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Influence of physical activity measurement on the association between Life’s Essential 8 and incident cardiovascular disease in older women

Year: 2024
Type: article
Study design: Observational Study
Abstract: Objective: The American Heart Association's Life's Essential 8 (LE8) metric includes self-reported physical activity as one of the metrics for assessing cardiovascular health. Self-reported physical activity is prone to misclassification, whereas accelerometer measures are less biased. We examined associations of LE8 and incident cardiovascular disease (CVD) using self-reported and accelerometer-measured physical activity. Methods: ). Hazard ratios (HR) for physician-adjudicated CVD were estimated using Cox regression. Results: = 0.45 (0.35-0.57). Conclusions: The LE8-incident CVD association varies by physical activity measurement, however all methods showed reduced risk. Device-measures of physical activity may be more accurate in the LE8, but when impractical to implement, also support use of self-reported measures.
DOI: 10.1016/j.pmedr.2024.102904
Authors: Eric T. Hyde, Steve Nguyen, Michael J. LaMonte, Chongzhi Di, John Bellettiere, Lesley F. Tinker, Randi E. Foraker, Hilary A. Tindle, Marcia L. Stefanick, Andrea Z. LaCroix
Institutions: San Diego State University, University of California San Diego, University at Buffalo, State University of New York, Fred Hutch Cancer Center, Washington University in St. Louis, VA Tennessee Valley Healthcare System, Vanderbilt University Medical Center, Stanford Medicine, Stanford University
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,720
Funders: Tobacco-Related Disease Research Program, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, National Institute on Aging, National Heart, Lung, and Blood Institute, National Cancer Institute, National Center for Advancing Translational Sciences
Awards: G1211708387, G1803697325, G2151367086, G2152210148, G2884025344, G3270791486, G3337964162, G3827278403, G4499735890, Sedentary Behaviour Interrupted: Acute, medium and long-term effects on biomarkers of healthy aging, physical function and mortality, G4816276850, G5382207646, G5544085314, G5566849812, G571830633, G6235658977, G6238440229, Objective Physical Activity and Cardiovascular Health in Women Aged 80 and Older, G6894818919, G7016608837, G7821233859, Assessing efficacy and implementation of an EHR tool to assess heart health among survivors, G8836210513, G8871711744, Objective Physical Activity and Cardiovascular Health in Older Women: OPACH2, UCSD Integrated Cardiovascular Epidemiology Fellowship
OpenAlex ID: W4403352723
FWCI: 0.534
Cites: 38
Cited by: 2
Related to: 10