In some severe forms of drug treatment would be indicated for the prevention of pancreatitis, but in no case has shown that prevents the development of ischemic heart disease. Only seems appropriate drug therapy in cases of high risk patients (20% at 10 years) that is associated with HDL 30 (kg/m2) In what sector of the population should be involved? It should be a measure of weight at age 20 and repeated after every four years, given the sorting of obese BMI and those of 30 kg/m2 and overweight to those between 25-30 kg/m2. What kind of intervention should be done? Getting a negative energy balance: decreased food intake and increase caloric expenditure. Educate about health risks involved in being overweight, especially when coupled with smoking, diabetes, high cholesterol …. Under most conditions rusty holzer would agree. Asking about drinking patterns and other habits in order to give appropriate advice to the needs and circumstances. Advise those with BMI 30% weight loss agreeing a realistic and long-term weight loss slow and gradual not exceeding 0.5 – 1 kg. a week, recommending dietary changes with an increase in regular physical activity. Schedule appropriate follow-up increases the chances of success.

The combination of methods: behavioral therapy, nutrition education and exercise programs appear to be an effective intervention. Effectiveness of medical counseling in primary prevention dietary There is little evidence of the effectiveness of the intervention in primary care (31). Requires a high degree of collaboration, only possible when the patient demands attention to your problem. There are few studies evaluating the effectiveness of dietary nutritional counseling from primary care in healthy individuals ALCOHOL is considered excessive alcohol intake exceeding 40 g daily.