Adults who are overweight or obese and have additional risk factors for cardiovascular disease such as hypertension, dyslipidemia, or impaired fasting glucose should be offered intensive counseling to promote a healthful diet and physical activity, the US Preventive Service Task Force (USPSTF) has advised (http://bit.ly/1lu0CMp).
The recommendation is based on a review of data from 74 fair- or good-quality healthy lifestyle clinical trials among persons with cardiovascular risk factors (Ann Intern Med. doi:10.7326/M14-0130 [published online August 26, 2014]. The review found that intensive lifestyle counseling for individuals with cardiovascular disease risk factors helped patients shed pounds, lower their blood pressure, and reduce their lipid and glucose levels.
Stephenson J. USPSTF: Lifestyle Counseling Advised for Overweight, Obese Adults With Other Cardiovascular Risk Factors. JAMA. 2014;312(11):1085. doi:10.1001/jama.2014.12696