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[Correspondence] Associations of fats and carbohydrates with cardiovascular disease and mortality—PURE and simple?

It is better to be rich and healthy than poor and sick: this is the main conclusion from a study1 by Mahshid Dehghan and colleagues published in The Lancet. In the Prospective Urban Rural Epidemiological (PURE) study, investigators examined nutrition and disease in 18 countries, focusing on understudied regions. More than 135 000 participants were enrolled between 2003 and 2013, with a median follow-up of 7·4 years.