Day 298 - 11 Nov 96 - Page 09


     
     1        Dr. Barnard said, "Without question, I think all science
     2        would agree that there is an association, a link if you
     3        will, between fat as well as other components of the diet,
     4        a diet high in fat, high in sugar, high in sat, low in
     5        fibre, there is link, an association, with cancer of the
     6        breast and colon, I guess we would all agree on that,"
     7        Mr. Rampton said, "We would all agree."
     8
     9   MR. MORRIS:   That was line 25.
    10
    11   MR. JUSTICE BELL:  Yes.
    12
    13   MS. STEEL:   On the same page of Professor Campbell, page 33,
    14        day 256, that the age of menopause was diet related, he
    15        said from line 46:  "These high fat low fibre diets tend to
    16        lengthen the total reproductive period causing an earlier
    17        age of onset of menarche and delaying the menopause", and
    18        that was very definitely related to diet, and both those
    19        things were related to increased risk of breast cancer.
    20
    21        I will not refer specifically to any of what was said here,
    22        but on page 42 of Professor Campbell's evidence he gives a
    23        kind of useful picture about whether or not it is the diet
    24        as a whole or individual components, and he basically sums
    25        it up as that the balance lies between -- well, that you
    26        should aim for a diet based on plant products.
    27
    28        Can I just bring this up now, while I think of it?  Last
    29        week, when we were discussing whether or not plant based
    30        foods fill you up, and you referred to vegetables and they
    31        did not really fill you up, or something, I would just like
    32        to obviously remind you that it is not just about
    33        vegetables.  Like, there are grains and so on, which
    34        obviously are considered very filling foods and, as they
    35        are carbohydrate, are supposed to make up a significant
    36        part of the diet.
    37
    38   MR. JUSTICE BELL:   Yes.
    39
    40   MS. STEEL:   With reference again to the China study and the
    41        point about age at menarche, and so on, it is said on page
    42        43, line 9 that Chinese women, when compared with British
    43        women, for example, exhibited later age at menarche,
    44        earlier age at menopause, greater parity, earlier age at
    45        first birth and lower circulating concentrations of
    46        oestrogen, all of which favoured a reduction in breast
    47        cancer.
    48
    49        On page 58...  Well, maybe that does not matter so much.
    50        (Pause)  Well, perhaps if you just read page 58, where it
    51        actually starts over on page 57, the relevant part, about
    52        the role of fat not just being the fat in itself but the
    53        effect that that has on the diet as a whole.
    54
    55        On page 69 -- I will not go through this -- Mr. Rampton was
    56        cross-examining Professor Campbell about the grey book
    57        again and the view that was expressed in there about the
    58        evidence not being sufficiently strong to determine causal,
    59        and Professor Campbell just made the point that committees
    60        tended to take the, sort of, least common denominator, or a

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