Enhancing the Cardiovascular Health Construct With a Psychological Health Metric for Predicting Mortality Risk
Authors' conclusion
A CVH construct enhanced with psychological health strongly predicts mortality.
Study context
- Population
- US adults (mean age 48y, 51% female), NHANES 2011–2018
- Participants
- 21,183 adults
- Exposure
- High vs low cardiovascular health (CVH) score
- Outcome
- All-cause mortality
Methodological detailsnationally representative survey (NHANES 2011–2018)
- Nationally representative survey (NHANES 2011–2018)
Main finding
As reported in the abstract
All-cause mortality, high vs low CVH score
- High vs low CVH score enhanced with PHQ-2: lower mortality risk
- 69%
- High vs low CVH score enhanced with PHQ-9: lower mortality risk
- 70%
- High vs low LE8 score: lower mortality risk
- 65%
- Trend across CVH categories
- p-trend<0.001
Observational data: associations, not effects.
Further findings
Mortality by sex and race and ethnicity (subgroups)
- Higher LE8 and enhanced CVH scores predicted lower mortality in both sexes and in Black and White but not Hispanic adults
CV and cancer mortality
- CV deaths
- 414
- Cancer deaths
- 329
- Higher LE8 and enhanced CVH scores associated with lower CV and cancer mortality
Mortality prediction (C-statistic)
- Enhanced CVH scores vs LE8 score, C-statistic
- 0.843 vs 0.842
- P
- P < 0.001
Original publication
Enhancing the Cardiovascular Health Construct With a Psychological Health Metric for Predicting Mortality Risk. JACC Adv. Published 26 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →