Lifestyle Outcomes of Absolute cardiovascular risk Feedback project

INTERVENTION: Group1. Face to face feedback (once only 45 minute session ) of absolute cardiovascular risk to patient with advice on risk factor profile and lifestyle changes to improve risk, together with individualised written materials. Group 2. Face to face feedback (once only 45 minute session) plus telephone support and counselling (monthly phone calls for 6 months and then bi‐monthly phone calls for 6 months ‐ 9 phone calls of 10‐12 minutes duration)` Group 3. Control group ‐ usual general practice care CONDITION: Cardiovascular disease PRIMARY OUTCOME: Assess dietary salt intake using DQESv2 To measure the decrease in the proportion of their energy coming from saturated fats by asking participants to complete the Dietary Questionnaire for Epidemiological Studies (DQESv2) ‐ Cancer Coucil of Victoria To monitor physical activity using The Lifescripts questionnaire and using accelerometers(Actigragh GT1M) for seven consecutive days Urinary Sodium Excretion will be measured in a single, timed, overnight, non‐fasting urine collection‐ not by 24 hour urine collection. Aliquots of each sample will be measured in duplicate for sodium and potassium using indirect ion selective electrodes and for creatinine by the Abbott Jaffe reaction, all in an Abbott Architect analyser. Urinary sodium will then be converted to daily excretion rates using the multipliers of 8 hour urinary excretion. SECONDARY OUTCOME: 2. Blood pressure will be measured using an OMRON office digital blood pressure HEM‐907 monitor after participants have been seated for 3 minutes. Three measurements will be taken two minutes apart and an average of the last two measurements calculated. Assess waist‐hip ratio using Figure Finder Tape Measure. Measurements are to taken twice, directly over the skin and at the level of the tape. Waist measurement is taken at the level of mid‐point between the inferior margin of the last rib and the iliac crest in the mid axillary plane. Hip measurement is taken at the level of the greatest posterior protuberance of the buttocks which usually corresponds anteriorly with the level of the symphysis pubis. body mass index (BMI) fasting blood glucose levels. ; Blood samples will be collected after a 12 hour fast using Glucose List No 7D66 total cholesterol to high density lipo‐protein (HDL) cholesterol ratio ; Blood samples will be taken after a 12 hour fast using the Abbott Architect c8000 analyser. The 3K33 Ultra HDL reagent kit will be used to analyse HDL cholesterol and the Cholesterol Kit List No. 7D62 for cholesterol. INCLUSION CRITERIA: Absolute cardiovascular risk(ACR) of >10% Minimum age of females = 45yrs Minimum age for males = 55yrs