Is The Australian National Heart Foundation programme effective in reducing cholesterol levels among general practice patients?
Despite the contribution of elevated cholesterol to the development of cardiovascular disease, many individuals continue to have cholesterol levels greater than the 5.5 mmol/l recommended by the Australian National Heart foundation (NHF). Although general practitioners appear to be well placed to offer dietary advice to help patients to reduce their cholesterol levels, there have been few if any randomised trials evaluating the effectiveness of general practitioners in this area. A randomised trial of the relative effectiveness of two general practitioner programmes in reducing cholesterol levels among patients with cholesterol levels between 5.5 and 7.9 mmol/l was undertaken. The dietary advice programme developed by the NHF for use by general practitioners was compared with minimal advice (feedback on cholesterol level, pamphlet and warning of follow-up). Serum cholesterol was measured using a portable Reflotron. At 4-month follow-up, the patients in the NHF group (n=76) had signific
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