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Aha Simple 7

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Last Updated: 02 July 2021

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General | Latest Info

Do you know your heart beats around 100 000 times a day and pumps 2 000 gallons of blood throughout your body each day? Your heart is truly the workhorse of your body. The question is: how well do you take care of your heart? A healthy diet and lifestyle are your best weapons to fight cardiovascular disease, according to Jeffrey L. Anderson, MD, cardiologist and heart researcher from Intermountain Healthcare Heart Institute in Salt Lake City. Its not as hard as you may think, says Dr. Anderson. But it does require you to be intentional so that you actively take steps in your life to be as heart healthy as possible. Dr. Anderson points to American Heart Association Lifes Simple 7 steps to help you along the way. Aha has defined ideal cardiovascular health based on seven risk factors that people can improve through lifestyle changes. They are: Blood Pressure Cholesterol, Blood Sugar / Glucose, Physical Activity Diet, Weight Smoking Status High Blood Pressure is a major risk factor for heart disease and stroke. High Blood Pressure is when your blood pressure, force of blood flowing through your blood vessels, is consistently too high. When your blood pressure stays within healthy ranges, you reduce strain on your heart, arteries, and kidneys, which keeps you healthier longer. Nearly half of American adults have High Blood Pressure. Recommend Blood Pressure: 120 / 80 mm Hg. High cholesterol contributes to plaque, which can clog arteries and lead to heart disease and stroke. When you control your cholesterol, you re giving your arteries their best chance to remain clear of blockages, note Dr. Anderson Cholesterol is a waxy substance. Its not inherently BAD. In fact, your body needs it to build cells. But too much cholesterol can pose problem. Cholesterol comes from two sources. Your liver makes all the cholesterol you need. The remainder of cholesterol in your body comes from foods derived from animals. For example, meat, poultry and full - fat dairy products all contain Cholesterol, called dietary Cholesterol. Hdl = GOOD: High - density lipoprotein is know as GOOD Cholesterol. Ldl = BAD: Low - density lipoprotein is know as BAD Cholesterol. Hdl helps keep LDL from sticking to artery walls and reduces plaque buildup. This process can lower the risk of heart disease and stroke. Most of the food we eat is turned into glucose that our bodies uses for energy. Over time, high levels of Blood Sugar can damage your heart, kidneys, eyes and nerves. Diabetes is a condition that causes blood sugar to rise. Fasting a Blood Glucose level of 126 milligrams per deciliter or higher is dangerous. Fasting Blood Glucose less than 100 mg / dL is recommend. The first step to managing your blood sugar is to understand what makes blood sugar levels rise. Carbohydrates and sugars in what you eat and drink turn into glucose in the stomach and digestive system. Glucose can then enter the bloodstream. Insulin is a hormone made in the pancreas that helps the body's cells take up glucose from the blood and lower blood sugar levels.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Methods

In 1277 participants who developed MI during ARIC Study followup, 14point score of Life's Simple 7 was constructed according to the status of each of 7 factors at baseline. Hazard ratios for composite and individual adverse outcomes of allcause mortality, cardiovascular mortality, recurrent MI, heart failure, and stroke were calculated according to Life's Simple 7 score. During median followup of 3. 3 years, 918 participants had subsequent adverse outcomes after MI. Life's Simple 7 score at middle age was inversely associated with adverse outcomes after MI. The association was largely independent of access to care and MI severity. Individual factors related to better prognosis after MI were ideal nonsmoking, body mass Index, blood pressure, and fasting glucose.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Results

The American Heart Association Strategic Planning Task Force and Statistics Committee developed Life's Simple 7, which consists of 7 modifiable health behaviors and biological factors, as part of its 2020 impact goal to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular disease and stroke by 20%. 1 Attainment of ideal cardiovascular health has been associated with reduced incidence of coronary heart disease, stroke, and heart failure. 2 3 4 5 6 atrial fibrillation is the most commonly presenting cardiac arrhythmia in clinical practice, affecting over 2 million people in the United States. 7 in a study of more than 5000 middle and aged individuals without baseline CVD, nearly 10% developed AF over median followup of only 8. 6 years. 8 AF is a major source of cardiovascular morbidity and mortality and incurs a high healthcare burden. 9 10 11 12 AF and other CVDs share many common risk factors, and poor control of some individual LS7 components has been associated with increased AF risk. 9 13 14 15 16 there are limited studies, However, on whether better LS7 score is also associated with reduced risk of AF and no studies in populations free of baseline CVD. 17 Demonstrating such a relationship between LS7 and AF in this population can further heighten interest toward achievement of the American Heart Association's Strategic 2020 goals and refine estimates of the impact of achieving such goals. Therefore, purpose of this study was to examine the association between LS7 and incident AF in a subgroup of ARIC participants without baseline CVD. A total of 13 182 participants free of baseline CVD with data on all LS7 measures and no previous AF were included in the final analysis. The mean age was 545. 7 years, 25% were black, and 44% male. Means LS7 score at baseline was 7. 92. 4, and 2266 participants developed AF over median followup of 25. 1 years. Sociodemographic and clinical characteristics across baseline LS7 categories are compared in Table 1. Older age, male sex, black race, less education, higher BMI, higher systolic blood pressure, higher diastolic blood pressure, higher total cholesterol, higher fasting glucose, smoking, less physical activity, unhealthy diet, and leave ventricular hypertrophy were all associated with poorer cardiovascular health, whereas current alcohol use was associated with better cardiovascular health. Blood glucose and physical activity were the most common ideal health components in the study population, and the ideal healthy dietary pattern was the least common. Risk of incident AF according to individual LS7 components, expressed as poor, intermediate, or ideal, evaluated in separate models is shown in Figure 2. Compared with participants in poor category of their respective components, those with ideal levels of physical activity and those with either intermediate or ideal levels of body mass index, blood pressure, fasting glucose, and smoking were at significantly lower risk of incident AF after adjustment for age, sex, race, education, Study site, alcohol use, and leave ventricular hypertrophy.


