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March 26, 2003

Optimal Diets to Prevent Heart DiseaseOptimal Diets to Prevent Heart Disease

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(12):1509-1511. doi:10.1001/jama.289.12.1509-a

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.

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