医学
血脂异常
超重
血压
疾病
肥胖
心理干预
代谢综合征
糖尿病
物理疗法
老年学
内科学
内分泌学
精神科
作者
US Preventive Services Task Force,Alex H. Krist,Karina W. Davidson,Carol M. Mangione,Michael J. Barry,Michael D. Cabana,Aaron B. Caughey,Katrina E Donahue,Chyke A. Doubeni,John W. Epling,Martha Kubik,Seth Landefeld,Gbenga Ogedegbe,Lori Pbert,Michael Silverstein,Melissa A. Simon,Chien-Wen Tseng,John B. Wong
出处
期刊:JAMA
[American Medical Association]
日期:2020-11-24
卷期号:324 (20): 2069-2069
被引量:163
标识
DOI:10.1001/jama.2020.21749
摘要
Cardiovascular disease (CVD) is a leading cause of death in the US. Known modifiable risk factors for CVD include smoking, overweight and 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 cardiovascular morbidity and mortality than those who do not. All persons, regardless of their CVD risk status, benefit from healthy eating behaviors and appropriate physical activity.To update its 2014 recommendation, the USPSTF commissioned a review of the evidence on behavioral counseling to promote a healthy diet and physical activity for CVD prevention in adults with cardiovascular risk factors.This recommendation statement applies to adults 18 years or older with known hypertension or elevated blood pressure, those with dyslipidemia, or those who have mixed or multiple risk factors such as metabolic syndrome or an estimated 10-year CVD risk of 7.5% or greater. Adults with other known modifiable cardiovascular risk factors such as abnormal blood glucose levels, obesity, and smoking are not included in this recommendation.The USPSTF concludes with moderate certainty that behavioral counseling interventions have a moderate net benefit on CVD risk in adults at increased risk for CVD.The USPSTF recommends offering or referring adults with CVD risk factors to behavioral counseling interventions to promote a healthy diet and physical activity. (B recommendation).
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