医学
血脂异常
疾病
心理干预
代谢综合征
糖尿病
血压
人口
肥胖
物理疗法
内科学
老年学
环境卫生
内分泌学
精神科
作者
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
出处
期刊:JAMA
[American Medical Association]
日期:2022-07-26
卷期号:328 (4): 367-367
被引量:29
标识
DOI:10.1001/jama.2022.10951
摘要
Importance
Cardiovascular disease (CVD), which includes heart disease, myocardial infarction, and stroke, is the leading cause of death in the US. A large proportion of CVD cases can be prevented by addressing modifiable risk factors, including smoking, 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 rates of cardiovascular morbidity and mortality than those who do not; however, most US adults do not consume healthy diets or engage in physical activity at recommended levels. Objective
To update its 2017 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a review of the evidence on the benefits and harms of behavioral counseling interventions to promote healthy behaviors in adults without CVD risk factors. Population
Adults 18 years or older without known CVD risk factors, which include hypertension or elevated blood pressure, dyslipidemia, impaired fasting glucose or glucose tolerance, or mixed or multiple risk factors such as metabolic syndrome or an estimated 10-year CVD risk of 7.5% or greater. Evidence Assessment
The USPSTF concludes with moderate certainty that behavioral counseling interventions have a small net benefit on CVD risk in adults without CVD risk factors. Recommendation
The USPSTF recommends that clinicians individualize the decision to offer or refer adults without CVD risk factors to behavioral counseling interventions to promote a healthy diet and physical activity. (C recommendation)
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