Life's Essential 8 in relation to self-rated health and health-related quality of life in a large population-based sample: the SCAPIS project.

Autor: Herraiz-Adillo Á; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden. ahadillo@hotmail.com., Ahlqvist VH; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Daka B; School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Wångdahl J; Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden.; Department of Public Health & Caring Sciences, Uppsala University, Uppsala, Sweden., Wennberg P; Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden., Carlsson J; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden., Higueras-Fresnillo S; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.; Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain., Lenander C; Department of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Lund, Sweden., Östgren CJ; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.; Centre of Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden., Berglind D; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.; Centre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden., Rådholm K; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.; The George Institute for Global Health, University of New South Wales, Sydney, Australia., Henriksson P; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Jazyk: angličtina
Zdroj: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2024 Apr; Vol. 33 (4), pp. 1003-1014. Date of Electronic Publication: 2024 Jan 25.
DOI: 10.1007/s11136-023-03580-1
Abstrakt: Purpose: To monitor cardiovascular health, in 2022, the American Heart Association (AHA) updated the construct "Life's Simple 7" (LS7) to "Life's Essential 8" (LE8). This study aims to analyze the associations and capacity of discrimination of LE8 and LS7 in relation to self-rated health (SRH) and health-related quality of life (HRQoL).
Methods: This study from the Swedish CArdioPulmonary bioImage Study (SCAPIS) included 28 731 Swedish participants, aged 50-64 years. Three different scores were derived from the SF-12 questionnaire: 1-item question SRH ("In general, would you say your health is …?"), mental-HRQoL and physical-HRQoL. Logistic regression, restricted cubic splines, and ROC analysis were used to study the associations between the AHA scores in relation to SRH and HRQoL.
Results: Compared to those with a LE8 score of 80, participants with a LE8 score of 40 were 14.8 times more likely to report poor SRH (OR: 14.8, 95% CI: 13.0-17.0), after adjustments. Moreover, they were more likely to report a poor mental-HRQoL (OR: 4.9, 95% CI: 4.2-5.6) and a poor physical-HRQoL (OR: 8.0, 95% CI: 7.0-9.3). Area under curves for discriminating poor SRH were 0.696 (95% CI: 0.687-0.704), 0.666 (95% CI: 0.657-0.674), and 0.643 (95% CI: 0.634-0.651) for LE8, LS7 (0-14), and LS7 (0-7), respectively, all p values < 0.001 in the DeLong's tests.
Conclusion: LE8 and LS7 had strong and inverse associations with SRH, mental-HRQoL, and physical-HRQoL, though LE8 had a somewhat higher capacity of discrimination than LS7. The novel LE8, a construct initially conceived to monitor cardiovascular health, also conveys SRH and HRQoL.
(© 2024. The Author(s).)
Databáze: MEDLINE
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