BMJ  2003;327:1348 (6 December), doi:10.1136/bmj.327.7427.1348-a

Letter

Dietary fat intake and risk of stroke

Association may differ with subtypes of ischaemic stroke

The first 150 words of the full text of this article appear below.

EDITOR—He et al report no association between dietary fat intake and risk of stroke in men but did not analyse their data with reference to the different subtypes of ischaemic stroke.¹ The association between serum cholesterol concentrations and the various subtypes of ischaemic stroke may differ.

Sacco et al reported that the protective effect of high density lipoprotein cholesterol is more pronounced in preventing ischaemic stroke due to atherosclerosis compared with lacunar infarction, cryptogenic infarction, and cardioembolic stroke.² It may be interesting to ascertain if any of the different subtypes of ischaemic stroke are associated with dietary fat intake.

The proportion of subjects prescribed cholesterol lowering drugs is not stated by He et al. The result of the heart protection study showed a relation between cholesterol reduction with simvastatin and stroke prevention.³ Those with a high fat dietary intake might be more likely to be prescribed statins, and . . . [Full text of this article]

Springfield Unit, City General Hospital, Stoke-on-Trent ST4 6QG elliotepstein832@hotmail.com

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