Individual dietary advice has modest effects on cholesterol

Individual dietary advice has modest effects on cholesterol

Although individual dietary counselling is often recommended, its efficacy in reducing blood cholesterol concentration isuncertain. On p 1213 Tang et al review 19 randomised trials ofinterventions to lower blood cholesterol concentration in free-livingsubjects. They found that dietary advice to modify fat intakeachieved a reduction in blood total cholesterol of 3-6% afterabout 12 months' intervention $---$ much less than reductions predictedby studies in controlled settings. They suggest that this failureis a result of poor compliance.

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Systematic review of dietary intervention trials to lower blood total cholesterol in free-living subjects • Commentary: Dietary change, cholesterol reduction, and the public health $---$ what does meta-analysis add?: J L Tang, J M Armitage, T Lancaster, C A Silagy, G H Fowler, H A W Neil, George Davey Smith, and Shah Ebrahim
BMJ 1998 316: 1213-1220. [Abstract] [Full Text]