IMPACT OF A HEALTH PROMOTION PROGRAM ON MULTIPLE RISK-FACTORS FOR CHD- A PRELIMINARY EVALUATION

Results are reported from a pilot study to evaluate an innovative heal th promotion programme (Lanark Health Club), in a community where the incidence of CHD is above average. The aim of the programme is to prov ide multiple risk factor screening and interventions - including an ex ercise programme - sited in the community and utilising existing resou rces within primary care and the voluntary sector. Data were returned by 54 respondents after six months' participation on the programme. Su bjects' self-reported activity levels increased significantly over tim e, and there were concomitant significant reductions in weight, SBP an d DBP. Reduced levels of self-reported stress were associated with red uctions in alcohol intake, and were greater in male subjects. When oth er measures were controlled for stress reduction was significantly mor e likely for those who also lost weight and exhibited a reduction in D BP. Finally, participation in the Health Club appeared to result in ch olesterol reduction, particularly for those with relatively high initi al cholesterol levels. While this could reflect regression effects, it is certainly worthy of more systematic examination.