Episode 2 Food: Truth or Scare


Episode 2

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Today we're asking if some of the foods you thought were healthy

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could actually be doing you all manner of harm.

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Quite a few scary reports claim that's the case

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so we've been finding out if you really need to worry.

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Every day we're bombarded with conflicting information

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about our favourite foods.

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One minute we're told something's good for us.

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The next it's not, and we're left feeling guilty

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about what we're eating.

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We've been wading through the confusion

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to separate the scare stories from the truth,

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so you can choose your food with confidence.

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Hello and welcome to Food: Truth or Scare,

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the series that's here to tackle those scare stories head-on

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and find out once and for all if they really stack up.

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Do you know, today we're getting to the bottom of more than a few

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very alarming reports claiming that certain foods or diets

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aren't just bad for us, but they're downright dangerous.

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And we're not talking here about calorie-laden processed foods that

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we all know we shouldn't eat too often.

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The ones we'll be discovering the truth about are foods

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long considered to be a healthy option.

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So we'll be asking whether it's time to rethink some of the food choices

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we might have assumed were the right ones or if the reports that made you

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think that are just scaremongering nonsense.

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Coming up -

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can fresh fish, something we've been told to eat more of,

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actually be poisoning us?

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You've got to weigh up the benefits of the omega-3

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with the dangers of the mercury.

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And is a plant-based vegan diet the healthy alternative some

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people claim or are vegan parents risking their children's health?

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If you're on a vegan diet, then you're going to end up

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quite likely to be deficient in vitamin B12.

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Now as someone who eats fish twice every week,

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just as the doctor ordered, I was particularly worried by a report

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that hit the news last year which said that mercury levels

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in some fish were so high that it could pose a danger to our health.

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Now that's a bit of a scary proposition and it goes against

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what we're often told by our doctors, and indeed the government,

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that as a nation, we don't eat as much fish as we should.

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So to find out if my twice-weekly servings are doing me

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the world of good or indeed putting dangerous amounts of mercury into my body,

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there was only one way for it, to get tested.

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At home, my husband Stephen and I eat fish of one kind or another

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at least twice a week, and I have to say Stephen has it almost every day.

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But recently I've noticed some reports that have made me question

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whether we're doing the right thing.

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I have never really, particularly thought about mercury in fish

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and yet everybody seems to be writing about it.

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-Have you ever thought about it?

-No, not really.

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I mean, why is it so...

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-..dangerous for you?

-I don't know.

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The reports all seem to be saying that some fish contain high levels

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of mercury which can seriously damage our nervous systems,

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our brains and may even lead to conditions like

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motor neurone disease.

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It's enough to put some people off fish and chip Friday for good.

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I probably would stay away from that if I knew, but I didn't know that.

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I think you have to eat an awful lot to have any sort of mercury poisoning.

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If you stop eating stuff for every scare,

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you'd end up eating nothing, I think.

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Faced with health messages about how good fish can be,

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and the scare stories about how dangerous mercury is,

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it can be very hard to know what to do for the best.

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So with the help of nutritionist Yvonne Bishop-Weston,

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I want to sort out the fish we should be taking seriously

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from the ones we should be avoiding.

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All these headlines about mercury,

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is there mercury, to a degree, in all fish?

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There is, and mercury matters.

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I have to be honest and say the only time I've ever seen mercury is in a

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thermometer, so what does it do to us?

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Mercury is mostly associated with problems in the brain,

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and the nervous system and in the kidneys.

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It tends to get stored in the brain so it's due to things like memory

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and cognition and fine motor movement.

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It's anything to do with the nervous system.

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Mercury occurs naturally all over the planet but the main source of

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mercury in fish is from industrial waste that's pumped into rivers and

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seas, where bacteria turns it into what is known as methylmercury,

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which is much more toxic.

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And it's this that could eventually end up on our dinner plates.

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But as Yvonne explains,

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the amount of mercury depends on the type of fish.

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Fish absorb it as methylmercury and then they accumulate it up the food

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chain, so the biggest risk is going to be

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the bigger they are, the older they are.

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For instance if we're looking at the halibut here, it's a really big fish

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-and halibut can live to about 150 years.

-Wow.

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So, the age and the size of the fish is key.

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Larger, older ones will have absorbed more mercury over their lives.

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The smaller, younger fish will have less.

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So if we start with things like the anchovies and sardines.

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You know, people often forget that sardines are a really healthy fish.

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They are low in mercury levels,

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lower levels of other toxins as well.

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Then we start to get to things like the herring, the Atlantic mackerel.

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Up until about the size of a salmon

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we're feeling pretty safe on mercury levels.

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-So that would be low risk in your eyes?

-Yes.

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Small equals safe.

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Yvonne says if they are low down the food chain,

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you can eat them as often as you like.

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The same can be said of salmon,

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squid and most white fish,

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the sort you get down the fish and chip shop or inside fish fingers.

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But be a bit more careful with the three fish on the high risk list,

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swordfish, shark and marlin.

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They're big, they live long lives and they absorb a lot of mercury.

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So they are only safe to eat once a week.

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Almost everything else,

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including that halibut and firm favourites like tuna,

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fall into the medium risk list.

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For most adults, these are safe to eat multiple times every week.

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But if all this makes you wary about eating any fish at all,

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then in many cases, you'll be missing out

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on the very thing that makes it so good for you, omega-3.

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We can't make omega-3 fatty acid ourselves

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so we have to get it from fish, from plants, from nuts,

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from seeds, from algae.

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There's all sorts of places that will provide us with omega-3

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and we have to get it to be well.

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Let's say you were going to do your fish shopping for the week.

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-So, what would you buy?

-If I wanted to minimise my mercury,

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and if I wanted to get my omega-3 fatty acids,

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then I would be looking at anchovy, I'd be looking at spratts

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or little herring, mackerel.

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You have no salmon in your shopping at all, whereas I would.

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Yes, salmon would come in there because of the omega-3 fatty acids

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so yes, you're right, you could put salmon into that group.

