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Counseling Overweight Pts at High CV Risk

USPSTF Recommends Intense Counseling for Overweight Patients at High CV Risk — Physician’s First Watch

By Kelly Young Edited by David G. Fairchild, MD, MPH
The U.S. Preventive Services Task Force recommends intense behavioral counseling for adults who are overweight or obese and have at least one other cardiovascular risk factor (B recommendation). The guideline appears in the Annals of Internal Medicine.The recommendation applies to adults with a BMI of 25 or greater who also have hypertension, dyslipidemia, impaired fasting glucose, or metabolic syndrome.The task force evaluated studies on counseling interventions that promoted healthy diet and physical activity. Interventions involved an average of 5 to 16 contacts with patients, including individual or group sessions and telephone contacts, over 9 to 12 months.The group says that primary care providers could use two interventions — the Diabetes Prevention Program** and PREMIER — as models for behavioral counseling.
Background: NEJM Journal Watch General Medicine coverage of the PREMIER trial (Your NEJM Journal Watch registration required)
**DELAWARE PROVIDERS: The AMA in collaboration with the DAFP and YMCA-DE will be hosting a free dinner symposiun on October 13th at 5:30pm at the Hilton Christiana in Newark, DE about the Diabetes Prevention Program. More details will be available soon at

Categorised in: Provider, Science/ Evidence Update

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