Episode 4 Food: Truth or Scare


Episode 4

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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. The next, it's not.

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And we're left feeling guilty about what we're eating.

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So we've been wading through the confusion

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to separate the scare stories from the truth

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so that you can choose your food with confidence.

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Hello, and welcome to the programme that's here to stop us

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being hoodwinked by the headlines when it comes to our food.

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"Headlines" is the word, because I read the papers every day

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and I have to say, I am confused,

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because if you swallow everything you read

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about what is or isn't good for us -

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well, there wouldn't be much left you'd feel confident about eating.

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If your head's spinning trying to figure out which advice is correct

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and what you should be eating,

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we'll be bringing some much-needed clarity to the table

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as we discover how much of what we thought we knew

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turns out to be wrong.

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Coming up on the programme today -

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we have reassuring news about red meat,

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after particularly scary reports

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threatened to butcher businesses like this one.

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It was all a bit devastating, really.

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You know, as the papers got hold of it,

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and then, of course, it was broadcast on the news everywhere.

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And at first, you know, people are scared witless, really.

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For decades we were told fat caused heart disease,

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but as reports suggest, some old-fashioned fats

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are back in favour.

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You really get the flavour of the dripping.

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It really goes a long way, doesn't it?

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It's absolutely marvellous.

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And which bread is best - white or brown?

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Why an old favourite may not be so bad as we're often told.

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Now, if you're a committed carnivore like me,

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you'll have been horrified by the news late last year

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that eating too much processed red meat

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like sausages or bacon can cause cancer.

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Bad news for me. I have to admit, I still love a good fry-up.

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Not every day, though. I couldn't do that.

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Look at some of these headlines - Killer In The Kitchen, Banger Out Of Order.

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-They're certainly not sitting on the fence with this, are they?

-No.

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-What about you? Do you still eat meat?

-I do indeed.

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My wife's vegetarian, but I'm not going to lie -

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it was going to take more than these headlines to separate me

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from a bacon butty, or at least until I knew for sure

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what the risk is. So I set off to find out.

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We're a nation that loves our red meat -

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so much, in fact, that on average those of us who eat it

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get through the equivalent of three steaks every week.

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But last October, there were some particularly worrying headlines

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linking red meat and processed meat

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like bacon, ham and sausages with cancer.

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My husband says to me,

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"See? I told you we shouldn't eat bacon every day."

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And then you turn around and think, "Well, they're the experts."

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The report that sparked the headlines

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from the World Health Organization

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said processed meat in particular is a serious risk to our health.

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Each additional daily serving of processed red meat,

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the equivalent of one hot dog or two rashers of bacon,

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raises the chances of dying by a fifth.

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In the two weeks after the news broke,

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British supermarkets saw sales of sausages and bacon

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plummet by £3 million.

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And butchers like this one in Twickenham saw their sales

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of red meat drop by 10% overnight.

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-How are you?

-I'm very well, mate, yeah. Yourself?

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Yeah, not too bad.

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Those headlines couldn't have come at a worse time

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for Lou and his team, as they were preparing for a special event

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that was supposed to supersize sausage sales - not slaughter them.

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It was Great British Sausage Week.

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We were all geared up for a massive campaign

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on sausages that weekend.

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We'd got all sorts of brochures, posters.

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We were going to do a big barbecue out the front of the shop.

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So it was all a bit devastating, really.

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You know, as the papers got hold of it, and then, of course,

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it was broadcast on the news everywhere.

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And at first, you know, people are scared witless, really.

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We have our own pig farm as well,

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-so we run about 150 to 200 pigs at a time.

-Right.

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So if the supply chain here sort of dries up,

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we've got a ruined business.

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I visited the shop a few weeks after those first headlines,

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and I wanted to see if, now the dust had settled,

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Lou's loyal customers had been put off red meat for good.

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So do you mind if I get stuck in and talk to a few of your customers

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about the concerns they have about red and processed meat?

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-No, no problem at all.

-Brilliant.

-Let's get you kitted up!

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Fantastic. Put on the famous red-and-white apron, huh?

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Sales of sausages and bacon nationally,

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already slowly declining,

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dropped rapidly in the months following the new report.

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But there's little sign of that here.

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There were recent health scares - the World Health Organization

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said that processed meat was very bad for you,

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increased risk of cancer - what do you think about that?

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There's always a scare, isn't there, about something or other?

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I would imagine that it's complete tosh.

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THEY LAUGH

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No. You only live here once.

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Enjoy your meat while you're here, while you can still eat it

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and while your teeth are still in your mouth.

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So enjoy it. Forget all the other scares. Move on.

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Where's my ham?

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-So you're not worried?

-No, I'm not.

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If you buy good quality from a reputable source,

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then I think you're fine. You're absolutely fine.

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In fact, all the customers I met had taken the news

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with a hefty pinch of salt.

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It's good news for Lou -

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in his shop, at least, sales are back to normal.

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It certainly has recovered right back to where we were before,

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so it's not killed it dead in the water. Definitely not.

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After speaking to a few people this morning, it seems that

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although they may have been a little bit concerned initially,

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after a fairly short period of time,

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they've got back into their old routines,

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and what they are doing is putting their trust

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in the great British butcher to provide them with good-quality meat.

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So we might not have fallen out of love

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with red or processed meat entirely,

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but those headlines WERE pretty scary.

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The World Health Organization said that 50g of processed meat

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every day - that's about two rashers of bacon -

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could increase the risk of some types of cancer by up to 18%.

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And as someone who's particularly partial to a good sausage sandwich,

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that had worried me.

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So, to make sense of it all, I've come to King's College in London

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to ask Prof David Phillips

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whether I should bin the bangers for good.

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So, David, what is it in red meat that's dangerous to us?

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Well, first of all, we have to distinguish

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between red meat and processed meat.

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So red meat, over here,

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is fresh meat - be it lamb, pork or beef.

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And then you have processed meat, which is food of similar origin

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-but which has been preserved in some way.

-OK.

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So there's the sausages, bacon, ham, salami, pepperoni.

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It's had preservatives added to it in order to prolong its life,

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and that also altered its flavour,

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and these are the things that we're familiar with.

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OK, so we've got mince here.

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Should mince be on the plate with the processed meats?

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No, mince is still fresh meat.

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It hasn't been preserved in any way.

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It's been processed in the sense it's been mashed up,

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but no preservatives have been added to it.

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But the mince doesn't get off scot-free.