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There is one fish that confuses matters, tuna.

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When it's fresh, it's packed with omega-3

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but its mercury levels are some of the highest

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on the acceptable list.

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Canned tuna tends to be younger so has less mercury

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but the canning process itself removes the omega-3.

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Tuna is something that we need to be wary of.

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You've got to weigh up the benefits of the omega-3

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with the dangers of the mercury,

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and it depends on how much of it you're having as a whole.

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So if you're having lots of middle ground fish like sea bass and skate,

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and then you're adding tuna on top, that's going to accumulate.

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But if you're having it on its own,

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fresh tuna is safe to eat up to four times a week.

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Stephen and I mostly eat the fish that Yvonne says is either safe or

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medium risk, but the idea of mercury accumulating in our bodies

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is a worrying one.

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To find out if the fish we eat is posing a risk to our health,

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Yvonne is running some tests and they will show exactly

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how high our levels of mercury are.

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In the meantime, here's a group of people who should know more about

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mercury than many of us.

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Pregnant women are told to limit their fish intake to avoid mercury

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so Yvonne and I are unearthing how much these recently pregnant mums

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know about the subject.

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So, what do you know about mercury in fish?

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-They tell you not to have too much oily fish...

-Yes.

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..but having white fish because there is less mercury in white fish.

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We have white fish mainly.

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Prawns, things like that.

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He has fish but we don't do too much of it.

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He likes sardines so it's great that he likes fish,

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although I'm not really sure if it's great

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if you're talking to me about mercury.

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Do you know how much mercury might be in fish?

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Well, it's to do with the size of the fish so the bigger the fish,

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the less mercury, I think.

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-The bigger the fish, the less mercury?

-Yes.

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Oh, dear, that's the wrong way round.

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It's time for Yvonne to give the mums a bit of a masterclass.

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Which ones do you think would be the safest from a mercury point of view,

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to give yourself or your children?

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That one?

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I think it's the white fish.

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-Like fish and chips?

-Yeah.

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What about the salmon?

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-That would....

-I would put that quite high.

-Yeah, high in mercuries.

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And that one, tuna, high as well.

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The government gives recommendations for us as adults.

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We're told that we should eat, at minimum, two portions of fish

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a week, one of which, as a minimum, should be oily.

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And we're told we can have the fish that have the highest levels

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of mercury, which is the shark, swordfish and the marlin, once a week,

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and that's within what the government considers to be safe.

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The official advice for pregnant and breast-feeding women is to avoid

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shark, swordfish or marlin altogether,

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and limit portions of oily fish to a maximum of two per week.

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All the mums knew that mercury poses a danger

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but they were confused about which fish are safe to eat

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and which are not.

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That's the problem with reports like this one.

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The headlines make it look as if all fish is bad for you.

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Professor John Stein has been studying the effects fish

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has on development for over 40 years.

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And he thinks warnings about the risks of eating too much

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only tell one side of the story.

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John, suddenly there seems to be a lot of scaremongering

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about the amount of mercury in our fish in this country.

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Are we absorbing enough mercury in fish to worry about it?

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No, not at all, I don't think,

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because the safe level is what's called

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one part per million.

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The average fish that we eat here has 100 times less than that

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and salmon, the sort that we eat in this country,

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has something like a hundredth of the amount that is regarded

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as the amount that might be dangerous.

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So, most of the fish we eat in the UK is perfectly safe,

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but even in countries where they eat fish with higher mercury levels,

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there have been some really surprising findings.

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There's a study from Norway, where they eat a lot of fish,

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where they have shown that actually,

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the more mercury there is in their blood,

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the better their children do.

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And that's not because mercury is helpful at all,

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but because mercury comes from fish which also provide omega-3s

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which are vital for your brain.

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Just like a car engine is oiled by oil,

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omega-3s oil your brain, and it speeds up reactions

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and helps the brain to work properly.

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But while omega-3s positive effects on the brain

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seem hard to argue with, anyone faced with these stories

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about mercury's negative effects could still be left confused.

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Eating fish and seafood riddled with mercury

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raises the risk of motor neurone disease. True or false?

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It's true but it's a tiny effect.

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This particular study showed that you increased your risk by 20%

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-in a pretty rare disease.

-That's high, though, isn't it?

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No, it's not. Motor neurone disease occurs in about one in 10,000 people

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so this is raising it from one in 10,000 to 1.2.

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But there's a lot of evidence that omega-3s

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actually help people with motor neurone disease.

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John says that anyone who avoids fish because they're scared

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about mercury is doing so unnecessarily

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and missing out on vital omega-3.

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I get the impression that you're not worried about mercury at all?

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I'm not at all, no, because I think the levels are so low

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and yet the importance of eating enough omega-3s,

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consuming enough omega-3s is so large,

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that it far outweighs the minimal risks from the mercury.

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Despite that, there's no escaping the mercury content,

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especially from high-risk fish like swordfish and marlin.

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So where do my husband Stephen and I stand

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after eating years of eating fish?

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Well, Yvonne has got the results of our tests.

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So, all I know, Yvonne, is that you were doing some form

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of hair analysis to do with mercury.

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So what does that hair analysis show?

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Well, you didn't do too badly because if we look

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at your test results, we shouldn't have more than one part per million

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and you were 0.8, so you came below what is considered to be

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-a potentially toxic level.

-So, that's good?

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-That's good, yes, absolutely.

-Well done, me, then.

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-And Stephen?

-He came above.

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Stephen actually eats more fish proportionately than I do.

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And we can see that. His came above that threshold so his mercury level

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was just a little bit higher than we would want in a perfect world.

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Now, there's no easy way to remove mercury from your body

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but over time, it does disappear.

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While Stephen is not in any danger,

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if he sticks to fish that have very low levels of mercury,

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his reading will drop.

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So, any advice then to pass on to Stephen?

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I would talk to him about what are the high mercury fish?

