When stroke, hypertension, and coronary heart disease are included in the definition of cardiovascular disease (CVD), CVD accounts for more than one-third of the deaths among American adults (Hoyert, Heron, Murphy, & Kung, 2006). To improve the health of the nation and reduce mortality from these diseases, the U.S. government and several government agencies have published recommendations or guidelines regarding dietary choices, weight, and physical activity (Fletcher et al.

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