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PREVENTING HEART ATTACK: TALKING ABOUT PREVENTIVE DIET
One requisite for the ‘action now’ approach is that it should be safe. If there were even modest risks in the prevention package few doctors would advocate it.
No one has yet suggested that there is any medical advantage in having a high cholesterol level, or high blood pressure, in being obese or being a cigarette smoker. Clearly there are no hazards in being without these characteristics. What about the diet? The cholesterol-lowering diet is quite similar to the normal diet of millions of people living in Mediterranean countries such as Greece, Yugoslavia, Crete, southern Italy and Spain. In particular their food contains much less saturated fat than is eaten in the U.K., U.S.A. and other countries where heart attack is a major problem.
Compare these Mediterranean countries with others in which saturated fat intake is higher – the U.S.A., England and Wales, Scotland, West Germany, Finland and Australia. If for example we take 1967 statistics and the ages of fifty-five to sixty-four years, heart-attack mortality was lower in each of these Mediterranean countries than in each country in the second group (both in men and women). But have other diseases increased as a result of this dietary difference in the Mediterranean countries? The answer seems to be no, for men show the same trend in total mortality.
There is no reason to suspect, in fact, that the prudent diet might reduce the risk of certain common forms of cancer. Much of the evidence has been collected by Dr Ernst Wynder of New York, and it resembles the way in which heart disease became linked with dietary fat intake. In many different populations average fat intake closely parallels death rates from both colon cancer and breast cancer. And when people emigrate from low-risk countries to high-risk countries, they gradually acquire the higher cancer rates typical of their new environment. It must be added, however, that this promising line of research is still in its early days.
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