Day 297 - 08 Nov 96 - Page 28


     
     1        And there was a specific reference on day 33, page 58 to
     2        Dr. Barnard saying that if McDonald's meals were consumed
     3        habitually that they would lead to a higher risk of heart
     4        disease, cancer, obesity, and other chronic diseases.
     5        Obviously, for the United States, where there are millions
     6        of people consuming McDonald's food habitually, there are a
     7        lot of people at risk.
     8
     9        I don't know whether I should stop there.
    10
    11   MR. JUSTICE BELL:   Yes, certainly.  Two o'clock.
    12
    13                        (Luncheon Adjournment)
    14
    15   MS. STEEL:   Continuing with the evidence from Dr. Barnard, he
    16        quoted the Surgeon General's report from the USA, which was
    17        produced in 1988, which supported a relationship between a
    18        high fat diet and cancer.  That was on day 34, page 3.
    19        When he was interpreting the report, Dr. Barnard said that
    20        the Surgeon General suggests that the relationship was
    21        causal.  That was day 34, page 5.
    22
    23        He referred to the three research methods that were related
    24        in the Surgeon General's report, which were case and cohort
    25        and animal studies, and the conclusions of which strongly
    26        suggest that dietary fat does play a role in the cause of
    27        cancer, particularly breast cancer.  That was day 34, pages
    28        5 to 15.  There were lots of references throughout those
    29        pages to the various studies and the conclusions of those
    30        studies, which were basically in our favour.
    31
    32        Dr. Barnard also referred to the report entitled 'Dietary
    33        Fat Consumption and Survival among Women with Breast
    34        Cancer' by Gregario and others, which indicated there was a
    35        40 percent increase risk of death per one thousand grams of
    36        fat in the diet consumed per month.  Day 34, page 24.
    37
    38        That would be about 30 grams of fat per day.
    39
    40   MR. JUSTICE BELL:  Yes.  Was it 9 kilocalories per gram?
    41
    42   MS. STEEL:   Yes.
    43
    44   MR JUSTICE BELL:  It would be about nine thousand a month, which
    45        is about three hundred per day.
    46
    47   MR. MORRIS:   Calories, from fat.
    48
    49   MR. JUSTICE BELL:   Is that right?
    50
    51   MS. STEEL:   It would be 270, would it not?  No, it is that-----
    52
    53   MR JUSTICE BELL:  Very roughly.
    54
    55   MS. STEEL:   Yes.
    56
    57   MR. JUSTICE BELL:   About 300 kilocalories a day.
    58
    59   MS. STEEL:   I think yesterday we heard some of the figures
    60        related about the fat intake of an adult by Dr. Lobstein,

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