Cardio-oncology & otherCohort study

Life’s Simple 7 score and cardiovascular health in cancer survivors: the Moli-sani study

Eur Heart JPublished

  • Prospective cohort study

Authors' conclusion

The LS7 metric, originally developed for cardiovascular health, is associated with lower all-cause and cancer mortality in cancer survivors, potentially through shared biological mechanisms.

Study context

Population
Cancer survivors in the Moli-sani studyMoli-sani n = 24,325
Participants
779 survivors
Exposure
Ideal vs poor cardiovascular health
Outcome
All-cause mortality
Follow-up
Median 14.6 years

Main finding

As reported in the abstract

Hazard ratio

.62

95% CI .41-.94

Observational data: associations, not effects.

Further findings

All-cause mortality, ideal vs poor CV health, cancer-free participants

Similar findings in cancer-free participants: HR
.68; 95% CI .59-.78

Cancer mortality, per 1-unit increase in LS7 metric

Each 1-unit increase in LS7 linked to lower cancer mortality: HR
.90; 95% CI .82-.98

Mortality with Mediterranean diet score replacing the LS7 dietary component

Cardiovascular disease (CVD) mortality: HR
.84; 95% CI .71-1.00
Cancer mortality: HR
.90; 95% CI .83-.98
Non-CVD/non-cancer mortality: HR
.83; 95% CI .70-.98

Mediation of the LS7–mortality associations

Inflammation, heart rate and serum vitamin D together accounted for
over 50%

Original publication

Life’s Simple 7 score and cardiovascular health in cancer survivors: the Moli-sani study. Eur Heart J. Published 16 December 2025. doi:10.1093/eurheartj/ehaf838

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