There is uncertainty whether current strategies for providing CVD risk scores  affect CVD events .
Providing CVD risk scores may slightly reduce CVD risk factor levels and may increase preventive medication prescribing in higher-risk people without evidence of harm .
BACKGROUND The current paradigm for cardiovascular disease ( CVD ) emphasises absolute risk assessment to guide treatment decisions in primary prevention .
Although the derivation and validation of multivariable risk assessment tools , or CVD risk scores , have attracted considerable attention , their effect on clinical outcomes is uncertain .
OBJECTIVES To assess the effects of evaluating and providing CVD risk scores in adults without prevalent CVD on cardiovascular outcomes , risk factor levels , preventive medication prescribing , and health behaviours .
Screening for risk of cardiovascular disease is not associated with mental distress: the Inter99 study.
OBJECTIVE To analyze mental distress in relation to participation in lifestyle intervention . METHODS In 2000 - 2001 a total of 1948 consecutive participants , living in the suburbs of Copenhagen , were asked to complete a short version of SCL-90-R ( anxiety , depression , and somatization ) before screening , immediately after screening , and one and 10 months after screening . The screening classified participants into high or low risk individuals . High risk individuals received personal lifestyle counselling and were r and omized to either group-based counselling ( A ) or referred care ( B ) . Multilevel regression models taking into account repeated measurements and missing data at follow-up were performed . RESULTS Before screening , high risk individuals had higher scores on anxiety , depression , and somatization than low risk individuals . All categories of participants decreased in scores after screening . The scores increased after 1 month , but were still significantly lower than before screening . After 10 months , low risk individuals and high risk individuals in group A still had significantly lower scores ( except for depression ) compared with pre-screening levels , whereas high risk individuals in group B reached the pre-screening level ( except for anxiety ) . CONCLUSION Screening for risk of cardiovascular disease followed by health counselling does not give rise to mental distress , but has a temporary beneficial effect
There is uncertainty whether current strategies for providing CVD risk scores  affect CVD events .
Providing CVD risk scores may slightly reduce CVD risk factor levels and may increase preventive medication prescribing in higher-risk people without evidence of harm .
BACKGROUND The current paradigm for cardiovascular disease ( CVD ) emphasises absolute risk assessment to guide treatment decisions in primary prevention .
Although the derivation and validation of multivariable risk assessment tools , or CVD risk scores , have attracted considerable attention , their effect on clinical outcomes is uncertain .
OBJECTIVES To assess the effects of evaluating and providing CVD risk scores in adults without prevalent CVD on cardiovascular outcomes , risk factor levels , preventive medication prescribing , and health behaviours .