Lifestyle advice in general practice: rates recalled by patients.
OBJECTIVE
To document how often patients with varying cardiovascular risk levels reported receiving lifestyle advice from general practice.


METHODS
Cross sectional descriptive survey by postal questionnaire.


METHODS
5 general practices in Bedfordshire.


METHODS
4941 people aged 35-64 years who had consulted a general practitioner at least once during the 12 months before completing the questionnaire and who subsequently attended for a health check as part of the OXCHECK trial.


METHODS
Report of having received advice from a general practitioner or practice nurse about smoking, alcohol consumption, exercise, or diet during the 12 months before completing the questionnaire. Cardiovascular risk assessed by a nurse during structured health check.


RESULTS
The overall reported rate of advice was 27% for smoking, 4.5% for exercise, 12% for diet, and 3% for alcohol consumption. Those with unhealthy behaviour profile or at increased cardiovascular risk received more advice--for example, 47% of smokers with a history of cardiovascular disease received advice on smoking. Among those at increased risk, men were more likely than women to receive advice about exercise (11% v 4%, p = 0.04) and alcohol consumption (10% v 4%, p = 0.007), while women received more advice about weight (17% v 23%, p < 0.001). The rate of receiving advice was unaffected by age, marital status, or social class.


CONCLUSIONS
The low rate of lifestyle advice reported by patients implies that more preventive advice could be provided in primary care.
Silagy
C
C
University Department of Public Health and Primary Care, Radcliffe Infirmary, Oxford.
Muir
J
J
Coulter
A
A
Thorogood
M
M
Yudkin
P
P
Roe
L
L
D000328:Adult; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D004032:Diet; D004739:England; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking