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Thus, when considering how to promote health and offer preventive care, providers must adapt general healthcare screening and counseling recommendations to their patients\u2019 physical and cognitive impairments along with discerning how to monitor secondary or chronic conditions common to the population. This article provides an update on the health promotion and preventive health care guidelines developed as part of the Spina Bifida Association\u2019s fourth edition of the Guidelines for the Care of People with Spina Bifida. The guidelines highlight accommodations needed to promote general preventive health, common secondary\/chronic conditions such as obesity, metabolic syndrome, hypertension, musculoskeletal pain, and considerations for preventing acute care utilization for the SB population throughout the lifespan. Further research is needed to understand the effectiveness of preventive care interventions in promoting positive health outcomes and mitigating potentially preventable acute care utilization.<\/jats:p>","DOI":"10.3233\/prm-200718","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T16:22:17Z","timestamp":1606839737000},"page":"513-523","source":"Crossref","is-referenced-by-count":6,"title":["Health promotion and preventive health care service guidelines for the care of people with spina bifida"],"prefix":"10.1177","volume":"13","author":[{"given":"Ellen","family":"Fremion","sequence":"first","affiliation":[{"name":"Departments of Internal Medicine and Pediatrics, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kanter","sequence":"additional","affiliation":[{"name":"Departments of Physical Medicine and Rehabilitation, Pediatrics, and Public Health and Preventive Medicine, 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