Carol M. Mangione|Michael J. Barry|Wanda K. Nicholson|Michael D. Cabana|Tumaini R. Coker|Karina W. Davidson|Esa M. Davis|Katrina E Donahue|Carlos Roberto Jaén|Martha Kubik|Li Li|Gbenga Ogedegbe|Lori Pbert|John Ruiz|James J. Stevermer|John B. Wong
Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors
University of California, Los Angeles|Harvard University|University of North Carolina at Chapel Hill|Albert Einstein College of Medicine|Seattle University|University of Washington|Feinstein Institute for Medical Research|Northwell Health|University of Pittsburgh|University of North Carolina at Chapel Hill|The University of Texas Health Science Center at San Antonio|George Mason University|University of Virginia|New York University|University of Massachusetts Chan Medical School|University of Arizona|University of Missouri|Tufts University
h3importanceh3 cardiovascular disease cvd includes heart disease myocardial infarction stroke leading cause death us large proportion cvd cases prevented addressing modifiable risk factors including smoking obesity diabetes elevated blood pressure hypertension dyslipidemia lack physical activity unhealthy diet adults adhere national guidelines healthy diet physical activity lower rates cardiovascular morbidity mortality however us adults consume healthy diets engage physical activity recommended levels h3objectiveh3 update 2017 recommendation us preventive services task force uspstf commissioned review evidence benefits harms behavioral counseling interventions promote healthy behaviors adults without cvd risk factors h3populationh3 adults 18 years older without known cvd risk factors include hypertension elevated blood pressure dyslipidemia impaired fasting glucose glucose tolerance mixed multiple risk factors metabolic syndrome estimated 10year cvd risk 75 greater h3evidence assessmenth3 uspstf concludes moderate certainty behavioral counseling interventions small net benefit cvd risk adults without cvd risk factors h3recommendationh3 uspstf recommends clinicians individualize decision offer refer adults without cvd risk factors behavioral counseling interventions promote healthy diet physical activity c recommendation