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JS: First and foremost, primary prevention of the major risk factors producing the epidemic—high blood pressure, high blood cholesterol, adverse recruit eating patterns and smoking—is key to accomplishing this. Most major risk recruit factors are amenable to influence recruit by dietary means. We have known this for decades about blood cholesterol. What is new is that recent research has proved this to be true also for high blood pressure. So we can now move toward the end of the epidemic. There needs to be major emphasis on a strategy of giving high priority to the application of this knowledge to ensure that the declines continue. It’s a matter primarily of improving lifestyles. LE: How many people have favorable levels of all the major risk factors for heart disease? JS: If we all had favorable risk factors, the epidemic would cease.
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