Lifestyle and coronary heart disease prevention.

To conclude, promoting lifestyle changes in the primary care setting has received considerable attention. Efficacy data are most promising for encouraging smoking cessation; the evidence supporting increased physical activity and dietary changes among healthy adults is not conclusive. Nonetheless, the role of behavioral strategies for changing individual and multiple risk behaviors has been recognized. A simple framework for brief counseling by primary care clinicians is presented in the form of the 5A's.