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April 15, 1998

Dietary Fat and Ischemic Stroke

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(15):1171-1173. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-15-jbk0415

To the Editor.—The study by Dr Gillman and colleagues1 is flawed by virtue of its being based on a single 24-hour dietary recall, which is a notoriously unreliable method. As an indicator of how questionable it is, these authors found no correlation between dietary total fat or saturated fat and coronary heart disease risk in this sample from the Framingham Heart Study, yet it was the Framingham Heart Study that has provided such important information linking dietary fat and coronary heart disease during the past several decades.2 If these authors did not find this correlation in their sample from Framingham, it calls into question the validity of their dietary assessment.

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