5 acc prevention lifestyle changes

Download 5 acc prevention lifestyle changes

Post on 18-Dec-2014



Health & Medicine

1 download

Embed Size (px)


prevention lifestyle changes


  • 1. The Evidence for Current Cardiovascular Disease Prevention Guidelines: Lifestyle Management American College of Cardiology BestEvidence and Guidelines Practice Quality Initiative Subcommittee and Prevention Committee

2. Classification of Recommendations and Levels of Evidence*Data available from clinical trials or registries about the usefulness/efficacy in different subpopulations, such as gender, age, history of diabetes, history of prior myocardial infarction, history of heart failure, and prior aspirin use. A recommendation with Level of Evidence B or C does not imply that the recommendation is weak. Many important clinical questions addressed in the guidelines do not lend themselves to clinical trials. Even though randomized trials are not available, there may be a very clear clinical consensus that a particular test or therapy is useful or effective. In 2003, the ACC/AHA Task Force on Practice Guidelines developed a list of suggested phrases to use when writing recommendations. All guideline recommendations have been written in full sentences that express a complete thought, such that a recommendation, even if separated and presented apart from the rest of the document (including headings above sets of recommendations), would still convey the full intent of the recommendation. It is hoped that this will increase readers comprehension of the guidelines and will allow queries at the individual recommendation level. 3. Icons Representing the Classification and Evidence Levels for Recommendations I IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb IIII IIa IIb III 4. Evidence for Current Cardiovascular Disease Prevention GuidelinesCigarette Smoking Cessation Evidence and Guidelines 5. Smoking Prevalence in the United States National Health Interview Survey Estimated percentage of current smokers in the United States by sexThere has been a decrease in the prevalence of cigarette smoking in men and women over timeSource: CDC, Morbidity and Mortality Weekly Report 2007;56:1157-1161 6. Tobacco Use: Most Preventable Cause of Death Most preventable causes of death in the U.S. in 1990 and 2000 Causes# (%) in 1990# (%) in 2000Tobacco400,000 (19)435,000 (18)Poor diet and physical activity (obesity)300,000 (14)400,000 (17)Alcohol consumption100,000 (5)85,000 (4)Microbial agents90,000 (4)75,000 (3)Toxic agents60,000 (3)55,000 (2)Motor vehicle accidents25,000 (1)43,000 (2)Firearms35,000 (2)29,000 (1)Sexual behavior30,000 (1)20,000 (


View more >