Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: I agree with Dr Beilin and colleagues
that 2 of their studies did find an additive effect on BP: one by combining
weight loss and increased fish intake,1 and
the other by combining weight loss with alcohol restriction.2 However,
whether these are really different lifestyles is questionable, because in
both studies what was being changed was what participants ate and drank. Thus,
in the first study participants were asked only to consume diets that varied
in the amount of fish and calories. In the latter, alcohol restriction resulted
in weight loss, presumably because this was another form of caloric restriction.
Pickering TG. Effects of Exercise and Weight Loss on Hypertension. JAMA. 2003;290(7):885. doi:10.1001/jama.290.7.885-a