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The World Health Organization's report said that processed meat

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like bacon, packed ham and sausages carry the highest risk,

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thanks to the carcinogens released when the meat is cured,

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smoked or processed.

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But the report also said that eating too much unprocessed red meat

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carries a risk too.

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But what is it about all of these meats that are dangerous to us?

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Well, in the case of the red meat first,

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this contains high amounts of a substance called haem.

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Haem contains iron, and we need iron in our diets,

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but also, haem can be broken down in the gut

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to harmful chemicals, and we think it's possible

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that some of these chemicals might be able to trigger cancer.

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OK, and haem - that's blood, isn't it?

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Haem is in blood. That's what makes blood red.

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It carries the oxygen around our body.

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Well, that sounds like a good thing.

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So what is it about this that's dangerous for us?

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Well, if we eat a lot of haem in our diet,

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then that gets into the gut

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and there it can get broken down into harmful chemicals

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which could cause bowel cancer.

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But the report also made clear that all processed meat,

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whether it's red or white, carries an additional risk.

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The chemicals that are generated

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during the processing of the meat or in the cooking of the meat

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can additionally cause damage to the cells in our bowels,

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and that makes an additional risk of cancer.

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As a result, the official NHS advice is not to eat more

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than 70g of either processed or red meat a day.

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That's about the same as two to three rashers of bacon

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or two small slices of roast beef.

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So should we be concerned about eating red and processed meat?

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Not if we don't eat too much of it.

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But it's fair to say that of the many cases of cancer

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that occur in the UK, a small proportion of them

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will be due to eating too much red meat.

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A very small proportion, in fact.

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In a group of 1,000 people

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who ate a small amount of processed meat each week,

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56 would develop bowel cancer.

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But in a group of 1,000 people who ate a lot of processed meat,

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only ten more, 66, would develop it.

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So while statistically there IS a higher risk, it's not as high

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as some of those headlines might have led you to believe.

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In fact, it's thought that just 34,000 cases of bowel cancer

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worldwide are caused by eating processed meat.

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So no-one's saying that processed meat or red meat

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will definitely give you cancer -

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it's just that your risk of developing it is slightly higher

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if you eat too much.

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So should I feel worried or guilty

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the next time I want to tuck into a bacon sandwich?

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Absolutely not. I think you should think about

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how many times you are tucking into a bacon sandwich,

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rather than whether you tuck into one or not.

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So despite those terrifying headlines,

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there's no need to take red meat off the menu entirely,

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not least because, in moderation, it can be really good for us.

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And nutritionist Priya Tew can explain why.

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So we've got lots of different cuts of red meat here,

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which all look very appetising,

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but apart from taste and flavour, do they offer us anything?

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Absolutely. It's a brilliant source of protein,

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it's leaner in fat than most people would think,

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it contains B vitamins, some vitamin D and selenium

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as well as iron and zinc.

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And that iron in particular is an especially useful nutrient

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for many of us.

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We know that, worldwide,

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population figures are that 30% of people are anaemic,

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so they have low levels of iron.

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When we look at the UK population, it's not necessarily that

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everybody's going to have a problem with their iron,

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but teenage girls, for example, pregnant women

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are people who are more susceptible to having low iron levels,

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so we definitely want to be encouraging them

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to be eating red meat regularly.

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You're saying that actually these can offer

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a lot of nutritional value and goodness as well?

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Yes, I am. So if you were having 70g of red meat a day,

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that's perfectly safe.

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So that could be equivalent to you having your 4oz steak

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a couple of times a week, for example,

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making sure you are having some meat-free days as well.

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So there is nothing wrong with having red meat

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and even processed meat a few times a week

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as part of a healthy, balanced diet.

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That's music to my ears. And on that note,

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I'm off to tuck into a juicy quarter-pounder, guilt free.

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If the news about the link between processed red meat and cancer

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has prompted you to cut back on the amount of red meat you eat,

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visit bbc.co.uk/food for quick and easy recipes

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that swap processed and red meat for healthier alternatives.

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It was a huge relief to me to find

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that I can still enjoy the odd bacon butty as long as it's not every day.

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I have to admit, I took the report really seriously

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because we've got cancer in our family,

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though I have not cut back completely.

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I still have a little bit of it, because I think in the end,

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people go for moderation, don't they?

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But it's not just the case that health messages can change

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to make something that one day is supposedly good for you

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turn out to be bad for you the next.

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It happens, actually, the other way around.

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Now, take saturated fats - found, of course, in things like

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full-fat milk, butter and lard.

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For years we were told that they raised our cholesterol levels

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and were linked to heart disease.

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The link now between saturated fat and heart disease is being debunked.

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So have a look at this headline, for example -

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Eating Fat Is Good For You.

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After 40 years of warnings, the doctors say it's now healthy.

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-That caught a lot of us by surprise, didn't it?

-Yeah.

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Because for years we were thinking about the fat.

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The question is, to know which fats are fine

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to go back on the menu.

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Once upon a time, Britain's dinner tables groaned under the weight

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of meals that we'd now consider terrifyingly unhealthy.

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But in the '80s and '90s, a healthy eating revolution

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swept the nation, turning lots of us into calorie obsessives

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fearful of one thing more than anything else - fat.

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And a host of new products appeared

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with the promise that they were better for us.

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# No artificial ingredients

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# Nothing artificial

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# That's the best feeling from Blue Band Margarine

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# It couldn't be better. #

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St Ivel Gold.

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Half the fat of any margarine.

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And it tastes...

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smashing.

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We swapped butter for margarine, lard for vegetable oil,

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full-cream milk for skimmed.

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We'd all got the message that saturated fat,

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found in animal fats like lard and butter,

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was clogging our arteries and putting a strain on our hearts.

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So instead, we turned to products that were low in saturated fats

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that we were advised were much less likely to cause heart disease.

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And that way of thinking stuck with us for decades

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until a clutch of recent reports seemed to suggest

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that we should forget all of that.

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An international study has discovered little evidence

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that polyunsaturated fats,

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which are found in olive oil, nuts and fish,

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offer better protection from heart disease than saturated fats.

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Suddenly, it seemed the fats that for years we'd been told

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were bad for our hearts might not be.

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And the ones we'd replaced them with weren't necessarily

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any better for us after all.

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So, what to believe?

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Some people have said that you can't eat butter,

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that's got a lot of fat in it,

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and then other people say you can eat butter.

