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.
This Week's Must Reads
Intensive BP Control & Risk of Dementia, JAMA; ePub 2019 Jan 28; SPRINT MIND Investigators
Outpatient Care for Adults With Primary Care, JAMA Intern Med; ePub 2019 Jan 28; Levine, et al
Antibiotic Therapy in Patients with Asthma, JAMA Intern Med; ePub 2019 Jan 28; Stefan, et al
Outpatient Benzodiazepine Prescribing in US, JAMA Netw Open; 2019 Jan 25; Agarwal, et al
Reduction of Readmissions Through Primary Care, JAMA Netw Open; 2019 Jan 25; Wiest, et al
Must Reads in Obesity
Adiposity and Risk of Decline in GFR, BMJ; ePub 2019 Jan 10; Chang, Grams, et al
Prediabetes Status & Lifestyle Modification , J Am Board Fam Med; 2019 Jan 4; Owei, et al
Lifestyle Modification Advice Among HCPs, Am J Med; ePub 2018 Dec 3; Grabovac, et al
Is Obesity Associated With Adverse CV Outcomes?, JAMA Netw Open; 2018 Nov 16; Riaz, et al
Early Antibiotic Use & Weight Outcomes in Children, Pediatrics; ePub 2018 Oct 31; Block, Bailey, et al