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 .
A randomized multifactorial intervention study for prevention of ischaemic heart disease (Inter99): The long-term effect on physical activity
Aim : To examine the effect of a r and omized multiple risk factor intervention study for prevention of ischaemic heart disease ( IHD ) on the development in physical activity over a 36-month period . Methods : Two r and om sample s ( high intensity intervention , group A , n=11,708 ; low intensity intervention , group B , n=1,308 ) were invited for a health examination , an assessment of absolute risk of developing IHD , and an individualized lifestyle intervention . The participation rate was 52.5 % . High-risk persons in group A were also offered diet/physical activity and /or smoking cessation group counselling . High-risk persons in group B were referred to their GP . High-risk persons were re-counselled after 12 and 36 months . The  control group ( group C , n=5,264 , response rate=61.3 % ) answered a mailed question naire . Data were analysed using longitudinal linear regression models with r and om effects . Main outcome : Change in physical activity from baseline to 12- and 36-month follow-up . Results : In men , the high-intensity ( group A ) intervention had a beneficial effect at 12-month follow-up , whereas after 36 months both the high-intensity and the low-intensity ( group B ) intervention had a beneficial effect on the development in physical activity when compared with group C. This was regardless of baseline physical activity level . At 36-month follow-up there was no significant difference between groups A and B. There was no intervention effect among women . Conclusions : Only men seemed to benefit from the intervention
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 .