Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association.
Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association.
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DOI：
10.1161/cir.0000000000001078
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发表时间：
2022-08-02
期刊：
影响因子：
37.8
通讯作者：
Rosamond, Wayne
中科院分区：
文献类型：
--
作者：
Lloyd-Jones, Donald M.;Allen, Norrina B.;Anderson, Cheryl A. M.;Black, Terrie;Brewer, LaPrincess C.;Foraker, Randi E.;Grandner, Michael A.;Lavretsky, Helen;Perak, Amanda Marma;Sharma, Garima;Rosamond, Wayne
关键词：
2010年，美国心脏协会定义了一种心血管健康的新概念，以推动一种范式转变，即从仅仅关注疾病治疗转向同时包括在人群和个体的整个生命过程中积极促进和维护健康。大量后续证据为定义和量化心血管健康的原始方法的优势和局限性提供了见解。作为回应，美国心脏协会召集了一个撰写小组来提出改进和更新建议。对原始各项指标（“生命简单七法则”）的定义和量化进行了评估，以确定其对个体间差异和个体内变化的反应能力。考虑了新的指标，并将年龄范围扩大到涵盖整个生命过程。健康的社会决定因素和心理健康的基础背景被视为优化和维护心血管健康的关键因素。这份主席咨询报告介绍了一种评估心血管健康的强化方法：“生命必需八要素”。“生命必需八要素”包括饮食（更新）、身体活动、尼古丁暴露（更新）、睡眠健康（新增）、体重指数、血脂（更新）、血糖（更新）和血压。每项指标都有一个新的从0到100分的评分算法，从而可以生成一个新的综合心血管健康评分（所有要素的未加权平均值），该评分也在0到100分之间变化。讨论了实施心血管健康评估和纵向监测的方法，以及促进在政策、公共卫生、临床、机构和社区环境中广泛应用的潜在数据来源和工具。
In 2010, the American Heart Association defined a novel construct of cardiovascular health to promote a paradigm shift from a focus solely on disease treatment to one inclusive of positive health promotion and preservation across the life course in populations and individuals. Extensive subsequent evidence has provided insights into strengths and limitations of the original approach to defining and quantifying cardiovascular health. In response, the American Heart Association convened a writing group to recommend enhancements and updates. The definition and quantification of each of the original metrics (Life’s Simple 7) were evaluated for responsiveness to interindividual variation and intraindividual change. New metrics were considered, and the age spectrum was expanded to include the entire life course. The foundational contexts of social determinants of health and psychological health were addressed as crucial factors in optimizing and preserving cardiovascular health. This presidential advisory introduces an enhanced approach to assessing cardiovascular health: Life’s Essential 8. The components of Life’s Essential 8 include diet (updated), physical activity, nicotine exposure (updated), sleep health (new), body mass index, blood lipids (updated), blood glucose (updated), and blood pressure. Each metric has a new scoring algorithm ranging from 0 to 100 points, allowing generation of a new composite cardiovascular health score (the unweighted average of all components) that also varies from 0 to 100 points. Methods for implementing cardiovascular health assessment and longitudinal monitoring are discussed, as are potential data sources and tools to promote widespread adoption in policy, public health, clinical, institutional, and community settings.