Life’s Essential 8
Updating and Enhancing the American Heart Association’s Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association
Bibliographic Data
| ID | 23324232 |
|---|---|
| Authors | Donald M Lloyd-Jones (0000-0003-0847-6110), Norrina B Allen (0000-0002-6993-4384), Cheryl A M Anderson (0000-0002-1877-6873), Terrie Black (0000-0001-6144-2134), Laprincess C Brewer (0000-0002-6468-9324), Randi E Foraker (0000-0001-9255-9394), Michael A Grandner (0000-0002-4626-754X), Helen Lavretsky (0000-0001-9990-5085), Amanda M Perak (0000-0003-1025-0997), Garima Sharma (0000-0003-1056-3766), Wayne D Rosamond (0000-0001-5271-074X), Wayne Rosamond, on behalf of the American Heart Association |
| Year | 2022 |
| Volume | 146 |
| Issue | 5 |
| Pages | e18-e43 |
| Publication date | 2022-08-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Circulation (JOURNAL) |
| Journal identifiers | ISSN: 0009-7322 • E-ISSN: 1524-4539 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1161/cir.0000000000001078 |
| PMID | 35766027 |
| OpenAlex | W4283695295 |
| Language | EN |
| Citations received | 121 |
| References cited | 218 |
In 2010, the American Heart Association defined a novel construct of cardiovascular health to promote a paradigm shift from a focus solely on disease treatment to one inclusive of positive health promotion and preservation across the life course in populations and individuals. Extensive subsequent evidence has provided insights into strengths and limitations of the original approach to defining and quantifying cardiovascular health. In response, the American Heart Association convened a writing group to recommend enhancements and updates. The definition and quantification of each of the original metrics (Life’s Simple 7) were evaluated for responsiveness to interindividual variation and intraindividual change. New metrics were considered, and the age spectrum was expanded to include the entire life course. The foundational contexts of social determinants of health and psychological health were addressed as crucial factors in optimizing and preserving cardiovascular health. This presidential advisory introduces an enhanced approach to assessing cardiovascular health: Life’s Essential 8. The components of Life’s Essential 8 include diet (updated), physical activity, nicotine exposure (updated), sleep health (new), body mass index, blood lipids (updated), blood glucose (updated), and blood pressure. Each metric has a new scoring algorithm ranging from 0 to 100 points, allowing generation of a new composite cardiovascular health score (the unweighted average of all components) that also varies from 0 to 100 points. Methods for implementing cardiovascular health assessment and longitudinal monitoring are discussed, as are potential data sources and tools to promote widespread adoption in policy, public health, clinical, institutional, and community settings.
Cardiovascular health · Construct (python library) · Disease · Health promotion · Life course approach · Pathology · Public health · Cardiac Health and Mental Health · Cardiovascular Health and Risk Factors · Health, Environment, Cognitive Aging · Medicine · Psychology · Gerontology
Role of Life’s Essential 8 in the association of night shift work with cardiovascular disease and mortality
Social support and ideal cardiovascular health in urban Jamaica
Association between the American Heart Association’s New Life’s Essential 8 Metrics and Depression Symptom in U.S General Adults, Finding from NHANES 2005-2018
The context of Covid-19 affected the long-term sleep quality of older adults more than Sars-CoV-2 infection
Predictive Value of Cardiovascular Health Score for Health Outcomes in Patients with PCI
Multidimensional Sleep Health Is Associated with Cardiovascular Disease Prevalence and Cardiometabolic Health in US Adults
Prospective associations between occupational physical activity level and sleep disturbances
Association between new Life’s Essential 8 and the risk of all-cause and cardiovascular mortality in patients with hypertension
Exploration of the association between new “Life’s Essential 8” with hyperuricemia and gout among US adults
The 30-year cardiovascular risk trajectories and their independently associated factors in participants of a Brazilian cohort (Cume Study)
A qualitative exploration of the health needs and goals of urban women to inform the tailoring and adaptation of Strong Hearts Healthy Communities
Life’s essential 8 and mortality in US adults with metabolic dysfunction-associated steatotic liver disease
Material needs security and cardiovascular risk factors in rural South Africa
Heart Disease and Stroke Statistics—2023 Update
Income Inequalities in Cardiovascular Health Among Children and Adolescents, Young Adults, and Middle-Aged Adults in Canada
Trends in sleep duration among U.S. population aged 15 Years and older, 2003–2024
Retirement planning and types of healthy lifestyle after retirement
Prevalence and influencing factors of insomnia in patients with coronary heart disease
The influence of adverse childhood experiences and depression on addiction severity among methamphetamine users
Cardiovascular health and life expectancy with and without cardiovascular disease in the middle-aged and elderly Chinese population
