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. 2023 Nov 28;12(23):e030883. doi: 10.1161/JAHA.123.030883

Table 4.

LE8 Composite Scoring Guide

Metric Score
Diet quality Points Quantiles of adherence
100 ≥95th Percentile
80 75th–94th Percentile
50 50th–74th Percentile
25 25th–49th Percentile
0 1st–24th Percentile
PA Points Min/wk
100 ≥150
90 120–149
80 90–119
60 60–89
40 30–59
20 1–29
0 0
Nicotine exposure Points Status
100 Never smoker
75 Former smoker, quit ≥5 y ago
50 Former smoker, quit 1–5 y ago
25 Former smoker, quit <1 y ago
0

Current smoker

Subtract 20 points for living with active indoor smoker in home

Sleep health Points Hours of sleep/night
100 7 to <9
90 9 to <10
70 6 to <7
40 5 to <6 or ≥10
20 4 to <5
0 <4
BMI Points BMI, kg/m2
100 <25
70 25.0–29.9
30 30.0–34.9
15 35.0–39.9
0 ≥40.0
Blood lipids Points Non‐HDL cholesterol, mg/dL
100 <130
60 130–159
40 160–189
20 190–219
0

≥220

If on lipid‐lowering therapy, subtract 20 points

Blood glucose Points HbA1c, %; or FBG, mg/dL
100 No history of diabetes and FBG <100 or <5.7
60 No history of diabetes and FBG 100–125 or 5.7–6.4
40 Diabetes with HbA1c 6.4–7.0
30 Diabetes with HbA1c 7.0–7.9
20 Diabetes with HbA1c 8.0–8.9
10 Diabetes with HbA1c 9.0–9.9
0 Diabetes with HbA1c ≥10.0
BP Points BP, mm Hg
100 <120/80 to 120–129/<80
75 130–139 or 80–89
50 140–159 or 90–99
25 ≥160 or ≥100
0 Subtract 20 points if on BP treatment
LE8 composite score total points/8

BMI indicates body mass index; BP, blood pressure; FBG, fasting blood glucose; HbA1c, hemoglobin A1c; HDL, high‐density lipoprotein; LE8, Life's Essential 8; and PA, physical activity.