Noakes, addressing colleagues at the University of Cape Town yesterday (THURS), explained that before the introduction of the Western, or ‘€œprudent’€ diet, rural populations hardly suffered from dental cavities, obesity, diabetes, heart disease, some cancers, stroke and other health problems. The prudent diet is based on the food pyramid in which carbohydrates-rich foods, such as bread, form the basis of the diet, and fat and protein are at the very top of the pyramid, and should be consumed the least.

Noakes yesterday literally turned the concept of the food pyramid on its head, advocating that a high-fat, high-protein diet is the ideal, and that carbohydrates are responsible for many of the world’€™s major health problems, including obesity, diabetes and heart disease.

“The consequences of the ‘coca-colonisation’ of our poor people, in terms of their health, are terrible,” said Noakes. He refers to the introduction of the Western diet to other parts of the world as the ‘€œcoca-colonisation’€ of a population.

‘€œPeople’€™s fear of fat is part of a conspiracy first introduced during the Nixon-era,’€ Noakes told the packed audience, who laughed at the idea. According to him, Nixon needed to win favour with growing discontent in the American-population who was at the time burdened by the Vietnam War and rising food prices. The then president’€™s aim was to provide relief through cheap food, which came in the form of corn. Many food products, such as oils and high-fructose corn syrup, can be produced from corn at low cost.

Fat has been branded as harmful to human health and is particularly linked to cholesterol, which is commonly believed to cause heart disease. But Noakes disagrees. He uses the ‘€œFrench Paradox’€ as an example: ‘€œThe French do everything wrong [pertaining to diet], but they have a low incidence of heart disease,’€ said Noakes.

He showed evidence that the scientific reports on which the concept of cholesterol’€™s link to heart disease was built, actually omitted important data that disproves the whole theory. Other scientists that tried to prove the opposite found themselves without any funding for their research, he said.

Noakes showed evidence from tens of studies which he claims shows that not only is cholesterol’€™s association to heart disease much smaller than most people think, but there are also other health factors that play a much larger role in heart disease. Diabetes, blood pressure and a patient’€™s smoking status are much higher indicators than cholesterol. Yet, many people, including doctors, use cholesterol levels as an indicator of cardiac health.

One study that Noakes highlighted compared two groups of patients, one group following the American Heart Association’€™s Prudent Diet (based on the food pyramid), while the other group followed the Mediterranean Diet (a protein high in omega-3 fats). The study was never completed as it was stopped early due to a significantly higher number of patients dying from heart disease in the group following the American Heart Association’€™s Prudent Diet.

Many of Noakes’€™ academic colleagues in the audience did not agree with his entire presentation, and the criticism included:

·               That Noakes did not distinguish between good and poor-quality carbohydrates. Highly-processed carbohydrates such as flour used in white bread is significantly more harmful than complex carbohydrates found in vegetables and full-grain bread.

·               Noakes was accused of only using results from studies that promoted his ideas, and that his interpretation was an oversimplification of a complex body of research.

·               Another critic argued that one cannot compare the health rates of people in the present to people who lived 100 years ago, because back then people didn’€™t live long enough to develop cancers and heart disease.  

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