Association of life’s essential 8 with chronic obstructive pulmonary disease
Association between social determinants of health and overactive bladder
Nonlinear association of physical activity with early cardiovascular-kidney-metabolic syndrome risk
The role of the control of “life’s essential 8” for prevention on heart failure and all-cause mortality in patients with hypertension
Association of shift work and dietary inflammatory potential with all-cause death among us hypertensive population
Sensitization to common foods and early vascular aging
Association of life’s essential 8 with depressive symptoms in US cardiovascular disease survivors
Association between life’s essential 8 and frailty status among cancer survivors in the United States
Association of the American Heart Association’s new “Life’s Essential 8” with all-cause mortality in patients with chronic kidney disease
Association of cardiovascular health and periodontitis
Association between life's essential 8 and Parkinson's disease
Association between “Life’s Critical 9” health score and the risk of inflammatory bowel disease
Associations between Life’s Essential 8 and abdominal aortic calcification among US Adults
Higher Life’s Essential 8 score is associated with lower risk of kidney stones in Chinese adults
Comparison of Cardiovascular Health Between Parents and Non-Parents in NHANES 2011-2018
Home health aides’ perspectives towards achieving cardiovascular health and life’s essential 8
The mediating and joint effects of depression in the association between cardiovascular health and frailty in middle-aged and elderly people
Association of cardiovascular health with morbidity and mortality among U.S. adults with osteoarthritis
Association between healthy lifestyle on life course and multimorbidity in adults
Associations of psychological factors with atherosclerosis and cardiovascular health in middle-age
Higher recreational screen time and lower step count are associated with higher cardiovascular disease risk in early adolescence
Healthy lifestyles and the incidence risk and time of carotid plaque
Association between life’s essential 8 score and the risk of abdominal aortic aneurysm
Association of life’s essential 8 with chronic cardiovascular-kidney disorder
Life’s Essential 8 in relation to self-rated health and health-related quality of life in a large population-based sample
The sleep justice study - a prospective cohort study assessing sleep as a cardiometabolic risk factor after incarceration
Exploring parental views and perceptions of cardiovascular health
Long-term use of benzodiazepines in chronic insomnia
Association between life’s crucial 9 and major eye diseases among US adults aged 40 years or older
Prevalence of sleep-related problems and risks in a community-dwelling older adult population
Food security status and cardiometabolic health by sex/gender and race/ethnicity among adults in the United States
Association of Life’s Crucial 9 with cognitive function and stroke risk
Investigating the causal effects of smoking, sleep, and BMI on major depressive disorder and bipolar disorder
Life's Essential 8 and its association with osteoarthritis and disability
Air pollution, life’s essential 8, and risk of severe non-alcoholic fatty liver disease among individuals with type 2 diabetes
Comparing the predictive accuracy of life’s essential 8 and life’s crucial 9 scores for all-cause mortality in COPD patients among US adults
Exploring the association between lifestyle and cardiovascular health metrics and HPV infection risk
Association of socioeconomic status and life’s essential 8 with cardiovascular diseases and all-cause mortality in north China
Cardiovascular health assessed by the new life’s essential 8 and the prevalence of urinary incontinence in adults
Non-linear association between Life’s Essential 8 and diabetic retinopathy
Association of Life's Essential 8 with all-cause mortality and risk of cancer
Behavioral Medicine Can Help Reduce Premature Mortality among People who Experience Homelessness
Behavioral Medicine Can Tackle Cardiovascular Disease Risk and Burden
Breaking Down Silos in Treating Cardiovascular and Cancer-Related PTSD
Association of early life adversity with cardiovascular disease and its potential mechanisms
Accelerated biological aging
Better adherence to the life's essential 8 can reduce the risk of gallstone disease
Association between cardiovascular health and human papillomavirus infection
Exposure to per- and polyfluoroalkyl substances is associated with impaired cardiovascular health
Mapping the insomnia patient journey in Europe and Canada
Low education and employment status drive cardiometabolic health
The impact of social determinants of health on chronic kidney disease risk
Associations between Life’s Essential Eight cardiovascular health metrics and cardiovascular mortality risk across frailty statuses
Protocol for a naturalistic study of residents living in an agriculturally-integrated (“agrihood”) neighborhood
Feasibility of integrating genetic risk and digital health tools for cardiovascular prevention
Better Life’s Essential 8 contributes to slowing the biological aging process
Association between Life’s simple 7 and rheumatoid arthritis in adult Americans