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I know that there are good fats and there are bad fats,

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but I couldn't tell you the difference.

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Your good fats are things like

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-natural olive oils, that sort of thing.

-Omega.

-Yeah.

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Your bad fats are the animal fats.

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I must admit, I really do like butter,

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so I'm actually going onto butter

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away from so-called healthy margarines.

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I have to admit that the idea that butter

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needn't be one of my guilty pleasures is great.

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But what has changed? I've come to meet Prof Bruce Griffin

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at the University of Surrey

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to try to get a clear answer on this once and for all.

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Saturated fats, processed fats - we all get very confused,

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so just explain the difference between them.

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The main two categories of fats are saturated fat

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and polyunsaturated fats.

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Now, classically, saturated fats come from animal sources,

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and polyunsaturates come from plant sources.

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Classically, butter contains about 50% saturated fat,

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and this spread would contain large amounts of polyunsaturated fats.

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Saturated fats tends to be solid at room temperature,

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like the fat we have here.

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And polyunsaturated fats tend to be liquids at room temperature.

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It's those solid saturated fats that had long been linked

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to heart disease, which is why we were all encouraged

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to reduce the amount of animal fats we ate, like butter and lard.

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Meanwhile, polyunsaturated fats

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were thought to actually protect the heart.

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But the reports published in 2015

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poured cold water on all of that.

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They compared dozens of studies that took place over decades

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and concluded there was simply no proof that saturated fat

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caused heart disease, or indeed that polyunsaturated fats didn't.

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There have been some very large studies called meta-analyses,

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which have tried to demonstrate a relationship

0:16:210:16:24

between the intake of saturated fat and cardiovascular disease,

0:16:240:16:27

and they haven't been able to do it.

0:16:270:16:29

They've shown no relationship between the intake

0:16:290:16:31

of saturated fat and cardiovascular disease.

0:16:310:16:34

And this has led to people believing

0:16:340:16:37

that our recommendations are maybe incorrect

0:16:370:16:40

that we should be reducing our intake of saturated fat.

0:16:400:16:43

My immediate reaction on reading the latest headlines,

0:16:430:16:46

and maybe your thoughts as well,

0:16:460:16:48

was that if they were right, perhaps it was time to start

0:16:480:16:51

rethinking our relationship with fats.

0:16:510:16:53

Now, for years, I've used low-fat spreads and oils

0:16:530:16:56

in place of the butter I'd much rather be using,

0:16:560:16:59

all because I'd been worried about that link with heart disease.

0:16:590:17:02

And maybe the apparent change in the advice explains

0:17:020:17:05

why some long-forgotten fats are now coming back on the menu.

0:17:050:17:09

Shaun Searley is head chef at this restaurant in London,

0:17:090:17:12

where he serves my mum's good old favourite - dripping.

0:17:120:17:16

For years firmly out of fashion, it's now the latest fad.

0:17:160:17:19

James Martin, for example, says it's the secret to fruit cake,

0:17:190:17:22

and Heston Blumenthal to roast potatoes.

0:17:220:17:25

Shaun, thank you very much for letting me come into your kitchen.

0:17:250:17:28

Way, way back, my mum would have had dripping and also lard.

0:17:280:17:31

But maybe we could have the definition

0:17:310:17:33

of the difference between lard and dripping?

0:17:330:17:35

Yeah. I mean, it's simple, really - lard would be pork fat,

0:17:350:17:39

and dripping would come from beef.

0:17:390:17:41

But unlike my mum, Shaun's using his dripping very sparingly.

0:17:430:17:46

Its potent taste means that you don't need much at all.

0:17:460:17:50

And all it will do is add layer upon layer of flavour.

0:17:500:17:53

You talk about the flavour being everything

0:17:530:17:55

for this particular dish - do you find that

0:17:550:17:57

because it is so flavoursome that you actually use less?

0:17:570:18:00

Absolutely. I mean, the richness will go a lot further

0:18:000:18:04

than, say, a butter, which has quite a neutral flavour.

0:18:040:18:07

Especially something that you've bought, sort of a generic style.

0:18:070:18:10

This beef fat is going to be...

0:18:100:18:11

It's going to last you double, probably, the butter.

0:18:110:18:16

Beef dripping, into the pan, your toast goes in.

0:18:170:18:20

'The dripping's distinctive aroma

0:18:200:18:22

'really does take me back to my youth...'

0:18:220:18:24

Bit on the side.

0:18:240:18:26

'..but will it taste as good as I remember?'

0:18:260:18:28

Can't wait to try this.

0:18:280:18:30

Mmm.

0:18:310:18:33

You really get the flavour of the dripping.

0:18:330:18:35

It really goes a long way, doesn't it?

0:18:350:18:37

And I think when you've fried it with that sourdough,

0:18:370:18:39

you get these kind of sweet, nutty flavours from the beef fat.

0:18:390:18:43

It's absolutely marvellous.

0:18:430:18:45

When my mum was cooking with dripping or butter,

0:18:460:18:49

our national diet was very different.

0:18:490:18:52

In the late '50s we ate - wait for this -

0:18:520:18:54

129g of butter a day.

0:18:540:18:56

That's more than half a pack each.

0:18:560:18:59

But since then, encouraged by the message that saturated fats

0:18:590:19:02

were especially bad, we've reduced our butter habit

0:19:020:19:05

to just 40g a day.

0:19:050:19:07

And we also slashed the total amount of saturated fat we ate

0:19:070:19:11

from 111g a day each in 1975

0:19:110:19:15

to 81g a day each in 2012.

0:19:150:19:18

And that's no bad thing, because although we do need some fats

0:19:180:19:22

in our diet to help absorb vital vitamins, amongst other things,

0:19:220:19:25

back at the university, it turns out that what's really behind

0:19:250:19:29

all those headlines isn't quite as simple as it might have appeared.

0:19:290:19:32

The implication of some of these reports in the papers

0:19:330:19:37

is that you can have as much saturated fat as you want

0:19:370:19:39

-and it's not affecting your heart.

-No, that's not true.

0:19:390:19:42

These very large studies haven't necessarily come up with

0:19:420:19:45

the right answer, because the relationship between saturated fat

0:19:450:19:50

and cardiovascular disease is more complex

0:19:500:19:53

than we have understood in the past.

0:19:530:19:56

The truth is, putting together all the research

0:19:560:19:59

hasn't been able to prove a link

0:19:590:20:01

between saturated fats and heart disease.

