PMID- 22733153
OWN - NLM
STAT- MEDLINE
DCOM- 20121112
LR  - 20220408
IS  - 1539-3704 (Electronic)
IS  - 0003-4819 (Linking)
VI  - 157
IP  - 5
DP  - 2012 Sep 4
TI  - Behavioral counseling interventions to promote a healthful diet and physical 
      activity for cardiovascular disease prevention in adults: U.S. Preventive 
      Services Task Force recommendation statement.
PG  - 367-71
AB  - DESCRIPTION: Update of the 2003 and 2002 U.S. Preventive Services Task Force 
      (USPSTF) recommendation statements on behavioral counseling to promote a 
      healthful diet and physical activity in adults without preexisting cardiovascular 
      disease (CVD) or its risk factors. METHODS: The USPSTF reviewed new evidence on 
      whether counseling interventions relevant to primary care for physical activity 
      or a healthful diet modify self-reported behaviors; intermediate physiologic 
      outcomes (for example, reduced lipid levels, blood pressure, weight, and body 
      mass index and increased glucose tolerance); and cardiovascular morbidity and 
      mortality in adults without known CVD, hypertension, hyperlipidemia, or diabetes. 
      POPULATION: General adult population without a known diagnosis of hypertension, 
      diabetes, hyperlipidemia, or CVD. RECOMMENDATION: Although the correlation among 
      healthful diet, physical activity, and the incidence of CVD is strong, existing 
      evidence indicates that the health benefit of initiating behavioral counseling in 
      the primary care setting to promote a healthful diet and physical activity is 
      small. Clinicians may choose to selectively counsel patients rather than 
      incorporate counseling into the care of all adults in the general population. 
      Issues to consider include other risk factors for CVD, a patient's readiness for 
      change, social support and community resources that support behavioral change, 
      and other health care and preventive service priorities. Harms may include the 
      lost opportunity to provide other services that have a greater health effect. 
      This is a grade C recommendation.
FAU - Moyer, Virginia A
AU  - Moyer VA
AD  - U.S. Preventive Services Task Force, Rockville, Maryland, USA.
CN  - U.S. Preventive Services Task Force
LA  - eng
PT  - Journal Article
PT  - Practice Guideline
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Ann Intern Med
JT  - Annals of internal medicine
JID - 0372351
SB  - IM
SPIN- Ann Intern Med. 2012 Sep 4;157(5):I-28. PMID: 22733177
MH  - *Behavior Therapy
MH  - Cardiovascular Diseases/*prevention & control
MH  - *Counseling
MH  - *Diet
MH  - *Exercise
MH  - *Health Behavior
MH  - Humans
MH  - Primary Health Care/*methods
MH  - Risk Factors
FIR - Moyer, Virginia A
IR  - Moyer VA
FIR - LeFevre, Michael L
IR  - LeFevre ML
FIR - Siu, Albert L
IR  - Siu AL
FIR - Baumann, Linda Ciofu
IR  - Baumann LC
FIR - Bibbins-Domingo, Kirsten
IR  - Bibbins-Domingo K
FIR - Curry, Susan J
IR  - Curry SJ
FIR - Ebell, Mark
IR  - Ebell M
FIR - Flores, Glenn
IR  - Flores G
FIR - Cantu, Adelita Gonzales
IR  - Cantu AG
FIR - Grossman, David C
IR  - Grossman DC
FIR - Herzstein, Jessica
IR  - Herzstein J
FIR - Melnikow, Joy
IR  - Melnikow J
FIR - Nicholson, Wanda K
IR  - Nicholson WK
FIR - Owens, Douglas K
IR  - Owens DK
FIR - Reyes, Carolina
IR  - Reyes C
FIR - Wilt, Timothy J
IR  - Wilt TJ
EDAT- 2012/06/27 06:00
MHDA- 2012/11/13 06:00
CRDT- 2012/06/27 06:00
PHST- 2012/06/27 06:00 [entrez]
PHST- 2012/06/27 06:00 [pubmed]
PHST- 2012/11/13 06:00 [medline]
AID - 1200998 [pii]
AID - 10.7326/0003-4819-157-5-201209040-00486 [doi]
PST - ppublish
SO  - Ann Intern Med. 2012 Sep 4;157(5):367-71. doi: 
      10.7326/0003-4819-157-5-201209040-00486.