Table 1.

Definitions of Modifiable Lifestyle Risk Factors and Total Score

Modifiable Lifestyle Risk Factors	Points
	0	1	2	3
Current smoking, months	Yes	Former ≤12	Never or quit ≥12	--
TV watching, hours/day	>4	1–4	<1	--
AHA physical activity, minutes/week MVPAa	<1	1–149	>150	--
AHA healthy diet score, componentsb	0–1	2–3	4–5	--
Sleep disordered breathing burdenc	Severe	Moderate	Mild	None
Modifiable Lifestyle Risk Factors Points	0–3	4–7	8–11
Modifiable Lifestyle Risk Factor Total Score	Poor	Average	Optimal

^aAHA physical activity: Poor health: (1) 0 minutes of moderate physical activity and (2) 0 minutes of vigorous physical activity; Average health: (1) 0 < minutes of moderate physical activity <150 or (2) 0 < minutes of vigorous physical activity <75 or (3) 0 < minutes of combined MVPA <150; and Optimal health: (1) minutes of moderate physical activity ≥150 or (2) minutes of vigorous physical activity ≥75 or (3) minutes of combined MVPA ≥150.

^bAdapted for JHS: ruits and vegetables: ≥4.5 cups/day (1.08 liters); Fish: >3.5 ounces (98 g), twice per week, Sodium: <1,500 mg/day, Sugar sweetened beverages: <450 kcal/week and Whole grains: ≥3 servings/day.

^cSleep Disordered Breathing Burden: Fülöp et al²²

AHA, American Heart Association; MVPA, moderate to vigorous physical activity; JHS, Jackson Heart Study