Who guides our science-based therapeutic sessions?
The Central Oklahoma Center for Early Detection and the Therapeutic Lifestyle Center focus on a broad range of clinical preventive health care services such as screening, counseling and preventive medications. Our efforts are based on the USPSTF (U.S. Preventive Services Task Force) recommendations, as well as recommendations from numerous evidence based governing institutions such as the American Heart Association, the American College of Cardiology, the Obesity Society, the National Lipid Association, the American Diabetes Association, and the American College of Endocrinology. We focus on maintenance of health and quality of life as the major benefit of clinical preventive services and not simply on identification of disease. We hope to improve delivery of effective services and provide preventive care.
Behavioral counseling helps at-risk individuals live longer, healthier lives
This study done by the US Preventive Services Task Force shows evidence that primary care—relevant counseling interventions for a healthful diet and physical activity modify behaviors, physiologic outcomes, the incidence of diabetes and cardiovascular morbidity and mortality in adults with cardiovascular disease risk factors. The recommendation is that adults aged 18 years or older who are overweight or obese and have additional cardiovascular risk factors to intensive behavioral counseling interventions as is offered in our therapeutic lifestyle center to promote healthful diet and physical activity for cardiovascular disease prevention.
Behavioral Counseling can Prevent Cardiovascular Disease
Cardiovascular disease (primarily in the form of heart disease and stroke) is the leading cause of death in the United States. Obesity is associated with increased cardiovascular disease mortality. Adults who adhere to a healthful diet and physical activity have lower cardiovascular morbidity and mortality than those who do not. All persons, regardless of cardiovascular risk status can accrue the health benefits of improved nutrition and healthier eating behaviors based upon individualized programs. There is adequate evidence that intensive behavioral counseling interventions have benefit for cardiovascular risk in overweight and obese adults. There is evidence that those with increased risk can have a decrease in blood pressure, lipids and fasting blood sugar levels associated with a decrease in body mass index. The reduction in blood sugar levels has been found to be large enough to decrease the incidence of diabetes diagnosis. The U.S. Preventive Services Task Force found that intensive behavioral counseling is helpful in achieving these goals. The conclusion is that intensive behavioral counseling interventions promote a healthful diet to promote a diet appropriate for each individual, have net benefit. The U.S. Preventive Services Task Force recommends screening for patients with a body mass index greater than 30 kg/m2 or greater.
What we recommend
We recommend screening patients and offering them intensive, multi-component behavioral counseling for weight loss. The USPSTF also recommends screening for lipid disorders in adults according to age and risk factor and recommends screening for blood pressure in adults, screening for diabetes in patients with elevated blood pressure and these recommendations can be accessed at www.uspreventiveservicestaskforce.org. The American Heart Association recommends that clinicians use counseling and intervention to promote a healthful diet that includes a combination of two or more of the following strategies: setting specific proximal goals; providing feedback on progress on a regular basis; providing strategies for self-monitoring; and establishing a plan for frequency and duration of follow-up using motivational techniques.
How we fit into the picture of intelligent preventive care
The Therapeutic Lifestyle Center is our effort to meet the needs and recommendations presented by the US Preventive Services Task Force and help people in our local community thrive.
These guidelines offer one more reason why patients should start requesting access of the evidence-based care they need for overweight and obesity syndromes. It is one more support for physicians, dietitians, and fitness professionals who want to deliver services and patients should demand from their health insurance companies access to these services. In the past only the most determined and affluent people could access such services. Health plans have had thousands of excuses for not paying. Health plans in the past have offered just token services such as weight loss pamphlets which are known to be of little benefit. Then, patients are blamed when obesity persists or progresses. Now: change is coming.