Methods

Participants were followed up through December 31 2013. Cardiovascular events in the ARIC Study were ascertained by contacting participants annually, identifying hospitalizations and deaths during previous year, and surveying discharge lists from local hospitals and death certificates from state vital statistics offices for potential cardiovascular events. Incident MI was defined as definite or probable nonfatal MI cases adjudicated by the ARIC Study physician panel. 13 we collected records for hospital discharges for MI, which were reviewed by trained abstractors for record insurance status, medical history, and inpatient pharmacologic treatment. Because those with better Life's Simple 7 status may have less severe MIs compared with those with poorer Life's Simple 7 status, we determine MI severity, using the modified score of Predicting Risk of Death in Cardiac Disease Tool that uses several clinical variables for a maximum score of 21 points, with higher score indicating more severe case.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Discussion

In 2010, American Heart Association announced the following strategic goal: by 2020, to improve the cardiovascular health of all Americans by 20% while reducing Death from cardiovascular Disease and Stroke by 20%. 1 To achieve this goal, AHA recommends focusing on 7 cardiovascular health factors for primordial or primary prevention of cardiovascular disease and defining them as Life's Simple 7. 1 2 selection of these 7 factors is based on their contributions to incident cardiovascular disease. 1 However, it is unknown whether better achievement of Life's Simple 7 at middle age is associated with better prognosis after incident cardiovascular disease in later life. To complicate this question, few studies have reported that a higher number of traditional risk factors at admission was counterintuitively associated with lower mortality in patients with myocardial infarction. 3 4 5 However, these studies retrospectively collect information on traditional risk factors at or before MI diagnosis, mainly relying on medication used for defining hypertension, diabetes mellitus, and dyslipidemia. Thus, as the authors of these studies acknowledge, these studies are subject to potential bias. Therefore, to quantify the potential importance of optimal Life's Simple 7 in secondary prevention setting and overcome methodological caveats in those previous studies with retrospective data collection at hospital admission, we explore data from prospective communitybased cohort, ARIC Study, with longterm followup for assessment of outcomes. We primarily quantify Association of Life's Simple 7, incorporating measure blood pressure and levels of fasting glucose and total cholesterol in addition to medication use and health behaviors at middle age with risk of adverse outcomes after incident MI in later life. To provide a complete picture, we secondarily assess the contribution of Life's Simple 7 To incident MI as well, although ARIC Study data have previously reported a relationship with cardiovascular disease incidence.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources of Funding

20 Scientific teams redefining fast - tracked Heart and brain Health Research related to COVID - 19 AHA is also funding supplemental, short - term special projects by four Centers in its New Health Technologies & Innovation Strategically focused Research Network that will focus on rapid technology solutions to address COVID - 19 pandemic crisis. American Heart Association and Enduring Hearts Research Awards in Pediatric Heart Transplantation For investigators who are actively conducting research directly related to improving life expectancy and quality of life of Pediatric Heart transplant recipients. This funding opportunity offers competitive research grants in Basic, clinical, population, and / or translational Research via Collaborative Sciences Awards. The Letter Of Intent deadline is Thursday, October 1 2020. The American Heart Association and Allen Institute made a $43 million commitment to research funding for innovative approaches to combat age - related dementia, including Alzheimer's Disease. Follow US on Twitter AHA_Research official Twitter account For Research Of American Heart Association AHA / CHF Congenital Heart Defect Research Awards Children's Heart Foundation and AHA are jointly funding AHA / CHF Congenital Heart Defect Research Awards. $22. 5 million will be Award For Research directly related to Congenital Heart defects. Predoctoral Fellowships, Postdoctoral Fellowships, Career Development Awards, and Transformational Project Awards will be funded through this RFA. Visit the CHD Research Awards page for details.