0:20:010:20:03

It doesn't mean for sure that there isn't one,

0:20:030:20:06

or, indeed, that you can suddenly eat as much butter as you like.

0:20:060:20:09

Which is why the NHS advice on this hasn't changed.

0:20:090:20:12

But the new research does mean if you gave up these fats

0:20:120:20:15

purely because it seemed there was a definite, proven risk

0:20:150:20:18

with heart disease - well, I'm afraid that wasn't the case.

0:20:180:20:22

I'd love to take some advice about keeping your heart healthy.

0:20:220:20:25

What would your professional advice be there?

0:20:250:20:28

Well, overall, I think what we've got to do

0:20:280:20:30

is move away from focusing on single nutrients,

0:20:300:20:35

like certain types of fat, and look at whole diets.

0:20:350:20:38

Because it's whole diets and dietary patterns,

0:20:380:20:40

changing the dietary pattern, that we know has a benefit

0:20:400:20:43

of protecting us from cardiovascular disease.

0:20:430:20:45

The best evidence we have is the effects of the Mediterranean diet,

0:20:450:20:49

which is low in saturated fat and high in unsaturated fats.

0:20:490:20:53

It's one diet that we know actually works

0:20:530:20:56

in preventing cardiovascular disease.

0:20:560:20:58

It's altering our overall dietary pattern that's important.

0:20:580:21:01

And while it's good news that saturated fats need no longer

0:21:030:21:06

be demonised as a particular cause of heart disease,

0:21:060:21:09

eating too much of any kind of fat can lead to obesity,

0:21:090:21:12

which does damage your heart.

0:21:120:21:14

So the message is still, put simply, don't eat too much.

0:21:140:21:18

For a man, the limit should be 30g of saturated fat a day,

0:21:180:21:22

and for a woman, it's 20g a day.

0:21:220:21:24

But at least you don't have to avoid it altogether.

0:21:260:21:28

Well, seeing as I'm partial to a bit of butter,

0:21:280:21:31

what should I actually be putting on my toast every day?

0:21:310:21:33

Should I feel guilty about having it?

0:21:330:21:36

I don't think so, as long as you're aware

0:21:360:21:38

that that's providing about a quarter

0:21:380:21:41

of the recommended level of intake of saturated fat in your diet,

0:21:410:21:44

and you impose some control

0:21:440:21:47

over the rest of the day and what you eat.

0:21:470:21:50

I think common sense and eating these foods in moderation

0:21:500:21:53

is very important. Not just for saturated fat intake,

0:21:530:21:56

but also for the energy intake to maintain your body weight,

0:21:560:21:59

-I think is critical.

-So moderation is your phrase?

0:21:590:22:02

Moderation, yeah.

0:22:020:22:03

So, much as I really enjoyed it,

0:22:050:22:07

I won't be putting dripping on the menu in my house too often.

0:22:070:22:11

Still to come - how the original superfood

0:22:150:22:17

was banished from our plates for 20 years

0:22:170:22:19

thanks to science that simply doesn't stand up.

0:22:190:22:22

In the '80s, we had all sorts of scares -

0:22:220:22:24

cholesterol in eggs was bad for you. Then Edwina did her bit,

0:22:240:22:28

and we saw the bottom of the market then, I guess.

0:22:280:22:30

The food we eat has amazing powers

0:22:360:22:38

and can help our bodies conquer all sorts of common conditions.

0:22:380:22:43

Every day, GP Dr Rangan Chatterjee sees patients

0:22:430:22:47

whose problems could be helped or even solved by changing their diet.

0:22:470:22:51

So we asked him to share some of his secrets.

0:22:510:22:54

Today, it's the digestive system - the group of organs

0:22:540:22:58

that convert food into energy that fuels the entire body.

0:22:580:23:02

When it comes to problems with the digestive system,

0:23:020:23:05

there's nothing more important than what you eat.

0:23:050:23:09

One in three of us suffers some kind of digestive discomfort,

0:23:090:23:13

with the biggest complaint simply the pains we call indigestion.

0:23:130:23:17

Typically, when people get indigestion,

0:23:170:23:20

they get pain in their upper abdomen or behind their breastbone.

0:23:200:23:24

Often a result of eating too fast or too much,

0:23:240:23:27

indigestion is caused by acids that break down the food inside us,

0:23:270:23:30

irritating the lining of our stomach.

0:23:300:23:32

The foods that typically can cause us symptoms

0:23:340:23:36

are fried, fatty foods -

0:23:360:23:38

sometimes sausages, sometimes bacon -

0:23:380:23:41

fatty foods such as cream.

0:23:410:23:42

If you cut these out,

0:23:420:23:44

often people find an improvement in their symptoms.

0:23:440:23:47

Other common triggers for indigestion can be curries,

0:23:470:23:50

cucumbers, citrus fruits and carbonated drinks.

0:23:500:23:54

Now, you may know that if you put a penny in a glass

0:23:540:23:57

and you pour cola in, it will clean it overnight,

0:23:570:24:01

and that's because of the kind of acid that's in the cola.

0:24:010:24:04

It's corrosive, and it's called phosphoric acid.

0:24:040:24:06

And that could precipitate acid reflux

0:24:060:24:09

and more indigestion symptoms.

0:24:090:24:11

That's why, if you do have indigestion, I'd certainly say

0:24:110:24:14

you should cut down on fizzy drinks or even eliminate them if you can.

0:24:140:24:18

Instead of the fizz, reach for a tea -

0:24:180:24:20

but not one made with mint.

0:24:200:24:22

We may have used mint to aid digestion for generations,

0:24:220:24:25

but in some cases it's been found to actually make heartburn worse.

0:24:250:24:28

So you'd be better choosing one made with ginger to settle your stomach.

0:24:280:24:32

Or you could reach for the so-called friendly bacteria

0:24:320:24:35

found in probiotic tablets, which might help balance the stomach.

0:24:350:24:39

Probiotics might also be beneficial for sufferers of another

0:24:390:24:43

common digestive condition - irritable bowel syndrome.

0:24:430:24:47

IBS is estimated to affect up to one in five of us

0:24:470:24:50

at some point in our lives.

0:24:500:24:52

Irritable bowel syndrome is the name we give to a collection of symptoms

0:24:520:24:56

that include tummy ache, diarrhoea, constipation as well as bloating.

