Day 014 - 20 Jul 94 - Page 31
1 high cholesterol level you are definitely going to die of
heart disease.
2
Q. To go back a stage: An excessive intake of saturated fat
3 is seen as one of the factors which may contribute to high
cholesterol level?
4 A. That is right.
5 Q. Can you pass then to page 49, 3.4.18?
6 MR. JUSTICE BELL: Can I just check one other matter? When we
talk about heart disease, we are leaving on one side
7 completely things like electrical disorders, which may
bring sudden death quite out of the blue, then on
8 postmortem examination show a very low level of plaque and
any other indication, are we?
9 A. Yes, I would think that is probably a fair comment.
On the whole, what we are concerned with here is in
10 populations where the average blood cholesterol
concentration is high, then that tends to be associated
11 with the progressive development of atherosclerosis,
particularly in the coronary artery because that is what
12 provides the blood supply to the heart.
13 So, in a mild case -- I mean, if you get a blockage, then
that is what brings on a heart attack because it simply
14 cuts off the supply of blood to the heart. Then, of
course, prior to that, obviously, if the supply to the
15 blood is reduced, then that may show up in the form of
angina.
16
MR. RAMPTON: At the top of page 49, 3.4.18, so far as this
17 section -----
A. Sorry, which one was that?
18
Q. Top of page 49, 3.4.18?
19 A. OK.
20 Q. This appears to be the panel's conclusion in relation to
heart disease before we come on to the other?
21 A. That is right, yes. It is on the basis of the
evidence which they have considered in relation to heart
22 disease that they have formulated these recommendations.
23 Q. It formulates a recommendation for SFA's of 10 per cent of
total dietary energy?
24 A. Yes, that is right.
25 Q. In (iv), 33 per cent for total fat?
A. That is right.
26
Q. It says: "The Panel stressed that the DRVs for fat and
27 fatty acids were closely interdependent and interrelated,
and could not be taken in isolation".
28 A. That is right.
29 Q. Does that mean this, that you do not necessarily escape
the consequences, the adverse consequences, of fat by
30 keeping down your SFA's, or what does it mean?
A. I think what it means is that in the context of the
