system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 15-year-old girl comes to the physician for a well-child examination. She feels well. Her father has coronary artery disease and hypertension. Her mother has type 2 diabetes mellitus, hypercholesterolemia, and had a myocardial infarction at the age of 52 years. She is at the 25th percentile for height and above the 95th percentile for weight. Her BMI is 32 kg/m2. Her temperature is 37°C (98.6°F), pulse is 99/min, and blood pressure is 140/88 mm Hg. Physical examination shows no abnormalities. Random serum studies show:
Glucose 160 mg/dL
Creatinine 0.8 mg/dL
Total cholesterol 212 mg/dL
HDL-cholesterol 32 mg/dL
LDL-cholesterol 134 mg/dL
Triglycerides 230 mg/dL
In addition to regular aerobic physical activity, which of the following is the most appropriate next step in management?"
assistant
Reduced-calorie diet