Rapid Diet Assessment Screening Tools for Cardiovascular Disease Risk Reduction Across Healthcare Settings: A Scientific Statement From the American Heart Association
Open accessAbstract
It is critical that diet quality be assessed and discussed at the point of care with clinicians and other members of the healthcare team to reduce the incidence and improve the management of diet-related chronic disease, especially cardiovascular disease. Dietary screening or counseling is not usually a component of routine medical visits. Moreover, numerous barriers exist to the implementation of screening and counseling, including lack of training and knowledge, lack of time, sense of futility, lack of reimbursement, competing demands during the visit, and absence of validated rapid diet screener tools with coupled clinical decision support to identify actionable modifications for improvement. With more widespread use of electronic health records, there is an enormous unmet opportunity to provide evidence-based clinician-delivered dietary guidance using rapid diet screener tools that must be addressed. In this scientific statement from the American Heart Association, we provide rationale for the widespread adoption of rapid diet screener tools in primary care and relevant specialty care prevention settings, discuss the theory- and practice-based criteria of a rapid diet screener tool that supports valid and feasible diet assessment and counseling in clinical settings, review existing tools, and discuss opportunities and challenges for integrating a rapid diet screener tool into clinician workflows through the electronic health record.
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Clinicians and other members of the health care team are trusted sources of dietary advice and play an important role in providing evidence-based dietary advice for primary prevention.
“Clinicians and other members of the health care team are trusted sources of dietary advice and thus play an important role in providing evidence-based dietary advice for primary prevention.[67][68][69]”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [69]
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Kronsteiner-Gicevic, S., Tello, M., Lincoln, L. E., Kondo, J. K., Naidoo, U., Fung, T. T., Willett, W. C., & Thorndike, A. N. (2023) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2023.05.023 · Cited by 32 · see citing works
Self-citationLifestyle Medicine for Obesity in the Era of Highly Effective Anti-Obesity Treatment
Sannidhi, D., Abeles, R., Andrew, W., Bonnet, J. P., Vitale, K., Niranjan, V., Gulati, M., Pauly, K., Moran, R., Alexander, L., et al. (2025) · Nutrients · doi:10.3390/nu17142382 · Cited by 29 · see citing works
“…24 h or 3-day diet recall, and/or food frequency questionnaires - In-office diet screeners include the MEDAS (Mediterranean Diet Adherence Screener [35]), REAP and WAVE (Rapid Eating Assessment for Participants and the corresponding shortened questionnaire and Weight, Activity, Variety, and…”
Burns, R. B., Jay, M. R., Thorndike, A. N., & Kanjee, Z. (2024) · Annals of Internal Medicine · doi:10.7326/annals-24-01740 · Cited by 2 · see citing works
Self-citation
- Authors
- Vadiveloo, M., Lichtenstein, A. H., Anderson, C., Aspry, K., Foraker, R., Griggs, S., Hayman, L. L., Johnston, E., Stone, N. J., Thorndike, A. N., & On behalf of the American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Arteriosclerosis, T. A. V. B. C. O. C. A. S. N. C. O. C. C. A. S. C.
- ORCID
- Venue
- Circulation: Cardiovascular Quality and Outcomes
- Published
- 2020-09
- Volume
- 13
- Issue
- 9
- Pages
- e000094-e000094
- ISSN
- 1941-7705 (ISSN-L)
- 1941-7713
- OpenAlex
- W3048248941
- Cited by
- 112
- References
- 89
- Citations by year
- 2026: 14 · 2025: 11 · 2024: 20 · 2023: 24 · 2022: 21 · 2021: 19 · 2020: 3
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- Circulation Cardiovascular Quality and Outcomes (publishedVersion)
- PubMed (publishedVersion)
- Journal of Media Literacy Education (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- diet quality assessment, cardiovascular disease risk reduction, nutrition counseling, clinical decision support, electronic health records, primary care, diet-related chronic diseases, implementation barriers
- MeSH terms
- Diet, Healthy, Adult, Aged, American Heart Association, Energy Intake, Cardiovascular Diseases, Counseling, Feeding Behavior, Female, Humans, Male, Middle Aged, Nutritive Value, Predictive Value of Tests, Preventive Health Services, Prognosis, Surveys and Questionnaires, Risk Factors, United States, Nutrition Assessment, Risk Assessment, Risk Reduction Behavior, Young Adult, Recommended Dietary Allowances
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