Cohort study

Cardiovascular Health and Life Expectancy Among Adults in the United States

CirculationPublished

  • Prospective cohort study
  • nationally representative sample
  • life table method

Authors' conclusion

Adhering to a high CVH, defined as the LE8 score, is related to a considerably increased life expectancy in US adults

Study context

Population
Nonpregnant, noninstitutionalized US adults aged 20 to 79 years in NHANES 2005–2018, mortality linked to the National Death Index1,359 deaths
Participants
23,003 participants
Exposure
High vs moderate vs low cardiovascular health
Outcome
Life expectancy at age 50 years
Follow-up
Median 7.8 years

Main finding

Estimated life expectancy at age 50 years

Difference

8.9 years

95% CI 6.2–11.5

By group

High CVH vs Low CVH
difference 8.9 years (95% CI 6.2–11.5)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Share of gained life expectancy at age 50 attributable to reduced CVD death (high cardiovascular health (CVH))

Attributable to reduced CVD death
42.6%

Life expectancy by sex (subgroup)

Similarly significant associations of CVH with life expectancy in men and women

Life expectancy by race and ethnicity (subgroup)

Similarly significant associations in White and Black participants but not in Mexican participants

Original publication

Cardiovascular Health and Life Expectancy Among Adults in the United States. Circulation. Published 10 April 2023. doi:10.1161/circulationaha.122.062457

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