• Age 30-65y old at the time of enrollment

• Non-institutionalized

• Living in PR at the time of recruitment and for at least the previous year and not planning to move from the island within the next 3 years

• Able to answer questions without assistance

• Having a cellphone with the capacity to receive text messages and be willing to receive daily text messages from the study on the designated cellphone number

• Having at least one of the following:

‣ elevated BMI

⁃ elevated waist circumference

⁃ self-reported physician-diagnosed hypertension or use of hypertension medication or measured high blood pressure at the baseline visit

⁃ self-reported physician-diagnosed pre-diabetes or measured pre-diabetes at the baseline visit

⁃ self-reported physician-diagnosed dyslipidemia or use of lipid-lowering agents or laboratory values confirming dyslipidemia