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Life’s Essential 8 in relation to self-rated health and health-related quality of life in a large population-based sample: the SCAPIS project
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden; Department of Public Health & Caring Sciences, Uppsala University, Uppsala, Sweden.
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2024 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 33, p. 1003-1014Article in journal (Refereed) Published
Abstract [en]

Purpose: To monitor cardiovascular health, in 2022, the American Heart Association (AHA) updated the construct “Life’s Simple 7” (LS7) to “Life’s Essential 8” (LE8). This study aims to analyze the associations and capacity of discrimination of LE8 and LS7 in relation to self-rated health (SRH) and health-related quality of life (HRQoL).

Methods: This study from the Swedish CArdioPulmonary bioImage Study (SCAPIS) included 28 731 Swedish participants, aged 50–64 years. Three different scores were derived from the SF-12 questionnaire: 1-item question SRH (“In general, would you say your health is …?”), mental-HRQoL and physical-HRQoL. Logistic regression, restricted cubic splines, and ROC analysis were used to study the associations between the AHA scores in relation to SRH and HRQoL.

Results: Compared to those with a LE8 score of 80, participants with a LE8 score of 40 were 14.8 times more likely to report poor SRH (OR: 14.8, 95% CI: 13.0–17.0), after adjustments. Moreover, they were more likely to report a poor mental-HRQoL (OR: 4.9, 95% CI: 4.2–5.6) and a poor physical-HRQoL (OR: 8.0, 95% CI: 7.0–9.3). Area under curves for discriminating poor SRH were 0.696 (95% CI: 0.687–0.704), 0.666 (95% CI: 0.657–0.674), and 0.643 (95% CI: 0.634–0.651) for LE8, LS7 (0–14), and LS7 (0–7), respectively, all p values < 0.001 in the DeLong’s tests.

Conclusion: LE8 and LS7 had strong and inverse associations with SRH, mental-HRQoL, and physical-HRQoL, though LE8 had a somewhat higher capacity of discrimination than LS7. The novel LE8, a construct initially conceived to monitor cardiovascular health, also conveys SRH and HRQoL.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 33, p. 1003-1014
Keywords [en]
Health-related quality of life, Ideal cardiovascular health, Life's Essential 8, Quality of life, Self-rated health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-220324DOI: 10.1007/s11136-023-03580-1ISI: 001149863400001PubMedID: 38270740Scopus ID: 2-s2.0-85183002617OAI: oai:DiVA.org:umu-220324DiVA, id: diva2:1836806
Funder
Swedish Heart Lung FoundationKnut and Alice Wallenberg FoundationVinnovaUniversity of GothenburgKarolinska InstituteRegion StockholmLinköpings universitetUmeå UniversityUppsala UniversityAvailable from: 2024-02-12 Created: 2024-02-12 Last updated: 2024-05-06Bibliographically approved

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