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Table 3 American Heart Association’s Life’s Simple 7 components and scoring

From: Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial

Indicator

Poor (0)

Intermediate (1)

Ideal (2)

Smoking

current smoker

quit < 12 months ago

never smoked or quit > 12 months ago

BMI

obese (> 30)

overweight (25–29.9)

healthy weight (< 25)

Physical activity

none

some (1–149 min/week of moderate or 1–74 min/week of vigorous)

recommended amount (≥ 150 min/week of moderate or ≥ 75 min/week of vigorous)

Healthy diet indicators met

• ≥ 4.5 cups/day of FV

• ≥ 2 servings/week of fish

• ≥ 3 servings/day of whole grains

• ≤ 36 oz/week of sugar‐sweetened beverages

• ≤ 1500 mg/day of sodium

0 or 1 indicators

2 or 3 indicators

4 or 5 indicators

Cholesterol

high (≥ 240 mg/dL)

borderline high (200–239 mg/dL) or normal with medication

normal (< 200 mg/dL)

Blood pressure

high (≥ 140 mmHg systolic or ≥ 90 mmHg diastolic) or diagnosed with coronary heart disease, heart attack, heart failure, stroke, vascular disease, or congenital heart defects

elevated (120–139 mmHg systolic or 80–89 mmHg diastolic) or normal with medication

normal (< 120 mmHg systolic and < 80 mmHg diastolic)

Glucose

diabetes (≥ 126 mg/dL)

prediabetes (100–125 mg/dL) or normal with medication

normal (< 100 mg/dL)