Effectiveness of dietary intervention in general practice

The American Journal of Clinical Nutrition
D Mant

Abstract

The scope for dietary intervention in general practice is substantial. The three most prevalent conditions for which general practitioners are likely to give dietary advice are hypertension, functional digestive disorders, and ischemic heart disease. As well as clinical diseases, risk factors such as raised plasma cholesterol concentrations also provide opportunities for dietary intervention. But resources are limited. If a general practitioner or nurse spends 5 min of a 10-min consultation on dietary advice, there is 5 min less to spend on the rest of the consultation. Research studies in general practice show that small changes in plasma cholesterol concentrations can be achieved by dietary interventions. Intensive intervention can also influence salt intake to a small extent. However, the most important, potentially cost-effective roles for the general practitioner in health promotion are the legitimization and reinforcement of public health information by brief advice and the distribution of written material. Secondary and tertiary prevention is a priority in general practice and may entail use of drugs, but drugs are not a desirable solution for the unhealthy diets of healthy people.

Citations

May 25, 2004·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Diane L McKayJeanne P Goldberg
Jul 30, 2005·European Journal of Clinical Nutrition·M W VerheijdenW A Van Staveren
May 27, 1999·The Proceedings of the Nutrition Society·S F Kirk
Jan 5, 2000·The American Journal of Clinical Nutrition·A S Truswell
Mar 29, 2003·The American Journal of Clinical Nutrition·Lisa G NicholasDavid C K Roberts
Aug 21, 2002·Public Health Nutrition·Helen Moore, Ashley J Adamson
Jul 30, 2005·European Journal of Clinical Nutrition·R PiñeiroUNKNOWN EUROPREV network
Mar 29, 2003·The American Journal of Clinical Nutrition·Jaap J van Binsbergen, Anton J M Drenthen

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