中国全科医学2024,Vol.27Issue(17) :2064-2069.DOI:10.12114/j.issn.1007-9572.2024.0029

美国预防临床服务指南工作组《无心血管疾病危险因素成年人预防心血管疾病的健康饮食和身体活动:行为咨询干预推荐声明》解读

Interpretation of the U.S.Preventive Clinical Services Guidelines Workgroup's Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults without Cardiovascular Disease Risk Factors:Behavioral Counseling Interventions

杨旭 姚弥
中国全科医学2024,Vol.27Issue(17) :2064-2069.DOI:10.12114/j.issn.1007-9572.2024.0029

美国预防临床服务指南工作组《无心血管疾病危险因素成年人预防心血管疾病的健康饮食和身体活动:行为咨询干预推荐声明》解读

Interpretation of the U.S.Preventive Clinical Services Guidelines Workgroup's Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults without Cardiovascular Disease Risk Factors:Behavioral Counseling Interventions

杨旭 1姚弥2
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作者信息

  • 1. 100062 北京市东城区东花市社区卫生服务中心全科医学科
  • 2. 100034 北京市,北京大学第一医院全科医学科
  • 折叠

摘要

2022 年美国预防临床服务指南工作组(USPSTF)更新其 2017 年《无心血管疾病危险因素成年人预防心血管疾病的健康饮食和身体活动:行为咨询干预推荐声明》建议,对促进无心血管疾病危险因素的成年人健康行为咨询干预的益处和危害证据进行综述,得出结论与 2017 年指南推荐一致.行为咨询干预对无心血管疾病危险因素的成年人具有微小净获益,建议临床医生根据个体情况决定是否向无心血管疾病危险因素的成年人提供或推荐行为咨询干预,以促进合理膳食和身体活动(C级).本文结合我国心血管疾病防治现状,对该指南进行全面解读,以期为我国成年人心血管疾病预防实践提供参考.

Abstract

In 2022,the U.S.Preventive Services Task Force(USPSTF)updated its recommendations,reviewing the evidence of the benefits and harms of behavioral counseling interventions aimed at promoting healthy behaviors in adults without cardiovascular disease risk factors.The conclusions of this review align with the 2017 guidelines.Behavioral counseling interventions in adults without cardiovascular disease risk factors result in minimal net benefits.Therefore,it is recommended that clinicians make individualized decisions on whether to provide or recommend behavioral counseling interventions to adults without cardiovascular disease risk factors to promote a healthy diet and physical activity(Grade C).This article provides a comprehensive interpretation of the guidelines in the context of the current status of cardiovascular disease prevention in China,offering valuable insights into cardiovascular disease prevention practices among Chinese adults.

关键词

心血管疾病/危险因素/成年人/行为咨询干预/指南解读/美国预防临床服务指南工作组

Key words

Cardiovascular diseases/Risk factors/Adult/Behavioral counseling interventions/Guideline interpretation/U.S.Preventive Services Task Force

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基金项目

国家自然科学基金资助项目(72304005)

出版年

2024
中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
被引量1
参考文献量37
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