Scoring systems are presented that indicate the power of a day's food for elevating serum cholesterol. The scores, based on the work of Keys, Anderson, and Grande, Circulation19, 201-214, 1959, fill a role analogous to calories in weight loss. The scores are based on saturated and polyunsaturated fat, cholesterol, and calories in the daily diet. Two of the scores, φ and B, are nearly equal in precision. Either may be used in research as a measure of the effect of habitual diet on the serum cholesterol of a population, small group, or individual. The third score presented, Dietary Achievement Score, is less precise but provides a simple, practical, clinical tool for quickly assessing dietary adherence and for teaching about serum cholesterol-lowering eating patterns on a portion-by-portion basis.
Bibliographical noteFunding Information:
’ Supported in part by Public Health Service Research Grants HE 04401, HE 04997, HE 10194, and HL 00287 (to Jacobs). 2 To whom requests for reprints should be addressed: Laboratory of Physiological Hygiene, School of Public Health, University of Minnesota, Stadium Gate 27,611 Beacon St., S.E., Minneapolis, Minn. 55455. 3 Multiple Risk Factor Intervention Trial.