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How often he should be having the higher ones as opposed to the lower

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mercury fish, maybe sort of suggest he works a little bit lower down the

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food chain, going more for your sardines and your herring.

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Well, I have a lot to tell him tonight over dinner

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so thank you very much, Yvonne. Great advice, thank you.

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And I did tell him. Even though Stephen isn't at risk,

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certain fish will be off the menu for him for a while,

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just to get those mercury levels down to below the ideal level.

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It's a huge relief, though,

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to hear that our favourite fish is still overwhelmingly good for us and

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Stephen and I are delighted that we can still enjoy a nice bit of salmon

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with a glass of wine on the side.

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If you'd like ideas for recipes including oily fish that are rich in

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omega-3, you can visit...

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..where you'll also find details of some of the other things

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that we're talking about in this series.

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Now, sometimes an eye-catching report might make you feel

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just that bit nervous about eating too much of a particular food

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or following a special diet.

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But when it's a story that focuses on the way you and your family

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eat every single day, well, to me, that can be very worrying indeed.

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And that's very much the case for the topic we're talking about next,

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veganism, which, to those who follow it, I think anyway,

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is a bit of a religion or certainly a way of life.

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But oh, boy, can it polarise opinion!

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It absolutely can.

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It's an incredibly divisive subject and I have to say

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there's no shortage of mixed messages about veganism.

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Some say that if you get it right,

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it can be one of the healthiest choices you can make

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but others go to the opposite extreme and say that meat and dairy

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contain so many vital nutrients, it's easy for veganism

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to actually become an unhealthy way of life.

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So I went to find out if it's really possible that a diet based on fruit

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and veg can be bad for you and your family.

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Before I got a job on the telly,

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I spent more than a decade working with fruit and veg every day.

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I love the stuff, and at home there is one very good reason

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we get through tonnes of it.

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My wife's a vegetarian so that means a lot of the meals

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we eat at home are veggie.

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In fact, I can go days without eating any sort of meat at all.

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But I couldn't go veggie full time and I certainly couldn't go vegan.

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It means cutting out everything that has come from an animal,

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so no meat, fish or dairy, or indeed some surprising foods

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that often contain animal products too like jelly, sweets, cakes

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and certain types of bread, honey and even some wines.

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It's a big commitment and it's a choice that's being made

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by more people now than ever before.

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I feel really empowered by making that choice

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because before I was just eating whatever.

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Now I'm like, I need to eat this much to get this much magnesium

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and this much iron, and if I eat chickpeas and beans,

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-I'm getting all the protein I need.

-Sounds exhausting!

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I actually find it really empowering.

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While some reports say it's supremely healthy,

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others say it's downright dangerous.

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I have never recommended any of my patients follow a vegan diet.

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It would be very hard for me on a day-to-day basis to make sure I was

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meeting all my nutritional requirements.

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Very difficult, very challenging to be fully nutritionally adequate

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on a vegan diet.

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And the debate gets really heated when it comes to children,

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with some reports suggesting parents are irresponsibly gambling

0:17:030:17:07

with their family's health.

0:17:070:17:09

Why, you look delicious.

0:17:130:17:15

I think I shall have to eat you!

0:17:150:17:18

Holly Driver and her boyfriend, Ben, have been vegan for eight months.

0:17:180:17:22

Did it bite you?

0:17:220:17:24

Four months ago, Holly decided to put kids on a vegan diet, too.

0:17:240:17:28

Well, we went vegan initially for the ethical side, for the animals,

0:17:300:17:34

and every good thing that you can get from animal products,

0:17:340:17:38

you can get elsewhere.

0:17:380:17:40

I felt it was the right thing to do.

0:17:400:17:42

Like many kids their age, two-year-old Morgan

0:17:420:17:45

and four-year-old Jay used to get through lots of things like milk,

0:17:450:17:49

chicken and a toddler favourite, ham and cheese sandwiches,

0:17:490:17:53

but of course, now that's all changed.

0:17:530:17:55

-So your children are four and two, aren't they?

-Yes.

0:17:550:17:57

Are you worried about your children getting enough nutrients

0:17:570:18:00

-and vitamins from the food they're eating?

-I have been initially.

0:18:000:18:03

I think the first thing is having to learn what it is

0:18:030:18:08

that they are missing, what was good about meat and dairy,

0:18:080:18:12

and it's calories.

0:18:120:18:13

They need a lot of physical energy.

0:18:130:18:15

I do have concerns sometimes that perhaps the amount they eat

0:18:150:18:17

just isn't enough.

0:18:170:18:19

And also calcium and protein.

0:18:190:18:22

I try my best but it is a bit of a concern sometimes.

0:18:220:18:25

And it's easy to see why Holly often struggles.

0:18:250:18:28

Take for example a typical kids' favourite,

0:18:280:18:31

fish fingers with mash and two veg, a glass of milk and a yoghurt.

0:18:310:18:35

A vegan equivalent will have less protein and calcium,

0:18:350:18:38

which can easily be replaced by adding enriched soya milk.

0:18:380:18:41

But Holly's most concerned that Morgan and Jay

0:18:410:18:44

are missing out on energy.

0:18:440:18:46

This vegan meal has a third fewer calories than the fish finger meal.

0:18:460:18:50

Replacing those could mean as much as a whole extra veggie burger.

0:18:500:18:53

That's a lot for a four-year-old.

0:18:530:18:56

As any parent knows,

0:18:560:18:57

getting children to eat what they're told isn't always easy.

0:18:570:19:00

When they're so young, they can be quite picky

0:19:000:19:03

and, for example, my son will not eat beans if he knows there's beans.

0:19:030:19:06

If they've been blended up, he'll eat them.

0:19:060:19:08

Holly's seen the reports that criticise parents

0:19:080:19:11

who choose to bring their kids up vegan,

0:19:110:19:13

and she's desperate to make sure Morgan and Jay

0:19:130:19:16

aren't missing out nutritionally.

0:19:160:19:17

There's some things they're happy to eat, sort of,

0:19:170:19:20

if bribed with a treat.

