The U.S. Preventive Services Task Force (USPSTF) wants primary care physicians to give lifestyle advice about diet and exercise even to patients who are not at-risk. The ruling reaffirms what the task force said about diet and exercise in 2012.
Doctors should have discretion concerning who gets the advice, but should be particularly forthcoming with those who express an interest in lifestyle change.
The ruling states that “primary care professionals individualize the decision to offer or refer adults without obesity who do not have hypertension, dyslipidemia, abnormal blood glucose levels, or diabetes to behavioral counseling to promote a healthful diet and physical activity. Existing evidence indicates a positive but small benefit of behavioral counseling for the prevention of cardiovascular disease (CVD) in this population.”