Box 1.

Practical Suggestions for Primary Prevention of Preclinical Atherosclerosis

Evaluation of 10-year atherosclerotic CVD risk estimation

Discuss with clinician before starting on pharmacologic therapy

Consume a healthy diet rich of vegetables, fruits, whole grains, lean vegetable or animal protein, and fish. Minimizes the intake of red meat and processed red meats, refined carbohydrates, and sweetened beverages.

Engage in at least 150 minutes per week of accumulated moderate-intensity physical activity or 75 minutes per week of vigorous-intensity physical activity

Reduce sitting time and screen time (ie, watching TV)

Avoid tobacco use