Systematic risk factor screening and education: A community-wide approach to prevention of coronary heart disease

David M. Murray, Russell V Luepker, Phyllis L. Pirie, Richard H. Grimm, Ellen Bloom, Marsha A. Davis, Henry Blackburn

Research output: Contribution to journalArticlepeer-review

51 Scopus citations


Within a community-wide heart disease prevention effort, it was hypothesized that personalized risk factor screening and education would result in modified health behaviors and reduced risk factor levels for coronary heart disease. Adults from a population sample were randomized to a community-wide screening and education program or were excluded from that program for 1 year. At the end of that year, both groups were measured for risk factor levels and related health behaviors. Those who received the screening and education program had significantly lower risk factor levels and other evidence of health behavior change, including lower blood cholesterol (206.9 vs 211.5 mg/dl), lower diastolic blood pressure (68.7 vs 70.0 mm Hg), lower resting heart rate (71.4 vs 72.7 bpm), and increased selection of low-fat and low-sodium meals in local restaurants. These data suggest that systematic risk factor screening and education may result in lower population risk for coronary heart disease.

Original languageEnglish (US)
Pages (from-to)661-672
Number of pages12
JournalPreventive medicine
Issue number6
StatePublished - Nov 1986

Bibliographical note

Funding Information:
’ Supported by Grant 1 ROI HL 25523 from the National Heart, Lung, and Blood Institute. * To whom reprint requests should be addressed. 3 Please see Acknowledgments for a list of co-investigators and staff centrally involved in the research reported herein.


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