Cited by 43Cardiovascular Health and Risk FactorsHealth Promotion and Cardiovascular PreventionHealth and Lifestyle Studies

Special Considerations for Healthy Lifestyle Promotion Across the Life Span in Clinical Settings: A Science Advisory From the American Heart Association

Open access
Kris-Etherton, Penny M., Petersen, Kristina S., Després, Jean-Pierre, Braun, Lynne, de Ferranti, Sarah D., Furie, Karen L., Lear, Scott A., Lobelo, Felipe +3 more·2021·Circulation

Abstract

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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Registry

Crossref · 10.1161/cir.0000000000001014

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90 of 90 references verified0 citation errors · 0 not checkable

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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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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
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

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