Heart failure & cardiomyopathies

Comparing Life’s Simple 7 and Life’s Essential 8 With Risk of Heart Failure

JACC AdvPublished Prospective cohort study

Corrected 23 Oct 2026: The values shown beside the hazard ratio were the share of participants with low and high cardiovascular health, not the heart-failure rate; removed.

Main finding · HFResult — go to the resultHazard ratio 0.18 95% CI 0.12–0.26

Authors' conclusion

LS7 and LE8 differ in scoring and CVH classification. While a strong inverse association exists between LE8 score classification and HF risk, the association is graded over the whole LE8 range, suggesting that nuances may be overlooked when using the proposed CVH classification for exploring HF risk.

Study context

Population
Participants of the EPIC-NL cohort, predominantly female (74%), median age 52 yearsEPIC-NL cohort
Participants
37,803 participants
Exposure
High vs low cardiovascular health (CVH) by LE8; LE8 vs LS7 classification
Outcome
Risk of HF by LE8 score

Main finding

HF

Hazard ratio

0.18

95% CI 0.12–0.26

High CVHvs Low CVH
HR 0.18 (95% CI 0.12–0.26)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Moderate CVH classification, LE8 vs LS7

Moderate CVH by LE8
75%
Moderate CVH by LS7
36%
Upward shift from LS7 low CVH to LE8 moderate CVH
90%

Original publication

Comparing Life’s Simple 7 and Life’s Essential 8 With Risk of Heart Failure. JACC Adv. Published 12 September 2025. doi:10.1016/j.jacadv.2025.102127

Composed by AI from the published abstract and checked against it. How Briefs are made →

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