Association between Life's Essential 8 and cognitive function among older adults in the United States

Huaxin Zhu1, Bo Hei1,2, Wu Zhou1

  • 1Department of Neurosurgery, the 1st Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwaizheng Street, Nanchang, 330006, Jiangxi, China.

Scientific Reports
|August 26, 2024
PubMed

Insights

Higher cardiovascular health, measured by Life's Essential 8 (LE8), is linked to better cognitive function in older adults. Maintaining good heart health may support brain health and memory in seniors.

Area of Science:

  • Cardiology
  • Neurology
  • Public Health

Background:

  • The American Heart Association redefined cardiovascular health (CVH) with Life's Essential 8 (LE8), comprising diet, activity, nicotine, sleep, BMI, cholesterol, glucose, and blood pressure.
  • Cognitive function is crucial for older adults' quality of life, and its decline is a significant public health concern.

Purpose of the Study:

  • To investigate the association between aggregate and individual Life's Essential 8 (LE8) metrics and cognitive function in US older adults.
  • To determine if better cardiovascular health is associated with enhanced cognitive performance in this demographic.

Main Methods:

  • Cross-sectional analysis of National Health and Nutrition Examination Survey (NHANES) data (2011-2014) from US adults aged 60+.
  • Cognitive function assessed using CERAD, Animal Fluency, and Digit Symbol Substitution tests.
  • Multivariable logistic and restricted cubic spline models used to analyze associations between LE8 scores (categorized as low, moderate, high) and cognitive test results.

Main Results:

  • Only 11% of the 2279 participants achieved high CVH (LE8 score 80-100), while 12% had low CVH (0-49).
  • Higher LE8 scores showed significant, linear, dose-response associations with improved scores on all cognitive function tests (CERAD delayed recall, CERAD total, Animal Fluency, Digit Symbol).
  • Positive linear relationships were observed between individual LE8 health behavior and health factor scores and cognitive function.

Conclusions:

  • Higher levels of cardiovascular health, as defined by Life's Essential 8, are associated with better cognitive function in older Americans.
  • These findings suggest that promoting cardiovascular health may be a strategy to support cognitive function in aging populations.
  • Further research is necessary to establish causality and temporal relationships between LE8 metrics and cognitive function.

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