Association of cardiovascular health using Life's Essential 8 with noncommunicable disease multimorbidity

Jul 6, 2023Preventive medicine

Links Between Heart Health and Having Multiple Chronic Diseases Using Life's Essential 8

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Abstract

Among 24,445 participants, 6162 had noncommunicable disease multimorbidity.

Participants with low cardiovascular health (CVH) had higher rates of multimorbidity, with 43.5% in the low CVH group.
A negative association was observed between CVH, measured by Life's Essential 8 (LE8), and NCD multimorbidity, with an odds ratio of 0.67 for each 1 standard deviation increase in LE8.
The most common noncommunicable diseases associated with lower CVH were emphysema, congestive heart failure, and stroke.
Dose-response relationships indicated that higher CVH scores correlated with lower rates of NCD multimorbidity among adults.
Similar associations between CVH and NCD multimorbidity patterns were found for both males and females.

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Cardiovascular health (CVH) is closely associated with various noncommunicable diseases (NCDs) and comorbidity; however, the influence of CVH on NCD multimorbidity was not fully elucidated. We aimed to examine the association between CVH using Life's Essential 8 (LE8) and NCD multimorbidity among adults, males, and females in the United States, conducting a cross-sectional analysis using data involving 24,445 participants from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018. LE8 was categorized into low, moderate, and high CVH groups. Multivariate logistic regressions and restricted cubic spline regressions were used to estimate the association between LE8 and NCD multimorbidity. Overall, 6162 participants had NCD multimorbidity, of which 1168 (43.5%), 4343 (25.9%), and 651 (13.4%) had low, moderate, and high CVH, separately. After multivariable adjustment, LE8 was negatively associated with NCD multimorbidity among adults (odds ratio (OR) for per 1 standard deviation (SD) increase in LE8 and 95% confidence interval (CI), 0.67 (0.64, 0.69)), and the top 3 NCDs associated with CVH were emphysema, congestive heart failure, stroke, and the dose-response relationships between LE8 and NCD multimorbidity were observed among adults (overall P < 0.001). Similar patterns were also identified among males and females. Higher CVH measured by the LE8 score was associated with lower odds of NCD multimorbidity among adults, males, and females.

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Association of cardiovascular health using Life's Essential 8 with noncommunicable disease multimorbidity

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