0:19:200:19:22

You know, you'll get your biscuit if you eat your broccoli and that sort of thing.

0:19:220:19:25

But that's not a long-term solution so Holly wants to find out what she

0:19:250:19:30

needs to do to make sure the kids are getting all they need.

0:19:300:19:33

She'll be keeping a video diary of the family meals and we'll meet up

0:19:330:19:37

in a week to put it under some expert scrutiny.

0:19:370:19:39

This is what I've made for dinner on Wednesday, a salad.

0:19:410:19:44

And there's some couscous with hummus mixed in.

0:19:450:19:48

So, yeah, hopefully this will go OK.

0:19:480:19:50

They've had rice before and they usually don't make a fuss about it.

0:19:500:19:53

While Holly is determined to find a way to make sure her family is healthy,

0:19:530:19:58

some of the reports about the potential side effects

0:19:580:20:01

of going vegan are enough to make many people think again.

0:20:010:20:04

They're warnings that dietitian Alison Clark is familiar with.

0:20:040:20:08

Some have a little bit of truth in them, in the fact that you can

0:20:080:20:11

become deficient in certain nutrients if you don't plan

0:20:110:20:13

your diet well.

0:20:130:20:15

And you need to pay particular attention to the calcium, omega-3,

0:20:150:20:18

fatty acids, iodine, selenium and B12.

0:20:180:20:21

They're all nutrients that non-vegans easily get

0:20:210:20:25

from animal products, and being deficient in them

0:20:250:20:27

can have serious consequences, ranging from slowed mental health

0:20:270:20:31

and physical development in children,

0:20:310:20:33

to osteoporosis and neurological problems in adults.

0:20:330:20:37

But with the right foods, and in some cases the right supplements,

0:20:370:20:41

a vegan diet can be extremely healthy.

0:20:410:20:44

We know that people following a good, healthy,

0:20:440:20:46

well-balanced vegan diet will have more fruit and veg in their diet,

0:20:460:20:50

will have more whole grains, so generally more fibre

0:20:500:20:52

and this leads on to actually reducing health risks

0:20:520:20:55

such as type 2 diabetes, heart disease,

0:20:550:20:57

cardiovascular disease, strokes as well.

0:20:570:21:00

They're just some of the reasons that Holly decided

0:21:000:21:03

to make the whole family go vegan.

0:21:030:21:05

But back in Southampton, it's proving easier said than done.

0:21:050:21:09

So, Morgan is tucking into her mac and cheese-style dinner

0:21:090:21:13

and Jay is currently in a time out

0:21:130:21:15

because he had such a big strop about it and is refusing to eat it.

0:21:150:21:19

This is the kind of thing that when I was a meat eater,

0:21:190:21:22

I probably would have just said, never mind, have a slice of ham

0:21:220:21:24

and some cheese or something.

0:21:240:21:26

So, I'm at a bit of a loss when he just refuses to eat dinner.

0:21:260:21:31

When Morgan or Jay refuse to eat, it just adds to Holly's concerns

0:21:310:21:35

that they're not getting the right nutrients.

0:21:350:21:38

So she and I are on our way to meet dietitian Priya Tew,

0:21:380:21:41

who's been scrutinising Holly's food diaries

0:21:410:21:44

to see how much she's getting right.

0:21:440:21:46

So what does Holly and her family need to be doing to make sure

0:21:460:21:49

they're getting all their vitamins and nutrients?

0:21:490:21:52

It looks like you've been doing really well.

0:21:520:21:54

There's some lovely variety in there and I can see that you've been

0:21:540:21:58

spending some time planning out some of those meals.

0:21:580:22:01

While Priya is not overly concerned the kids are missing out,

0:22:010:22:04

there are some holes in the family's diet.

0:22:040:22:07

Although you did have a range of protein,

0:22:070:22:09

you were kind of reliant on the same ones perhaps for the children.

0:22:090:22:12

I wondered about whether you could try some different protein sources

0:22:120:22:16

with them, so whether they might like tofu or tempeh.

0:22:160:22:21

Nuts can be a really great addition.

0:22:210:22:23

You don't have to have them whole,

0:22:230:22:25

so you could try sliced almonds for example.

0:22:250:22:28

That would also help with another of Holly's big concerns,

0:22:280:22:32

that Morgan and Jay aren't getting enough calories.

0:22:320:22:35

I find it hard to work out how to get those extra calories in.

0:22:350:22:38

Seeds are also good, so you can sprinkle seeds into a flapjack

0:22:380:22:42

for example, putting them onto cereals,

0:22:420:22:45

if you were to add some dried fruit.

0:22:450:22:47

-But it's just making a little bit more out of what you're having.

-Yeah.

0:22:470:22:52

Priya says Holly has the building blocks of a healthy diet in place

0:22:520:22:56

but there is one essential nutrient every vegan

0:22:560:22:59

needs to pay attention to, vitamin B12.

0:22:590:23:01

And it's behind one of the most alarming stories about the risks

0:23:010:23:04

of following a vegan diet.

0:23:040:23:06

If you're on a vegan diet, then you're going to end up quite likely

0:23:060:23:10

to be deficient in vitamin B12.

0:23:100:23:12

So a large-scale study that was done found that up to 50% of vegans and

0:23:120:23:17

vegetarians had an increased risk of depression.

0:23:170:23:20

So not having enough vitamin B12 can have a detrimental effect

0:23:200:23:23

-on your mood potentially?

-It could do, yes.

0:23:230:23:27

But Priya says there's an easy fix as dairy alternatives

0:23:270:23:30

fortified with vitamins and minerals are a great way

0:23:300:23:34

to boost your level of B12.

0:23:340:23:36

I must admit, I've never been a fan of dairy substitutes

0:23:360:23:39

but Priya has laid on a taste test of some of the most popular options.

0:23:390:23:43

Here we have some...

0:23:450:23:46

..coconut milk, almond milk and we've got oat milk.

0:23:480:23:50

Let's try it then. Come on then.

