USPSTF Recommends Individualized Lifestyle Counseling for Nonobese Adults — Physician’s First Watch

Medical News |
July 12, 2017

USPSTF Recommends Individualized Lifestyle Counseling for Nonobese Adults

By Kelly Young

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM

Clinicians may consider on a case-by-case basis whether to refer nonobese adults without cardiovascular risk factors to behavioral counseling to encourage a healthy diet and exercise, the U.S. Preventive Services Task Force recommends (grade C).

The final recommendation, published in JAMA, says there is a small net benefit to behavioral counseling in intermediate outcomes (e.g., blood pressure and LDL level reductions) in adults without dyslipidemia, hypertension, diabetes, or abnormal glucose levels. It is similar to the group's 2012 recommendation.

Editorialists note: "The hesitation of the guideline to recommend, with greater enthusiasm, counseling in the clinical setting for selected adult patients is based exclusively on the quality of the evidence on dietary counseling interventions ... in this specific limited population."

The recommendation does not apply to obese individuals or people with cardiovascular risk factors who are overweight, who should be referred for intensive behavioral counseling.

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