{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:39:00Z","timestamp":1792647540526,"version":"4.5.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"20","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,10,20]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Self\u2010reported Black individuals have a disproportionately high prevalence of heart failure (HF) compared with other racial groups. In an effort to empower patients and health providers to combat cardiovascular disease, the American Heart Association identified Life's Essential 8 as the 8 health behaviors crucial for heart health. In this study, we evaluate the association between components of Life's Essential 8 and HF outcomes among Black individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">This cross\u2010sectional observational study analyzed 107\u2009622 individuals captured in the NHANES (National Health and Nutrition Examination Survey) from 1999 to 2020 who were categorized by self\u2010reported race. To represent Life's Essential 8, variables of self\u2010reported sleep duration, physical activity, smoking status, and dietary habits were used. Additionally, self\u2010reported diagnoses of diabetes, hyperlipidemia, hypertension, and heart failure were included. Multivariable logistic regression models were constructed to estimate odds ratios (ORs) and 95% CIs for the associations between Life's Essential 8 components and HF among Black individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Black individuals were diagnosed with HF at a younger age compared with White individuals (54 years vs 65 years,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001). Among Black individuals, body mass index (odds ratio [OR], 1.041 [95% CI, 1.027\u20131.055],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.02), hypertension (OR, 3.175 [95% CI, 2.14\u20134.69],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.0001), hyperlipidemia (OR, 1.36 [95% CI, 1.04\u20131.76],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.02), and diabetes (OR, 2.07 [95% CI, 1.60\u20132.67],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      \u22640.0001) were associated with increased odds of HF. Physical activity was associated with lower odds (OR, 0.564 [95% CI, 0.38\u20130.836],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.004) of HF in Black individuals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Black individuals experienced HF at significantly younger ages, with traditional cardiometabolic factors (body mass index, hypertension, hyperlipidemia, diabetes) each independently being associated with HF risk. Physical activity appears protective, underscoring the importance of early, targeted prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.049656","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:24:41Z","timestamp":1792149881000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["American Heart Association Life's Essential 8 and Heart Failure in Black Individuals: An Analysis of the National Health and Nutrition Examination Survey"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1358-0943","authenticated-orcid":false,"given":"Kiersten A.","family":"Rasberry","sequence":"first","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6793-9882","authenticated-orcid":false,"given":"Olisemeka","family":"Oputa","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleb P.","family":"Boyd","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope A.","family":"Agunbiade","sequence":"additional","affiliation":[{"name":"Virtua Heart Failure Program, Virtua Health","place":["Cherry Hill, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toluwalase A.","family":"Awoyemi","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6525-842X","authenticated-orcid":false,"given":"Jing","family":"Gao","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3174-5577","authenticated-orcid":false,"given":"Rebecca S.","family":"Harap","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2816-6590","authenticated-orcid":false,"given":"Tingqing","family":"Wu","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamari","family":"Ositelu","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0201-9930","authenticated-orcid":false,"given":"Oluseyi","family":"Princewill","sequence":"additional","affiliation":[{"name":"MedStar Heart Institute, MedStar Family Choice","place":["Gaithersburg, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5818-8091","authenticated-orcid":false,"given":"Quentin R.","family":"Youmans","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana A.