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Behavioral Counseling in Primary Care to Promote a Healthy Diet in Adults at Increased Risk for Cardiovascular Disease

This topic is in the process of being updated. Please go to the Update in Progress section to see the latest documents available.

This topic page summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on counseling for a healthy diet.

Note: This recommendation was partially updated in 2012 for unselected adults as Healthful Diet and Physical Activity to Prevent Cardiovascular Disease.

Current Recommendation

Release Date: January 2003

  • The USPSTF recommends intensive behavioral dietary counseling for adult patients with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease. Intensive counseling can be delivered by primary care clinicians or by referral to other specialists, such as nutritionists or dietitians.
    Grade: B Recommendation.

Supporting Documents

Recommendations and Rationale (PDF File, 150 KB; PDF Help)
Summary of the Evidence (PDF File, 272 KB; PDF Help)
Systematic Evidence Review (PDF File, 2.9 MB; PDF Help)

Update in Progress

In an effort to make the USPSTF recommendations clearer and its processes more transparent, the Task Force is sharing drafts of many of its documents for public comment, including draft Research Plans and draft Recommendation Statements. As a result, the final Recommendation Statement is not yet available.

Supporting Documents

Research Plan

USPSTF members work with researchers from an independent Evidence-based Practice Center (EPC) to create a Research Plan that guides the systematic review of the evidence. The Research Plan consists of an analytic framework, key questions, and a literature search strategy or research approach.

Research Plan Related Items
Final Research Plan N/A

Evidence Review

The research team at the EPC independently gathers and reviews the available published evidence to address the questions posed by the USPSTF. The resulting draft Evidence Review is critiqued by national subject matter experts before being finalized.

Evidence Review Related Items
Draft Evidence Review for Public Comment
(May 13–June 9, 2014)

Recommendation Statement

The USPSTF reviews the Evidence Review, evaluates the benefits and harms of the clinical preventive service, and discusses and develops one or more preliminary specific recommendations. The resulting draft Recommendation Statement is posted on this Web site for public comment before being finalized.

Recommendation Statement Related Items
Draft Recommendation Statement for Public Comment*
(May 13–June 9, 2014)
Consumer Fact Sheet (PDF File, 71 KB; PDF Help)

* Note: Draft Recommendation Statements are by their nature not final, and should not be interpreted as to represent official USPSTF recommendations for practice. Draft Recommendation Statements are provided by the USPSTF for informational purposes only.

Current as of June 2014

Internet Citation:

Behavioral Counseling in Primary Care to Promote a Healthy Diet in Adults at Increased Risk for Cardiovascular Disease, Topic Page. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/uspstf/uspsdiet.htm


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