The xLIFE Score
A life score
you can actually trust.
Built on what the research says drives lifespan, healthspan, and happiness: how long you live, how well you live, and how good it feels. Nothing arbitrary.
511 data points · 487 studies cited · 5 pillars · reviewed by credentialed experts
The five pillars
Tap any pillar to see what it measures.
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Fitness
How well your body works, head to toe.
+183
data points
Far more than weight. Your heart and circulation, lungs and breathing, blood and metabolism, and how your organs are functioning. Your strength, stamina, balance, and cardio fitness. Plus how well you sleep, move, and recover day to day.
◆ Scored against the clinical reference ranges doctors use (blood pressure, cholesterol, blood sugar, VO₂max, and more).
The science · 182 studies cited
- · AAO Preferred Practice Pattern: Comprehensive Adult Medical Eye Evaluation 2020; AOA biennial recommendation; USPSTF visual acuity (older adults) ↗
- · AASLD 2017 Kwo + Ruhl 2009 mortality ↗
- · Aboyans 2012 AHA + Fowkes 2008 ↗
- · ACSM Guidelines 11e Table 4.4 + Heyward 2014 ↗
- · ADA 2024 Standards of Care + DECODE 1999 ↗
- · ADA 2024 Standards of Care + DECODE 2001 ↗
- · ADA 2024 Standards of Care + UKPDS 35 (Stratton 2000) ↗
- · ADA 2024 Standards of Care diagnostic threshold
- · ADA recommendation 1-2 cleanings/yr; Sanz 2020 J Clin Periodontol perio-CV consensus (PMID 32011025); Beck 2019 (PMID 31429666) ↗
- · Adam 2017 meta (PMID 28578301); Stalder 2016 CAR consensus (PMID 26563991) ↗
- · Agatston 1990 + Detrano 2008 MESA ↗
- · AHA/CDC 2003 (Pearson) + Ridker 2007 ↗
- · Angulo 2007 Hepatology multivariable NAFLD fibrosis score ↗
- · Araujo 2022 BJSM (PMID 35728872) — inability to stand 10s on one leg → 1.84× all-cause mortality over 7yr in middle-aged + older adults; Vellas 1997 fall-prediction (PMID 9180669) ↗
- · Arem 2015 JAMA Intern Med (PMID 25844730) — PA dose-response, mortality plateau at 3-5× recommended; PAG-2018 ↗
- · Arem 2015 PMID 25844730 dose-response; Lee 2012 Lancet (PMID 22818936) physical-inactivity NCD impact; PAG-2018 ↗
- · Ashwell 2014 BMJ Open universal cutpoint ↗
- · Azab 2012 J Thromb Thrombolysis (PMID 22466812) post-NSTEMI mortality; Templeton 2014 (PMID 24793958) solid-tumor meta ↗
- · Bastien 2001 (PMID 11438246); Morin 2011 cutoff validation (PMID 21532953) ↗
- · Battelino 2019 CGM consensus ↗
- · Battelino 2019 Clinical Targets for CGM consensus ↗
- · Beier 2011 Crit Care Med (PMID 21099426) — BUN independent of creatinine predicts mortality; Kazory 2010 Am J Cardiol (PMID 20723648) HF prognostic ↗
- · Bergenstal 2018 GMI regression derivation ↗
- · Bhasin 2018 Endocrine Society (PMID 29562364); Araujo 2011 mortality meta (PMID 21816776) ↗
- · Bhatta-Glantz 2020 Am J Prev Med (PMID 31816217); USDHHS 2020 Surgeon General Smoking Cessation Report ↗
- · Blair 1989 JAMA (PMID 2795824) — ACLS mortality cohort, mile time as cardiorespiratory fitness proxy; Lee 2011 Circulation (PMID 22144631) ↗
- · Blankenberg 2016 BiomarCaRE ↗
- · Boekholdt 2012 + NLA 2015 ↗
- · Boffetta 2008 Lancet Oncol smokeless tobacco cancer (PMID 18582956); Piano 2010 Circulation CV (PMID 20837898) ↗
- · Bonaccio 2016 Blood MOLI-SANI (PMID 26817956) — population U-curve; Vinholt 2016 (PMID 26450337) ↗
