Obesity

Life’s Essential 8 and Mortality in US Adults With Obesity: A Cohort Study

Endocr PractPublished Cohort study

Authors' conclusion

Higher LE8 scores are significantly associated with lower rates of all-cause, CVD, and non-CVD mortality among obese individuals. These findings support the LE8 scoring system as an effective predictor of health status and mortality risk.

Study context

Population
US adults with obesity (BMI ≥30 kg/m²), NHANES 2005–2018
Participants
9,143 adults
Exposure
Moderate CVH and High CVH vs Low CVH
  • Low CVHn = 2,264reference
  • Moderate CVHn = 6,541
  • High CVHn = 338
Outcome
All-cause mortality
Follow-up
Median 7.3 years
Methodological detailsNHANES 2005–2018, multivariable Cox regression
  • NHANES 2005–2018
  • Multivariable Cox regression

Main finding

As reported in the abstract

Each group vs low CVHEstimate (95% CI)
Moderate CVH
aHR 0.63(0.55–0.72)
High CVH
HR 0.25(0.10–0.60)
All-cause deaths
867 (9.5%)
Reduction in all-cause mortality per 10-point increase in LE8 score (P < .001)
20%

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
CVD mortalityModerate CVHvs Low CVH0.61 (0.47–0.78)
CVD mortalityHigh CVHvs Low CVH0.19 (0.03–1.38)
Non-CVD mortalityModerate CVHvs Low CVH0.64 (0.54–0.75)
Non-CVD mortalityHigh CVHvs Low CVH0.27 (0.10–0.72)
Cardiovascular disease (CVD) mortality — CVD deaths
246 (2.7%)
CVD mortality — Reduction in CVD mortality per 10-point increase in LE8 score (P < .001)
21%
Non-CVD mortality — Non-CVD deaths
621 (6.8%)
Non-CVD mortality — Reduction in non-CVD mortality per 10-point increase in LE8 score (P < .001)
20%

Original publication

Life’s Essential 8 and Mortality in US Adults With Obesity: A Cohort Study. Endocr Pract. Published 4 September 2024. doi:10.1016/j.eprac.2024.08.015

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