Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease
Background The American Heart Association recently proposed an updated definition of cardiovascular health (CVH) named as Life's Essential 8. We aimed to explore the association between this latest published CVH measurement and years lived without cardiovascular disease (CVD) among the Chinese...
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| Language: | English |
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Wiley
2023-06-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.122.029241 |
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| author | Xue Xia Shuohua Chen Xue Tian Qin Xu Yijun Zhang Xiaoli Zhang Penglian Wang Shouling Wu Liming Lin Anxin Wang |
| author_facet | Xue Xia Shuohua Chen Xue Tian Qin Xu Yijun Zhang Xiaoli Zhang Penglian Wang Shouling Wu Liming Lin Anxin Wang |
| author_sort | Xue Xia |
| collection | DOAJ |
| description | Background The American Heart Association recently proposed an updated definition of cardiovascular health (CVH) named as Life's Essential 8. We aimed to explore the association between this latest published CVH measurement and years lived without cardiovascular disease (CVD) among the Chinese population. Methods and Results We included 89 755 adults free of CVD at baseline from the Kailuan study. The CVH of each participant was scored (from 0 point to 100 points) and classified (low [0–49 points], moderate [50–79 points], and high [80–100 points]) according to Life's Essential 8, which incorporated 8 components covering health behaviors and health factors. Incident CVD was documented through follow‐ups from baseline (June 2006 to October 2007) until December 31, 2020. CVD‐free life years from age 30 to 80 years associated with different CVH scores were estimated using flexible parametric survival models. A total of 9977 incident CVDs were recorded. We observed a gradient relationship between CVH score and years lived without CVD. The age‐ and sex‐adjusted CVD‐free life years (95% CI) were 40.7 (40.3–41.0) years for low CVH, 43.3 (43.0–43.5) years for moderate CVH, and 45.5 (45.1–45.9) years for high CVH. Similar trends were noted when individual subtypes of CVD were investigated, and high CVH evaluated by health behaviors and health factors was also related to longer CVD‐free life years. Conclusions A higher CVH evaluated by the updated Life's Essential 8 metrics was significantly associated with a greater number of life years without CVD, indicating the importance of promoting CVH for healthy aging in China. |
| format | Article |
| id | doaj-art-20fb83e8dd9d449ca0aeb9a87de00789 |
| institution | OA Journals |
| issn | 2047-9980 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-20fb83e8dd9d449ca0aeb9a87de007892025-08-20T01:51:27ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802023-06-01121110.1161/JAHA.122.029241Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular DiseaseXue Xia0Shuohua Chen1Xue Tian2Qin Xu3Yijun Zhang4Xiaoli Zhang5Penglian Wang6Shouling Wu7Liming Lin8Anxin Wang9Department of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Cardiology Kailuan General Hospital Hebei ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaDepartment of Cardiology Kailuan General Hospital Hebei ChinaCardiovascular Laboratory of Kailuan General Hospital Hebei ChinaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing ChinaBackground The American Heart Association recently proposed an updated definition of cardiovascular health (CVH) named as Life's Essential 8. We aimed to explore the association between this latest published CVH measurement and years lived without cardiovascular disease (CVD) among the Chinese population. Methods and Results We included 89 755 adults free of CVD at baseline from the Kailuan study. The CVH of each participant was scored (from 0 point to 100 points) and classified (low [0–49 points], moderate [50–79 points], and high [80–100 points]) according to Life's Essential 8, which incorporated 8 components covering health behaviors and health factors. Incident CVD was documented through follow‐ups from baseline (June 2006 to October 2007) until December 31, 2020. CVD‐free life years from age 30 to 80 years associated with different CVH scores were estimated using flexible parametric survival models. A total of 9977 incident CVDs were recorded. We observed a gradient relationship between CVH score and years lived without CVD. The age‐ and sex‐adjusted CVD‐free life years (95% CI) were 40.7 (40.3–41.0) years for low CVH, 43.3 (43.0–43.5) years for moderate CVH, and 45.5 (45.1–45.9) years for high CVH. Similar trends were noted when individual subtypes of CVD were investigated, and high CVH evaluated by health behaviors and health factors was also related to longer CVD‐free life years. Conclusions A higher CVH evaluated by the updated Life's Essential 8 metrics was significantly associated with a greater number of life years without CVD, indicating the importance of promoting CVH for healthy aging in China.https://www.ahajournals.org/doi/10.1161/JAHA.122.029241cardiovascular diseasecardiovascular healthdisease‐free life yearsLife's Essential 8 metrics |
| spellingShingle | Xue Xia Shuohua Chen Xue Tian Qin Xu Yijun Zhang Xiaoli Zhang Penglian Wang Shouling Wu Liming Lin Anxin Wang Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular disease cardiovascular health disease‐free life years Life's Essential 8 metrics |
| title | Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease |
| title_full | Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease |
| title_fullStr | Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease |
| title_full_unstemmed | Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease |
| title_short | Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease |
| title_sort | association of cardiovascular health assessed by the new life s essential 8 metrics with years lived without cardiovascular disease |
| topic | cardiovascular disease cardiovascular health disease‐free life years Life's Essential 8 metrics |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.122.029241 |
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