TY - JOUR
KW - Behavior Therapy
KW - Cardiovascular Diseases/prevention & control
KW - Counseling
KW - Diet
KW - Exercise
KW - Health Behavior
KW - Humans
KW - Primary Health Care/methods
KW - Risk Factors
AU - V. A. Moyer
AU - U.S. Preventive Services Task Force
A1 - 
AB - DESCRIPTION: Update of the 2003 and 2002 U.S. Preventive Services Task Force (USPSTF) recommendation statements on behavioral counseling to promote a healthful diet and physical activity in adults without preexisting cardiovascular disease (CVD) or its risk factors. METHODS: The USPSTF reviewed new evidence on whether counseling interventions relevant to primary care for physical activity or a healthful diet modify self-reported behaviors; intermediate physiologic outcomes (for example, reduced lipid levels, blood pressure, weight, and body mass index and increased glucose tolerance); and cardiovascular morbidity and mortality in adults without known CVD, hypertension, hyperlipidemia, or diabetes. POPULATION: General adult population without a known diagnosis of hypertension, diabetes, hyperlipidemia, or CVD. RECOMMENDATION: Although the correlation among healthful diet, physical activity, and the incidence of CVD is strong, existing evidence indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote a healthful diet and physical activity is small. Clinicians may choose to selectively counsel patients rather than incorporate counseling into the care of all adults in the general population. Issues to consider include other risk factors for CVD, a patient's readiness for change, social support and community resources that support behavioral change, and other health care and preventive service priorities. Harms may include the lost opportunity to provide other services that have a greater health effect. This is a grade C recommendation.
BT - Annals of Internal Medicine
C5 - Healthcare Policy
CP - 5
CY - United States
DO - 10.7326/0003-4819-157-5-201209040-00486
IS - 5
JF - Annals of Internal Medicine
N2 - DESCRIPTION: Update of the 2003 and 2002 U.S. Preventive Services Task Force (USPSTF) recommendation statements on behavioral counseling to promote a healthful diet and physical activity in adults without preexisting cardiovascular disease (CVD) or its risk factors. METHODS: The USPSTF reviewed new evidence on whether counseling interventions relevant to primary care for physical activity or a healthful diet modify self-reported behaviors; intermediate physiologic outcomes (for example, reduced lipid levels, blood pressure, weight, and body mass index and increased glucose tolerance); and cardiovascular morbidity and mortality in adults without known CVD, hypertension, hyperlipidemia, or diabetes. POPULATION: General adult population without a known diagnosis of hypertension, diabetes, hyperlipidemia, or CVD. RECOMMENDATION: Although the correlation among healthful diet, physical activity, and the incidence of CVD is strong, existing evidence indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote a healthful diet and physical activity is small. Clinicians may choose to selectively counsel patients rather than incorporate counseling into the care of all adults in the general population. Issues to consider include other risk factors for CVD, a patient's readiness for change, social support and community resources that support behavioral change, and other health care and preventive service priorities. Harms may include the lost opportunity to provide other services that have a greater health effect. This is a grade C recommendation.
PP - United States
PY - 2012
SN - 1539-3704; 0003-4819
SP - 367
EP - 371
EP - 
T1 - Behavioral counseling interventions to promote a healthful diet and physical activity for cardiovascular disease prevention in adults: U.S. Preventive Services Task Force recommendation statement
T2 - Annals of Internal Medicine
TI - Behavioral counseling interventions to promote a healthful diet and physical activity for cardiovascular disease prevention in adults: U.S. Preventive Services Task Force recommendation statement
U1 - Healthcare Policy
U2 - 22733153
U3 - 10.7326/0003-4819-157-5-201209040-00486
VL - 157
VO - 1539-3704; 0003-4819
Y1 - 2012
ER -