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Modifiable Behavioral Factors as Causes of DeathModifiable Behavioral Factors as Causes of Death

JAMA. 2004;291(24):2941-2941. doi:10.1001/jama.291.24.2941-a
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AUTHOR INFORMATION

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

MODIFIABLE BEHAVIORAL FACTORS AS CAUSES OF DEATH

To the Editor: Dr Mokdad and colleagues1 reported that the leading cause of mortality in the United States is tobacco use, followed by poor diet/inactivity and alcohol use. I believe that the authors should also address the beneficial effects on mortality, if any, of these modifiable factors. Some may be beneficial in small quantities and may thus have a U-shaped relationship to mortality. One example is the well-documented beneficial effect of low levels of alcohol consumption on the health of populations with a high risk of cardiovascular disease.2 4

References
Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000.  JAMA.2004;291:1238-1245.
PubMed
de Lorgeril M, Salen P, Martin JL, Boucher F, Paillard F, de Leiris J. Wine drinking and risks of cardiovascular complications after recent acute myocardial infarction.  Circulation.2002;106:1465-1469.
PubMed
Denke MA. Metabolic syndrome.  Curr Atheroscler Rep.2002;4:444-447.
PubMed
Not Available.  CORK Bibliography: Alcohol, Beneficial Effects. Available at: http://www.projectcork.org/bibliographies/data/Bibliography_Beneficial_Effect_Alcohol.html. Accessibility verified June 2, 2004.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000.  JAMA.2004;291:1238-1245.
PubMed
de Lorgeril M, Salen P, Martin JL, Boucher F, Paillard F, de Leiris J. Wine drinking and risks of cardiovascular complications after recent acute myocardial infarction.  Circulation.2002;106:1465-1469.
PubMed
Denke MA. Metabolic syndrome.  Curr Atheroscler Rep.2002;4:444-447.
PubMed
Not Available.  CORK Bibliography: Alcohol, Beneficial Effects. Available at: http://www.projectcork.org/bibliographies/data/Bibliography_Beneficial_Effect_Alcohol.html. Accessibility verified June 2, 2004.
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