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Preventive Healthcare for Adults
Obesity:
The American Medical Association (AMA) adopted a new policy in June of 2013 to classify obesity as a disease. This move was made to improve research, education, and development of treatment for obesity while at the same time reducing the stigma of being overweight (46). The USPSTF recommends counseling and lifestyle modifications for adults with obesity. Obesity is defined as a body mass index (BMI) of over 30 kg per meter squared (47). Please see the section on Weight Loss in Preventive Health Advisor.
High blood pressure:
According to the U.S. Preventive Services Task Force (USPSTF), all adults over 18 years old should be screened for high blood pressure (bp), and the USPSTF has determined that control of bp below 135/80 decreases cardiovascular mortality and cardiac events (17). The risk of cardiac events is higher in diabetics than those who do not have diabetes. Elevated blood pressure does not cause symptoms and if is not controlled over time, may lead to heart disease and/or increase the risk of stroke and diabetes. If blood pressure is found to be over 135/80 mmHg, the USPSTF recommends screening for diabetes mellitus (16).
