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August 20, 2003

Effects of Exercise and Weight Loss on Hypertension

Author Affiliations

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

JAMA. 2003;290(7):885. doi:10.1001/jama.290.7.885-a

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.