0:23:500:23:52

Coconut is very flavoursome, isn't it?

0:23:550:23:57

On its own, that's actually quite pleasant.

0:23:570:23:59

So now we have got the almond milk.

0:23:590:24:02

It's quite strong.

0:24:020:24:04

Oi!

0:24:040:24:05

That's not for me.

0:24:050:24:08

-What's the last one?

-Oat milk.

0:24:080:24:10

Yeah, it's quite sweet.

0:24:100:24:12

The oat milk is a lot nicer.

0:24:120:24:14

It's got a real sweetness, a natural sort of creaminess to it.

0:24:140:24:17

The great thing about these milks is they're fortified,

0:24:170:24:20

so they've got vitamin D in, we've got calcium, we've got B12 in there

0:24:200:24:25

so they're providing you with those nutrients

0:24:250:24:27

that you might otherwise be missing out on.

0:24:270:24:30

The importance to research it and make sure

0:24:300:24:32

you're replacing like-for-like is even more important, isn't it?

0:24:320:24:35

It can be harder on a vegan diet to get all of the nutrition

0:24:350:24:38

that you need but there's no reason you can't do it.

0:24:380:24:42

It's just the planning and the thinking it through.

0:24:420:24:46

As well as tips for increasing protein, healthy fats and B12,

0:24:460:24:50

Holly is also leaving armed with advice for how to ensure the kids

0:24:500:24:54

eat more calcium and iron, and she's keen to get started.

0:24:540:24:59

So after meeting with Priya,

0:24:590:25:01

I think she had a lot of really useful things to say

0:25:010:25:04

and she gave me a lot of advice like,

0:25:040:25:07

ground almonds and sesame seeds were two things

0:25:070:25:11

that I'm definitely going to get hold of.

0:25:110:25:14

Holly is optimistic she's now armed with tips to help ensure Morgan

0:25:140:25:18

and Jay get everything they need.

0:25:180:25:20

But some reports suggest that not all vegan parents

0:25:200:25:24

are in such a good position,

0:25:240:25:25

and that vegan diets can leave children malnourished

0:25:250:25:28

and with irreversible health problems.

0:25:280:25:31

Nicole Rothband is a specialist paediatric dietitian.

0:25:310:25:35

-Come through.

-Thank you.

-If you want to take a seat here.

0:25:380:25:41

It can hamper a child's growth and they may not actually achieve

0:25:440:25:48

their full growth potential.

0:25:480:25:50

It can also slow down and affect their intellectual development

0:25:500:25:55

and that can obviously have impacts long-term on their life chances.

0:25:550:25:59

Nichole sees patients who have a whole host of nutritional issues

0:25:590:26:04

and vegans make up just a tiny proportion of them.

0:26:040:26:07

Sometimes children on a vegan diet will be referred to us

0:26:080:26:11

because their growth is faltering.

0:26:110:26:13

We can do an assessment of the diet and then advise parents

0:26:130:26:18

on how to make sure that those elements, those nutrients

0:26:180:26:22

that are missing are supplemented or added into the diet.

0:26:220:26:27

But while Nicole does see children who are being brought up vegan,

0:26:270:26:30

she says she sees the very same problems with other children too.

0:26:300:26:35

We have to be very careful that we don't tar every vegan with the same

0:26:350:26:39

brush and decide that veganism is going to, inevitably,

0:26:390:26:43

lead to malnutrition because that's not the case at all.

0:26:430:26:47

Most parents that choose to do it,

0:26:470:26:49

do it really responsibly because it's a lifestyle choice that they're

0:26:490:26:52

making, and normally they are very aware of the nutrition deficiencies

0:26:520:26:56

that might be a consequence of following a vegan diet.

0:26:560:27:00

So with the right guidance,

0:27:000:27:02

Nicole is confident a vegan diet won't leave children malnourished.

0:27:020:27:06

But back in Southampton,

0:27:060:27:09

putting Priya's advice into action isn't going too smoothly for Holly.

0:27:090:27:12

For lunch they had the usual, like, peanut butter sandwich.

0:27:140:27:17

There was a bit of a failure there because they wouldn't eat

0:27:170:27:19

their banana with it, but they did eat an apple later.

0:27:190:27:23

When Priya took a look at Holly's food diaries,

0:27:250:27:27

she could see Holly was relying on many of the same meals.

0:27:270:27:31

So to help her vary Morgan and Jay's diet,

0:27:310:27:34

she's come to meet fellow vegan mum and food writer, Lizzie Tighe,

0:27:340:27:38

who first started cooking vegan food four years ago.

0:27:380:27:41

Hi, come in.

0:27:410:27:44

As well as practical tips,

0:27:440:27:45

Lizzie's going to show Holly some of the ways she gets her kids to eat

0:27:450:27:49

nutrient rich vegan foods, starting with a snack rich in protein,

0:27:490:27:54

calcium and good fats.

0:27:540:27:56

So what actually is in this?

0:27:560:27:58

One avocado and then some oats, we've got some hemp seeds here,

0:27:580:28:02

and you've got sesame seeds which are really good

0:28:020:28:04

for calcium and protein.

0:28:040:28:06

I do think these will be really good for the kids actually

0:28:060:28:09

because they do love joining in in the kitchen.

0:28:090:28:11

And Lizzie has another trick up her sleeve for sneaking extra nutrition

0:28:110:28:15

into her kids' diets.

0:28:150:28:17

Smoothies.

0:28:170:28:19

So in here we have got frozen banana, pumpkin seed butter,

0:28:190:28:23

a little bit of maple syrup, organic cacao powder, cashew butter,

0:28:230:28:27

hemp seeds and a little bit of almond milk.

0:28:270:28:29

So we're going to whizz this up.

0:28:290:28:31

Yeah, that's really nice. It's really cold and really banana-y,

0:28:370:28:41

-and I think the kids will really like that because they already love bananas.

-Yeah.

0:28:410:28:45

So it's kind of like a special chocolate sundae-type treat.

