Table 1.
Cardiovascular Health Metrics and Scoring as Originally Defined in 2010 and Revised in 2022 for Non-Pregnant Adults by the American Heart Association
| CARDIOVASCULAR HEALTH CONSTRUCT DEFINITION: 20108 | |||
|---|---|---|---|
| Ideal=2 Points | Intermediate=1 Point | Poor=0 Points | |
| Diet, Healthy Eating Index-2015 score | 80 – 100 | 40 – 79 | 0 – 39 |
| Physical Activity, minutes per week moderate-to-vigorous leisure activity | ≥150 | >0 but <150 | 0 |
| Smoking | Never or quit >12 months ago | Former, quit ≤12 months ago | Current |
| Body Mass Index, kg/m2 | <25 | 25 – 29.9 | ≥30 |
| Blood Pressure, mm Hg | <120/<80 | Systolic 120–139 or diastolic 80–89 and not on blood pressure lowering medications | Systolic ≥140 or diastolic ≥90 |
| Total Cholesterol, mg/dL | <200 without medication | 200–239 or treated to <200 | ≥240 |
| Fasting Glucose, mg/dL | <100 without medication | 100–125 and not on glucose lowering medications | ≥126 |
| CARDIOVASCULAR HEALTH CONSTRUCT DEFINITION: 20229 | |||
| Ideal = 100 points | Suboptimal <100 points | ||
| Sleep health or average hours of sleep/night | 7-<9 | 70 points: 6-<7 20 points: 4-<5 0 points: <4 |
|
| Diet, Healthy Eating Index-2015 score or DASH (MEPA) | ≥95th percentile (MEPA score 15–16) | 80 points: 75th-94th percentile (MEPA 12–14) 25 points: 25th-49th percentile (MEPA 4–7) 0 points: 1st-24th percentile (MEPA 0–3) |
|
| Physical Activity, minutes per week moderate-to-vigorous leisure activity | ≥150 | 80 points: 90–119 20 points: 1–29 0 points: 0 |
|
| Smoking | Never smoker and no secondhand exposure in home | 75 points: Former smoker, quit ≥5y 20 points: Former smoker, quit<1y, or inhaled NDS 0 current smoker Subtract 20 points for living with active indoor smoker in home (unless score is 0) |
|
| Body Mass Index, kg/m 2 | <25 | 70 points: 25.0–29.9 30 points: 30.0–34.9 0 points: ≥40.0 |
|
| Blood Pressure, mm Hg | <120/<80 | 75 points: 120–129/<80 25 points: 140–159 or 90–99 0 points: ≥160 or ≥100 Subtract 20 points if treated level |
|
| Non-HDL Cholesterol, mg/dL | <130 | 60 points: 130–159 20 points: 190–219 0 points: ≥220 Subtract 20 points if treated level |
|
| Fasting Glucose, mg/dL (HbA1c, %) | <100 (<5.7%) No history of diabetes |
60 points: 100–125 (5.7–6.4%) 20 points: Diabetes (8.0–8.9%) 0 points: Diabetes (≥10.0%) |
|
Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, Van Horn L, Greenlund K, Daniels S, Nichol G, Tomaselli GF. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613.
Lloyd-Jones DM, Allen NB, Anderson CA, Black T, Brewer LC, Foraker RE, Grandner MA, Lavretsky H, Perak AM, Sharma G. Life’s Essential 8: Updating and Enhancing the American Heart Association’s Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation. 2022:10.1161/CIR.0000000000001078.