0:24:560:24:59

The abdominal swelling we call bloating can be extremely painful,

0:24:590:25:03

so if you're prone, steer clear of such wind-inducing foods

0:25:030:25:07

as not just the notorious baked bean

0:25:070:25:09

but cabbage, cauliflower and even some fruits.

0:25:090:25:12

Now, the fruits that can cause this are things like apples and plums.

0:25:120:25:16

And instead of apples and plums, you might want to have

0:25:160:25:19

fruits such as bananas and oranges.

0:25:190:25:20

Those same uncomfortable symptoms can occur

0:25:200:25:23

if you have an intolerance to dairy.

0:25:230:25:25

Milk contains a sugar called lactose.

0:25:250:25:28

Lactose can be very difficult to break down

0:25:280:25:30

for a lot of IBS sufferers.

0:25:300:25:31

Stopping having lactose and actually having milks without lactose,

0:25:310:25:35

such as lactose-free milk or soya milk,

0:25:350:25:38

can often help with your symptoms.

0:25:380:25:39

As we'll see later, another everyday food

0:25:390:25:42

that is often much maligned can also worsen wind and abdominal cramps

0:25:420:25:47

if you've got a sensitivity to gluten.

0:25:470:25:49

Bread which contains wheat

0:25:490:25:51

can often be difficult for the gut to break down,

0:25:510:25:53

so instead of these,

0:25:530:25:55

you may want to go for some wheat-free substitutes instead.

0:25:550:25:58

IBS sufferers who are sensitive to wheat

0:25:580:26:00

can get that vital fibre instead from nuts,

0:26:000:26:03

leafy green veg like kale and spinach,

0:26:030:26:06

and best of all, ground flaxseed, easy to sprinkle on top of a yogurt.

0:26:060:26:11

And the good doctor has another tip we can all take on board,

0:26:110:26:14

whether we have digestive problems or not.

0:26:140:26:17

It's not just changing what you eat, but when you eat.

0:26:170:26:19

Try not to eat anything three hours before you go to bed.

0:26:190:26:23

Going to bed with a full stomach is going to increase the risk that

0:26:230:26:26

you push stomach acid out of your stomach and into your oesophagus.

0:26:260:26:30

Add to that the advice your mother used to say -

0:26:300:26:32

don't wolf your dinner down - and you should be able to enjoy

0:26:320:26:35

eating good food without the bad effects.

0:26:350:26:38

Next, our daily bread!

0:26:450:26:46

So, Chris, what would it be for you? Would it be ordinary white bread

0:26:460:26:49

or would it be big, fat, chunky wholemeal?

0:26:490:26:51

Do you know what? I don't mind either, actually, but for some things it has to be white bread.

0:26:510:26:55

So if I was having a bacon sandwich, it would have to be

0:26:550:26:57

-on a sliced white.

-Nothing else would do?

-I don't think it would taste the same.

0:26:570:27:01

The nation, apparently, is falling out of love with bread,

0:27:010:27:04

because a lot of the headlines say that it makes you fat.

0:27:040:27:06

And I have to admit, I have cut back as much as I can on bread -

0:27:060:27:10

and she pulls her stomach in! HE LAUGHS

0:27:100:27:12

So, should we be avoiding it?

0:27:120:27:14

Or do you think there's more to the humble loaf than meets the eye?

0:27:140:27:17

Well, there's definitely more to some loaves than meets the eye.

0:27:170:27:20

And there's one type in particular that you may well

0:27:200:27:22

change your mind about after watching this.

0:27:220:27:25

We used to love these conveniently packaged loaves so much

0:27:260:27:30

that we judged everything else against them,

0:27:300:27:33

describing the most impressive new ideas

0:27:330:27:35

as "the best thing since sliced bread".

0:27:350:27:37

But things have changed.

0:27:370:27:39

In 2015, we spent almost £100 million less on sliced bread

0:27:390:27:44

than we did just a year earlier.

0:27:440:27:46

And while many of us do still love our daily bread,

0:27:460:27:49

the decline in popularity of some of our best-known varieties

0:27:490:27:52

reflects growing concerns that bread is just not good for us.

0:27:520:27:56

-I love bread. I absolutely do.

-SHE LAUGHS

0:27:560:27:59

Unfortunately for my waistline, yeah, I like bread.

0:27:590:28:01

I'd eat it every day if I could.

0:28:010:28:03

Bread's one of those things everybody eats.

0:28:030:28:05

And if you want to grab something quick, it's a sandwich,

0:28:050:28:08

it's generally a bread type of product.

0:28:080:28:10

I think, like, I try and be healthier

0:28:100:28:14

by choosing brown over white,

0:28:140:28:16

but really, is that any healthier?

0:28:160:28:20

Well, now, there's a question.

0:28:210:28:23

Because while we're buying less bread across the board,

0:28:230:28:25

we still buy twice as much sliced white bread than brown,

0:28:250:28:29

even though white bread is considered less healthy.

0:28:290:28:32

But is white really the nutritional poor relation we often think it is?

0:28:320:28:36

Well, I've set up my own bread stall in a Cambridge market,

0:28:360:28:39

and I'm asking passing shoppers which type

0:28:390:28:42

is most likely to end up in their basket.

0:28:420:28:45

So, out of this, which bread would you buy?

0:28:450:28:48

So I have four different sliced loaves -

0:28:510:28:53

a value sliced white,

0:28:530:28:54

a medium-priced white toastie,

0:28:540:28:56

a mid-priced loaf of sliced wholemeal,

0:28:560:28:59

and a premium seeded loaf.

0:28:590:29:01

Which bread do you buy, out of this table?

0:29:010:29:03

I have to buy two, cos my children don't like wholemeal,

0:29:030:29:07

so I have white and wholemeal.

0:29:070:29:09

And what do you think is the difference between the two?

0:29:090:29:11

I mean, apart from the fact that one's brown and one's white!

0:29:110:29:14

Well, this has more taste, obviously.

0:29:140:29:16

This is healthier for you, really.

0:29:160:29:18

Out of all these slices of bread, which one would you buy?

0:29:180:29:21

-Ooh. This one.

-This one?

-Yeah, I would go for that one as well.

0:29:210:29:24

-You both would buy the white.

-Yeah.

-Why's that?

0:29:240:29:27

I like white bread a lot more, personally.

0:29:270:29:29

I'd probably be buying the wholemeal of these, most likely.

0:29:290:29:34

And do you ever buy white?

0:29:340:29:36

-Yes, I do occasionally buy white.

