Key result
Health promotion strategies for cardiovascular disease prevention rely on the assumption that currently available technologies can sufficiently modify risk factors to reduce disease risk.
This paper reviews the assumptions and strategies underlying health promotion policies for the prevention of coronary heart disease.
Supports health promotion assumptions in CVD prevention; leaves open prospective validation of technology-driven risk factor modification.
Cardiovascular disease is one of the commonest causes of death and morbidity in both developed and developing countries. Health policies for the control and prevention of cardiovascular disease have traditionally relied on the control of risk factors as a major element of any strategy. Such approaches -generally termed health promotion are well illustrated by the Healthy Cities programme [1] , the British Health of the Nation strategy [2] , the Adelaide Conference and the Ottawa Charter [4] , it is always tacitly assumed that the costs of prevention will be outweighed by the costs of disease and that prevention should be promoted even in poorer countries. All these strategies make the assumption that currently available technologies are capable of modifying risk factors sufficiently to lead to reductions in disease risk.
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Ebrahim et al. (1998) conducted a review in Coronary heart disease. Health promotion strategies was evaluated. Health promotion strategies for cardiovascular disease prevention rely on the assumption that currently available technologies can sufficiently modify risk factors to reduce disease risk.
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