nutrition Examination Survey between 2005-2006 and 2017-2018, we calculated the age-standardized mean scores of overall CVH and each of the LE8 components, where a higher score (range 0-100 points) means a better health status. A total of 21,667 adults aged 20-79 years were included in this analysis.<br />Results: The overall CVH did not significantly change between 2005-2006 and 2017-2018 (65.5, 95% CI 63.9-67.1 to 65.0, 95% CI 62.8-67.1; P=.82). The individual metrics did not significantly change for diet (41.0, 95% CI 38.0-43.9 to 41.5, 95% CI 36.5-46.6; P=.94), physical activity (57.5, 95% CI 53.0-61.9 to 53.0, 95% CI 48.7-57.3; P=.26), and blood pressure (68.4, 95% CI 65.2-71.5 to 68.6, 95% CI 65.3-71.9, P=.35), improved for nicotine exposure (64.7, 95% CI 61.1-68.4 to 71.9, 95% CI 67.7-76.2; P<.001), sleep health (83.7, 95% CI 81.6-85.7 to 84.1, 95% CI 81.2-87.1; P=.006), and blood lipids (61.6, 95% CI 59.1-64.0 to 67.0, 95% CI 63.5-70.4; P<.001), and worsened for BMI (63.4, 95% CI 59.7-67.1 to 56.2, 95% CI 52.5-59.9; P<.001) and blood glucose (83.9, 95% CI 82.4-85.4 to 77.4, 95% CI 74.5-80.3; P<.001).<br />Conclusions: According to the LE8, the overall CVH did not change among US adults from 2005 to 2018, as well as 3 components (diet, physical activity, and blood pressure). Other metrics such as nicotine exposure, blood lipids, and sleep health improved, while BMI and blood glucose deteriorated over time.<br /> (©Cheng Li, Yanzhi Li, Min Zhao, Cheng Zhang, Pascal Bovet, Bo Xi. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 08.05.2023.)

Details

Language :
English
ISSN :
2369-2960
Volume :
9
Database :
MEDLINE
Journal :
JMIR public health and surveillance
Publication Type :
Academic Journal
Accession number :
37155232
Full Text :
https://doi.org/10.2196/45521