A clinician's guide to addressing cardiovascular health based on a revised AHA framework.

IF 1.3 American journal of cardiovascular disease Pub Date : 2023-04-15 eCollection Date: 2023-01-01
Neel Koyawala, Lena M Mathews, Francoise A Marvel, Seth S Martin, Roger S Blumenthal, Garima Sharma
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Abstract

The American Heart Association recently published updates to its definition of cardiovascular health (CVH) in its Presidential Advisory called Life's Essential 8. In particular, the update from Life's Simple 7 added a new component of sleep duration and refined definitions of prior components, including measurement of diet, nicotine exposure, blood lipids, and blood glucose. Physical activity, BMI, and blood pressure were unchanged. Together, these eight components create a composite CVH score that clinicians, policy-makers, patients, communities, and businesses can utilize to communicate in a consistent way. Life's Essential 8 also emphasizes the critical role of addressing social determinants of health to improve these individual CVH components, which strongly correlate with future cardiovascular outcomes. This framework should be used across the life spectrum including during pregnancy and childhood to allow improvements in and prevention of CVH at critical time-points. Clinicians can use this framework to advocate for digital health technologies and societal policies that help address and more seamlessly measure the 8 components of CVH with the goal of increasing quality and quantity of life.

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基于修订后的 AHA 框架的临床医生心血管健康指南。
美国心脏协会最近在其名为 "生命之本 8 "的总统咨询报告中公布了对心血管健康(CVH)定义的更新。特别是,在《生命的简约 7》的基础上进行了更新,增加了睡眠时间这一新内容,并完善了之前内容的定义,包括饮食、尼古丁暴露、血脂和血糖的测量。体力活动、体重指数和血压则保持不变。这八个组成部分共同构成了一个综合的 CVH 分数,临床医生、政策制定者、患者、社区和企业可以利用该分数以一致的方式进行交流。生命必备 8 要素还强调了解决健康的社会决定因素对改善这些单独的 CVH 要素的关键作用,这些要素与未来的心血管预后密切相关。这一框架应贯穿整个生命周期,包括孕期和儿童期,以便在关键时间点改善和预防心血管健康。临床医生可以利用这一框架来倡导数字健康技术和社会政策,以帮助解决和更无缝地测量 CVH 的 8 个组成部分,从而达到提高生活质量和数量的目的。
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来源期刊
American journal of cardiovascular disease
American journal of cardiovascular disease CARDIAC & CARDIOVASCULAR SYSTEMS-
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