Alex H Krist1,2, Karina W Davidson3, Carol M Mangione4, Michael J Barry5, Michael Cabana6, Aaron B Caughey7, Katrina Donahue8, Chyke A Doubeni9, John W Epling10, Martha Kubik11, Seth Landefeld12, Gbenga Ogedegbe13, Lori Pbert14, Michael Silverstein15, Melissa A Simon16, Chien-Wen Tseng17,18, John B Wong19. 1. Fairfax Family Practice Residency, Fairfax, Virginia. 2. Virginia Commonwealth University, Richmond. 3. Feinstein Institute for Medical Research at Northwell Health, Manhasset, New York. 4. University of California, Los Angeles. 5. Harvard Medical School, Boston, Massachusetts. 6. University of California, San Francisco. 7. Oregon Health & Science University, Portland. 8. University of North Carolina at Chapel Hill. 9. Mayo Clinic, Rochester, Minnesota. 10. Virginia Tech Carilion School of Medicine, Roanoke. 11. George Mason University, Fairfax, Virginia. 12. University of Alabama, Birmingham. 13. New York University, New York, New York. 14. University of Massachusetts Medical School, Worcester. 15. Boston University, Boston, Massachusetts. 16. Northwestern University, Evanston, Illinois. 17. University of Hawaii, Honolulu. 18. Pacific Health Research and Education Institute, Honolulu, Hawaii. 19. Tufts University School of Medicine, Boston, Massachusetts.
Abstract
IMPORTANCE: Cardiovascular disease (CVD) is a leading cause of death in the US. Known modifiable risk factors for CVD include smoking, overweight and obesity, diabetes, elevated blood pressure or hypertension, dyslipidemia, lack of physical activity, and unhealthy diet. Adults who adhere to national guidelines for a healthy diet and physical activity have lower cardiovascular morbidity and mortality than those who do not. All persons, regardless of their CVD risk status, benefit from healthy eating behaviors and appropriate physical activity. OBJECTIVE: To update its 2014 recommendation, the USPSTF commissioned a review of the evidence on behavioral counseling to promote a healthy diet and physical activity for CVD prevention in adults with cardiovascular risk factors. POPULATION: This recommendation statement applies to adults 18 years or older with known hypertension or elevated blood pressure, those with dyslipidemia, or those who have mixed or multiple risk factors such as metabolic syndrome or an estimated 10-year CVD risk of 7.5% or greater. Adults with other known modifiable cardiovascular risk factors such as abnormal blood glucose levels, obesity, and smoking are not included in this recommendation. EVIDENCE ASSESSMENT: The USPSTF concludes with moderate certainty that behavioral counseling interventions have a moderate net benefit on CVD risk in adults at increased risk for CVD. RECOMMENDATION: The USPSTF recommends offering or referring adults with CVD risk factors to behavioral counseling interventions to promote a healthy diet and physical activity. (B recommendation).
IMPORTANCE: Cardiovascular disease (CVD) is a leading cause of death in the US. Known modifiable risk factors for CVD include smoking, overweight and obesity, diabetes, elevated blood pressure or hypertension, dyslipidemia, lack of physical activity, and unhealthy diet. Adults who adhere to national guidelines for a healthy diet and physical activity have lower cardiovascular morbidity and mortality than those who do not. All persons, regardless of their CVD risk status, benefit from healthy eating behaviors and appropriate physical activity. OBJECTIVE: To update its 2014 recommendation, the USPSTF commissioned a review of the evidence on behavioral counseling to promote a healthy diet and physical activity for CVD prevention in adults with cardiovascular risk factors. POPULATION: This recommendation statement applies to adults 18 years or older with known hypertension or elevated blood pressure, those with dyslipidemia, or those who have mixed or multiple risk factors such as metabolic syndrome or an estimated 10-year CVD risk of 7.5% or greater. Adults with other known modifiable cardiovascular risk factors such as abnormal blood glucose levels, obesity, and smoking are not included in this recommendation. EVIDENCE ASSESSMENT: The USPSTF concludes with moderate certainty that behavioral counseling interventions have a moderate net benefit on CVD risk in adults at increased risk for CVD. RECOMMENDATION: The USPSTF recommends offering or referring adults with CVD risk factors to behavioral counseling interventions to promote a healthy diet and physical activity. (B recommendation).
Authors: Jennifer L Kuntz; Deborah R Young; Brian E Saelens; Lawrence D Frank; Richard T Meenan; John F Dickerson; Erin M Keast; Stephen P Fortmann Journal: Am J Prev Med Date: 2021-03-27 Impact factor: 6.604
Authors: Lu Hu; Paige Illiano; Mary Lou Pompeii; Collin J Popp; Anna Y Kharmats; Margaret Curran; Katherine Perdomo; Shirley Chen; Michael Bergman; Eran Segal; Mary Ann Sevick Journal: Contemp Clin Trials Date: 2021-08-02 Impact factor: 2.261