Lothian Hypertension and Lipid clinics

Non-Drug Management of Cardiovascular Risk

At all levels of cardiovascular risk, lifestyle modification should be the primary intervention used to reduce cardiovascular risk. Smoking cessation is particularly important. 


Lifestyle Factor


Further Links


  • Saturated fat: aim for <30g/d if male, <20g if female
  • Adopting a Mediterranean diet pattern supplemented with 30g extra virgin olive oil or unsalted nuts per day
  • Ensure adequate consumption of fruit & vegetables

NHS Live Well


NHS Scotland Eat Well Guide


  • Aim for 150min moderate-intensity exercise (or 75min high-intensity exercise) weekly
  • Twice weekly: physical activity to improve muscle strength.

NHS Live Well


NHS Scotland: Keeping Active

Weight loss

In overweight/obese patients aim for a sustained weight loss of at least 3kg. 


This also reduces the likelihood of developing type 2 diabetes, hypertension, osteoarthritis etc. which are themselves cardiovascular risk factors. 

NHS Live Well


BMI Calculator


NHS Inform 12-week Weight Management Programme


Lothian Weight Management Service


Complete sustained cessation

NHS Live Well


NHS Scotland: Stopping Smoking


Quit Your Way advice service


Aim for <14 units weekly, spread over 3 or more days. 

NHS Live Well



Salt intake

  • Salt intake should be reduced as much as possible 
  • Aim for <6g/d

Action on Salt: Salt & Your Health


For more detailed clinical recommendations, see SIGN guideline 149