-Why's that?

0:29:360:29:38

I think white tastes better.

0:29:400:29:41

Do you think there's much difference, really,

0:29:410:29:44

between the brown and the white?

0:29:440:29:46

I know there's more fibre in the brown.

0:29:460:29:48

But generally, bread is bread.

0:29:480:29:51

It's carbohydrates - it's not necessary good for us

0:29:510:29:54

in large quantities, whatever we choose.

0:29:540:29:56

It's interesting - while most chose the wholemeal loaf,

0:29:580:30:01

because they thought it would be better for them,

0:30:010:30:03

they said they actually preferred the taste of the white.

0:30:030:30:07

And it's true that wholemeal and seeded loaves

0:30:070:30:09

are the healthier choice,

0:30:090:30:10

but white is not exactly a nutritional no-go.

0:30:100:30:14

It does contain more salt and sugar than other loaves,

0:30:140:30:17

but it has less fat and calories than the brown.

0:30:170:30:20

Well, this one actually is higher in calories than the white.

0:30:200:30:23

-Really?

-Yes.

-Wow!

-Does that surprise you?

0:30:230:30:26

Yes, I would've thought, if anything, they were very similar.

0:30:260:30:29

-This one has a few more calories in it than the white.

-My word!

0:30:290:30:33

So you really don't know what you're eating nowadays, do you?

0:30:330:30:36

I'm so took back with that. That's mad.

0:30:360:30:38

Those higher calories come from good fats and fibre, thanks to the seeds

0:30:380:30:43

and wholemeal flour, something that the white simply can't compete on.

0:30:430:30:47

But it puts up a better fight on other fronts.

0:30:470:30:49

Looking back, white bread has been made to be good for us

0:30:490:30:53

ever since the Second World War,

0:30:530:30:54

when the Government started fortifying the typical loaf

0:30:540:30:57

with added vitamins and minerals.

0:30:570:30:59

Even today, white bread is fortified with calcium, iron and B vitamins,

0:30:590:31:04

and in some cases can contain more calcium than its wholemeal cousins.

0:31:040:31:09

That's just one of the reasons Linia Patel, who's a nutritionist,

0:31:090:31:12

believes that bread of whatever colour can be good for us.

0:31:120:31:15

So, very commonly, people come to me and they say

0:31:150:31:18

they're not eating bread because bread is fattening.

0:31:180:31:20

I think it's just a myth.

0:31:200:31:22

I think we associate bread being a carbohydrate

0:31:220:31:25

and we associate carbohydrates being fattening for us.

0:31:250:31:28

Actually, that's not the case.

0:31:280:31:30

Bread can definitely be healthy and it's got key ingredients,

0:31:300:31:33

so it's a good source of fibre.

0:31:330:31:35

Also, if you're going for a higher-fibre bread,

0:31:350:31:38

you're going to get B vitamins, minerals like iron and magnesium.

0:31:380:31:42

While white bread does contain fibre, whole-wheat can contain three

0:31:420:31:47

or four times as much, something we don't eat enough of in the UK.

0:31:470:31:51

That may be why, in an attempt to tackle declining sales,

0:31:510:31:55

M&S recently announced it would be adding fibre to all its white bread

0:31:550:31:58

and rolls to make them more nutritious.

0:31:580:32:01

The store says it's "bread with benefits" is being introduced

0:32:010:32:04

because the days of the traditional white loaf are numbered.

0:32:040:32:08

But while it's true that we're now spoilt for alternatives,

0:32:080:32:12

there's no escaping white bread is still the UK's favourite.

0:32:120:32:15

And because we no longer buy it every day,

0:32:150:32:17

we expect it to last longer than it used to.

0:32:170:32:20

Morris Bakers in Chorley turns out tens of thousands of rolls

0:32:200:32:24

and loaves every single week.

0:32:240:32:26

That kind of mass production relies on speed, so this bread is made

0:32:260:32:30

very differently to the traditional methods.

0:32:300:32:33

The demand for a soft white loaf

0:32:330:32:35

or the soft sandwich rolls, et cetera,

0:32:350:32:38

is still massive, so to fulfil that demand

0:32:380:32:42

we need to make it in a manner that puts out the big-time elements.

0:32:420:32:46

Traditionally, bread dough needs to be left for anything up to

0:32:460:32:50

three hours to let the yeast ferment and the bread to rise.

0:32:500:32:53

But modern baking methods

0:32:530:32:55

have cut that fermentation process right down,

0:32:550:32:57

thanks to the use of additives

0:32:570:33:00

that do the job in a fraction of the time.

0:33:000:33:02

We need to add emulsifiers, fats and sugars and ascorbic acid,

0:33:020:33:07

which help the dough to mature in a short period of time.

0:33:070:33:12

The modern process not only cuts down the time it takes to produce

0:33:120:33:16

one loaf from anything up to five hours to less than three,

0:33:160:33:19

but it also means that bread has a longer shelf life.

0:33:190:33:23

The major benefit of making bread this way is that the consumer

0:33:230:33:27

gets a loaf, as long as they keep it wrapped up,

0:33:270:33:29

they can keep it for a number of days

0:33:290:33:32

and they are having little waste.

0:33:320:33:34

Many of the natural nutrients are lost

0:33:350:33:37

when flour is milled for white bread, but because it's the law that

0:33:370:33:41

our white loaves must have all that extra calcium, iron and B vitamins,

0:33:410:33:45

on balance, experts say there's no significant difference between

0:33:450:33:49

the nutritional content of a traditional loaf and a modern one.

0:33:490:33:52

But whether it's white, wholemeal, gluten free or rye,

0:33:520:33:56

the bread Linia crowns best of all is the kind you make yourself.

0:33:560:34:01

Go home and try bake your own bread

0:34:010:34:03

or if you can't do that, just go to your local baker,

0:34:030:34:07

because what you're going to get is you're going to get bread

0:34:070:34:10

that just has five basic ingredients.

0:34:100:34:12

Your flour, your yeast, your oil, your salt and your water.

0:34:120:34:15

And if that's not practical,

0:34:160:34:18

one reason why sales of mass-produced sliced bread

0:34:180:34:21

have been declining is

0:34:210:34:23

because more people have switched to buying bread from a part of

0:34:230:34:25

the supermarket where you'll find a simpler, fresher loaf.

