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Correspondence
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Volume 343:1814-1815 December 14, 2000 Number 24
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Primary Prevention of Coronary Heart Disease in Women through Diet and Lifestyle

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 by Stampfer, M. J.
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To the Editor: Stampfer et al. (July 6 issue)1 report impressively low levels of coronary heart disease among women with healthy lifestyles. Unfortunately, their definition of lifestyle includes at least one variable, the body-mass index, that is itself a measure of disease status, rather than a matter of behavior. Although poor diet and lack of exercise presumably contribute to many cases of overweight and obesity, one cannot simply assume that they are the only factors leading to a high body-mass index. In fact, the study by Stampfer et al. provides evidence that factors other than lifestyle influence the body-mass index, . . . [Full Text of this Article]

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