Day 021 - 29 Jul 94 - Page 49


     
     1
         Q.   Right.  Going on to the second column, the second full
     2        paragraph:  "Since the Second World War, there have been
              several critical developments which have led to renewed
     3        interest in nutrition with particular emphasis on healthy
              eating.
     4
              First, there has been enormous success in the
     5        industrialised world in controlling infectious diseases as
              the major causes of death and disability.  As a
     6        consequence, the predominant diseases now are
              degenerative, such as heart disease and certain cancers.
     7
              Second, research has established the causes of these
     8        diseases and now there is convincing evidence that diet is
              a key factor in their development."
     9
              Would you broadly agree with that still?
    10        A.  Yes.
 
    11   Q.   Just one of the headings on page 4 of this document:  "The
              most effective change is to reduce the proportion of fat
    12        in the diet."  And then:  "High-fat diets facilitate the
              consumption of excess energy".  You would agree with that?
    13        A.  Yes, this is all common ground.
 
    14   Q.   Right, OK.  "Causes of Heart Disease", on page 5, the last
              sentence of that:  "When the risk is high, the diet is
    15        characterised by a high fat content, especially saturated
              fat - and by relatively low amounts of dietary fibre".
    16        You would agree with that?
              A.  Yes.
    17
         Q.   Page 6, "Cancers:  It is now generally agreed that the
    18        incidence of all the common cancers in humans is
              determined by potentially controllable external factors,
    19        because people in different parts of the world suffer from
              different kinds of cancers, depending on their habits,
    20        diet and customs, rather than on their ethnic origins."
 
    21        You go on to quote the World Health Organisation
              publication, "Diet, Nutrition and the Prevention of
    22        Chronic Diseases" and say:  "The group concluded that
              there is a close and consistent relationship between the
    23        type of diet now common in most of the developed
              industrialised countries -  characterised by an excess of
    24        energy-dense foods rich in fat and free sugar but low in
              dietary fibre - and the emergence of a range of chronic
    25        non-infectious diseases. These include diseases of the
              heart and arteries, various cancers, diabetes, mellitus, 
    26        gallstones, dental caries, gastro-intestinal disorders and 
              various bone and joint diseases".  Would you agree with 
    27        that?
              A.  Yes, that is common ground.
    28
         Q.   The headline just shortly underneath that is:  "High fibre
    29        may also be associated with a reduced incidence of
              cancer"?
    30        A.  Can you tell me where we are?
 

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