Evidence map›Paper›PMID 42571324›Full record

ArticleMetabolism open2026

Metabolic signature across Life's Essential 8 profiles is heterogenous and may predict cardiovascular disease and mortality.

Ian M Pollack, Jiaxuan Duan, Justin Swanson, Hongtian Wang, Kevin Kip, Steven E Reis, Chris McKennan, Anum Saeed

Erratum issuedAbstract read
In one paragraph

Article in Metabolism open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ian M PollackUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jiaxuan DuanDepartment of Statistics, University of Pittsburgh, Pittsburgh, PA, USA.
Justin SwansonUniversity of South Florida, Tampa, FL, USA.
Hongtian WangUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kevin KipClinical Analytics, UPMC Health Services Division, Pittsburgh, PA, USA.
Steven E ReisUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Chris McKennanDepartment of Statistics, University of Pittsburgh, Pittsburgh, PA, USA.
Anum SaeedUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Racial Differences in Atherosclerosis, Plaque Vulnerability, and CVDR01HL089292 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2009 to 2010
$1.5M
NCATS NIH HHS UL1 TR001857NHLBI NIH HHS R01 HL089292
6 · The paper itself

Abstract

Background: Life's Essential 8 (LE8) is an American Heart Association framework of modifiable behaviors and factors for measuring cardiovascular health. However, the underlying metabolic signature of individual LE8 metrics is less known. The purpose of this study is to identify the metabolites associated with all 8 components of LE8 and evaluate association with adverse cardiovascular events. Methods: Modified baseline LE8 metrics were collected and metabolomic profiling (Metabolon, Inc) was completed in the Heart SCORE study participants. For each LE8 component pathway enrichment was assessed using Fisher's exact test across metabolite subpathways. A metabolic age ( Findings: Amongst 1,218 participants (mean age 59.1 ± 5.1 years; 67.1% women and 39.2% self-identified as Black), distinct metabolite patterns linked to different modified LE8 components were identified. Notably, favorable exercise scores had significant associations with plasmalogen metabolites. Optimal sleep health was most strongly associated with lower activity of the phosphatidylethanolamine pathway. In adults aged 65 years and older, higher accelerated Interpretation: All modified LE8 components show distinct metabolic patterns underscoring the biological heterogeneity of cardiovascular health behaviors. Notably,

Indexed as

AgingAtherosclerosisCardiovascular disease preventionLife's essential 8Metabolomics

Identifiers

PMID42571324
PMCPMC13452154

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Registered trials

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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.