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June 24, 1983

Peripheral Vascular Disease: Diet, Exercise, or Both?

Author Affiliations

American Medical Association Chicago

JAMA. 1983;249(24):3355-3356. doi:10.1001/jama.1983.03330480061033

Peripheral vascular disease (PVD) may reduce ambulation to a minimum. Walking becomes an increasingly painful and fatiguing experience until, finally, exercise of any kind is drastically reduced. When that cycle is complete, resignation to inertia has claimed another productive life.

There is great interest in the possibility that induced regression of atheromatous plaques could improve peripheral circulation. Evidence that regression can occur through control of the hyperlipidemias and other cardiovascular disease (CVD) risk factors has been presented.1 Much has been done to evaluate the beneficial effects of such risk reduction, but a great deal remains to be accomplished. While it is prudent to attempt normalization of the blood lipid levels, BP, and body weight, as well as to eliminate use of tobacco, there is, as yet, no assurance that PVD can be relieved.

Nathan Pritikin, founder of The Longevity Center, claims that special diets and graded exercise could return