How Physicians Can Assess and Address Dietary Behaviors to Reduce Chronic Disease Risk.

Caitlin A Hildebrand, David B Gaviria, Carmen D Samuel-Hodge, Alice S Ammerman, Thomas C Keyserling

Journal: The Medical clinics of North America 2022;106(5):785-807

PMID: 36154700

Full Text on Elsevier Science View on PubMed

Abstract

With the growing burden of diet-related chronic disease impacting the public's health, nutrition counseling in a primary care setting is essential and can be accomplished through brief and creative approaches. This article reviews an example of a brief dietary assessment and counseling tool and counseling strategies focusing on dietary behavior changes that emphasize impact on health outcomes, ease of behavior change, and affordability. These, plus integrating office supports, are practical ways to start the conversation about improving diet quality with patients. Collaborative efforts in nutrition care, particularly through collaboration with registered dietitians, present a valuable opportunity to meet the nutrition care needs of patients. Additionally, this article reviews screening for eating disorders, food insecurity, and dietary supplement use.

Address: Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Boulevard, CB# 7426, Chapel Hill, NC 27599-7426, USA; Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, CB# 7461, Chapel Hill, NC, 27599-7461, USA.; Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Boulevard, CB# 7426, Chapel Hill, NC 27599-7426, USA; Division of General Medicine and Clinical Epidemiology, Department of Medicine, School of Medicine, University of North Carolina, CB# 7110, Chapel Hill, NC, 27599-7110, USA. Electronic address: [email protected].

DOI: 10.1016/j.mcna.2022.05.004

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MeSH Terms: Chronic Disease, Counseling, Diet, Dietetics, Humans, Physicians