Intended for healthcare professionals


Health promotion activity should be retargeted at secondary prevention

BMJ 2000; 320 doi: (Published 15 January 2000) Cite this as: BMJ 2000;320:185
  1. Shah Ebrahim (, professor in epidemiology of ageing,
  2. George Davey Smith, professor of clinical epidemiology,
  3. Rachel Bennett, senior house officer
  1. Department of Social Medicine, University of Bristol, Bristol BS8 2PR
  2. Frenchay Hospital, Bristol BS16 1LE

    EDITOR—In their short report of a five year follow up of a trial of individual advice on lifestyle modification Cupples and McKnight report that “most of the benefits identified at the end of two years had worn off” at five years.1 They fail, however, to report that fewer deaths occurred in the intervention group (relative risk 0.73; 95% confidence …

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