A global consensus on lifestyle as medicine.
Nutrition Counseling in Clinical Practice
How Clinicians Can Do Better
Council members Scott Kahan, MD, MPH and JoAnn Manson, MD, DrPH
The Journal of the American Medical Association
September 29, 2017

Despite overwhelming evidence that relatively small dietary changes can significantly improve health, clinicians seldom discuss nutrition with their patients. Poor nutritional intake and nutrition-related health conditions, such as cardiovascular disease (CVD), diabetes, obesity, hypertension, and many cancers, are highly prevalent in the United States,1 yet only 12% of office visits include counseling about diet.2 Even among high-risk patients with CVD, diabetes, or hyperlipidemia, only 1 in 5 receive nutrition counseling.2 It is likely that many patients receive most of their nutrition information from other, and often unreliable, sources.

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