Walking and subjective sleep quality in adults
Cardiovascular health assessed using Life’s Essential 8 is associated with all-cause and cardiovascular disease mortality among community-dwelling older men and women in the InCHIANTI study
The prevalence of chronic dehydration and associated with cardiometabolic risks among agriculture and aquaculture workers
Investigating how blood cadmium levels influence cardiovascular health scores across sexes and dose responses
Cross-sectional and longitudinal associations between Life’s Essential 8 and frailty in community-dwelling older adults
Associations between exposure to heavy metal and sarcopenia prevalence
Association between Life's Essential 8 and frailty among the United States older people
Associations of triglyceride-glucose-related indices and cardiovascular health with retinal arteriosclerosis
Association of egg intake with risks of cardiometabolic factors among adults in China
Community-based participatory design of a decade
Lifestyle behaviors, social and economic disadvantages, and all-cause and cardiovascular mortality
Navigating Cardiovascular Health Disparities
The Impact of Cardiovascular Health in the Association between mind-body Practice and Holistic well-being
Associations Between Ultra-processed Food Consumption and Cardiometabolic Health Among Older US Adults
Psychic Dynamics in an Adult With Acute Coronary Syndrome
Are risky driving, health behaviors, and cardiometabolic risk interrelated? Findings from the cooper center longitudinal study
Civic engagement during crisis
Cardiovascular Health among Young Adults
Neighborhood physical environments and change in cardiometabolic risk factors over 14 years in the study of Women's health across the nation
Time in the United States and walking for physical activity among Black Californians
Parental cardiometabolic multimorbidity and subsequent cardiovascular incidence in middle-aged adults
Social and economic factors and black-white disparities in cardiovascular health
Let’s Walk
Sleep disparity, race/ethnicity, and socioeconomic position
Heart Disease and Stroke Statistics—2020 Update
Population Approaches to Improve Diet, Physical Activity, and Smoking Habits
National Sleep Foundation’s updated sleep duration recommendations
Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction
Heart Disease and Stroke Statistics—2021 Update
Effect of Greening Vacant Land on Mental Health of Community-Dwelling Adults
Heart Disease and Stroke Statistics—2022 Update
Achieving Health Equity
Sleep, Health, and Society
Sleep Health
Insomnia as a predictor of mental disorders
Call to Action
Citywide cluster randomized trial to restore blighted vacant land and its effects on violence, crime, and fear
Short sleep duration and health outcomes
Engaging patients to improve quality of care
Sleep duration and mortality
Cardiovascular Health in African Americans
Church-Based Health Promotion Interventions
Sleep Duration and All-Cause Mortality
School-Based Early Childhood Education and Age-28 Well-Being
Sleep Health
Social Determinants of Risk and Outcomes for Cardiovascular Disease
Recommended Amount of Sleep for Pediatric Populations
Assessing Health Needs in African American Churches
Increased Coronary Events in Depressed Cardiovascular Patients
Altered Blood Coagulation in Patients With Posttraumatic Stress Disorder
The Benefits of Medicaid Expansion
B’more Healthy Corner Stores for Moms and Kids
Youth Willingness to Purchase Whole Grain Snack Packs from New York City Corner Stores Participating in a Healthy Retail Program
Exploring bi-directional and SMS messaging for communications between Public Health Agencies and their stakeholders
The relationship between sleep duration and all-cause mortality in the older people
Improving heart health among Black/African American women using civic engagement
Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality
Choice architecture to promote fruit and vegetable purchases by families participating in the Special Supplemental Program for Women, Infants, and Children (WIC)
Efficacy of a store-based environmental change intervention compared with a delayed treatment control condition on store customers’ intake of fruits and vegetables
Assessment of a Healthy Corner Store Program (FIT Store) in Low-Income, Urban, and Ethnically Diverse Neighborhoods in Michigan
Using Community Feedback to Improve Community Interventions
Community Building Community
Bringing Healthy Retail to Urban “Food Swamps”
Effectiveness of a Community Health Worker Intervention Among African American and Latino Adults With Type 2 Diabetes
State and Local Chronic Disease Surveillance Using Electronic Health Record Systems
The Cardiovascular Health of Young Adults
Social and built neighborhood environments and blood pressure 6 years later
Sleep and mental disorders
From stress to inflammation and major depressive disorder
Do Disparities in Sleep Duration Among Racial and Ethnic Minorities Contribute to Differences in Disease Prevalence
Fostering African-American Improvement in Total Health (Faith)
Reduced Disparity in Vegetable Consumption in 16 Disadvantaged Black Communities
| Unique citing works | 121 |
|---|---|
| Citations per year | 30,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 111 |