Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement
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DOI：
10.7326/m14-1796
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发表时间：
2014-10-21
影响因子：
39.2
通讯作者：
LeFevre, Michael L.
中科院分区：
文献类型：
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作者：
LeFevre, Michael L.
描述：更新和完善2003年美国。S.预防服务工作组（USPSTF）建议对有心血管疾病（CVD）危险因素的成年人进行饮食咨询。USPSTF审查了关于健康饮食和体力活动的初级保健相关咨询干预是否会改变具有CVD风险因素的成人的自我报告行为，中间生理结局，糖尿病发病率和心血管发病率或死亡率的证据，以及咨询干预的不良影响。人群：本建议适用于18岁或以上的成年人，他们在初级保健机构超重或肥胖，并有已知的心血管疾病风险因素（高血压、血脂异常、空腹血糖受损或代谢综合征）。USPSTF建议为超重或肥胖且有其他CVD风险因素的成年人提供或转介强化行为咨询干预，以促进健康饮食和身体活动以预防CVD。（B建议）
Description: Update and refinement of the 2003 U. S. Preventive Services Task Force (USPSTF) recommendation on dietary counseling for adults with risk factors for cardiovascular disease (CVD).Methods: The USPSTF reviewed the evidence on whether primary care-relevant counseling interventions for a healthful diet and physical activity modify self-reported behaviors, intermediate physiologic outcomes, diabetes incidence, and cardiovascular morbidity or mortality in adults with CVD risk factors, as well as the adverse effects of counseling interventions.Population: This recommendation applies to adults aged 18 years or older in primary care settings who are overweight or obese and have known CVD risk factors (hypertension, dyslipidemia, impaired fasting glucose, or the metabolic syndrome).Recommendation: The USPSTF recommends offering or referring adults who are overweight or obese and have additional CVD risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention. (B recommendation)