About 80% of people in the United States have low to moderate cardiovascular health based on a new checklist for vital 8 of the American Heart Association, according to a new study published today in Circulation diary. 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 cardiovascular health based on eight key components for ideal heart and brain health: diet, physical activity, nicotine exposure, sleep duration, body mass index , blood lipids, blood glucose 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 previous version’s metrics 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 number by 8 to provide a vital score of 8, ranging from 0-100. Thus, the highest or healthiest possible 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 indicate “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% from adults have a low or moderate level result. 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 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, Sc.M., FAHA, who led the study and president of the American Heart Association and chair of the Department of Preventive Medicine at the Northwestern University School of Medicine in Chicago. “In general, the cardiovascular health of the US population is suboptimal and we see important differences between age and socio-demographic groups. Analyzes like this can help policymakers, communities, clinicians, and the public understand interventions to improve and maintain optimal cardiovascular health throughout life. ”Lloyd-Jones is also Eileen M. Fol, a professor of cardiac research and Professor of Preventive Medicine, Medicine and Pediatrics at Northwestern.
The American Heart Association adds sleep to the cardiovascular health checklist
The state of cardiovascular health in adults and children in the United States using the new indicators of the American Heart Association “Key 8 lives: estimates of prevalence by the National Health and Nutrition Survey (NHANES), 2013-2018, Circulation (2022). DOI: 10.1161 / CIRCULATIONAHA.122.060911
Provided by the American Heart Association
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