Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Jan 5, 2023
Open Peer Review Period: Jan 5, 2023 - Jan 19, 2023
Date Accepted: Mar 27, 2023
(closed for review but you can still tweet)
Using the new “Life’s Essential 8” metrics to evaluate the trends in cardiovascular health among US adults from 2005 to 2018: analysis of serial cross-sectional studies
ABSTRACT
Background:
The American Heart Association recently published new cardiovascular health (CVH) metrics called “Life’s Essential 8” (LE8).
Objective:
We aimed to examine the secular trends in CVH, as assessed by LE8, in the US adults from 2005 to 2018.
Methods:
Using cross-sectional data from the National Health and Nutrition Examination Survey between 2005-06 and 2017-18, we calculated the age-standardized mean scores of overall CVH and each of the LE8 components (i.e., diet, physical activity [PA], nicotine exposure, sleep health, body mass index [BMI], blood lipids, blood glucose, and blood pressure [BP]), where a higher score means a better health status (range of 0-100). A total of 21,667 adults aged 20-79 years were included in this analysis.
Results:
The age-standardized mean score of overall CVH did not significantly change between 2005-06 and 2017-18 (65.5 [95% CI: 63.9-67.1] to 65.0 [62.8-67.1]). The age-standardized mean scores did not significantly change for diet (41.0 [38.0-43.9] to 41.5 [36.5-46.6]), PA (57.5 [53.0-61.9] to 53.0 [48.7-57.3]), and BP (68.4 [65.2-71.5] to 68.6 [65.3-71.9]), improved for nicotine exposure (64.7 [61.1-68.4] to 71.9 [67.7-76.2]), sleep health (83.7 [81.6-85.7] to 84.1 [81.2-87.1]), and blood lipids (61.6 [59.1-64.0] to 67.0 [63.5-70.4]), and worsened for BMI (63.4 [59.7-67.1] to 56.2 [52.5-59.9]) and blood glucose (83.9 [82.4-85.4] to 77.4 [74.5-80.3]).
Conclusions:
Overall CVH score did not change among US adults from 2005 to 2018, as well as three components (diet, PA, and BP). Scores for nicotine exposure, blood lipids, and sleep health increased but scores for BMI and blood glucose decreased over time.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.