Cardiometabolic & kidneyCohort study

Association between the life's essential 8 health behaviors and prognosis in patients with advanced cardiovascular-kidney-metabolic syndrome

Eur J Prev CardiolPublished

  • Cohort study (NHANES)

Authors' conclusion

The LE8, particularly its health behavior, is independently associated with mortality in advanced CKM syndrome.

Study context

Population
Patients with advanced cardiovascular-kidney-metabolic (CKM) syndrome, NHANES2,629 with advanced CKM syndrome
Participants
10,321 patients
Exposure
LE8 score, health behavior and health factor components vs mortality
Outcome
Mortality risk (all-cause, CV, CKM-related)
Follow-up
median 78-month follow-up

Main finding

As reported in the abstract

Mortality in advanced CKM syndrome

HR

Health behavior score, per 10-point increase · all-cause mortality
0.80
Health behavior score, per 10-point increase · CV mortality
0.83
Health behavior score, per 10-point increase · CKM-related mortality
0.82
Moderate CVH vs High CVH · health behavior; all-cause mortality
2.08
Moderate CVH vs High CVH · health behavior; CV mortality
1.88
Moderate CVH vs High CVH · health behavior; CKM-related mortality
1.94
Low CVH vs High CVH · health behavior; all-cause mortality
3.25
Low CVH vs High CVH · health behavior; CV mortality (as printed)
253
Low CVH vs High CVH · health behavior; CKM-related mortality
2.89

Observational data: associations, not effects.

Further findings

OutcomeOR
Advanced CKM syndrome risk — LE8 score, per 10-point increase0.85
Advanced CKM syndrome risk — Low CVH vs High CVH2.05

Original publication

Association between the life's essential 8 health behaviors and prognosis in patients with advanced cardiovascular-kidney-metabolic syndrome. Eur J Prev Cardiol. Published 17 July 2025. doi:10.1093/eurjpc/zwaf443

Summarised from the published abstract; every number is checked against it