Only 1 in 5 people in the United States has optimal heart health

Highlights of the study:

  • The researchers found that the U.S. population was well below optimal levels of cardiovascular health after applying the Life’s Essential 8 Cardiovascular Health Assessment, an updated measure from the American Heart Association to measure heart and brain health.
  • The result of Life’s Essential 8 ™ was calculated using data from more than 23,400 adults and children from national health surveys from 2013-2018. The results show that 80% of people in the United States have below optimal cardiovascular health and the results are vary considerably depending on age, gender, race / ethnicity, family income, and depressed status.
  • The average cardiovascular score based on Life’s Essential 8 ™ is 64.7 (out of a possible 100) for adults in the United States and 65.5 for children.
  • Life’s Essential 8 ™ is more sensitive to differences in cardiovascular health between groups of people and individuals than the previous 7-element scoring system, which does not include sleep duration.

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DALAS, June 29, 2022 – About 80% of people in the United States have low to moderate cardiovascular health based on the new Life’s Essential 8 ™ checklist of the American Heart Association, according to a new study published today in Circulation, the leading peer-reviewed magazine of the Association. Life’s Essential 8 ™, also published today in Circulationdetails the Association’s updated guidelines for measuring cardiovascular health, adding healthy sleep as essential to ideal heart and brain health.

Life’s Essential 8 ™ indicators are included in the Association’s My Life Check tool for determining the assessment of cardiovascular health based on eight main components for ideal heart and brain health: diet, physical activity, nicotine exposure, sleep duration, body mass index, blood lipids, blood sugar and blood pressure. This is an updated algorithm from the scientifically proven Life’s Simple 7which does not include sleep hygiene. Life’s Essential 8 ™ also updated some of the indicators of the previous version to be more sensitive to differences between groups of people. In adults, total cardiovascular health is calculated for each individual by summing the results for each of the 8 indicators together and dividing the total by 8 to provide a Life’s Essential 8 резултат score ranging from 0-100. Thus, the highest possible or healthiest score for cardiovascular health is 100. Overall scores below 50 indicate “low” cardiovascular health, 50-79 are considered “moderate”, and scores of 80 or more show “high” cardiovascular health.

According to this first study, using Life’s Essential 8 ™ as a measure of cardiovascular health, among more than 23,400 adults in the United States and children without cardiovascular disease, the overall cardiovascular health of the U.S. population is well below ideal, with 80 % of adults score low or moderate. Researchers estimate health information from the 2013-2018 U.S. National Health and Nutrition Survey, which included more than 13,500 adults (ages 20-79) and nearly 9,900 children ages 2 to 19 ).

The analysis found:

  • Life’s Essential 8 в is consistent with Life’s Simple 7 ™, but is more sensitive to differences in cardiovascular health between groups of people and individuals.
  • The average cardiovascular health score based on Life’s Essential 8 ™ is 64.7 for adults in the United States and 65.5 for children in the United States. The mean for children took into account age-related modifications in dietary, physical activity, and BMI for children aged 2 to 19 years.
  • Only 0.45% of adults received 100 on Life’s Essential 8 ™.
  • 19.6% of adults in the United States had high cardiovascular health; 62.5% moderate; and 17.9% low.
  • Older women had a higher average cardiovascular health score of 67 than men, with a score of 62.5.
  • In general, adults in the United States have the lowest scores in the areas of diet, physical activity and BMI.
  • Cardiovascular health outcomes are generally lower in older age.
  • Individuals who identify as non-Hispanic Asian Americans have a higher average cardiovascular health score than other racial / ethnic groups. Non-Hispanic whites have the second highest average cardiovascular health score, followed by Hispanics (other than Mexicans), Mexicans, and non-Hispanic blacks.
  • The results of the children’s diet are low, averaging 40.6.
  • Sociodemographic groups of adults differ significantly in cardiovascular health assessments for diet, nicotine exposure, blood glucose, and blood pressure.

“These data represent a first look at the cardiovascular health of the U.S. population using AHA’s new Life’s Essential 8 ™ assessment algorithm,” said Donald M. Lloyd-Jones, MD, MD, FAHA, who led the study. and is president of the American Heart Association and chair of the Department of Preventive Medicine at the Northwestern University School of Medicine in Chicago. “Overall, the cardiovascular health of the US population is suboptimal and we see important differences between age and socio-demographic groups. Analyzes such as this can help policymakers, communities, clinicians and the public understand interventions to improve and maintain optimal lifelong cardiovascular health. ”Lloyd-Jones is also Eileen M. Fol, a professor of cardiac research and Professor of Preventive Medicine, Medicine and Pediatrics at Northwestern.

Co-authors are Hongyan Ning, MD, MS; Darwin Labart, MD, Ph.D .; LaPrincess Brewer, Ph.D .; Garima Sharma, Ph.D .; Wayne Rosamund, Ph.D., MS; Randi E. Foraker, Ph.D., MA; Terry Black, DNP, MBA, CRRN; Michael A. Grandner, Ph.D., MTR; Norina B. Allen, Ph.D., MPH; Cheryl Anderson, Ph.D., MPH, MS; Helen Lavretsky, Ph.D., MS; and Amanda M. Perak, MD, MS The authors’ findings are listed in the manuscript.

The studies, published in the scientific journals of the American Heart Association, were reviewed by partners. The statements and conclusions in each manuscript are only those of the authors of the study and do not necessarily reflect the policy or position of the Association. The Association makes no representations or guarantees for their accuracy or reliability. The association receives funding mainly from individuals; foundations and corporations (including pharmaceuticals, device manufacturers and other companies) also make donations and fund specific programs and events of the Association. The association has strict policies to prevent the impact of these relationships on scientific content. Revenues from pharmaceutical and biotechnology companies, device manufacturers and health insurance providers and all financial information of the Association are available here.

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