- · Borg 1982 (PMID 7154893); Foster 2001 (PMID 11708692) session-RPE × duration as training load (TRIMP r≈0.75-0.90) ↗
- · Bosy-Westphal 2006 JPEN age-decile sex reference (n=214,732) ↗
- · Brzycki 1993 (estimator), LeSuer 1997 r²≈0.93 validation; García-Hermoso 2018 (PMID 29425700) ↗
- · Brzycki 1993 (estimator), LeSuer 1997 r²≈0.95 validation; García-Hermoso 2018 (PMID 29425700) — muscular strength predicts all-cause mortality ~2M-adult meta-analysis ↗
- · Brzycki 1993 (estimator), LeSuer 1997 r²≈0.97 validation; García-Hermoso 2018 (PMID 29425700) ↗
- · Burgers 2011 JCEM 12-cohort meta U-shape mortality (PMID 21795443); Brabant 2003 chemiluminescent reference (PMID 12876414) ↗
- · Buysse 1989 (PMID 2748771) original validation; Mollayeva 2016 meta-analysis (PMID 26163057) ↗
- · Cappola 2009 WHAS frailty + mortality (PMID 19182229); Orentreich 1984 age-decline reference (PMID 6235241) ↗
- · Carskadon adult norms (Kryger ed.6); Dew 2003 SL >30 mortality association ↗
- · Cavalot 2011 postprandial glucose CV mortality + ADA postprandial guidance ↗
- · CDC ACIP 2024-2025 Adult Immunization Schedule; Drijkoningen 2014 pneumococcal burden (PMID 24313448) ↗
- · Chawla 2011 CJASN (PMID 21441132); Mohan 2013 NHANES (PMID 24262726) — population mortality U-curve ↗
- · Chung 2008 (PMID 18431116); Chung 2012 extended (PMID 22401881); Nagappa 2015 meta-analysis (PMID 26658438) ↗
- · Cole 1999 NEJM ↗
- · Cole 1999 NEJM (PMID 10536127) HRR-1 <12 bpm = 2× mortality; Qiu 2017 meta-analysis (PMID 28487388) ↗
- · Cooper 1968 (PMID 5694044) original validation; Bandyopadhyay 2015 (PMID 25729152) re-validation ↗
- · Corretti 2002 IBPS-IBARTF + Inaba 2010 ↗
- · Cruz-Jentoft 2019 EWGSOP2 sarcopenia consensus ↗
- · da Luz 2008 + Salazar 2013 ↗
- · Daly 1997 RBC folate (PMID 9143468); WHO 2015 population reference ↗
- · Del Gobbo 2013 (PMID 23719551); Costello 2016 (PMID 26773023) ↗
- · Despres 1996 NEJM hyperinsulinemia ↗
- · Dew 2003 SE ≥85% prognostic threshold; AASM v2.6 (Berry 2020) canonical SE = TST/TIB × 100 ↗
- · Diaz 2017 Ann Intern Med REGARDS cohort (PMID 28892811) ↗
- · Ding 2009 NEJM SHBG + T2D (PMID 19641202); Hammond 2016 (PMID 27113853) ↗
- · Drake 2013 (PMID 24235903) — caffeine 6h pre-bed RCT; Clark/Landolt 2017 systematic review (PMID 26899133) ↗
- · Ebrahim 2013 (PMID 23347102) — systematic review of alcohol-sleep RCTs; Roehrs/Roth 2001 NIAAA review (PMID 11584549) ↗
- · Eddowes 2019 stiffness + Karlas 2017 CAP; master v3 §5.3 max-of-scores ↗
- · Ekelund 2019 BMJ dose-response meta (PMID 31405892); Ekelund 2016 Lancet 1M-person harmonised meta (PMID 27475271) ↗
- · Endocrine Society 2011 Holick (PMID 21646368); Garland 2014 mortality meta (PMID 24922127) ↗
- · Erikssen 1998 (PMID 9776369) — +1 MET / yr → ~12% all-cause mortality reduction; Lavie 2015 (PMID 26139859) ↗
- · Fibrinogen Studies Collaboration 2005 ↗
- · Forget 2017 BMC Res Notes (PMID 28057051) population reference; Bhat 2013 (PMID 23259445) CV outcomes review ↗
- · Franklin 1999 Framingham ↗
- · Garber 2011 ACSM position stand (PMID 21694556); Schoenfeld 2017 (PMID 28834797) ↗
- · Goff 2014 ACC/AHA Risk Assessment ↗
- · Goldwasser 1997 J Clin Epidemiol (PMID 9250266) albumin-mortality association; Corti 1994 JAMA (PMID 8089060) older-adult disability + mortality ↗
