Impact of a health promotion programme on multiple risk factors for CHD: a preliminary evaluation

Results are reported from a pilot study to evaluate an innovative health promotion programme (Lanark Health Club), in a community where the incidence of CHD is above average. The aim of the programme is to provide multiple risk factor screening and interventions--including an exercise programme--sited in the community and utilising existing resources within primary care and the voluntary sector. Data were returned by 54 respondents after six months' participation on the programme. Subjects' self-reported activity levels increased significantly over time, and there were concomitant significant reductions in weight, SBP and DBP. Reduced levels of self-reported stress were associated with reductions in alcohol intake, and were greater in male subjects. When other measures were controlled for, stress reduction was significantly more likely for those who also lost weight and exhibited a reduction in DBP. Finally, participation in the Health Club appeared to result in cholesterol reduction, particularly for those with relatively high initial cholesterol levels. While this could reflect regression effects, it is certainly worthy of more systematic examination.