Based on the American Heart Association’s (AHA) Optimal Heart Health Checklist, about 80% of adults in the United States have low to moderate cardiovascular (CV) health. This includes healthy sleep as an essential element of heart health.
With the addition of sleep, “Life’s Essential 8” will replace AHA’s “Life’s Simple 7” checklist.
“New metrics for sleep time reflect the latest research results. Sleep affects overall health, and people with healthier sleep patterns have health factors such as weight, blood pressure, and risk. Manage. Type 2 diabetes More effectively. ” AHA President Donald M. Lloyd Jones said in a news release.
“In addition, advances in sleep measurement methods such as wearable devices have made it possible for people to reliably and routinely monitor their sleep habits at home,” said Lloyd Jones, Dean of Northwestern University’s Fineberg School of Medicine. I am saying. Chicago School of Medicine.
AHA Presidential Advisory — Life’s Essential 8: Updates and Enhancements to the Cardiovascular Health Composition of the American Heart Association — Published online June 29th of the journal circulation..
A Companion paper Published at the same time circulation We report the first study using Life’s Essential 8.
Overall, the results show that the CV health of the US population is “not optimal and there are significant differences between age and socio-demographic groups.”
Refine the simple 7 of life
AHA first defined seven optimal CV health metrics for 2010. After 12 years and more than 2400 scientific papers on this topic, new discoveries in CV health and how to measure it provided an opportunity to review and provide each health component in more detail. Update as needed, AHA explains.
“At the right time to conduct a comprehensive review of the latest research to improve existing indicators and consider new indicators that add value to assessing cardiovascular health for all. I felt there was, “said Lloyd Jones.
Four of the original indicators have been redefined for consistency with new clinical guidelines or compatibility with new measurement tools, and the scoring system is now applicable to anyone over the age of two. rice field. This is a snapshot of Life’s Essential 8 metrics, including updates.
1) Diet (update):
This tool contains a new guide to assessing dietary quality for adults and children at the individual and population levels.At the population level, dietary assessment is based on daily intake of factors in the approach to diet cessation. High blood pressure (DASH) Meal pattern. For individuals, the Mediterranean Dietary Patterns (MEPA) for Americans is used to assess and monitor cardiovascular health.
2) Physical activity (no change):
Physical activity continues to be measured by the total number of minutes of moderate or intense physical activity per week, as defined in the American American Physical Activity Guidelines (2nd Edition). The optimal level is moderate physical activity of 150 minutes (2.5 hours) or more per week, or 75 minutes of intense exercise per week for adults. Children over 6 years old are 420 minutes (7 hours) or more per week. Age-specific changes for toddlers.
3) Nicotine exposure (updated):
Since previous metrics only monitored traditional flammable cigarettes, the use of inhaled nicotine delivery systems, including e-cigarettes or vape devices, was added. This reflects the use by adults and adolescents and their impact on long-term health. Indirect smoking exposure for children and adults has also been added.
4) Sleep time (new):
Sleep time is associated with CV health. The ideal level for adults is 7-9 hours a day, measured by average sleep time per night. The ideal daily sleep range for a child is 10 to 16 hours per 24 hours for children under 5 years of age. 9-12 hours for 6-12 year olds. 8-10 hours for 13-18 year olds.
5) Body mass index (no change):
AHA acknowledges that the Body Mass Index (BMI) is an incomplete indicator. Still, BMI is easy to calculate and widely available, so it continues to be a “reasonable” gauge for assessing weight categories that can lead to health problems. A BMI of 18.5 to 24.9 is associated with the highest levels of CV health. AHA states that the scope of BMI and its associated subsequent health risks can vary among people of diverse racial or ethnic backgrounds or ancestry. This is in line with the World Health Organization’s recommendations for adjusting the BMI range for people of Asian or Pacific Islander ancestry. This is because recent evidence shows that the lower the BMI, the higher the risk of conditions such as CVD and type 2 diabetes.
6) Blood lipids (renewal):
Blood metric Lipids (Cholesterol and triglycerides) have been updated to be used as a priority to monitor non-HDL cholesterol rather than total cholesterol. This shift can be measured without prior fasting for non-HDL cholesterol (always available at any time and can be performed with more appointments) and can be reliably calculated among everyone. is.
7) Blood glucose level (updated):
This metric has been extended to include the following options: Hemoglobin A1c Measured or blood glucose levels with or without type 1 or type 2 diabetes or prediabetes.
8) Blood pressure (no change):
Blood pressure criteria have not changed from 2017 Guidance Levels below 120/80 mm Hg were optimally established and hypertension was defined as systolic pressures of 130-139 mmHg or diastolic pressures of 80-89 mmHg.
“Related” of new data
The results of the first study using Life’s Essential 8 show that the overall CV health of the U.S. population is “well below ideal,” with 80% of adults scoring at low or moderate levels. It shows that it is.
The data from the analysis are from the 2013-2018 National Health and Nutrition Examination Survey (NHANES), which included more than 13,500 adults aged 20-79 years and nearly 9,900 children aged 2-19 years. Among the main findings:
The average CV health score based on Life’s Essential 8 was 64.7 for adults and 65.5 for children, ranging from 0 to 100 in the medium range.
Only 0.45% of adults had a perfect score of 100. 20% had high CV health (score 80+), 63% had moderate (score 50-79), and 18% had low CV health (score less than 50).
Adult females had a higher average CV health score (67) compared to males (62.5).
In general, adults showed the lowest scores in the areas of diet, physical activity, and BMI.
CV health scores generally decreased with age.
Non-Hispanic Asian Americans had higher average CV health scores than other racial / ethnic groups. The average CV health score for non-Hispanic whites was the second highest, followed by Hispanics (excluding Mexicans), Mexicans, and non-Hispanic blacks.
Children’s diet scores were low, averaging 40.6.
The adult socio-demographic group had particularly different CV health scores for diet, nicotine exposure, blood glucose, and blood pressure.
“These data represent the first survey of cardiovascular health in the US population using AHA’s new Life’s Essential 8 scoring algorithm,” said Lloyd-Jones.
“Life’s Essential 8 is a major step forward in our ability to identify when cardiovascular health can be maintained and when it is not optimal. This is an active effort to improve cardiovascular health for all and at all stages of life. It should be, “added Lloyd Jones.
“Such analysis helps policy makers, communities, clinicians, and the general public understand the opportunities to intervene to improve and maintain optimal cardiovascular health throughout their life course.” He said.
There was no commercial funding for this study. The author does not report any relevant financial relationships.