Article révisé par les pairs
Résumé : Between September 1998 and February 2000, Belgian general practitioners (GPs) who graduated since 1965, were contacted by mail to take part in an epidemiological study on cardiovascular and behavioural risk factors (the "CHD-Monitor"). In this article, we present data from the CHD-Monitor related to the frequency of nutritional interventions as part of a non-pharmacological management of hyperlipidemia. Approximately one patient out of three reported to have received information on nutritional behaviours from their general practitioner. Patients with diabetes, coronary diseases, or with a BMI ≥ 30 attended more frequently a dietician (a service not reimbursed by the Belgian social security). Patients in Brussels declared that they had received more often information from their general practitioners than patients from Flanders and Wallonia. Interestingly, half of the patients with established coronary heart disease or with hyperlipidemia declared that their physician (GPs or specialists) never provided counselling on healthy eating habits. A team constituted by GPs and dieticians would allow GPs to give more attention to acute and chronic medical problems, while dieticians would provide professional advices on the best ways to follow a diet and on healthy eating habits.