Day 253 - 21 May 96 - Page 34


     
     1        aspects of lifestyle as a whole, one must not be looking at
     2        individual components of the diet, because you can be very
     3        misled by that.  This accounts for the very many
     4        inconsistencies that are pointed out in this diagram here;
     5        that countries that have all of the risk factors to a much
     6        greater extent than we have have a lower experience of
     7        heart disease, so there must be some other explanation for
     8        it, and the explanation, I think, is in lifestyle and in
     9        the overall composition of the diet.
    10
    11        The examples that keep coming up are of Spain and Greece,
    12        who consume more fat than just about anybody else -- very
    13        high fat intakes  and a very low experience of cancer and
    14        of coronary heart disease.  There are other factors
    15        involved, and they may well be dietary but there are also
    16        factors that concern lifestyle.
    17
    18   Q.   These charts do not, for example, give us any figures for
    19        average numbers of hours of exercise?
    20        A.  Nothing about exercise, which is a very important
    21        aspect of lifestyle, and I am glad to say has been
    22        addressed really for the first time in the report on
    23        cardio-vascular disease.  Yes, that is just one example in
    24        the proportion of organisation, subjection to stress and
    25        everyday life, and so on.
    26
    27   Q.   They do not say anything about alcohol either?
    28        A.  Nothing about alcohol here.
    29
    30   Q.   Thank you, Professor Naismith.  My Lord, that is the end of
    31        my re-examination.
    32
    33   MR. JUSTICE BELL: Yes.  Thank you, Professor Naismith.  Just
    34        leave everything there, please, and leave the witness box.
    35
    36                        (The witness withdrew)
    37
    38             Are you prepared to continue to some extent with Mr.
    39        Nicholson?  What is it suggested is done next?
    40
    41   MR. RAMPTON:  My Lord, I have nothing to offer except Mr.
    42        Nicholson.  I have not had a chance to digest that proposed
    43        amendment about Brazil.  My feeling was, when your Lordship
    44        raised it the other day, that as an amendment, frankly,
    45        I do not much mind one way or the other.  But I would like
    46        to have a chance to discuss it with Mrs. Brinley-Codd and
    47        see whether we have any actual objection to what is here
    48        pleaded, which I am afraid I have not digested.  I have not
    49        read Miss Branford's transcript either; I would like to do
    50        that first, if I may.  So, perhaps one could put that on 
    51        one side for the moment. 
    52 
    53   MS. STEEL:   I have brought most of my files for dealing with
    54        Mr. Nicholson, so in theory I could carry on, but having
    55        spent all the time preparing for Professor Naismith my
    56        papers are not in very good order and I certainly would not
    57        want to start before lunch.
    58
    59   MR. JUSTICE BELL:  I would not call on you to start before 2
    60        o'clock.

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