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Bmj Usa: Journal Rack

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BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E180

From BMJ USA 2003;Jan:52

This section calls attention to new studies and systematic reviews, selected by the Editor from journals published just as this issue went into production (approximately 2 months before publication). Studies are noted that might directly influence clinical practice decisions in primary care. Journals hand-searched for the Journal rack are: American Journal of Medicine, American Journal of Preventive Medicine, Annals of Internal Medicine, Circulation, JAMA, Journal of Family Practice, Journal of General Internal Medicine, Journal of the American Board of Family Practice, JNCI, Lancet, New England Journal of Medicine, Obstetrics and Gynecology, Pediatrics

Cardiovascular—A randomized trial involving 111 sedentary, overweight adults with dyslipidemia revealed that the salutary effect of exercise on lowering lipids had more to do with the amount of exercise (eg, jogging a total of 20 versus 12 miles per week) than with the intensity of the sessions (65–80% versus 40–55% of peak oxygen consumption). (Kraus et al. N Engl J Med Nov 7, 2002;347:1483–1492.)

Cardiovascular—An Indian randomized trial involving 1000 patients with coronary artery disease or surrogate risk factors found that an Indo-Mediterranean diet (emphasizing whole grains, fruits, vegetables, walnuts, and almonds) achieved significantly lower serum cholesterol levels and a 52% reduction in total cardiac end points over 2 years than did the conventional step I National Cholesterol Education Program diet (emphasizing reduced total and saturated fat intake). (Singh et al. Lancet Nov 9, 2002;360:1455–1461.)

Cardiovascular—A cohort study of 27 939 healthy women revealed that the 8-year risk of cardiovascular events and …

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