{"id":210,"date":"2007-04-30T10:14:21","date_gmt":"2007-04-30T09:14:21","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/04\/30\/bmj-28-apr-2007-vol-334\/"},"modified":"2007-04-30T10:14:21","modified_gmt":"2007-04-30T09:14:21","slug":"bmj-28-apr-2007-vol-334","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/04\/30\/bmj-28-apr-2007-vol-334\/","title":{"rendered":"BMJ 28 Apr 2007"},"content":{"rendered":"

Salt is of course a very good and necessary thing. I think my favourite sequence in all of David Attenborough\u2019s copious and brilliant nature programmes is a procession of elephant families making their way in pitch darkness to a remote cave, at the end of which they lick salt from its walls. But for the best part of century, doctors have had it in for sodium chloride: it has become a moral issue, and the thought police are out, looking for halophiles. It is extraordinary how little evidence of harm has emerged from a vast array of studies. In TOHP<\/a>, as in all other studies, salt restriction had a negligible effect on blood pressure; but the group of Americans who were given intensive advice about which foods contained the most salt, and how to prepare their own food, had a 25% reduction in cardiovascular events over 10-15 years. The moral: avoid American junk food.<\/p>\n

Anorexia nervosa<\/a> is a mental illness recorded throughout history, and carries a gloomy prognosis in 30% of cases. This nice short review (a bit longer on the website) outlines what we understand about the aetiology and which treatment approaches work (to a degree) and which don\u2019t. Don\u2019t expect success within less than a year or two.<\/p>\n

Should we be going through our registers of stroke patients and putting them all on dipyridamole as well as aspirin<\/a>? I think we should, having read this Change Page. I think the BMJ should commission a study in one or two years\u2019 time to see if what is written in these pages gets into practice: in this case it would be a simple little study using existing GP databases.<\/p>\n","protected":false},"excerpt":{"rendered":"

Salt is of course a very good and necessary thing. […]<\/p>\n

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