0:28:450:28:49

In no time, Holly was whizzing up Lizzie's recipes at home.

0:28:510:28:55

I've just made this as like a post-lunch snack.

0:28:560:28:59

The kids helped me make it and I'm going to put

0:28:590:29:03

some walnuts on the top.

0:29:030:29:05

And a month later, I'm giving her a call to see how things are going.

0:29:070:29:11

-Hello, Holly, how are you?

-Hi, I'm doing really well, thanks.

0:29:110:29:14

Excellent. And how's the vegan diet going?

0:29:140:29:17

-How have the kids been getting on?

-Yeah, we're doing really well now.

0:29:170:29:20

I'm feeling really confident that the calories are being met,

0:29:200:29:23

they're getting all their fats.

0:29:230:29:24

They have a lot of energy and they sleep well so I think, yeah,

0:29:240:29:27

they must be feeling good in themselves.

0:29:270:29:30

As a result, I'm eating a bigger variety of things as well.

0:29:300:29:33

Proof then that with the right planning and determination,

0:29:330:29:36

there's nothing a vegan diet has to miss out,

0:29:360:29:39

which is great news for these two.

0:29:390:29:41

Did you like that?

0:29:410:29:43

Yeah? Looks like you did.

0:29:430:29:45

Was it yummy? Yeah?

0:29:450:29:47

Did you like yours, Jay?

0:29:470:29:49

Still to come -

0:29:560:29:58

We're a nation of Cheddar lovers but is it possible

0:29:580:30:00

we're addicted to cheese?

0:30:000:30:02

The brain's response to food, alcohol and cigarettes

0:30:020:30:06

involves the same areas of the brain.

0:30:060:30:09

All week we're tackling some of the trendiest food fads head-on

0:30:140:30:18

to find out if the health claims that make these things so popular

0:30:180:30:22

really stack up. So what have you got for me today then, Gloria?

0:30:220:30:25

Oh, let me think. I'm going to give you some clues, is that OK?

0:30:250:30:28

Once they were known as alligator pears.

0:30:280:30:32

Then their colour inspired many a '70s bathroom suite.

0:30:320:30:35

I think I might have had one of those myself.

0:30:350:30:38

Last autumn, one supermarket started selling stoneless versions to cut

0:30:380:30:42

down the number of people injuring their hands when they were trying to

0:30:420:30:45

-eat them. So, got any answers?

-No, I think I'm at a loss. What is it?

0:30:450:30:49

It is the avocado, and it's now so popular that you can find entire

0:30:490:30:53

restaurants devoted to serving only these.

0:30:530:30:56

But are their much-celebrated benefits for real

0:30:560:30:59

or is the avocado craze just a fashionable fleeting fad?

0:30:590:31:03

Once the favourite of '80s dinner party menus,

0:31:090:31:12

avocados have exploded in popularity and become the go-to food

0:31:120:31:16

for the health-conscious.

0:31:160:31:18

It's really good, it's fresh, it's healthy.

0:31:180:31:21

They're pretty healthy, they make you feel good when you eat them.

0:31:230:31:26

I don't know whether it's the colour, the texture, the taste

0:31:260:31:28

but it just gives me the impression that when I'm eating it, I'm doing a healthy thing.

0:31:280:31:31

I like making guacamole.

0:31:310:31:33

I try making some into salads, yeah.

0:31:330:31:36

But they're a huge thing at the moment, aren't they?

0:31:360:31:39

Everyone's going crazy for them.

0:31:390:31:40

The avocado craze shows no sign of stopping.

0:31:420:31:45

Sales have increased nearly 200% in the last five years

0:31:450:31:49

and if you believe the hype,

0:31:490:31:51

there's no end to the knobbly fruit's superpowers,

0:31:510:31:54

and for the most part, dietitian Linia Patel says

0:31:540:31:57

this is a fad we can believe in.

0:31:570:31:59

Avocados contain monounsaturated fats,

0:31:590:32:01

which is basically a good type of fat,

0:32:010:32:04

that has been linked to helping prevent heart disease.

0:32:040:32:07

Avocados also claim to be very high in antioxidants such as vitamin E.

0:32:070:32:12

Vitamin E has a role in your immune system but it also has a role in

0:32:120:32:16

helping prevent diseases such as diabetes and Alzheimer's disease.

0:32:160:32:20

With credentials like that, there's no wonder avocados are so popular

0:32:210:32:25

but it turns out there can be too much of a good thing.

0:32:250:32:28

Because all those healthy fats come alongside a serving

0:32:280:32:31

of more than 300 calories.

0:32:310:32:33

So do these shoppers know what the recommended portion size is?

0:32:330:32:37

For a day, avocado, say half an avocado?

0:32:390:32:43

They're quite fattening, aren't they?

0:32:430:32:45

Yeah, lots of calories.

0:32:450:32:47

Whilst avocados are full of lots of good nutrients,

0:32:470:32:50

what we've got to remember is they also contain a lot of fat.

0:32:500:32:53

So this avocado for example, a whole avocado,

0:32:530:32:55

contains about 22 grams of fat.

0:32:550:32:58

Now that's a lot, so what's important to remember

0:32:580:33:00

is you've got to get the portion size right.

0:33:000:33:02

And the recommended amount is half an avocado per day.

0:33:040:33:07

Really?

0:33:070:33:09

I don't eat it every day so perhaps that's a good thing.

0:33:090:33:12

Ah, but before you say, but it's good fat, isn't it,

0:33:120:33:16

too much of any fat can lead to weight gain

0:33:160:33:18

so it's very important to get your nutrients from a variety

0:33:180:33:21

of foods that don't always come with as much fat.

0:33:210:33:24

The vitamins and minerals that you get in avocado,

0:33:240:33:27

you can get in other foods.

0:33:270:33:28

So for example, the potassium you find in avocado

0:33:280:33:31

can also be found in a banana.

