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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

Herraiz-Adillo, Ángel ; Ahlqvist, Viktor H. ; Daka, Bledar ; Wångdahl, Josefin ; Wennberg, Patrik ; Carlsson, Jakob ; Higueras-Fresnillo, Sara ; Lenander, Cecilia LU ; Östgren, Carl Johan and Berglind, Daniel , et al. (2024) In Quality of Life Research
Abstract

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... (More)

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.

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publishing date
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Contribution to journal
publication status
epub
subject
keywords
Health-related quality of life, Ideal cardiovascular health, Life's Essential 8, Quality of life, Self-rated health
in
Quality of Life Research
publisher
Springer
external identifiers
  • pmid:38270740
  • scopus:85183002617
ISSN
0962-9343
DOI
10.1007/s11136-023-03580-1
language
English
LU publication?
yes
id
8250edc8-8300-4c15-9ba7-4bd4adede7b2
date added to LUP
2024-02-21 14:51:51
date last changed
2024-04-21 10:35:54
@article{8250edc8-8300-4c15-9ba7-4bd4adede7b2,
  abstract     = {{<p>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 &lt; 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.</p>}},
  author       = {{Herraiz-Adillo, Ángel and Ahlqvist, Viktor H. and Daka, Bledar and Wångdahl, Josefin and Wennberg, Patrik and Carlsson, Jakob and Higueras-Fresnillo, Sara and Lenander, Cecilia and Östgren, Carl Johan and Berglind, Daniel and Rådholm, Karin and Henriksson, Pontus}},
  issn         = {{0962-9343}},
  keywords     = {{Health-related quality of life; Ideal cardiovascular health; Life's Essential 8; Quality of life; Self-rated health}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{Quality of Life Research}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.1007/s11136-023-03580-1}},
  doi          = {{10.1007/s11136-023-03580-1}},
  year         = {{2024}},
}