Special Considerations for Healthy Lifestyle Promotion Across the Life Span in Clinical Settings: A Science Advisory From the American Heart Association
Open accessAbstract
At a population level, engagement in healthy lifestyle behaviors is suboptimal in the United States. Moreover, marked disparities exist in healthy lifestyle behaviors and cardiovascular risk factors as a result of social determinants of health. In addition, there are specific challenges to engaging in healthy lifestyle behaviors related to age, developmental stage, or major life circumstances. Key components of a healthy lifestyle are consuming a healthy dietary pattern, engaging in regular physical activity, avoiding use of tobacco products, habitually attaining adequate sleep, and managing stress. For these health behaviors, there are guidelines and recommendations; however, promotion in clinical settings can be challenging, particularly in certain population groups. These challenges must be overcome to facilitate greater promotion of healthy lifestyle practices in clinical settings. The 5A Model (assess, advise, agree, assist, and arrange) was developed to provide a framework for clinical counseling with consideration for the demands of clinical settings. In this science advisory, we summarize specific considerations for lifestyle-related behavior change counseling using the 5A Model for patients across the life span. In all life stages, social determinants of health and unmet social-related health needs, as well as overweight and obesity, are associated with increased risk of cardiovascular disease, and there is the potential to modify this risk with lifestyle-related behavior changes. In addition, specific considerations for lifestyle-related behavior change counseling in life stages in which lifestyle behaviors significantly affect cardiovascular disease risk are outlined. Greater attention to healthy lifestyle behaviors during every clinician visit will contribute to improved cardiovascular health.
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With significant weight loss, dose reductions are often needed for antidiabetic medications, antihypertensives, and diuretics.
“With significant weight loss, dose reductions are often needed for antidiabetic medications, antihypertensives, and diuretics [37].”
From Nutritional considerations with antiobesity medications (2024) · cites this paper as [37]
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Flagged first, then by citations
Cited by
Sorted by citations
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“The “ 5 A ’ s ” model (Ask, Assess, Advise, Agree, Assist) can be used to guide clinical interactions with patients with obesity or other chronic diseases [ 4, 33].”
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- Authors
- Kris-Etherton, P. M., Petersen, K. S., Després, J.-P., Braun, L., de Ferranti, S. D., Furie, K. L., Lear, S. A., Lobelo, F., Morris, P. B., Sacks, F. M., & on behalf of the American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Stroke Council; Council on Clinical Cardiology; Council on Arteriosclerosis, T. A. V. B. A. C. O. H.
- Venue
- Circulation
- Published
- 2021-12-14
- Volume
- 144
- Issue
- 24
- Pages
- e515-e532
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W3208883709
- Cited by
- 43
- References
- 90
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 9 · 2023: 8 · 2022: 10 · 2021: 2
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Circulation (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- healthy lifestyle promotion, cardiovascular disease prevention, 5A model, behavior change counseling, social determinants of health, lifespan, dietary habits, physical activity, tobacco use, sleep, stress management, overweight and obesity, health disparities, clinical settings
- MeSH terms
- Healthy Lifestyle, American Heart Association, Cardiovascular Diseases, Health Promotion, Humans, Motivation, United States, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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