Prevention & lipids

Childhood Maltreatment and Cardiovascular Health: Role of Sex and Life's Essential 8 in the U.K. Biobank

JACC AdvPublished Linear and Cox regressions

Authors' conclusion

The impact of early-life adversities can be offset by adopting good lifelong lifestyle practices. This study underscores the need to identify individuals, particularly women, with experiences of cumulative CM events and support interventions to improve their opportunity, capability, and motivation to enhance LE8.

Study context

Population
Participants aged ≥40 years at baseline in the U.K. Biobank
Participants
153,399 participants
Comparison
Compared to individuals with no childhood maltreatment (CM) exposure and low LE8 scores
Outcome
LE8 scores by cumulative CM exposure

Main finding

As reported in the abstract

β1CM

−0.58, 95% CI: −0.72 to −0.44

β2CM

−1.17, 95% CI: −1.36 to −0.97

β≥3CM

−2.26, 95% CI: −2.47 to −2.05

Further findings

All cardiovascular disease (CVD) events, moderate-to-high LE8 scores vs no CM exposure and low LE8 scores

Substantial reduction in risk for all CVD events, regardless of the number of CM events experienced

Myocardial infarction among participants with low total LE8 scores, by sex

Women appeared more vulnerable than men to myocardial infarction when exposed to cumulative CM events

Original publication

Childhood Maltreatment and Cardiovascular Health: Role of Sex and Life's Essential 8 in the U.K. Biobank. JACC Adv. Published January 2026. doi:10.1016/j.jacadv.2025.102483

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