0:33:310:33:34

The key is that you get a varied diet

0:33:340:33:36

rather than what we're doing now with this fad,

0:33:360:33:39

having an avocado a day, or two,

0:33:390:33:41

because we think it's the right thing to do.

0:33:410:33:44

It might not quite be a super food, but within reason there's no need

0:33:450:33:49

to avoid the avocado, however you prefer it.

0:33:490:33:52

I like them in a guacamole with a tequila!

0:33:520:33:55

Whatever your favourite type and however you like it,

0:34:050:34:08

I bet many of us think the most dangerous thing about cheese

0:34:080:34:12

can be the way the strongest ones smell.

0:34:120:34:14

But some reports claim that this kitchen staple has a dark side,

0:34:140:34:18

that it could increase your risk of heart attacks or cancer

0:34:180:34:22

and might even be as addictive as some hard drugs.

0:34:220:34:25

But don't panic yet because, as usual,

0:34:250:34:28

for every scare story saying cheese is extremely bad for us,

0:34:280:34:32

there's another report saying just the opposite.

0:34:320:34:34

So we asked Danny Crates to find out which we should really believe.

0:34:340:34:38

To say this lot love cheese would be an understatement.

0:34:420:34:45

Where shall I sit? I'll sit here where I normally sit.

0:34:450:34:47

The Colchester Cheese Appreciation Society meet once a month

0:34:470:34:51

to pay homage to the fromage.

0:34:510:34:53

And over the years, they've tasted and tested

0:34:530:34:55

over 500 different varieties.

0:34:550:34:58

Four yummy cheeses that have been sitting there breathing for, oh,

0:34:580:35:01

about two hours now so they should be nice and ripe.

0:35:010:35:03

So come and fill your boots.

0:35:030:35:05

The wine this evening is a Rio Rica Malbec.

0:35:100:35:13

Cheers, everybody.

0:35:130:35:15

Cheers!

0:35:150:35:17

So as a self-professed cheese lover, what is your favourite cheese?

0:35:170:35:21

-Stilton.

-Probably a Jarlsberg.

0:35:210:35:23

Soft, runny, pungent, brie-style.

0:35:230:35:26

The more it's running off the plate, the happier I am.

0:35:260:35:28

They might eat more than their fair share but we are definitely a nation

0:35:280:35:33

of cheese lovers.

0:35:330:35:35

In the UK, we spend almost £3 billion on the stuff each year,

0:35:350:35:39

eating around ten kilos per person.

0:35:390:35:42

And although our favourite by some distance is the humble cheddar,

0:35:420:35:45

we make around 700 different varieties here in the UK,

0:35:450:35:49

perhaps spurred on by claims that cheese has all manner of superpowers.

0:35:490:35:54

Some say it can help you live longer.

0:35:540:35:57

Others, that it's the key to a healthy heart.

0:35:570:36:00

Is it even better if it tastes good and it can do you good at the same

0:36:000:36:03

-time?

-We love it.

-Yes, that would be great news, wouldn't it, really?

0:36:030:36:06

We already know it's a good source of calcium. If it proved to be a super food as well,

0:36:060:36:09

that would be absolutely superb. I could eat even more often than I do now.

0:36:090:36:12

But the news isn't all great

0:36:140:36:15

because some reports paint a much more dangerous picture,

0:36:150:36:18

even linking cheese to cancer.

0:36:180:36:21

What does that make you think about cheese?

0:36:210:36:23

WOMAN CHUCKLES

0:36:230:36:25

Don't know whether I believe it or not, though.

0:36:250:36:28

No, but... I'd want to read the research.

0:36:280:36:31

Without seeing research and there being lots of it,

0:36:310:36:34

-would it affect your cheese eating habits?

-Probably not in the short-term.

0:36:340:36:37

No, probably not in the short-term, so I'll have it back!

0:36:370:36:40

I eat what I like, to be honest, and I like cheese.

0:36:400:36:44

So loving cheese as much as you do, if those headlines were proven true,

0:36:440:36:47

how hard would it be for you to cut cheese out of your diet?

0:36:470:36:50

If they were proven 100% true, I think it would be a no-brainer,

0:36:500:36:54

but it would be difficult, yeah.

0:36:540:36:55

They're just two headlines from a huge selection of stories

0:36:570:37:00

that are enough to leave the best of us baffled.

0:37:000:37:03

So is cheese a super food, as some say,

0:37:030:37:06

or could it cause cancer as other reports claim?

0:37:060:37:08

I'm meeting up with dietitian Monika Siemicka

0:37:100:37:13

to see which, if any, of those stories stack up.

0:37:130:37:16

First up, those scary claims linking the nation's favourite

0:37:160:37:20

with breast cancer.

0:37:200:37:22

This is the one we know and love best

0:37:220:37:24

but there's concerns about cheddar.

0:37:240:37:26

Yeah, a recent study did say that cheddar cheese has been linked to

0:37:260:37:29

breast cancer, but the study that we're talking about

0:37:290:37:33

is a little bit flawed.

0:37:330:37:34

It was actually conducted in the United States

0:37:340:37:37

and what they did was ask participants to recall

0:37:370:37:39

what they'd eaten over the past year.

0:37:390:37:42

And it's difficult to draw a conclusion because

0:37:420:37:44

there are lots of things that the study didn't look at

0:37:440:37:47

like alcohol intake or how much exercise the participants were doing.

0:37:470:37:50

You need to look at it in the context as a whole

0:37:500:37:52

in terms of lifestyle.

0:37:520:37:54

As ever, more research is needed to conclusively prove

0:37:540:37:58

any link between cheese and cancer.

0:37:580:38:01

So if it's not as simple as some of those reports make out,

0:38:010:38:04

what about the ones that any cheese lover would read with glee?

0:38:040:38:08

There is a headline that cheese could be a super food.

0:38:100:38:13

Please, please, tell me it's true.

0:38:130:38:14

There are scientists in South Korea that fed roundworm some Swiss cheese

0:38:140:38:19

and what they found is that they actually live longer.

