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allied health personnel allied health professionals allied health professions American Association athero atherosclerosis behavior change calories cardiovascular causal factors chapter CHD incidence CHD prevention CHD risk chronic disease cigarette smoking consumer coronary arteries coronary heart disease counselors diabetes diet dietary disease agents economic effective employee environment environmental epidemiology evaluation fatty streaks functions health care delivery health care system health education health education programs health insurance health maintenance health problems health services heart attacks high risk hospital host hypertension important increased individual industry influence intake Journal lesions major mass media mortality motivated myocardial infarction myocardium natural history nurse nutrition obesity patient percent physical activity physician population prevention of heart preventive behavior preventive measures preventive program primary prevention Public Health recommended reduce rehabilitation responsibility risk factors role saturated fat screening serum cholesterol serum lipids social specific studies tion treatment