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Research Commentary| Volume 114, ISSUE 11, P1730-1735, November 2014

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2013 American Heart Association/American College of Cardiology/The Obesity Society Guideline for the Management of Overweight and Obesity in Adults: Implications and New Opportunities for Registered Dietitian Nutritionists

Published:October 24, 2014DOI:https://doi.org/10.1016/j.jand.2014.07.033
      In 2005, the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health recognized the need to update their guideline reports on cardiovascular disease (CVD) prevention and treatment. Stakeholder groups were convened to provide input on the process, including the Academy of Nutrition and Dietetics. These groups recommended the following integral and complementary steps

      US Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Institute. Cardiovascular Thought Leaders Meeting. Research Translation, Dissemination, and Application-Moving Toward a New Vision and Strategic Framework: Discussion and Consensus Findings; June 17, 2005, Bethesda, MD. https://www.nhlbi.nih.gov/files/docs/resources/heart/cvd_tlead.pdf. Accessed September 3, 2014.

      :
      • Maintain risk-factor–specific cardiovascular clinical practice guidelines.
      • Take a standardized and coordinated approach to the risk factor guidelines updates.
      • Take a more evidence-based approach to [guideline] development and implementation.
      • Give more attention to implementation issues and work closely with stakeholders in health care and community systems for translation and dissemination of the evidence base.
      • Develop an integrated CVD risk-reduction guideline that addresses the realities of clinical practice where individuals often have multiple risk factors that interact in various ways to accelerate the development of CVD.

      Keywords

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      References

      1. US Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Institute. Cardiovascular Thought Leaders Meeting. Research Translation, Dissemination, and Application-Moving Toward a New Vision and Strategic Framework: Discussion and Consensus Findings; June 17, 2005, Bethesda, MD. https://www.nhlbi.nih.gov/files/docs/resources/heart/cvd_tlead.pdf. Accessed September 3, 2014.

        • Jensen M.D.
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        2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and The Obesity Society.
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      2. Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS 2013 report on the management of overweight and obesity in adults: Full panel report supplement [published online ahead of print November 2013]. Circulation. http://circ.ahajournals.org/content/suppl/2013/11/07/01.cir.0000437739.71477.ee.DC1/Obesity_Full_Panel_Report.docx. Accessed September 15, 2014.

      3. US Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Advisory Council. Meeting Summary of the National Heart, Lung, and Blood Advisory Council; June 13, 2012, Bethesda, MD. http://www.nhlbi.nih.gov/about/committees/nhlbac/2012-06-minutes.htm. Accessed September 3, 2014.

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      Biography

      B. E. Millen is president, Millennium Prevention, Inc, Boston Nutrition Foundation, Inc, Westwood, MA; at the time of the study, she was professor and chair, Program in Graduate Medical Nutrition Sciences, Department of Family Medicine, Boston University School of Medicine, Boston, MA.

      Biography

      D. M. Wolongevicz is senior clinical research director, Millennium Prevention, Inc, Westwood, MA.

      Biography

      C. A. Nonas is a senior advisor, Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Gotham Center, Queens, NY.

      Biography

      A. H. Lichtenstein is Gershoff Professor of Nutrition Science and Policy, Tufts University, Boston, MA.