PEDIATRICS Vol. 58 No. 2 August 1976, pp. 148-149
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The endurance of uncertainty

Donald M. Berwick M.D.1

1 Center for the Analysis of Health Practices, Harvard School of Public Health, Boston, Massachusetts

In the debate about cholesterol and coronary heart disease (CHD), the score seems perpetually tied. In 1972, the Intersociety Commission for Heart Disease Resources recommended pervasive dietary changes to lower cholesterol levels for all Americans.1 In the same year, partially in response, the Committee on Nutrition of the American Academy of Pediatrics published its opinion that "dietary intervention, at present, is experimental and...[the committee recommends]...against dietary changes for all children."2 Contradictory recommendations about pediatric intervention issue from two equally prestigious oracles.

This issue of Pediatrics contains two additions to the weighty files of evidence on the relationships between cholesterol and CHD.3,4