- · Goyal 2012 JAMA (PMID 22235086) ~38k post-MI cohort U-curve; Krogager 2017 hypertension cohort (PMID 28129254) ↗
- · Grodin 2015 JACC (PMID 26248995) — prognostic role of chloride in acute decompensated HF; AACC standard reference ↗
- · Grundy 2005 NCEP ATP III + Mottillo 2010 meta-analysis ↗
- · Grundy 2018 AHA/ACC Multisociety Cholesterol ↗
- · Hansen 2011 + O'Brien 1988 / Verdecchia 1990 ↗
- · Harris-Von Schacky 2004 (PMID 15208005); Harris 2021 Nat Commun 17-cohort meta (PMID 33888689) ↗
- · Hoogeveen 2014 ARIC ↗
- · Horne 1976 MEQ (PMID 1027738); Roenneberg 2012 social-jetlag cardiometabolic risk (PMID 22578422); Roenneberg 2003 chronotype-clock-time mapping (PMID 12568247) ↗
- · Horsfall 2011 JAMA mortality ↗
- · Humphrey 2008 meta-analysis ↗
- · Ingelsson 2007 JAMA + NCEP ATP III ↗
- · Inker 2021 NEJM (PMID 34554658) — CKD-EPI 2021 cystatin/combined equations; Shlipak 2013 NEJM (PMID 24004120) cystatin > creatinine for mortality prediction ↗
- · Inker 2021 NEJM (PMID 34554658) — CKD-EPI 2021 race-free equations; KDIGO 2024 endorsement; Delgado 2022 JASN (PMID 34556491) race-free transition rationale ↗
- · IOM 2005 DRI Water; Dmitrieva 2023 eBioMedicine sodium/aging (PMID 36639353); Hobson 2010 (PMID 20722781) ↗
- · ISCD 2019 — primary for premenopausal women + men <50
- · ISCD 2019 + Marshall 1996 BMJ BMD-fracture meta-analysis ↗
- · Izaks 2003 Leiden 85-Plus (PMID 14511167) lymphopenia mortality; Adamstein 2021 EHJ (PMID 33417682) ↗
- · Janssen 2000 NHANES III (approximated via LMI proxy pending full reference table) ↗
- · Jarczok 2022 systematic review (PMID 36243195); Plews 2017 28-d window methodology (PMID 27940803). Note: cross-pillar overlap with 1.34 cardio RMSSD; v1 scores both when both data shapes present. ↗
- · Johns 1991 (PMID 1798888); Kendzerska 2014 systematic review (PMID 24135493) ↗
- · Jones 1999 (PMID 10380242) chair-stand protocol; Rikli-Jones 1999 functional-fitness norms; Brito 2014 sit-and-rise mortality (PMID 23242910) ↗
- · Kaminsky 2015 FRIEND treadmill norms (PMID 26455884); Mandsager 2018 percentile-mortality validation (PMID 30646252) ↗
- · Kanis 2008 WHO — femoral neck is the canonical FRAX input
- · Kanis 2019 European osteoporosis guidance + AACE/ACE 2020 ↗
- · Kario 2003 Circulation ↗
- · Kaul 2012 Hologic CoreScan + Britton 2013 Framingham ↗
- · KDIGO 2012 CKD guideline (Kidney Int Suppl); Matsushita 2010 Lancet (PMID 20483451) — >1M-person meta-analysis: ACR + eGFR independent multiplicative mortality predictors ↗
- · KDIGO 2017 CKD-MBD guideline; Kovesdy 2008 SHPT mortality (PMID 18337720) ↗
- · Kim 2009 stroke meta-analysis + ACR 2020 gout supersaturation ↗
- · Kovesdy 2009 CJASN (PMID 19118119) CKD iron outcomes; Camaschella 2017 NEJM (PMID 28402245) iron deficiency anemia ↗
- · Krebs-Smith 2018 HEI-2020 (PMID 30146071); Shams-White 2023 (PMID 36963747); Schwingshackl 2018 (PMID 29263222); Block 1990 reduced FFQ (PMID 2081241) ↗
- · Kripke 2012 (PMID 22366948) — matched-cohort hypnotic mortality study, HR 3.6 for highest-tertile users; Gray 2015 (PMID 25621434) anticholinergic burden ↗
- · Kunutsor 2014 Atherosclerosis cohort ↗
- · Lang 2015 + Levy 1990 Framingham ↗
- · Lang 2015 ASE/EACVI + ESC Heart Failure Guidelines ↗
- · Lauer 1996 Framingham + Tanaka 2001 ↗
- · Laukkanen 2015 JAMA Intern Med KIHD 20-yr (PMID 25705824); Laukkanen 2018 Mayo Clin Proc review (PMID 30077204); Patrick & Johnson 2021 (PMID 34363927) ↗
