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Lifestyle Modification Advice Among HCPs

Am J Med; ePub 2018 Dec 3; Grabovac, et al

Prevalence of lifestyle modification advised by healthcare providers (HCPs) is generally low among US adults with chronic conditions, and markedly low among overweight and obese adults without chronic conditions. This according to results from the National Health and Nutrition Examination Survey (2011‒2016) in which researchers investigated the prevalence of advised lifestyle modification according to weight status and chronic conditions in a US nationally representative sample. Adults aged 20-64 years (n=11,467) were analyzed. Lifestyle modification advice by HCPs included increase physical activity/exercise, reduce dietary fat/calories, control/lose weight, and all of the above. Among the findings:

  • High blood pressure (32.7%) and cholesterol (29.3%) were highly prevalent compared to osteoarthritis, type 2 diabetes (T2D), and coronary heart disease.
  • Those with T2D received considerably frequent advice compared to those with high blood pressure and cholesterol.
  • Advice were more commonly reported among women, those overweight/obese, non-white, or uninsured.
  • Remarkably low proportion of overweight and obese adults free of chronic conditions reported receiving any lifestyle advice.


Grabovac I, Smith L, Stefanac S, et al. Healthcare providers’ advice of lifestyle modification in the US population: Results from the National Health and Nutrition Examination Survey 2011‒2016. [Published online ahead of print December 3, 2018]. Am J Med. doi:10.1016/j.amjmed.2018.11.021.

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