Make Low-Cholesterol Diets Tasty

  1. John La Puma, MD
  1. Lutheran General Hospital; The University of Chicago; Chicago, IL 60614

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    TO THE EDITOR:

    Substituting olive oil for butter and supplementing meals with psyllium and garlic pills are two mildly effective steps for reducing serum cholesterol. Subtracting dietary fat seems like the most direct solution [1] but ignores patient preferences for foods that are rich and satisfying. Preferences start early and are taught in school. If kids do not eat their lunches (38% fat), for example, they may opt for a Big Mac (47% fat) [3, 4].

    Subtracting fat without adding a new, equally appealing taste is a recipe for noncompliance. Many chefs, and a few physicians and dieticians, are now interested in ways to make low-fat cooking taste good [4]. Giving patients and their families new ways to cook at home and teaching them how to choose flavorful, low-fat meals in restaurants should become part of office-based disease prevention. Physicians can and should become expert in adding flavor, not just subtracting fat.

    John La Puma, MD

    Lutheran General Hospital; The University of Chicago; Chicago, IL 60614

    The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:

    •Include no more than 300 words of text, three authors, and five references

    •Type with double-spacing

    •Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.

    Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.

    Annals welcomes electronically submitted letters.

    References

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