Intended for healthcare professionals


Diet-heart disease hypothesis is wishful thinking

BMJ 2002; 324 doi: (Published 26 January 2002) Cite this as: BMJ 2002;324:238
  1. Uffe Ravnskov, independent researcher (
  1. Magle Stora Kyrkogata 9, S-22350, Lund, Sweden

    EDITOR—Mann et al and Hu et al list several shortcomings in the trials reviewed by Hooper et al that explain why dietary treatments for patients with coronary heart disease were ineffective.13 Inferior studies with negative results are prevalent, but where is the positive evidence that justifies the dietary recommendations?

    Mann et al point to the improved outcome in the subgroup analysis of the five prolonged trials. But in that analysis Hooper et al excluded the Sydney diet-heart study, where total mortality was significantly increased, …

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