PMID- 13678804
OWN - NLM
STAT- MEDLINE
DCOM- 20031027
LR  - 20191107
IS  - 1049-3867 (Print)
IS  - 1049-3867 (Linking)
VI  - 13
IP  - 4
DP  - 2003 Jul-Aug
TI  - The primary prevention of heart disease in women through health behavior change 
      promotion in primary care.
PG  - 122-41
AB  - PURPOSE: To summarize recent evidence-based recommendations for physical activity 
      promotion, dietary improvement, and tobacco cessation from the U.S. Preventive 
      Services Task Force (USPSTF) and the Task Force on Community Preventive Services 
      (CTF), and examine their applicability to the primary prevention of 
      cardiovascular disease (CVD) in women through primary care interventions. 
      METHODS: For the behaviors cited, USPSTF and CTF recommendations and their 
      associated systematic evidence reviews (SERs) were retrieved. Individual articles 
      from the USPSTF healthy diet and physical activity SERs that met our inclusion 
      criteria were systematically examined to determine the applicability of this 
      research to women. We supplemented findings from these sources with comprehensive 
      federal research summaries and SERs from focused searches of systematic review 
      databases relevant to primary CVD prevention in women through healthy behavior 
      change. MAIN FINDINGS: The USPSTF strongly recommends primary care interventions 
      for tobacco cessation. Strong CTF recommendations for multicomponent systems 
      supports for clinicians, telephone support for quitters, and reduced patient 
      costs for effective cessation therapies guide complementary approaches to assist 
      clinicians. The USPSTF recommends intensive behavioral dietary counseling by 
      specialists for high-risk CVD patients, but found insufficient evidence to 
      recommend for routine healthy diet or physical activity promotion in primary 
      care. The evidence base for these recommendations generally applies to women. 
      Better reporting of gender and minority subgroup outcomes will assist more 
      in-depth understanding of potential differences in either the processes or 
      outcomes of behavior change interventions. CONCLUSIONS: Primary care clinicians, 
      including obstetrician-gynecologists, can contribute to preventing CVD in women 
      through implementing credible evidence-based recommendations for clinical 
      interventions in tobacco and healthy diet. Researchers can further our 
      understanding of gender-specific issues in healthy behavior interventions by 
      reporting process and outcome data for gender and minority subgroups.
FAU - Whitlock, Evelyn P
AU  - Whitlock EP
AD  - Health, Social Sciences, & Economics Research, Kaiser Permanente Center for 
      Health Research, Portland, Oregon 97227, USA. evelyn.whitlock@kpchr.org
FAU - Williams, Selvi B
AU  - Williams SB
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Womens Health Issues
JT  - Women's health issues : official publication of the Jacobs Institute of Women's 
      Health
JID - 9101000
SB  - IM
MH  - Diet
MH  - Evidence-Based Medicine
MH  - Exercise
MH  - Female
MH  - *Health Behavior
MH  - *Health Promotion
MH  - Heart Diseases/ethnology/*prevention & control
MH  - Humans
MH  - Minority Groups
MH  - Obesity/prevention & control
MH  - Practice Guidelines as Topic
MH  - *Primary Prevention
MH  - Smoking Cessation
MH  - United States
MH  - *Women's Health Services
RF  - 62
EDAT- 2003/09/19 05:00
MHDA- 2003/10/28 05:00
CRDT- 2003/09/19 05:00
PHST- 2003/09/19 05:00 [pubmed]
PHST- 2003/10/28 05:00 [medline]
PHST- 2003/09/19 05:00 [entrez]
AID - S1049386703000367 [pii]
AID - 10.1016/s1049-3867(03)00036-7 [doi]
PST - ppublish
SO  - Womens Health Issues. 2003 Jul-Aug;13(4):122-41. doi: 
      10.1016/s1049-3867(03)00036-7.