Table 2 Adjusted odds ratios of life’s essential 8 cardiovascular health (CVH) score and OAB, NHANES 2005–2018.

CVH components (per 10 scores)	Model 1 [OR (95% CI)]	P	Model 2 [OR (95% CI)]	P	Model 3 [OR (95% CI)]	P
Total CVH score	0.67 (0.65, 0.69)	< 0.001	0.75 (0.72, 0.78)	< 0.001	0.83 (0.78, 0.89)	< 0.001
Low (0–49)	1 (ref.)		1 (ref.)		1 (ref.)
Moderate (50–79)	0.42 (0.37, 0.48)	< 0.001	0.55 (0.48, 0.63)	< 0.001	0.78 (0.65, 0.94)	0.011
High (80–100)	0.18 (0.15, 0.21)	< 0.001	0.30 (0.25, 0.37)	< 0.001	0.54 (0.39, 0.75)	< 0.001
P for trend	< 0.001		< 0.001		< 0.001
Subgroup CVH scores
HEI diet score	1.00 (0.99, 1.02)	0.800	0.97 (0.95, 0.98)	< 0.001	0.99 (0.96, 1.01)	0.200
Physical activity score	0.93 (0.92, 0.94)	< 0.001	0.96 (0.95, 0.97)	< 0.001	0.97 (0.95, 0.98)	< 0.001
Tobacco exposure score	0.98 (0.97, 0.99)	< 0.001	0.97 (0.96, 0.98)	0.700	1.00 (0.94, 1.06)	> 0.9
Sleep health score	0.92 (0.90, 0.93)	< 0.001	0.92 (0.91, 0.94)	< 0.001	0.95 (0.93, 0.97)	< 0.001
Body mass index score	0.90 (0.89, 0.92)	< 0.001	0.91 (0.90, 0.92)	< 0.001	0.90 (0.86, 0.94)	< 0.001
Blood lipid score	0.96 (0.95, 0.98)	< 0.001	0.99 (0.98, 1.01)	0.300	1.00 (0.97, 1.02)	0.700
Blood glucose score	0.83 (0.82, 0.84)	< 0.001	0.90 (0.88, 0.91)	< 0.001	0.95 (0.91, 0.99)	0.014
Blood pressure score	0.86 (0.85, 0.88)	< 0.001	0.94 (0.92, 0.96)	< 0.001	0.99 (0.96, 1.02)	0.500

Model 1: no covariates were adjusted;
Model 2: age, gender, education level, marital, PIR, and race were adjusted;
Model 3: age, gender, education level, marital, PIR, race, obesity, smoking, drinking, sleep disorder, hypertension, diabetes, and high cholesterol were adjusted;
OAB overactive bladder, AHA American Heart Association, LE8 life’s essential 8, CVH cardiovascular health, PIR ratio of family income to poverty, HEI-2015 healthy eating index-2015.
A higher CVH score indicates better cardiovascular health.

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