- · Leong 2015 PURE Lancet (PMID 25982160) — each 5-kg grip-strength reduction → 16% all-cause mortality increase in ~140k adults; Bohannon 2019 (PMID 31631989) older-adult biomarker review ↗
- · Lewington 2002 ↗
- · Lichstein 2003 quantitative insomnia criterion; Dew 2003 + AASM v2.6 ↗
- · Lloyd-Jones 2006 + Berry 2012 NEJM ↗
- · Lloyd-Jones 2022 LE8 (PMID 35766027); Ainsworth 2011 Compendium (PMID 21681120) ↗
- · Lloyd-Jones 2022 LE8 (PMID 35766027); Ainsworth 2011 Compendium (PMID 21681120); Arem 2015 dose-response (PMID 25844730) ↗
- · Lloyd-Jones 2022 LE8 Table 4 (PMID 35766027); Jha 2013 NEJM 21st-century smoking hazards (PMID 23343063); USDHHS 2014 Surgeon General Report ↗
- · Lloyd-Jones 2022 LE8 Table 4 (PMID 35766027); WHO 2020 (PMID 33239350) ↗
- · Lp-PLA2 Studies Collaboration 2010 ↗
- · Mackey 2012 MESA ↗
- · Mandsager 2018 (PMID 30646252) mortality stratification across CRF deciles; Kodama 2009 meta-analysis (PMID 19454641) ↗
- · Mannheim consensus 2012 + Lorenz 2007 ↗
- · Margolis 2005 WHI (PMID 15767524) — CV events + mortality; Ruggiero 2007 BLSA (PMID 17481443) ↗
- · Mattace-Raso 2010 Reference Values + Vlachopoulos 2010 ↗
- · Matthews 1985 Diabetologia + Bonora 2000 clamp validation ↗
- · Min 2013 Strong Heart Study ↗
- · Momma 2022 BJSM mortality meta (PMID 35599175); WHO 2020 guideline (PMID 33239350); Saeidifard 2019 (PMID 31104484) ↗
- · Myers 2002 (PMID 11919306) prognostic stratification; Bruce 1973 (PMID 4632004) original protocol; Kokkinos 2010 (PMID 20697029) older-men validation ↗
- · Nauman 2011 JAMA (PMID 22187277) — Δ RHR predicts mortality independent of baseline; Aune 2017 meta-analysis (PMID 28552551) ↗
- · NCEP ATP III 2001 / NHLBI 1998 + Cerhan 2014 mortality ↗
- · Ndrepepa 2018 hepatic enzymes review ↗
- · NIAAA binge drinking definition; Roerecke 2014 BMC Med (PMID 25347223) binge negates moderate-drinking cardioprotection ↗
- · NLA 2014 Part 1 (Jacobson) ↗
- · Otvos 2011 + Jeyarajah 2006 NMR ↗
- · Paluch 2022 Lancet Public Health 15-cohort meta (PMID 35247352); Saint-Maurice 2020 NHANES (PMID 32207799) ↗
- · Patel 2009 NHANES III (PMID 19273783) all-cause mortality; Felker 2007 JACC (PMID 17601544) HF prognosis ↗
- · Payne 1973 albumin correction (PMID 4758544); Kovesdy 2010 CKD U-shape (PMID 20056757) ↗
- · Poole 2017 BMJ umbrella review (PMID 29167102); EFSA 2015 caffeine safety; pregnancy cap 200 mg/d per ACOG ↗
- · Pope 2002 JAMA (PMID 11879110); Brook 2010 Circulation (PMID 20458016); WHO 2021 air quality guidelines; Pope 2019 (PMID 31339350) ↗
- · Punjabi 2009 Sleep Heart Health Study (PMID 19688045); AASM v2.6 (Berry 2020) ≥3% desat threshold ↗
- · Raphael 2011 Kidney Int (PMID 20962745) — higher within-range bicarbonate associated with better survival; Kovesdy 2009 NDT (PMID 19015169) non-dialysis CKD mortality ↗
- · Ridker 2007 JAMA (women) + Ridker 2008 Circulation (men) ↗
- · Rodondi 2010 JAMA (PMID 20858880) meta-analysis subclinical hypothyroidism + CV ↗
- · Rothwell 2010 Lancet ↗
- · Sarnak 2002 ARIC (PMID 12121029) anemia/CVD risk; WHO anemia definitions ↗
- · Sarwar 2007 + Nordestgaard 2014 ↗
- · Schnohr 2018 Mayo Clin Proc Copenhagen City Heart Study (PMID 30193905) ↗
- · Schoorlemmer 2009 Clin Endocrinol (PMID 19414473); Vogelzangs 2010 JCEM (PMID 20739382) ↗
