ArticleAmerican journal of preventive medicine2019
Trends in Lifestyle Counseling for Adults With and Without Diabetes in the U.S., 2005-2015.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 18 citations in OpenAlex.
- Management of Patients With Comorbid Asthma and Obesity: A Large Language Model Evaluation of Clinical Documentation.The journal of allergy and clinical immunology. In practice · 2026Article
- Diabetologists' Knowledge and Prescription of Physical Activity in Southeast Europe.Medicina (Kaunas, Lithuania) · 2025Article
- Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020.American journal of lifestyle medicine · 2025Article
- The Impact of Physical Activity in Patients With Type 2 Diabetes.American journal of lifestyle medicine · 2025Review
- Effect of physical activity on incident atrial fibrillation in individuals with varying duration of diabetes: a nationwide population study.Cardiovascular diabetology · 2024Article
- Service-Learning Through Community-Based Exercise Teaching Enhances Medical Students' Exercise Knowledge, Counseling Confidence, and Habits.American journal of lifestyle medicine · 2024Article
- Teaching Preclinical Medical Students Lifestyle Counseling Skills for Patients' Health Behavior Change.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Impact of a Nutrition and Diabetes Continuing Education Program on Primary Care Provider's Knowledge, Attitude, and Clinical Practice.Advances in medical education and practice · 2024Article
- Rapid Remission of Chronic, Progressive Conditions and Reducing Polypharmacy by Utilizing Lifestyle Therapy to Target Insulinemic Lifestyle Components.AJPM focus · 2023Article
- Association of healthy lifestyle and all-cause mortality according to medication burden.Journal of the American Geriatrics Society · 2022Article
- Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions and Practices of Family Physicians.American journal of lifestyle medicineArticle
- Lifestyle Medicine: Guideposts and Expanded Opportunities.American journal of lifestyle medicineArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
introductionStrong evidence shows that lifestyle change and weight loss stimulated by counseling improve glycemic control and lower comorbidities for patients with diabetes, but it is unclear whether diet or physical activity counseling for patients with diabetes in ambulatory settings has actually been responsive to this evidence.
methodsData from the 2005-2015 National Ambulatory Medical Care Surveys were used to assess trends in provider-reported diet or exercise counseling during ambulatory care visits. The data were pooled and multivariate logistic regression models were built, adjusting for patient-, provider-, and practice-level characteristics to examine whether the provision of counseling varied by these characteristics. Data were analyzed from September 2018 to December 2018.
resultsThere were 42,234 adults with diabetes and 272,094 adults without diabetes. The proportions of patients with provider-reported Type 2 diabetes who received any diet or exercise counseling were no different over time, 30% in 2005 (95% CI=25%, 35%) and 25% in 2015 (95% CI=18%, 31%). Lower proportions of those without diabetes received any counseling, 17% in 2005 (95% CI=14%, 19%) and 15% in 2015 (95% CI=11%, 18%). Adjusted models showed that Hispanic patients had a higher likelihood of receiving diet or exercise counseling, compared with whites (OR=1.38, 95% CI=1.09, 1.75). Those aged 30-49 years were more likely to receive diet or exercise counseling than those aged >75 years (OR=1.51, 95% CI=1.27, 1.80). Compared with rural areas and other providers, visits in a metropolitan area (OR=1.27, 95% CI=1.09, 1.47) or with an advanced practice provider (OR=1.66, 95% CI=1.00, 2.75) had a higher likelihood of any diet or exercise counseling delivery.
conclusionsLess than 30% of Americans with diabetes receive diet or exercise counseling in ambulatory visits, and this proportion has not changed significantly in a decade. Future interventions should focus on addressing this gap in counseling.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.