Skip to navigation bar Skip to breadcrumbs Skip to page content
clear place holder
Envelope icon E-mail Updates Teal square Text size:  a A A

Clinical Summary

Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling

Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

Population Adults in primary care who are overweight or obese and have known cardiovascular risk factors
Recommendation Offer or refer to intensive behavioral counseling interventions to
promote a healthful diet and physical activity.
Grade: B
Risk Assessment Well-established risk factors for cardiovascular disease (CVD) include obesity, hypertension, hyperlipidemia, diabetes, and tobacco use.
Behavioral Counseling Interventions Intensive behavioral counseling interventions are effective in making small but important changes in health behavior outcomes (dietary intake and physical activity) and selected intermediate clinical outcomes (lipid levels, blood pressure, fasting glucose levels, diabetes incidence, and weight) after 12 to 24 months.

Many types of intensive counseling interventions are effective. Such interventions focus on behavior change; include didactic education plus other components, such as audit and feedback, problem-solving skills, and individualized care plans; and are typically delivered by specially trained health professionals.

Balance of Benefits and Harms The USPSTF concludes with moderate certainty that intensive behavioral counseling interventions to promote a healthful diet and physical activity have a moderate net benefit in adults who are overweight or obese and at increased risk for CVD.
Other Relevant USPSTF Recommendations The USPSTF has a wide range of recommendations focusing on CVD prevention, including tobacco cessation, aspirin use, screening and counseling for obesity and screening for lipid disorders, blood pressure, and diabetes. These recommendations are available at http://www.uspreventiveservicestaskforce.org.

For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting documents, please go to http://www.uspreventiveservicestaskforce.org.

Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

Current as of August 2014

Current as of: January 2017

Internet Citation: Clinical Summary: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling. U.S. Preventive Services Task Force. January 2017.
https://www.uspreventiveservicestaskforce.org/Page/Document/ClinicalSummaryFinal/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd

USPSTF Program Office   5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857