0:34:250:34:29

If you go to the supermarket's bakery

0:34:290:34:32

and get one of the loaves that's freshly baked,

0:34:320:34:35

that's going to be better for you than actually buying a loaf of bread

0:34:350:34:39

that are going to be pre-packed in the supermarket.

0:34:390:34:42

Of course that goes for all loaves, not just white,

0:34:420:34:45

and whilst it seems that the white-sliced loaf isn't quite

0:34:450:34:48

the nutritional no-go area it's often thought to be,

0:34:480:34:51

Linia's own choice would always be something

0:34:510:34:53

that's little bit more wholesome.

0:34:530:34:55

Go for something wholegrain and seeded

0:34:550:34:57

because what we get in the wholegrain and seeded is fibre.

0:34:570:35:00

Now, fibre is a really important nutrient

0:35:000:35:02

that helps our guts work better,

0:35:020:35:03

but it also helps balance our blood sugar levels

0:35:030:35:05

and control our appetite, which is essential

0:35:050:35:08

if we're managing our weight or if you just want to be healthier.

0:35:080:35:11

Now, earlier I found out how 30 years of health advice

0:35:180:35:22

telling us not to eat certain fats

0:35:220:35:24

because they'd cause heart disease has now been disproven, meaning

0:35:240:35:28

we shouldn't worry about putting some good old-fashioned fats

0:35:280:35:31

back on the menu.

0:35:310:35:32

The same thing happened with eggs and the health message this time,

0:35:320:35:36

though again has been disproven, has been a very tough one to shake.

0:35:360:35:40

When I was growing up, eggs were the original superfood,

0:35:410:35:45

before the term had even been coined.

0:35:450:35:47

Eggs is cheap, full of proteins,

0:35:470:35:51

and what's more, they helps you to face up to the day.

0:35:510:35:54

And to face up to her, I need 'em.

0:35:540:35:56

Ah, yes, there's a lot more goodness in eggs than people realise.

0:35:560:36:00

Marvellous. In the 1960s, we ate up to five eggs a week each.

0:36:010:36:06

But less that 20 years later, the mighty egg fell from grace.

0:36:060:36:10

In 1988, the then Health Secretary Edwina Currie announced that most of

0:36:100:36:15

the egg production in the country at the time

0:36:150:36:17

was affected with salmonella.

0:36:170:36:19

The advice is not to eat raw eggs

0:36:190:36:21

or uncooked food containing raw eggs.

0:36:210:36:24

To be absolutely safe, they should be hard boiled...

0:36:240:36:27

despite consumer resistance.

0:36:270:36:29

Egg sales fell 60% overnight and didn't recover

0:36:300:36:34

because shortly after came more bad news.

0:36:340:36:37

We were told that eggs were packed with cholesterol,

0:36:370:36:40

which caused heart disease, so we should limit how many we ate.

0:36:400:36:43

And as recently as 2012,

0:36:430:36:45

one headline even declared eggs

0:36:450:36:47

that were as bad for you as smoking.

0:36:470:36:49

The yolk is what they're saying

0:36:490:36:51

is bad for you, in terms of eggs now, from what I've been reading.

0:36:510:36:54

The white is what everyone is going crazy about.

0:36:540:36:57

Well, I think we've reached a point that you're actually frightened

0:36:570:37:00

to know what you can eat any more, cos of all the headlines,

0:37:000:37:03

you think, "Oh, my God, today I can't eat bacon,

0:37:030:37:06

-"tomorrow I can't eat gluten."

-Eggs or dairy.

0:37:060:37:09

So I think everybody is really quite confused about what to eat.

0:37:090:37:13

It's a similar scare story to the one we heard about earlier,

0:37:130:37:17

which turned us away from saturated fats.

0:37:170:37:20

But in this case it was worse

0:37:200:37:22

because while eating too many saturated fats,

0:37:220:37:24

or indeed any fats, still isn't a good idea,

0:37:240:37:27

when it comes to eggs, it now seems that all

0:37:270:37:30

the time they were as healthy as we'd been told in the first place.

0:37:300:37:34

So to find out if one of my favourite foods

0:37:340:37:36

is all it's cracked up to be, I've come back to see

0:37:360:37:38

Prof Bruce Griffin at the University of Surrey.

0:37:380:37:42

Professor, for many years now we've heard the controversy,

0:37:420:37:45

too many eggs are not good.

0:37:450:37:47

Where do you stand on the mechanics of all that?

0:37:470:37:50

Well, for many years, there was this popular misunderstanding that

0:37:500:37:53

the cholesterol in eggs,

0:37:530:37:55

which is actually contained in the egg yolk,

0:37:550:37:57

is the same as cholesterol that gets into our arteries

0:37:570:38:00

and causes heart disease, and they're really not the same thing.

0:38:000:38:03

When scientists began to study the link between cholesterol

0:38:030:38:07

and heart disease in the '70s,

0:38:070:38:09

any foods high in cholesterol became suspect.

0:38:090:38:12

And with one egg containing two-thirds of your recommended

0:38:120:38:15

daily amount, it's no surprise that they very quickly found themselves

0:38:150:38:18

off the breakfast table.

0:38:180:38:20

But the science simply wasn't sound.

0:38:200:38:22

There was no evidence to suggest that the cholesterol in eggs

0:38:220:38:25

was leading to increased coronary disease and coronary heart disease.

0:38:250:38:30

We've now found out that the amount of saturated fat

0:38:300:38:33

has a much greater effect on your blood cholesterol than

0:38:330:38:36

the relatively small amounts of cholesterol in food like eggs.

0:38:360:38:41

And that's what's behind the change in advice.

0:38:410:38:44

It had previously been assumed that eggs and saturated fats

0:38:440:38:47

both had a similar effect on the level of cholesterol in your blood.

0:38:470:38:51

But that's not the case.

0:38:510:38:52

And it's now accepted that saturated fats have a much bigger impact.

0:38:520:38:56

So eggs, which result in far less cholesterol remaining in your blood,

0:38:560:39:00

are off the hook.

0:39:000:39:02

And yet, in the '80s and '90s, we were giving up eggs in our droves

0:39:020:39:06

because we were told that more than three or four eggs a week

0:39:060:39:09

would be bad for us.

0:39:090:39:10

That had a devastating impact on egg farmers like David Brass.

0:39:100:39:14

In the mid to late '80s, we had all sorts of scares -

0:39:140:39:17

cholesterol in eggs was bad for you, eggs are bad for you,

0:39:170:39:20

because there's fats in them, and Edwina did her bit

0:39:200:39:23

and we saw the bottom of the market then, I guess. Then the market was

0:39:230:39:27

very stable. It didn't grow much at all for years and years and years.

