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 .
The impact of a population-based multi-factorial lifestyle intervention on changes in long-term dietary habits: the Inter99 study.
OBJECTIVE To evaluate the effectiveness of a  population -based multi-factorial lifestyle intervention on long-term changes in dietary habits compared to a non-intervention control group . METHODS The study was a r and omized controlled lifestyle intervention study , Inter99 ( 1999 - 2006 ) , Copenhagen , Denmark , using a high-risk strategy . Participants in the intervention group ( n=6 091 ) had at baseline a medical health-examination and a face-to-face lifestyle counselling . Individuals at high risk of ischemic heart disease were repeatedly offered both individual and group-based counselling . The control group ( n=3 324 ) was followed by question naires .  Dietary habits were measured by a vali date d 48-item food frequency question naire and changes were analyzed by multilevel analyses . RESULTS At the 5-year follow-up the intervention group compared to the control group had significantly increased their intake of vegetables ( men : net-change : 23 g/week ; p=0.04 ; women : net-change : 27 g/week ; p=0.005 ) and decreased the intake of highly saturated fats used on bread and for cooking ( men : OR=0.59 ( 0.41 - 0.86 ) ; women : OR=0.42 ( 0.30 - 0.59 ) ) . Significant effects on fruit and fish intake were found at the 3-year follow-up but the effect attenuated at the 5-year follow-up . CONCLUSION A population -based multi-factorial lifestyle intervention promoted significant greater beneficial long-term dietary changes compared to the control group , especially the intake of vegetables and saturated fat was improved
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 .