Evidence map›Paper›PMID 41624502›Full record

ArticleAmerican journal of preventive cardiology2026

Lifes essential 8 score and 10-year cardiovascular outcomes in atrial fibrillation: A UK biobank analysis with simulated lifestyle improvement.

Charlotte J Fitzhugh, Helen Jones, Lawrence Foweather, Benjamin J R Buckley

Abstract read
In one paragraph

Article in American journal of preventive cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Charlotte J FitzhughResearch Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Helen JonesResearch Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Lawrence FoweatherResearch Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Benjamin J R BuckleyResearch Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is associated with high risks of mortality and cardiovascular events, yet the prognostic value of comprehensive lifestyle and clinical health metrics remains uncertain. Objective: To investigate whether cardiovascular health (CVH), as measured by the American Heart Association's Life's Essential 8 (LE8) score, is associated with clinical outcomes in people with AF, and to estimate the impact of simulated improvement in CVH components. Methods: Data were drawn from the UK Biobank, a prospective population-based cohort. Participants with AF were identified using ICD codes. CVH was assessed using a modified LE8 score (range 0-100), derived from smoking status, cholesterol, blood pressure, BMI, HbA1c, physical activity, diet, and sleep. Primary outcomes were all-cause mortality and major adverse cardiovascular events (MACE: ischaemic heart disease, myocardial infarction, stroke, and heart failure). Associations were analysed using Cox models with penalised splines, presented in Kaplan-Meier curves. Population attributable and potential impact fractions were estimated. Results: Among 23,758 individuals with AF and 10-year follow-up, higher CVH scores associated with lower risk of all-cause mortality and MACE in a non-linear, graded pattern. Compared with the lowest quartile, the highest CVH quartile had 39% lower risk of all-cause mortality (HR: 0.61, 95% CI: 0.56-0.67) and 38% lower risk of MACE (HR: 0.62, 95% CI: 0.58-0.67; both Conclusion: Higher LE8 scores were independently associated with lower all-cause mortality and MACE risk in people with AF, supporting the role of lifestyle-based secondary prevention in AF care.

Indexed as

Atrial fibrillationCardiovascular healthLife's Essential 8Lifestyle modificationMajor adverse cardiovascular eventsMortality

Identifiers

PMID41624502
PMCPMC12856153

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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 OpenQuestion graph.