Monday, November 30, 2020

USPSTF Recommends Lifestyle Counseling for Cardiovascular Disease Prevention

The U.S. Preventive Services Task Force (USPSTF) recommended lifestyle counseling for cardiovascular disease (CVD) prevention in adults with certain risk factors regardless of their weight.

Cardiovascular disease (CVD) is the 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, can gain health benefits from healthy eating behaviors and appropriate physical activity.

This B recommendation finalized the draft update released in the spring and replaces the 2014 USPSTF recommendation on behavioral counseling to promote a healthy diet and physical activity for CVD prevention in adults with cardiovascular risk factors. At that time, the USPSTF recommended intensive behavioral counseling interventions for overweight and obese adult patients with known CVD risk factors, including hypertension, dyslipidemia, impaired fasting glucose or glucose intolerance, and metabolic syndrome. This new recommendation targets adults with known hypertension or elevated blood pressure, elevated lipid levels or dyslipidemia, and mixed or multiple risk factors (eg, metabolic syndrome or estimated 10-year CVD risk of ≥7.5%), dropping the stipulation that the patient be overweight or obese.

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