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Last week, a bullet passed by my office window; a few days earlier a bullet had passed through the wall of one of our surgeons rooms. Ramon Estruch and colleagues from the Hospital Clinic of Barcelona, ввSpain, evaluated the long-term effects of Mediterranean diets high in total and vegetable fats on weight and waist diameter. The participants were elderly people at risk for cardiovascular disease, most of whom were obese or overweight. To meet the objective, they carried out an investigation for 5 years with groups studied in parallel, through a multicenter, randomized and controlled clinical trial, which was carried out in primary care centers affiliated with 11 hospitals in Spain. A total of 7,447 asymptomatic women and men age 55-80 years who had type 2 diabetes or three or more cardiovascular risk factors were randomly assigned in a 111 ratio to one of three interventions Mediterranean diet supplemented with oil extra virgin olive n 2,543; the same regime, but with nuts n 2,454; or control group advice to reduce dietary fat; n 2,450.
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