Day 254 - 22 May 96 - Page 16


     
     1        to it was: "It is like most things in life. If  you have
     2        excesses of it, it is not usually too good for you".  Then
     3        I put the question: "And over 30 per cent of energy from
     4        fat in your diet is considered excessive by everybody's
     5        standards", and that is the point I am asking, so that we
     6        have got a qualification of what he considers to be
     7        "excessive".
     8
     9   MR. JUSTICE BELL:  It was not clear to me when you put the
    10        question whether it was directed at risk of cancer, or
    11        alleviation of cancer, or just generally sound physician's
    12        advice.  Put the question again.
    13
    14   MS. STEEL:  (To the witness): You talk about:  "It is like most
    15        things in life.  If you have excesses of it, it is not
    16        usually too good for you", what are you talking about in
    17        terms of fat being an excess amount of fat in your diet?
    18        A.  That is a very difficult question to answer.  Certainly
    19        I think if one had something like 60 per cent of fat in
    20        one's diet, that would be considered excess, but if you
    21        look at countries like Greece and ----
    22
    23   MR. JUSTICE BELL:  You mean 60 per cent of energy in fat?
    24        A.  Yes, indeed.  But if you look at countries like Greece
    25        where they have a very high fat intake, they have a very
    26        low incidence of the diseases that we are talking about,
    27        and, again, to some extent, the figures they are quoting
    28        about the proportion of energy percentage, of energy which
    29        could come from fat, these are best guesstimates the people
    30        have come up with.  They are not hard and fast figures that
    31        one can say are absolutes by any means.
    32
    33   MS. STEEL:  Are you saying that you say to your patients, "Keep
    34        the fat in your diet below 60 per cent of the energy
    35        intake"?
    36        A.  No, I did not say that.
    37
    38   MR. JUSTICE BELL:  He has not said that, and every time you
    39        start a question "so"--   I have said this to Mr. Morris --
    40        it sounds as if you what you are putting logically follows
    41        from what the witness has just said.
    42
    43   MS. STEEL:  No, because I think it is completely illogical.
    44
    45   MR. JUSTICE BELL:  Do not start the question with "so" then.
    46
    47   MR. MORRIS:  I think part of the problem is that it seems to us
    48        that Mr. Dr. Arnott is only going over the same things he
    49        was saying last time.
    50 
    51   MR. JUSTICE BELL:  He is at the moment because he is being asked 
    52        about the same matters. 
    53
    54   MR. MORRIS:  He was asked about if there was anything new in the
    55        last couple years and there has not been anything new in
    56        the last couple of years.
    57
    58   MR. JUSTICE BELL:  What I suggest you do is cross-examine him.
    59        If you join issue with anything in his statement which
    60        might relate to matters arising from the two publications

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