Although the correlation among healthful diet, physical activity, and the incidence of cardiovascular disease is strong, existing evidence indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote a healthful diet and physical activity is small. Clinicians may choose to selectively counsel patients rather than incorporate counseling into the care of all adults in the general population.
Considerations: General adult population without a known diagnosis of hypertension, diabetes, hyperlipidemia, or cardiovascular disease. Issues to consider include other risk factors for cardiovascular disease, a patient's readiness for change, social support and community resources that support behavioral change, and other health care and preventive service priorities.
(Grade: C recommendation)
Grade Definition: http://www.uspreventiveservicestaskforce.org/uspstf11/physactivity/physrs.htm#tab1
Clinical Considerations: http://www.uspreventiveservicestaskforce.org/uspstf11/physactivity/physrs.htm#clinical