Methods

At visit 1, trained interviewers administered questionnaire to collect information on demographic characteristics, medical history, medication use, and health behaviors. Use of antihypertensive, cholesterollowering, and glucoselowering medications within the past 2 weeks of baseline interview were selfreported and confirmed by inspection of medication containers. Physical activity was reported on the Baecke questionnaire, 11 and diet was assessed by a modified 66item Harvard food frequency questionnaire. 12 Information on education level, total household income for the past 12 months, and insurance status at baseline was based on a questionnaire. Bmi was calculated as weight divided by square of height. After 5 minutes of rest, 3 seat measurements of blood pressure were taken by a certified technician using a randomzero sphygmomanometer. Mean of second and third measurements were used for analysis. Fasting glucose levels were measured by the modified hexokinase / glucose6phosphate dehydrogenase method. Fasting plasma total cholesterol concentration was assessed by enzymatic procedures. Seven health factors were each categorized as ideal, intermediate, or poor, according to AHA Life's Simple 7 criteria. Specifically, as previously do, 6 ideal levels of Life's Simple 7 factors were defined as follow: nonsmoker or quit > 1 year ago; BMI of < 25 kg / m 2; 150 min / wk of moderate + vigorous physical activity; 4 to 5 components of healthy diet pattern; untreated total cholesterol of < 5. 2 mmol / L; untreated blood pressure of < 120 / 80 mm Hg; and untreated fasting glucose of < 5. 6 mmol / L. Poor Life's Simple 7 factors include the following: Current smoker; BMI of 30 kg / m 2; no moderate or vigorous physical activity; 0 to 1 component of healthy diet pattern; total cholesterol of 6. 2 mmol / L; blood pressure of 140 / 90 mm Hg; and fasting glucose of 7. 0 mmol / L regardless of medication used Any conditions between ideal and poor were defined as intermediate. The score of Life's Simple 7 was calculated by providing 2 points for ideal, 1 point for intermediate, and 0 points for poor status of each of 7 individual factors. Thus, Life's Simple 7 summary score ranges from 0 to a maximum of 14 points, with a higher score indicating healthier status.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

I NTRODUCTION

The American Heart Association Strategic Planning Task Force and Statistics Committee developed Life's Simple 7, which consists of 7 modifiable health behaviors and biological factors, as part of its 2020 impact goal to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular disease and Stroke by 20%. 1 Attainment of ideal cardiovascular health has been associated with reduced incidence of coronary heart disease, stroke, and heart failure. 2 3 4 5 6 atrial fibrillation is the most commonly presenting cardiac arrhythmia in clinical practice, affecting over 2 million people in the United States. 7 in a study of more than 5000 middle and aged individuals without baseline CVD, nearly 10% developed AF over median followup of only 8. 6 years. 8 AF is a major source of cardiovascular morbidity and mortality and incurs a high healthcare burden. 9 10 11 12 AF and other CVDs share many common risk factors, and poor control of some individual LS7 components has been associated with increased AF risk. 9 13 14 15 16 there are limited studies, however, on whether better LS7 score is also associated with reduced risk of AF and no studies in populations free of baseline CVD. 17 Demonstrating such a relationship between LS7 and AF in this population can further heighten interest toward achievement of the American Heart Association's Strategic 2020 goals and refine estimates of the impact of achieving such goals. Therefore, purpose of this study was to examine the association between LS7 and incident AF in a subgroup of ARIC participants without baseline CVD. Hazard ratios and 95% confidence intervals of incident atrial fibrillation according to individual Life's Simple 7 components. All hazard ratios are adjusted for age, sex, race, education, ARIC study site, alcohol consumption, and leave ventricular hypertrophy. Referent category for individual LS 7 components represents poor cardiovascular health. Error bars seen in this figure represent 95% confidence intervals.


Methods and Results

Among participants with incident MI, mean age at MI was 69 years old, 42% were women, and 24% were black. Of those participants, 59% had Life's Simple 7 score of 7 at middle age. Those with higher Life's Simple 7 scores tend to be older, female, and white, and have health insurance, higher family income, and higher education level, and lower levels of BMI, blood pressure, fasting glucose, and total cholesterol compared with those with lower Life's Simple 7 scores. Of 1277 participants with incident MI, 918 had adverse outcomes during median followup of 3. 3 years. For all outcomes test, there was a sharp initial decrease for composite outcome because 20% of patients with MI presented with heart failure within 1 month after incident MI. Overall, participants with higher Life's Simple 7 scores at middle age had lower risk compared with those with lower scores. Pattern was generally consistent after adjusting for demographic variables and clinical comorbidities at MI admission, with significant associations for all outcomes except recurrent MI and stroke. Adjustment for health insurance to some extent attenuates associations, although associations for allcause mortality, cardiovascular mortality, and composite outcome remain consistently significant. We observe similar results when we do the following: adjust for education level and family income over past 12 months at baseline, instead of health insurance status; account for MI severity; and adjust for aspirin use. Similarly, exclusion of those who die within 14 days after MI does not alter results. When restricting followup after MI to 1, 3, or 5 years, associations were largely consistent across different durations of followup, although fewer outcomes reach statistical significance, given the restricted number of MI cases and subsequent outcomes. We do not observe any significant interactions by sex, race, and center in models 1 to 3. We subsequently examined associations of individual Life's Simple 7 factors with adverse outcomes after incident MI. Better status of smoking, BMI, blood pressure, and fasting glucose at baseline was significantly associated with lower risk of adverse outcomes after incident MI, even in model 3, accounting for health insurance.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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