- · Selvin 2014 Lancet D&E — glycated albumin reflects 2-3 wk glycemic average ↗
- · Sesso 2000 ↗
- · Shetler 2001 ↗
- · Shetler 2001 JACC (PMID 11738304) HRR-2 <22 bpm = 1.95× CV mortality; Qiu 2017 meta-analysis (PMID 28487388) ↗
- · Sniderman 2019 + ESC/EAS 2019 (Mach) ↗
- · Spencer 1990 thyroid assay reference + ATA guidelines (refinement to TSH §2.5.21) ↗
- · Stabler 2013 NEJM (PMID 23301732); Allen 2018 BOND (PMID 30500928) ↗
- · Staessen 1999 + ESH 2014 ↗
- · Sterling 2006 Hepatology + AGA 2021 NAFLD pathway ↗
- · Stone 2014 ACC/AHA + NLA 2015 ↗
- · Stookey 2005 (PMID 16276436) — osmolality as gold-standard hydration marker; Hooper 2016 (PMID 27225435) diagnostic-accuracy validation ↗
- · Suzuki 2014 (PMID 24398512); He 2017 (PMID 29187876); Kuo 2012 Ther Apher Dial (PMID 23078244) CRRT mortality ↗
- · Suzuki 2014 Hepatogastroenterology (PMID 24398512) GAR HCC prognosis; He 2017 J Cancer (PMID 29187876) solid-tumor AG ratio meta-analysis ↗
- · Task Force 1996 + Plews 2017 + Hillebrand 2013 ↗
- · Task Force 1996 + Tsuji 1996 Framingham ↗
- · Tonelli 2005 Circulation (PMID 16246962); Dhingra 2007 Framingham (PMID 17502528) ↗
- · Tonelli 2009 Circulation mortality ↗
- · Tsimikas 2017 + Kronenberg 2022 EAS ↗
- · Twohig-Bennett 2018 Environ Res 143-study meta (PMID 30001902); White 2019 Sci Rep 120min/wk (PMID 31197192) ↗
- · USPSTF 2018 Cervical Cancer Screening (PMID 30140884); Grade A 21-65 ↗
- · USPSTF 2021 Colorectal Cancer Screening (PMID 34003218); Grade A 50-75 + Grade B 45-49 ↗
- · USPSTF 2021 Lung Cancer Screening (PMID 33687470); Grade B; National Lung Screening Trial ↗
- · USPSTF 2024 Breast Cancer Screening update lowered start age to 40, biennial ↗
- · Varbo 2013 + Friedewald 1972 ↗
- · Vermeulen 1999 JCEM (PMID 10523012); Fiers 2018 LC-MS/MS validation (PMID 29618078) ↗
- · Volaklis 2015 (PMID 26049914) — upper-body pressing as independent mortality predictor; bands cross-referenced to strengthlevel.com norms ↗
- · Walldius 2001 AMORIS ↗
- · Watson 2015 AASM/SRS consensus; Cappuccio 2010 J-shape mortality ↗
- · Whelton 2018 ACC/AHA + Pickering 2005 ↗
- · WHO 1994 osteoporosis diagnostic cutpoint -2.5
- · WHO 2000 + Global BMI Mortality Collaboration 2016 ↗
- · WHO 2008 + Yusuf 2005 INTERHEART ↗
- · Willeit 2013 ↗
- · Williams 1988 + Liu 2014 review ↗
- · Windred 2024 UK Biobank — SRI stronger mortality predictor than TST; Phillips 2017 original derivation ↗
- · Wood 2018 Lancet 599k-person meta (PMID 29676281); GBD 2022 Alcohol (PMID 35843246); NIAAA standard-drink definition ↗
- · Yancy 2017 ACC/AHA/HFSA + Di Angelantonio 2009 ↗
- · Yang 2019 JAMA Netw Open (PMID 30768197) — push-up capacity and future CVD events; ≥40 push-ups associated with 0.04× CVD vs <10 ↗
- · Zhang 2016 + Cooney 2010 ↗
- · Zhang 2016 meta-analysis (PMID 26598376) n=1.2M, RHR independent mortality predictor ↗
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Nutrition
What you eat, and what it does to you.
+62
data points
Not just calories. The quality of your whole diet: whole foods, fiber, protein, and healthy fats on one side; added sugar, salt, and ultra-processed food on the other. The vitamins and minerals you get, what you drink, and how and when you eat.
◆ Anchored to national dietary-guideline targets and large-population health studies.
