Aim: To assess the effectiveness of community based comprehensive lifestyle promotion package on cardio-vascular risk (diet risk score) among adult with hypertension Methodology: Quantitative approach, true experimental comparative design was adopted in the study. 200 samples in experimental and 200 samples in control group who fulfilled the inclusion and exclusion criteria were selected using probability sampling technique. Cardio-vascular risk (diet risk score) was assessed by using cardio-vascular risk assessment tool followed by community based comprehensive lifestyle promotion package was administered. Results: The chi-square analysis showed that there was no statistically significant difference between the experimental and control group in the pre test. In post test 3 there was statistically significant difference in the diet risk score between the experimental and control group. (high significant at p≤0.001). In post test 3 diet risk reduction score was 15.74 among experimental group whereas in the control group risk reduction score was 0.98 only. Student independent t-test (t=24.13 at p=0.001) showed that there was significant difference between the experimental and control group in the post test 3. Results also revealed that there was a statistically significant between pretest and post test 3 (F = 712.60, p < 0.001) only in the experimental group alone. Conclusion: The results revealed that the community based comprehensive lifestyle promotion package was effective in reducing the diet risk score and thus preventing the cardiovascular diseases hence can be utilized as a step in prevention of cardiovascular risk among adult with hypertension.