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368 pages, Paperback
First published January 1, 2018
Have you, however, tried to stop eating when you are still hungry? It's difficult, even for one meal, because it's just not what we are designed to do. We have evolved to eat when we are hungry and when there is food, not to stop. Now imagine feeling slightly more hungry in this food environment and trying to halt the eating process every single day, for every single meal, for your whole life. This is what overweight and obese folk go through.
Obese people are not morally bereft, lazy or bad. They are fighting their biology. In fact, you could argue that being obese is the natural, highly evolved even, response to our 21st-century environment! We are simply preparing ourselves for a famine.. that is never ever going to arrive.
But here is the rub. Not everyone has become obese in this environment. This is in contrast to our response to starvation, which is reassuringly uniform, across not only humankind but pretty much across the entire animal kingdom; that is, to find enough food as quickly as possible and eat it before you die. The dying bit ensured that only animals with the required drive and tools to find and eat food survived.
The inside of a bomb calorimeter, however, is an extreme environment, and is designed as such to ensure that every single calorie is accounted for. The biological process of food digestion within a living being is a little gentler. Apart from a bit of chewing at the very beginning, digestion is, by and large, a series of chemical reactions, accelerated by biological catalysts called enzymes. Don't get me wrong, it is still quite a harsh process; you wouldn't want to stick your hand into your stomach juices for instance, as it bears a strong resemblance to battery acid but it isn't anything like a bonfire. As a result, depending on its structure and content, how it has been processed, as well as who or what is eating and performing the actual digestion, each item of food will have a different caloric availability. This is a critically important concept to grasp. Caloric availability is the amount of calories that can actually be extracted during the digestion process, as opposed to the total number of calories that are locked up in the food.
Is consuming dairy bad for you per se? Having scoured the literature, the consensus appears to be that consumption of dairy does not lead to increases in heart disease and all-cause mortality (the cheerfully euphemistic scientific term for death). It doesn't appear to improve your health, but it is certainly not bad for you. There are layers of nuance in the data, though. So, for example, dairy consumption in children and adolescents is actually associated with reduced body fat and increased muscle mass. Thus, unsurprisingly, milk is important earlier on in life, to ensure proper growth. Another study, this time in adults, suggested that whole milk consumption may be directly associated with cancer mortality, while non-fat milk consumption was actually protective.20 This is only one study, though, and will need replication by someone else before it can be considered reliable. But if you take it at face value, then it argues that the fat in the milk is the problem, rather than the milk itself.
But here is the reality. As with ALL mammals, we have evolved to drink milk as infants and in childhood.
Let's compare this with smoking. According to Cancer Research UK, smoking three cigarettes a day increases your risk of lung cancer by six times... which is a 600 per cent increase. Smoking 20 cigarettes a day increases your likelihood of getting cancer by 2,600 per cent (not a typo)!16 With these numbers, it doesn't matter what your absolute risk is! So processed meat increases risk of cancer, but one has to keep things in perspective. This is currently the most powerful evidence linking an animal-based protein to cancer.
Red meat is next on the list, but to quote the Lancet Oncology paper:
'Chance, bias, and confounding could not be ruled out with the same degree of confidence for the data on red meat consumption, since no clear association was seen in several of the high-quality studies and residual confounding from other diet and lifestyle risk is difficult to exclude. The Working Group concluded that there is limited evidence in human beings for the carcinogenicity of the consumption of red meat.
Translating that into English, what IARC are trying to say is that some studies show a risk, while others don't.