The science · 48 studies cited
- · Aburto NJ et al. BMJ 2013;346:f1378. PMID 23558164. Target ≥3,500 mg/d (WHO); DGA AI 3,400 M / 2,600 F. ↗
- · AHA primary prevention guidance + REDUCE-IT RCT (Bhatt 2019 PMID 30415628). ↗
- · Atkinson FS et al. Am J Clin Nutr 2021;114(5):1625-1632. PMID 34258626. ↗
- · Atkinson FS et al. Am J Clin Nutr 2021;114(5):1625-1632. PMID 34258626. Foster-Powell K et al. PMID 12081815. ↗
- · Bauer J et al. JAMDA 2013;14(8):542-559. PMID 23867520 (PROT-AGE). Morton RW et al. Br J Sports Med 2018;52(6):376-384. PMID 28698222. ↗
- · Bondonno NP et al. Nat Commun 2019;10:3651. PMID 31409784. Plateau benefit at ~500 mg/d. ↗
- · Cahill LE et al. Circulation 2013;128(4):337-343. PMID 23877060. Rong S et al. JACC 2019;73(16):2025-2032. PMID 31036281. ↗
- · Debras C et al. BMJ 2022;378:e071204. PMID 36638072. WHO 2023 Use of Non-Sugar Sweeteners guideline. EFSA ADIs: aspartame 40, sucralose 5, ace-K 9, saccharin 5, stevia 4 mg/kg/d. ↗
- · DGA 2020-2025; FNDDS WWEIA category 30.
- · DGA 2020-2025; FNDDS WWEIA category 31.
- · Fung TT et al. Am J Clin Nutr 2009;89(4):1185-1193. PMID 19808977. ↗
- · Fung TT et al. Arch Intern Med 2008;168(7):713-720. PMID 18414005. ↗
- · Holahan CJ et al. Alcohol Clin Exp Res 2010;34(11):1961-1971. PMID 20528822. Drinking pattern independent of weekly volume. ↗
- · Hurst Y, Fukuda H. BMJ Open 2018;8(1):e019589. PMID 29440054. Garcidueñas-Fimbres TE et al. Nutrients 2021;13(5):1687. PMID 34063407. ↗
- · Inoue-Choi M et al. Ann Intern Med 2022;175(9):1201-1211. PMID 36037472. UK Biobank prospective cohort; ≥2 cups/d (16 fl oz) lowest-mortality threshold. ↗
- · IOM DRI 2005 chapter 8 (n-3 fatty acids).
- · Johnson RK et al. Circulation 2009;120(11):1011-1020. PMID 19704096. DGA 2020-2025. ↗
- · Lichtenstein AH et al. 2021 AHA Dietary Guidance. Circulation 2021;144(23):e472-e487. PMID 34724806. Target ≤2,300 mg/d (DGA); ideal ≤1,500 mg/d (AHA). ↗
- · Malik VS et al. Circulation 2019;139(18):2113-2125. PMID 30958719. Long-term consumption + mortality in US adults (NHS/HPFS). ↗
- · Malik VS et al. Circulation 2019;139(18):2113-2125. PMID 30958719. Same study as SSB; ASB also associated with mortality. ↗
- · Mellen PB et al. Arch Intern Med 2008;168(3):308-314. PMID 18375912. ↗
- · Mifflin MD et al. Am J Clin Nutr 1990;51(2):241-247. PMID 2305711. IOM/FAO 2005 PAL multipliers. Step→PAL mapping is xthrive proprietary calibration. ↗
- · Morris MC et al. Alzheimers Dement 2015;11(9):1015-1022. PMID 25681666. ↗
- · Mozaffarian D et al. NEJM 2006;354(15):1601-1613. PMID 16611951. WHO REPLACE 2018. ↗
- · Mozaffarian D et al. PLoS Med 2010;7(3):e1000252. PMID 20351774. ↗
- · Mozaffarian D, Rimm EB. JAMA 2006;296(15):1885-1899. PMID 17047219. ↗
- · NCI HEI-2020 macro (Shams-White 2023 PMID 36963747). ↗
- · NCI HEI-2020. ↗
- · Pagliai G et al. Br J Nutr 2021;125(3):308-318. PMID 32792031. Lane MM et al. BMJ 2024;384:e077310. PMID 38418082. Monteiro 2019 NOVA classification framework. ↗
- · Poole R et al. BMJ 2017;359:j5024. PMID 29167102. EFSA 2015 Caffeine Scientific Opinion. ↗
- · Poole R et al. BMJ 2017;359:j5024. PMID 29167102. Umbrella review of meta-analyses; plateau benefit at 3-4 cups/d (24-32 fl oz). ↗
- · Reynolds A et al. Lancet 2019;393(10170):434-445. PMID 30638909. ↗
- · Roerecke M, Rehm J. Am J Epidemiol 2010;171(6):633-644. PMID 20056679. NIAAA binge ≥5 M / ≥4 F drinks/occasion. ↗
- · Sacks FM et al. Circulation 2017;136(3):e1-e23. PMID 28620111. ↗
