Day 015 - 21 Jul 94 - Page 05


     
     1   Q.   Do you draw the conclusion -- first of all, do you draw
              any firm conclusion from this paper?
     2        A.  Well, it is simply re-emphasising the difficulties of
              linking dietary fats and the concentration of fat in the
     3        diet with the incidence of cancer; in this case it is
              bowel cancer.  It just demonstrates how complicated the
     4        issue is.
 
     5   Q.   Could one approach it this way?  Could one say to oneself:
               "Well, this suggests that in the absence of high fibre
     6        dietary fat might be a promoter.  On the other hand, if
              you take a lot of fibre, then the possible effect of high
     7        fat intake is neutralized", could one say that as an
              hypothesis?
     8        A.  There is that conclusion emerging from this work, yes.
 
     9   Q.   Or could one say it might be that dietary fat is
              irrelevant and what matters is high fibre, because the
    10        causes of bowel cancer are not known?
              A.  Yes, we could say that.  But without having read this
    11        paper in detail, there is also the possibility that
              because one gets more calcium from milk there may be a
    12        higher calcium level that is helping to achieve the
              results in Finland that they have found here in this
    13        paper.
 
    14   Q.   Or might it not be the causes of bowel cancer are
              something different, and that it happens that high dietary
    15        fibre has an inhibiting effect on those other causes?
              A.  Absolutely.
    16
         Q.   I want you to recall those.  I do not want you to look at
    17        them.  Remember your tables 1 and 2 in your second
              report  ---
    18        A.  Yes.
 
    19   Q.   -- we looked at yesterday in which you had produced, as it
              were, analyses of the calorie, fat, fibre and sodium
    20        contents of McDonald's meals?
              A.  Yes.
    21
         Q.   What I should have asked you (and did not) is what were
    22        the data upon which those tables were based?  Where did
              they come from?
    23        A.  The analytical data on the foods for the total diet
              came from McCance and Widdowson, -----
    24
         Q.   Who are they?
    25        A.  That is the standard book in this country on the
              composition of foods generally.  The data on McDonald's 
    26        came from what is publicly available in their own 
              publications. 
    27
         Q.   What McDonald's has made publicly available?
    28        A.  That is right, yes.
 
    29   Q.   You took McDonald's own figures?
              A.  That is right, so the calculation I have done could
    30        have been done by anybody else.
 

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