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Dietary Counseling

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Diseases associated with overeating, under eating, and dietary or nutritional imbalance rank among the leading causes of illness and death in the United States. This study will address the relationship between specific dietary elements and specific health outcomes. Also the role of dietary counseling has been extensively investigated to see the actual effectiveness achieved through counseling.
In order to address the question of the role of diet in chronic diseases in Americans the University of North Carolina Evidence-based Practice Center undertook a systematic evidence review. This studies goal is to better address the relationship between diet and health outcomes and the issues relating to the effectiveness of interventions to change dietary patterns, with the focus on dietary counseling.
In order to identify studies examining the question of the relationship between diet and health, they identified existing systematic reviews from MEDLINE, the Cochrane Database of Systematic Reviews, and the University of York Database of Reviews of Effectiveness from 1990 to the present. Limitations on searches were to human population and the English language. Articles were included if they evaluated a nutrition intervention, that assessed the impact on dietary change among those at risk of chronic disease. However studies were excluded of individuals with a diagnosed illness that might directly affect their dietary intake, required a special diet, or required entry into a study immediately following a life-threatening, disease-related event.
Senior university investigators and three members of the US Preventative Service Task Force, who were authors of this systematic evidence review, developed an analytic framework to guide the research efforts. This framework depicts the relationship between diet and health, feasible dietary assessment strategies, evidence that dietary

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