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Nutritional Counseling in Community Office Practices

Daniel E. Ford, MD, MPH; Christopher Sciamanna, MD, MPH
Arch Intern Med. 1997;157(3):361-362. doi:10.1001/archinte.1997.00440240127024.
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The report by Caggiula et al1 in the June 10, 1996, edition of the Archives compared the effects of 2 dietary interventions on cholesterol levels. Physicians were recruited and randomized to deliver nutritional counseling to their patients with hypercholesterolemia by an "office assisted" method delivered largely by nurses and physicians or to refer them to a nutrition center. The patients who were referred to the nutrition center, as seen in Table 4 in Caggiula and colleagues' article, enjoyed a mean decrease in serum cholesterol levels of 0.56 mmol/L [21.6 mg/dL] compared with 0.38 mmol/L [14.7 mg/dL] for the office assisted intervention. The authors concluded that "based on the changes observed in the Nutrition Center Model... greater cholesterol responses can be obtained with specialized lipid-lowering programs." In addition, according to patient satisfaction data from Table 5, "patients in the Nutrition Center Model were more positive in regard to recommending the program


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