- · Same as 4.1 — inverse of UPF % per Pagliai 2021 / Lane 2024. ↗
- · Satija A et al. J Am Coll Cardiol 2017;70(4):411-422. PMID 28728684. ↗
- · Satija A et al. PMID 28728684. ↗
- · Seidelmann SB et al. Lancet Public Health 2018;3(9):e419-e428. PMID 30122560. ↗
- · Shams-White MM et al. J Acad Nutr Diet 2023;123(9):1280-1288. PMID 36963747. NCI HEI-2020 SAS macro. ↗
- · Shivappa N et al. Public Health Nutr 2014;17(8):1689-1696. PMID 23941817. Wirth MD US tertiles 2017. ↗
- · Song M et al. JAMA Intern Med 2016;176(10):1453-1463. PMID 27479196. ↗
- · Stubbendorff A et al. Lancet Planet Health 2022;6(7):e535-e547. PMID 36038829. ↗
- · Trichopoulou A et al. NEJM 2003;348(26):2599-2608. PMID 12826634. ↗
- · USPSTF 2017 + IOM 1998 + DGA pregnancy AI 600 mcg DFE/d. Engine-side DFE imputation per IOM 1998 (dietary_folate + folic_acid × 1.7).
- · Wood AM et al. Lancet 2018;391(10129):1513-1523. PMID 29676281. ↗
- · Wood AM et al. Lancet 2018;391(10129):1513-1523. PMID 29676281. NIAAA std drink + 7.1 kcal/g ethanol (Atwater). ↗
- · Wood AM et al. Lancet 2018;391(10129):1513-1523. PMID 29676281. NIAAA std drink = 14 g ethanol. ↗
- · Yang Q et al. Arch Intern Med 2011;171(13):1183-1191. PMID 21747015. Target <1.0 mass ratio (lowest-risk quartile). ↗
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Mental
How you're really feeling.
+78
data points
Your mood, anxiety, and stress. How well you sleep and bounce back from hard days. How connected you feel to other people. And the everyday habits that quietly lift you up or wear you down. Emotional and psychological health, measured honestly.
◆ Built on the same validated questionnaires clinicians use (e.g. PHQ-9, GAD-7) and their established thresholds.
The science · 80 studies cited
- · Adam EK et al. Psychoneuroendocrinology 2017;83:25-41. PMID 28892721. Strongest single cortisol predictor of mental and physical outcomes. ↗
- · Adam EK et al. Psychoneuroendocrinology 2017;83:25-41. PMID 28892721. US lab consensus 138-690 nmol/L reference. E Optimal-range U-shape. ↗
- · Balban MY et al. Cell Rep Med 2023;4(1):100895. PMID 36630953. ↗
- · Bastien CH et al. Sleep Med 2001;2(4):297-307. PMID 11438246. Morin CM et al. Sleep 2011;34(5):601-608. PMID 21532953. D-Moderation step band, Mental-specific anchors. ↗
- · Beck AT et al. J Consult Clin Psychol 1974;42(6):861-865. Brown GK et al. J Consult Clin Psychol 2000;68(3):371-377. PMID 10883560. D-Moderation: target=3 (upper minimal), ceiling=20. ↗
- · Beck AT et al. Manual for BDI-II 1996. Wang YP, Gorenstein C. Braz J Psychiatry 2013;35(4):416-431. PMID 24402217. D-Moderation: target=13 (upper minimal), ceiling=63. ↗
- · Bjelland I et al. J Psychosom Res 2002;52(2):69-77. PMID 11832252. D-Moderation: target=7, ceiling=21. ↗
- · Boden JM, Fergusson DM. Addiction 2011;106(5):906-914. PMID 21518175. Sullivan EV et al. Alcohol Clin Exp Res 2005;29(2):185-194. PMID 15808128. NIAAA sex-specific guidelines. ↗
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-
Financial
How steady your money really is.
+154
data points
Far more than income. How long your savings would last if income stopped, how heavy your debt is, what you're worth, and how reliable your earnings are. Whether you're on track for retirement, how healthy your credit is, and how tax-smart your money is.
◆ Measured against established personal-finance benchmarks (emergency-fund months, debt-to-income, net worth, credit health).
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-
Time
Where your hours actually go.
