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October 23, 2025Frontiers in Cardiovascular MedicineOpen Access

A systematic review and meta-analysis of the association between cardiovascular health determined by life's essential 8 and risk of mortality and major non-communicable diseases

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Key result

Ideal Life's Essential 8 cardiovascular health links to ~56% lower all-cause mortality versus poor health.

  • RR 0.44
  • 95% CI 0.40-0.48
  • P<0.001

Why the study?

The study aimed to explore the associations between cardiovascular health determined by Life's Essential 8 and the risk of mortality and major non-communicable diseases.

Does ideal cardiovascular health determined by Life's Essential 8 reduce the risk of mortality and major non-communicable diseases in adults?

Population

46 eligible studies

Comparison

Ideal CVH score category vs poor CVH score category

Design

Systematic review and meta-analysis

Authors

GLGuangkai LiShandong UniversityYZYanfang ZhangBengbu Medical CollegeQWQingxu WuShandong University

Discussion

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Member takes

Overview

Supports promoting ideal CVH now; leaves open whether interventions improving Life's Essential 8 scores causally reduce mortality.

Study Design

Type

Meta-Analysis

Structured PICO

Does ideal cardiovascular health determined by Life's Essential 8 reduce the risk of mortality and major non-communicable diseases in adults?

P
Population
Adults ≥ 18 years without baseline severe comorbidities from 46 prospective cohort studies followed for 2.3 to 33 years to evaluate the association between Life's Essential 8 cardiovascular health scores and mortality or major non-communicable diseases.
E
Exposure
Ideal cardiovascular health (CVH) status determined by Life's Essential 8 (LE8) score
C
Comparator
Poor or lowest CVH score category
O
Outcome
All-cause mortality, CVD mortality, total cancer mortality, incident CVD, incident total cancer, and incident all-cause dementiahard clinical

Main Result

Relative Risk: 0.44 (95% CI 0.4–0.48)

p-value: p=<0.001

Ideal cardiovascular health, as measured by the Life's Essential 8 score, is strongly and inversely associated with all-cause mortality, cardiovascular mortality, and the incidence of major non-communicable diseases.

Limitations

  • Significant heterogeneity among the included studies with unclear sources
  • Considerable differences in the confounders adjusted across studies
  • Small sample size in some studies might bias the pooled estimates
  • Limited availability of eligible literatures for some outcomes requiring further validation
  • significant heterogeneity among the included studies, with the sources of this heterogeneity remaining unclear
  • considerable differences exist in the confounders adjusted across studies

Cite This Study

Li et al. (2025) conducted a meta-analysis in Mortality and major non-communicable diseases. Ideal cardiovascular health (Life's Essential 8) vs. Poor cardiovascular health was evaluated on All-cause mortality (RR 0.44, 95% CI 0.40-0.48, p=<0.001). Ideal cardiovascular health, as determined by Life's Essential 8, was associated with a 56% lower risk of all-cause mortality (RR 0.44) compared to poor cardiovascular health.

synapsesocial.com/papers/6a1f13556cf312cbfa08368dhttps://doi.org/10.3389/fcvm.2025.1612056
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ideal Cardiovascular Health and Mortality From All Causes and Diseases of the Circulatory System Among Adults in the United States2012 · 390 citations
  2. 2Life’s essential 8, genetic susceptibility, and risk of inflammatory bowel diseases: a population-based cohort study2024 · 2 citations
  3. 3Life’s Essential 8 is associated with atherosclerotic cardiovascular disease but not venous thromboembolism in men: a prospective cohort study2023 · 20 citations
  4. 4The PRISMA 2020 statement: an updated guideline for reporting systematic reviews2021 · 106,810 citations
  5. 5Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 20152016 · 7,830 citations