Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Drs Hu and Willett1 only
briefly addressed the role of diet in controlling hypertension. The relationship
between hypertension and cardiovascular disease is well established2 and the lifetime risk of hypertension is high.3 Providing dietary recommendations to patients for
prevention of CHD and not addressing steps to prevent or control hypertension
would be a major omission. In view of the generally high salt consumption
in the United States and Canada, it is particularly misleading to not discuss
salt intake in the face of strong evidence that reduced sodium consumption
is associated with reduction in diastolic and systolic blood pressure4 and, therefore, reduced morbidity and mortality
due to CHD.
Bryan L. Optimal Diets to Prevent Heart DiseaseOptimal Diets to Prevent Heart Disease. JAMA. 2003;289(12):1509-1511. doi:10.1001/jama.289.12.1509-a