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ike S.","family":"Okwuosa","sequence":"additional","affiliation":[{"name":"Northwestern University","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001123"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001186"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2023.07.006"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/hhf.0b013e318291329a"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.09.021"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.012277"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci20-0053"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-1981"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001078"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192703"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.06.058"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa0807265"},{"key":"e_1_3_2_15_2","unstructured":"National Health and Nutrition Examination Survey: Ethics Review Board Approval . CDC. 2026 Accessed May 4 2026. https:\/\/www.cdc.gov\/nchs\/nhanes\/about\/erb.html."},{"key":"e_1_3_2_16_2","volume-title":"National Health and Nutrition Examination Survey, 2017\u2010March 2020 Prepandemic File: Sample Design, Estimation, and Analytic Guidelines","author":"Akinbami LJ","year":"2022","unstructured":"Akinbami LJ, Chen T, Davy O, Ogden CL, Fink S, Clark J, Riddles MK, Mohadjer LK. National Health and Nutrition Examination Survey, 2017\u2010March 2020 Prepandemic File: Sample Design, Estimation, and Analytic Guidelines. Hyattsville, Maryland: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2022."},{"key":"e_1_3_2_17_2","first-page":"1","article-title":"National Health and nutrition examination survey, 2015\u20102018: sample design and estimation procedures","volume":"184","author":"Chen T\u2010C","year":"2020","unstructured":"Chen T\u2010C, Clark J, Riddles MK, Mohadjer LK, Fakhouri THI. National Health and nutrition examination survey, 2015\u20102018: sample design and estimation procedures. Vital and Health Statistics Series 2 Data Evaluation and Methods Research. 2020;184:1\u201335.","journal-title":"Vital and Health Statistics Series 2 Data Evaluation and Methods Research"},{"key":"e_1_3_2_18_2","first-page":"1","article-title":"National Health and nutrition examination survey: sample design, 2007\u20132010","volume":"160","author":"Curtin LR","year":"2013","unstructured":"Curtin LR, Mohadjer LK, Dohrmann SM, Kruszon\u2010Moran D, Mirel LB, Carroll MD, Hirsch R, Burt VL, Johnson CL. National Health and nutrition examination survey: sample design, 2007\u20132010. Vital and Health Statistics Series 2 Data Evaluation and Methods Research. 2013;160:1\u201323.","journal-title":"Vital and Health Statistics Series 2 Data Evaluation and Methods Research"},{"key":"e_1_3_2_19_2","first-page":"1","article-title":"The National Health and Nutrition Examination Survey: sample design, 1999\u20132006","volume":"155","author":"Curtin LR","year":"2012","unstructured":"Curtin LR, Mohadjer LK, Dohrmann SM, Montaquila JM, Kruszan\u2010Moran D, Mirel LB, Carroll MD, Hirsch R, Schober S, Johnson CL. The National Health and Nutrition Examination Survey: sample design, 1999\u20132006. Vital and Health Statistics Series 2 Data Evaluation and Methods Research. 2012;155:1\u201339.","journal-title":"Vital and Health Statistics Series 2 Data Evaluation and Methods Research"},{"key":"e_1_3_2_20_2","first-page":"1","article-title":"National Health and Nutrition Examination Survey: sample design, 2011\u20132014","volume":"162","author":"Johnson CL","year":"2014","unstructured":"Johnson CL, Dohrmann SM, Burt VL, Mohadjer LK. National Health and Nutrition Examination Survey: sample design, 2011\u20132014. Vital Health Stat 2. 2014;162:1\u201333.","journal-title":"Vital Health Stat 2"},{"key":"e_1_3_2_21_2","unstructured":"CDC\/National Center for Health Statistics . NHANES Questionnaire Variable List. https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/search\/variablelist.aspx?Component=Questionnaire&Cycle=."},{"key":"e_1_3_2_22_2","unstructured":"CDC\/National Center for Health Statistics . NHANES Examination Variable List. https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/search\/variablelist.aspx?Component=Examination&Cycle=."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3390\/biom12101419"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.01.014"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.023667"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000691"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.030226"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.19.2138"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.055329"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.006027"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.120.007264"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.126.049656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:55:44Z","timestamp":1792644944000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.126.049656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,20]]},"references-count":30,"journal-issue":{"issue":"20","published-print":{"date-parts":[[2026,10,20]]}},"alternative-id":["10.1161\/JAHA.126.049656"],"URL":"https:\/\/doi.org\/10.1161\/jaha.126.049656","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,20]]},"assertion":[{"value":"2026-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e049656"}}