Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020.

Background: Provider lifestyle counseling is important for improving lifestyles and cardiometabolic disease (CMD) prognosis. However, an examination of the relationship between sociodemographic characteristics, lifestyle modification and provider lifestyle counseling receipt among adults with CMD is scarce. The study examined the prevalence and associations of lifestyle modification and sociodemographic characteristics with provider lifestyle counseling among adults with CMD diagnosis.

Methods: We used cross-sectional data from 2017-2020 National Health and Nutrition Examination Survey (N = 4847). Provider lifestyle counseling (i.e., advice to control/lose weight, exercise, reduce salt, and reduce fat/calories), and lifestyle modification (yes or no) were assessed. Adjusted odds ratios were evaluated using logistic regression models.

Results: Among the sample of adults with CMD, 44.6% received advice to lose weight, 56.1% to exercise, 36.1% to reduce salt, and 43.9% to reduce fat/calories. Adults who made lifestyle modifications had higher odds of receiving advice to lose weight (OR: 1.81), exercise (OR: 1.95), reduce salt (OR: 2.23) and reduce calories (OR: 2.66). Age, sex, race/ethnicity, educational attainment, and insurance were associated with provider lifestyle counseling.

Conclusion: Provider lifestyle counseling is generally suboptimal among U.S. adults with lifetime diagnosis of CMD, and the odds of counseling receipt differ by sociodemographic characteristics and lifestyle modification. CMD control should involve training providers to increase lifestyle counseling.