A Nation of Jack Sprats? Cholesterol Program to Stress Dietary Changes

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Abstract
THE NATIONAL CHOLESTEROL Education Program, mandated by the National Heart, Lung and Blood Institute's (NHLBI) Consensus Development Conference on Lowering Blood Cholesterol to Prevent Heart Attack, is under way. Although many technical details remain to be ironed out, it is becoming clear that the program will focus on teaching the merits of dietary, rather than pharmacologic, intervention. Initially, the program will be directed principally at those in the high-risk groups and at the physicians who may be caring for them. "This is the first line of attack. We have an obligation to do something for those who have a definite, accepted risk factor for coronary heart disease [CHD]," says NHLBI's James I. Cleeman, MD, coordinator of the program. In designing the study, investigators will be aided by data from a survey the NHLBI conducted earlier this year concerning the knowledge, attitudes, and practices of physicians and the public concerning elevated

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