Evidence map›Paper›PMID 39442069›Full record

ArticleNeurology2024

Life's Essential 8 and Poor Brain Health Outcomes in Middle-Aged Adults.

Santiago Clocchiatti-Tuozzo, Cyprien A Rivier, Daniela Renedo, Shufan Huo, Maximiliano A Hawkes, Adam de Havenon, Lee H Schwamm, Kevin N Sheth, Thomas M Gill, Guido J Falcone

Abstract read
In one paragraph

Article in Neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Article
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  4. LifeZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
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  11. Lifestyle, genetic risk, plasma pTau217, and incident cognitive impairment in WRAP.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. Article
  13. Article
  14. 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

10 authors.

Santiago Clocchiatti-TuozzoFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-5377-434X
Cyprien A RivierFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-1148-1829
Daniela RenedoFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0003-4120-6649
Shufan HuoFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-0119-7517
Maximiliano A HawkesFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-5431-1651
Adam de HavenonFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-8178-8597
Lee H SchwammFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0003-0592-9145
Kevin N ShethFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0003-2003-5473
Thomas M GillFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-6450-0368
Guido J FalconeFrom the Department of Neurology (S.C.-T., C.A.R., D.R., S.H., A.H., L.H.S., K.N.S., G.J.F.); Yale Center for Brain and Mind Health (S.C.-T., C.A.R., D.R., S.H., A.H., K.N.S., G.J.F.); Department of Internal Medicine (S.C.-T., T.M.G.), Geriatrics, Yale School of Medicine, New Haven, CT; and Department of Neurology (M.A.H.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-6407-0302

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMounting evidence points to a strong connection between cardiovascular risk during middle age and brain health later in life. The American Heart Association's Life's Essential 8 (LE8) constitutes a research and public health construct capturing key determinants of cardiovascular health. However, the overall effect of the LE8 on global, clinically relevant metrics of brain health is still unknown. We tested the hypothesis that worse LE8 profiles are associated with higher composite risk of the most important clinical endpoints related to poor brain health.

methodsWe conducted a two-stage (discovery and replication) prospective study using data from the UK Biobank (UKB) and All of Us (AoU), 2 large population studies in the United Kingdom and the United States, respectively. The primary exposure was the LE8 score, a validated tool that captures 8 modifiable cardiovascular risk factors (blood pressure, glucose, cholesterol, body mass index, smoking, physical activity, diet, and sleep duration), organized in 3 categories (optimal, intermediate, and poor). The primary outcome was a composite of stroke, dementia, or late-life depression. We evaluated associations using multivariable Cox proportional hazard models.

resultsThe discovery stage included 316,127 UKB participants (mean age 56, 52% female). Over a mean (SD) follow-up time of 4.9 (0.4) years, the unadjusted risk of the composite outcome was 0.7% (95% CI 0.61-0.74), 1.2% (95% CI 1.11-1.22), and 1.8% (95% CI 1.70-1.91) in participants with optimal, intermediate, and poor cardiovascular health, respectively ( DISCUSSION: Among middle-aged adults enrolled in 2 large population studies, poor cardiovascular health profiles were associated with two-fold higher risk of developing a composite outcome that captures the most important diseases related to poor brain health. Because the evaluated risk factors are all modifiable, our findings highlight the potential brain health benefits of using the Life's Essential 8 to guide cardiovascular health optimization.

Indexed as

Cardiovascular DiseasesAgedBrainDementiaDepressionFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedProspective StudiesRisk FactorsStrokeUnited KingdomUnited States

Identifiers

PMID39442069
PMCPMC11498939

What Socratic holds

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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.