Evidence mapPaperPMID 37664644Full record

ArticleJACC. Advances2023

Life's Essential 8: Optimizing Health in Older Adults.

Manish Kumar, Ariela Orkaby, Caitlan Tighe, Dennis T Villareal, Hayley Billingsley, Michael G Nanna, Min Ji Kwak, Namit Rohant, Shreya Patel, Parag Goyal and 10 more

Abstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. [Cardiovascular prevention in old age].Zeitschrift fur Gerontologie und Geriatrie · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Manish KumarPat and Jim Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Ariela OrkabyNew England GRECC (Geriatric Research Education and Clinical Center), VA Boston HealthCare System, Boston, Massachusetts, USA.
Caitlan TigheVISN 4 Mental Illness Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Dennis T VillarealDivision of Endocrinology, Diabetes, and Metabolism, Baylor College of Medicine, Houston, Texas, USA.
Hayley BillingsleyDivision of Cardiovascular Medicine, University of Michigan Frankel Cardiovascular Center, Ann Arbor, Michigan, USA.
Michael G NannaSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Min Ji KwakDivision of Geriatric and Palliative Medicine, McGovern Medical School, The University of Texas Health Science Center, Houston, Texas, USA.
Namit RohantDepartment of Cardiology, University of Arizona, Tucson, Arizona, USA.
Shreya PatelDepartment of Pharmacy Practice, School of Pharmacy and Health Sciences, Fairleigh Dickinson University, Florham Park, New Jersey, USA.
Parag GoyalProgram for the Care and Study of Aging Heart, Department of Medicine, Weill Cornell of Medicine, New York, New York, USA.
Scott HummelDivision of Cardiovascular Medicine, University of Michigan Frankel Cardiovascular Center, Ann Arbor, Michigan, USA.
Christina Al-MaloufDepartment of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Amie KolimasDepartment of Internal Medicine, University of Arizona, Tucson, Arizona, USA.
Ashok KrishnaswamiDivision of Cardiology, Kaiser Permanente, San Jose, California, USA.
Mike W RichDepartment of Medicine, Washington University, St Louise, Missouri, USA.
James KirkpatrickDepartment of Cardiology, University of Washington, Seattle, Washington, USA.
Abdulla A DamlujiThe Inova Center of Outcomes Research, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
George A KuchelUConn Center on Aging, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Daniel E FormanDivisions of Cardiology and Geriatrics, Department of Medicine, University of Pittsburgh, Pittsburgh GRECC, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Karen P AlexanderDivision of Cardiology, Duke Medicine, Duke Clinical Research Institute, Durham, North Carolina, USA.

Funding

PREVENTABLE Trial Implementation PhaseU19AG065188 · NIA · DUKE UNIVERSITY · 2022 to 2025
$47.5M
Yale Clinical and Translational Science AwardUL1TR001863 · YALE UNIVERSITY · 2025 to 2025
$9.9M
TREATMENT GOALS FOR PERSONS WITH MULTIFACTORIAL GERIATRIC HEALTH CONDITIONSP30AG021342 · YALE UNIVERSITY · 2002 to 2025
$8.0M
Physical Rehabilitation for Older Patients with Acute HFpEF-The REHAB-HFpEF TrialR01AG078153 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$6.8M
TECHNOLOGY COREP30AG024827 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2004 to 2025
$4.3M
The KAPP-Sen Tissue Mapping Center CollaborativeU54AG075941 · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · 2025 to 2025
$3.0M
Translational Geroscience NetworkR33AG061456 · NIA · MAYO CLINIC ROCHESTER · 2022 to 2025
$2.4M
Research Education ComponentP30AG067988 · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · 2025 to 2025
$1.3M
DOES LIFESTYLE INTERVENTION IN OBESE OLDER ADULTS IMPROVE BONE QUALITY?R01DK109950 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI DENNIS T. VILLAREAL · 2021 to 2021
$676k
Geroscience Education and Training (GET) NetworkR25AG073119 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Sara Elyse Espinoza, GEORGE A KUCHEL · 2023 to 2023
$290k
Physician Scientist Training in Age-Related DiseasesT32AG062403 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$238k
Nitrite Supplementation to Mitigate Fatigability and Increase Function in Long COVID PatientsI21RX004409 · VETERANS HEALTH ADMINISTRATION · 2025 to 2025
CSRD VA I01 CX000906CSRD VA I01 CX002161CSRD VA IK2 CX001800HSRD VA I01 HX003518NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL153771NHLBI NIH HHS R01 HL147862NHLBI NIH HHS R01 HL151431NHLBI NIH HHS R61 HL155498NIA NIH HHS K76 AG064428NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG067988NIA NIH HHS R01 AG031176NIA NIH HHS R01 AG060499NIA NIH HHS R01 AG062582NIA NIH HHS R01 AG078153NIA NIH HHS R03 AG060169NIA NIH HHS R03 AG074067NIA NIH HHS R25 AG073119NIA NIH HHS R33 AG061456NIA NIH HHS T32 AG062403NIA NIH HHS U19 AG065188NIA NIH HHS U54 AG075941NIDDK NIH HHS R01 DK109950RRD VA I21 RX004409RRD VA IK2 RX003393
6 · The paper itself

Abstract

The population worldwide is getting older as a result of advances in public health, medicine, and technology. Older individuals are living longer with a higher prevalence of subclinical and clinical cardiovascular disease (CVD). In 2010, the American Heart Association introduced a list of key prevention targets, known as "Life's Simple 7" to increase CVD-free survival, longevity, and quality of life. In 2022, sleep health was added to expand the recommendations to "Life's Essential 8" (eat better, be more active, stop smoking, get adequate sleep, manage weight, manage cholesterol, manage blood pressure, and manage diabetes). These prevention targets are intended to apply regardless of chronologic age. During this same time, the understanding of aging biology and goals of care for older adults further enhanced the relevance of prevention across the range of functions. From a biological perspective, aging is a complex cellular process characterized by genomic instability, telomere attrition, loss of proteostasis, inflammation, deregulated nutrient-sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication. These aging hallmarks are triggered by and enhanced by traditional CVD risk factors leading to geriatric syndromes (eg, frailty, sarcopenia, functional limitation, and cognitive impairment) which complicate efforts toward prevention. Therefore, we review Life's Essential 8 through the lens of aging biology, geroscience, and geriatric precepts to guide clinicians taking care of older adults.

Indexed as

cardiovascular disease preventioncardiovascular healthgeriatric cardiologygeroscienceLife’s Essential 8

Identifiers

PMID37664644
PMCPMC10470487

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.