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Summarystudy objective To assess the prevalence of risk factors for coronary heart disease (CHD) in a lower middle-class urban community of Turkey.design Cross-sectional study in an age-and sex-stratified random community sample with equal sample size per stratum. Direct age-standardization using the standard world population to allow international comparison of findings. Logistic regression modelling to identify risk factors for obesity.setting Gü lveren, a residential area in Ankara, total population 23 000 persons. participants A total of 1672 adults aged 25-64 years and resident in the study community were interviewed, 1272 (76.1%) of those came for physical examination. conclusions The prevalence of smoking, obesity and low HDL is high in this urban, lower middleclass population, even in comparison with industrialized countries. Unexpectedly, women have less favourable CHD risk profiles than men, except for smoking. Preventive action should be communitywide and address the common risk factors simultaneously to avoid replacement effects such as becoming obese after quitting smoking.

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