0:39:270:39:30

It took until 2009

0:39:300:39:32

for business to improve,

0:39:320:39:33

after headlines like these

0:39:330:39:35

proclaimed not only that

0:39:350:39:36

eggs could now go back on the menu,

0:39:360:39:38

but even that it was safe to eat them every day.

0:39:380:39:41

And ever since, the good news has kept coming.

0:39:410:39:44

It was a massive change in advice, and it seems extraordinary now

0:39:440:39:48

that we'd been so put off of food that does us so much good.

0:39:480:39:51

Eggs are designed to support life, so they contain a very

0:39:510:39:55

broad profile of micronutrients

0:39:550:39:57

and a very high grade of protein as well.

0:39:570:40:01

If there was to be a superfood,

0:40:010:40:03

an egg has to be the superfood because of its nutrient composition.

0:40:030:40:07

So I could have as many eggs as I want per week, give or take?

0:40:070:40:10

Well, it's perfectly safe to have up to seven eggs a week

0:40:100:40:13

or an egg a day, as we used to say.

0:40:130:40:15

"Go to work on an egg" used to be a famous slogan

0:40:150:40:18

and that certainly isn't going to cause us any harm,

0:40:180:40:20

but we don't want to eat anything in excess.

0:40:200:40:23

I have to say, that old slogan "go to work on an egg", actually,

0:40:230:40:27

I genuinely find that I work well on eggs. How good are they for you?

0:40:270:40:31

Well, they are an excellent source of dietary protein,

0:40:310:40:34

and we've just completed some studies to show that

0:40:340:40:38

the dietary protein can actually suppress your appetite throughout

0:40:380:40:43

the day and increase that feeling of fullness, so you tend to snack less.

0:40:430:40:47

And what's it better than?

0:40:470:40:49

Well, the protein in an egg, for example,

0:40:490:40:52

is more bio available to us than

0:40:520:40:54

the protein you get from fillet steak, for example.

0:40:540:40:57

Better than a fillet steak?

0:40:570:40:59

Better than a fillet steak, with respect to protein.

0:40:590:41:02

Well, well. I've long been a fan of eggs,

0:41:020:41:06

but that comparison with steak I'd never heard before.

0:41:060:41:09

And I must say, I've been sharing it with people ever since I heard it.

0:41:090:41:12

But off the back of that much more positive health message,

0:41:120:41:15

sales of eggs have been rising, and as a nation we now bake,

0:41:150:41:18

boil, scramble and poach almost a billion of them every month.

0:41:180:41:22

That's great news for producers such as David.

0:41:220:41:25

The market has grown almost exponentially in the

0:41:250:41:28

last couple of years, it's a wonderful place to be.

0:41:280:41:30

The last 12 months has been almost like a perfect storm,

0:41:300:41:33

more and more good news about eggs, so we sell more because of that.

0:41:330:41:36

You just can't get the eggs.

0:41:360:41:38

The stores are empty all the time,

0:41:380:41:39

double-digit growth month after month after month.

0:41:390:41:42

The egg industry is booming again.

0:41:420:41:44

But of course when advice on an issue like this

0:41:440:41:47

changes in such a dramatic way, it can cause real confusion.

0:41:470:41:50

I'm old enough to have been through, "It was good for you,

0:41:500:41:52

"now it's bad for you, now it's good for you,"

0:41:520:41:54

so I just don't take any notice, I just don't listen to them.

0:41:540:41:58

Thing is, they do a big issue on, like,

0:41:580:42:01

"Don't eat eggs. Don't do this, don't do that, don't do the other."

0:42:010:42:05

So everybody doesn't do it,

0:42:050:42:07

but 12 months down the line, when you've given up something

0:42:070:42:11

that you quite like, then they say,

0:42:110:42:14

-"We're sorry, we got it wrong."

-"Eggs are all right."

0:42:140:42:17

"Eggs are all right to eat."

0:42:170:42:19

I think, in another study a few years ago, it said,

0:42:190:42:22

"Too many eggs will cause you cholesterol,"

0:42:220:42:25

but now it's, "Eggs are fine."

0:42:250:42:27

Again, it's just that flip-flop media sensationalism.

0:42:270:42:33

The reality is that science just doesn't stand still.

0:42:330:42:37

And when new information is discovered or released,

0:42:370:42:40

the coverage it gets can sometimes end up muddying the real message.

0:42:400:42:44

Do you find it as frustrating as the general public,

0:42:440:42:47

the way the studies sort of change their mind all the time?

0:42:470:42:50

It's not really new information.

0:42:500:42:52

It's just looking at old studies and re-examining old data

0:42:520:42:55

and finding that when you remove the effects of saturated fat

0:42:550:42:58

and you look at dietary cholesterol in isolation,

0:42:580:43:01

it has a relatively small effect.

0:43:010:43:03

Eggs is full of proteins, very economical and...

0:43:030:43:06

Full of nourishment and wonderful value for money.

0:43:060:43:08

'We may not yet be eating quite as many eggs as we did in

0:43:080:43:11

'Tony Hancock's day,

0:43:110:43:12

'but maybe it's time to wheel out those old ads once again.'

0:43:120:43:15

Look, six eggs and only five soldiers.

0:43:150:43:18

It can be extremely frustrating not to mention confusing

0:43:240:43:27

when new reports pop up out of the blue saying the complete opposite

0:43:270:43:30

of things we've long believed to be true.

0:43:300:43:33

Now, the tricky thing of course can be knowing

0:43:330:43:35

which new advice to follow and which to take with a dose of salt.

0:43:350:43:38

And while hopefully we've helped you a little bit with that today,

0:43:380:43:41

if in doubt, take a common-sense approach before

0:43:410:43:44

-cutting something out of your diet entirely.

-Absolutely.

0:43:440:43:47

If you only eat the food that's suddenly bad every now and then,

0:43:470:43:50

well, that's usually going to be fine to carry on doing so.

0:43:500:43:53

But just remember, you'll find more on some of the topics

0:43:530:43:56

we're discussing throughout this series at bbc.co.uk/food

0:43:560:44:00

But I'm afraid that's all from us now.

0:44:000:44:02

-Until the next time, goodbye.

-Thank you for your company, bye-bye.

0:44:020:44:05

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