+34
data points
How you spend your days across work, sleep, movement, rest, and the people you love. How much say you have over your own schedule, how rushed or free you feel, and how many hours you actually reclaim for yourself. Time is the one thing you can't earn back.
◆ Weighed against research on the time-use patterns that support a long, healthy, happy life.
The science · 35 studies cited
- · Bannai 2014 + Virtanen 2018. Weekend work proxy for recovery deficit.
- · Bannai A, Tamakoshi A. PMID 24100465. ↗
- · BLS ATUS leisure category; Goodin 2008.
- · BLS ATUS subcategorization; Kim J PMID 30142182. ↗
- · BLS ATUS; Killingsworth & Gilbert 2010 PMID 21071660. ↗
- · Cohen PSS time items + Killingsworth 2010 + Hamermesh 2007.
- · Cohen S, Williamson G 1988; Cohen S et al. PSS PMID 6668417. ↗
- · Csikszentmihalyi 1990; Nakamura & Csikszentmihalyi 2002; inverse Killingsworth 2010 PMID 21071660. ↗
- · Goodin 2008 + Whillans 2017 PMID 28739889. ↗
- · Goodin RE, Rice JM, Parpo A, Eriksson L. Discretionary Time. Cambridge UP 2008.
- · Goodin RE. Discretionary Time. Cambridge UP 2008; Vickery C 1977.
- · Goodin RE. Discretionary Time. Cambridge UP 2008.
- · Gump & Matthews 2000 — recovery episodes ≥5d most beneficial. ↗
- · Gump BB, Matthews KA. Psychosomatic Med 2000. PMID 11020093 — MRFIT 9-year follow-up. ↗
- · Hart SG, Staveland LE. Development of NASA-TLX. Human Mental Workload 1988;52:139-183; Hart SG. NASA-TLX 20 Years Later. HFES 2006.
- · Hirshkowitz M et al. PMID 26429493; Cappuccio FP et al. PMID 20469800. ↗
- · Hofmann W, Vohs KD, Baumeister RF. Psychological Science 2012;23(6):582-588. PMID 22730527. ↗
- · Holt-Lunstad J et al. PLoS Med 2010. PMID 20668659. ↗
- · Killingsworth & Gilbert 2010 PMID 21071660; Bench & Lench Function of Boredom 2013. ↗
- · Killingsworth MA, Gilbert DT. Science 2010 PMID 21071660; Hamermesh & Lee 2007. ↗
- · Kivimäki M et al. Lancet 2015;386(10005):1739-1746. PMID 26298822. ↗
- · Mark G, Iqbal ST, Czerwinski M, Johns P. ACM CHI 2008 — 'No Task Left Behind?'
- · Sandow E. Urban Studies 2014; Hansson E et al. BMC Public Health 2011 PMID 22039916. ↗
- · Schwartz B, Ward A, Monterosso J, Lyubomirsky S, White K, Lehman DR. J Pers Soc Psychol 2002;83(5):1178-1197. PMID 12416914. ↗
- · Virtanen M et al. Scand J Work Environ Health 2018. PMID 29423526. ↗
- · Wang Y et al. Lancet Public Health 2019. PMID 31402608. ↗
- · Watson NF et al. PMID 26039963 — AASM/SRS joint consensus. ↗
- · Whillans 2017 item-level + Cohen 1983 PSS control items (4, 5, 7, 8).
- · Whillans 2017 PMID 28739889; Whillans & Dunn 2019 companion scale α 0.81. ↗
- · Whillans 2017 related items (Grade B — derived from instrument family, not canonical 5-item core).
- · Whillans AV et al. PMID 28739889 — buying-time threshold. ↗
- · Whillans AV et al. PNAS 2017 PMID 28739889 — n≈4,500 across 5 samples, α 0.86-0.89, predictive r 0.42 vs SWLS. ↗
- · Whillans AV et al. PNAS 2017 PMID 28739889 (TAS calibration design); Whillans & Dunn 2019 (TAS validation); Killingsworth & Gilbert 2010 PMID 21071660 (mind-wandering anchoring); Ryan & Deci 2000 (autonomy-supportive systems theoretical frame). ↗
- · Whillans AV et al. PNAS 2017 PMID 28739889 + Hamermesh & Lee 2007. ↗
- · Wong PM et al. PMID 26106724. ↗
Why you can trust it
Peer-reviewed
Every measure traces back to published research, not opinion.
Expert-reviewed
Calibrated by credentialed professionals: physicians, dietitians, psychologists, financial professionals, and behavioral scientists.
Always improving
The methodology is reviewed and refined as the science evolves.