Key result
Community-based primary prevention program linked to ~0.9% reduction in 10-year CHD risk.
Why the study?
Many people aged 45 to 64 years without pre-existing coronary heart disease are unaware of their cardiovascular risk and unclear how to reduce it.
Does a community-based primary prevention programme reduce Framingham risk scores in adults aged 45-64 without pre-existing coronary heart disease?
Observational (n=596)
No
Does a community-based primary prevention programme reduce Framingham risk scores in adults aged 45-64 without pre-existing coronary heart disease?
Mean Difference: 0.876 (95% CI 0.211–1.541)
Number Needed to Treat: 1141
p-value: p=0.01
A community-based cardiovascular risk assessment and referral program significantly reduced the estimated 10-year Framingham risk score at one year in adults without pre-existing coronary heart disease.
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Community programs may modestly lower CHD risk in engaged adults; leaves open whether RCTs confirm benefit or durability.
Richardson et al. (2008) conducted an observational in Coronary heart disease (primary prevention) (n=596). Community-based cardiovascular risk assessment and advice (Healthy Hearts programme) vs. Baseline (before-and-after design) was evaluated on Mean reduction in the Framingham risk score at one year (MD 0.876%, 95% CI 0.211 to 1.541, p=0.01). A community-based primary prevention programme significantly reduced the mean 10-year Framingham risk score for coronary heart disease by 0.876% (p=0.01) at one year among participants.
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