0:38:190:38:22

So they think that's all down to a probiotic which is really good

0:38:220:38:26

at balancing out the gut bacteria

0:38:260:38:28

and that can boost your immune system, so you're better off at

0:38:280:38:30

fighting infections.

0:38:300:38:32

But it's still very early in the research so there's a lot more

0:38:320:38:35

that needs to be done before we can be sure about the health benefits.

0:38:350:38:38

Not only is the research in its infancy,

0:38:390:38:42

the scientists behind it only found the probiotic,

0:38:420:38:44

which the headlines claim make cheese a super food,

0:38:440:38:47

in a few cheeses.

0:38:470:38:48

With hundreds of varieties on sale in the UK,

0:38:490:38:52

it's impossible to say they're all good or bad.

0:38:520:38:56

Not all cheeses are equal.

0:38:560:38:58

So we have a huge array of cheeses in front of us

0:38:580:39:01

but is there a healthier end of the spectrum?

0:39:010:39:04

Some are going to be slightly higher in salts like halloumi.

0:39:040:39:06

Some will be naturally lower in fat like cottage cheese,

0:39:060:39:11

and then the processed cheeses, so the ones that have had extra

0:39:110:39:14

salt and fat added, are probably not the best ones to go for.

0:39:140:39:17

The ingredients in cheese are simple - milk, salt and rennet,

0:39:170:39:22

or an acid-like vinegar or lemon juice.

0:39:220:39:24

The type of milk and the amount used changes the fat content,

0:39:260:39:29

and with some cheeses requiring up to ten litres of milk to make just one kilo of cheese,

0:39:290:39:34

the high level of fat means that whatever cheese you choose,

0:39:340:39:37

the key is not to have too much.

0:39:370:39:39

What people don't realise is that when you're eating cheese,

0:39:410:39:44

a portion is actually 30 grams, which is a matchbox size.

0:39:440:39:47

-I call that a mouthful.

-That is kind of a mouthful, yes.

0:39:470:39:51

30 grams a day really isn't very much.

0:39:520:39:54

It's less than it takes to make one slice of cheese on toast.

0:39:550:39:59

It might not go very far on top of a jacket potato,

0:39:590:40:02

and it's less than half a portion of macaroni cheese.

0:40:020:40:05

But the good news is, you can save up your allowance.

0:40:050:40:08

If you fancy a cheese covered pizza,

0:40:080:40:10

you'd need to have four days with no cheese to make up for it.

0:40:100:40:13

But that might send the most ardent cheese lovers into cold sweats

0:40:170:40:20

according to these reports,

0:40:200:40:22

which say cheese could be as addictive as hard drugs.

0:40:220:40:25

To find out if they've got it right,

0:40:270:40:29

I've come to meet Dr Tony Goldstone

0:40:290:40:31

who's a specialist in the science of addiction.

0:40:310:40:34

-Hi, Dr...

-Lovely to meet you. Come on through.

0:40:340:40:37

He's studied the brain scans of over 1,000 subjects.

0:40:370:40:41

The brain's response to food, alcohol and cigarettes

0:40:410:40:45

involves the same areas of the brain.

0:40:450:40:48

When you eat foods that you individually like,

0:40:480:40:51

you tend to release more dopamine in the brain.

0:40:510:40:54

Now that happens if you take many drugs as well.

0:40:540:40:57

But even though food causes your brain to release the same chemicals

0:40:570:41:01

as something that is addictive, that doesn't mean that food is.

0:41:010:41:05

The amount of dopamine that's released with these drugs

0:41:050:41:08

is very much greater.

0:41:080:41:10

It is ten to a hundred times greater than it would be with the food.

0:41:100:41:13

Dr Goldstone says it's not addiction but a different reason entirely

0:41:130:41:18

that we often crave some foods.

0:41:180:41:21

We've evolved to like foods that are high in fat, like cheese.

0:41:210:41:26

Those foods give us energy that we need to maintain a life

0:41:260:41:30

and reproduce and be resistant against disease.

0:41:300:41:33

In your opinion, could there be any scientific evidence that there is

0:41:330:41:37

something in cheese that could be addictive?

0:41:370:41:39

I'm not aware of any studies in humans that have in any way

0:41:390:41:43

directly proven that that is a true statement.

0:41:430:41:46

So, while the cheese lovers back in Colchester might crave their monthly

0:41:480:41:52

tastings, they're not hooked.

0:41:520:41:55

Cheers, everybody!

0:41:550:41:56

Cheers!

0:41:560:41:58

You know, as someone who loves their cheese and eats a fair bit of the stuff,

0:42:030:42:06

I was quite surprised to find out that a portion size

0:42:060:42:08

should be no bigger than a matchbox.

0:42:080:42:10

I think I eat more than that every time I eat cheese.

0:42:100:42:12

I must say I was very surprised at that.

0:42:120:42:14

You must have been relieved to find out that all the fish you've been

0:42:140:42:17

eating haven't left you with high levels of mercury in your blood?

0:42:170:42:19

I thought that study of mercury and fish, it's a really topical story

0:42:190:42:22

and very interesting, but I wasn't at all surprised that Stephen

0:42:220:42:25

had far more mercury than me in his body because all the time

0:42:250:42:28

he would eat more fish than I would in restaurants or even at home.

0:42:280:42:32

But I think what I took away from that film more than anything else

0:42:320:42:35

was just how much the benefits of the omega-3,

0:42:350:42:38

particularly in oily fish, outweigh the risks of mercury

0:42:380:42:41

and unless you're pregnant, there's really nothing to worry about

0:42:410:42:45

with the vast majority of the fish we eat here in the UK.

0:42:450:42:47

On that note, we've just about run out of time for today.

0:42:470:42:50

But don't forget, you can get in touch with us by e-mailing:

0:42:500:42:56

So, until the next time, thank you very much indeed for your company

0:42:560:42:59

and we hope we've given you some food for thought!

0:42:590:43:01

-Bye-bye.

-Goodbye.

0:43:010:43:03

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