The Neolithic Period is reported to have commenced 10-12,000 years ago, about the Euphrates and Tigris rivers, known as the Golden Circle. This type living practice spread patchily East where homosapiens had migrated many decades before. This part of Asia had many established cultures and populations that did not lend themselves to the usual Colonial invasion later from Europe. Nersh and Nershew were established, but because of the reliance on unpolished rice, the CHO load was responsible for small, thin phenotypes, that have changed in the last 30 years.
Both these nations have had a very large non-urban, rural and farming landscape and population, tended by what were described as peasants. Although rice was the staple food a large range of vegetable and fruit produce was available. So called land reform driven politically to increase rice production on failure, led to famine too often. The drive for industrialisation vacuumed populations to the towns and cities, urbanisation, this was the mantra for commercial success. I cover this in detail in Stone Agers in the Wrong Lane. Biologically two distinct populations arose demographically and biologically within each nation.They contracted different diseases. CHD was rare in the countryside, but increasing in the city. Studies over the last two decades have seen the division remain, but the prevalence of CHD, DM, Hypertension, OWOB has grown in both populations but exploded in the urban dweller.Do you think air pollution is responsible in the cities?No, but it does contribute to acute cardiac and respiratory events.
Cardiac studies in both nations in the last two decades have often been done in conjunction with US universities and much data is collected, as the cohorts are huge.My view is the data is no different to what we in cardiology have collected in studies over the last 40-50 years. The interpretation and conclusions are the same. CHD is increasing because they are consuming more saturated fat!! So then the saturated fat is responsible for OWOB, DM and hypertension in these two nations, where saturated fat from meat and dairy forms a small percentage of their calories?Sorry, that is biological nonsense.I hope they will find with time like the Americans did, saturated fat consumption had not increased and could not be responsible!!Official America ignored it.
Forms of open market and commercial capitalism with degrees of central administration have helped with employment, shelter, nutrition, sanitation and education that is found acceptable to the proletariat. A consumerism in goods and services has infiltrated city nutrition also, as well as life practices like alcohol and tobacco use. While asset wealth, nersh with nershew aid survival, poor nutrition spawns the degenerative diseases, the diseases of ‘affluence’, so called. The killer amongst this brace of of diseases is CHD followed up with cancers.
The power and controlling fraternities of all societies, Europe, Middle East, Asia, Americas since the Neolithic Period, pursued survival and reproduction as a primordial means to maintain the species. A crude, elementary economy arose early and remained as such until 2-300 years ago, when social and political theories influenced increasing political power.For most, to obtain assets, wealth of that time, was the accepted more and there was no understanding of disease and how it was contracted.
A crude understanding of some infections led to forms of sanitation, shelter and access to clean water over time. The ‘authorities’, power and controlling fraternities, with commerce and finance had no concept that aspects of their success was spawning a worldwide Tsunami of expensive disease. Tracing the origin and evolution of these diseases through arguably all nations, reveals similar patterns, whether it is the UK, India or China.The commercial and financial juggernaught has responded as they did with Tobacco, deny, get some trash research, create doubt the kids in kindergarten would accept, then spend big on ‘substitutes’. Don’t spend heavy on ‘legals’, the ‘track’ is well known, worn.Remember this fraternity do not give a bugger about your morbidity or mortality. If you still have doubts, read the tobacco story as it leaves the affluent world and invades the non-affluent world and children.
As the economic indices improve, become stars in the commercial and financial world, the observers of this phenomena are ignorant of the attendant consequences I have outlined. As your GDP grows to the applause of the IMF, World Bank, life expectancy lifts then tension increases as the costs of the degenerative diseases accelerate, as your other GDP(Growing Disease Product) expands. It has been estimated that the US will not be able to afford treating CHD by 2022!! What about OWOB, DM, hypertension, all cancers? European cardiology has already calculated it cannot continue to treat CHD as we have conventionally. The public never gets to hear this. Many of us in cardiology knew three decades ago, that the in-vogue treatments were useful, palliative and not numerically or financially sustainable.
As the World Authorities in their various guises, continue the current mantra of commercial, economic success in the non-affluent world, a population of arguably 5-6 billion humans emerges, and the question is, is there a concept, an understanding of the accompanying tsunami of degenerative diseases? Unless there is a serious intervention to stop it, or lessen it, their GDP will not cope. There is no way this population will be able to treat these diseases effectively, they have to be prevented. This important conversation is politically avoided in the affluent world. India and China have no choice and should urgently attend to it.
How India and China go about dealing with this issue could be a prototype for all other non-affluent nations. I would say affluent nations also. The migrant and urban Indian has been studied well in the last two decades and demonstrates early, extensive and excessive CHD. Why? DM and impaired glucose tolerance, with central obesity, elevated TG’s, and low levels of HDL is prevalent in this population. Why?The Central Queensland Study amongst the Aboriginal cohort showed the same, amongst a population with the same indices of CHD. This cohort overdosed on processed CHO in any edible or drinkable form.Is that the case in India?Its not saturated animal fat.
Vegetable oil consumption has been encouraged and increased markedly. Some investigators still lump vegetable oil with saturated fat, as fat.Keys was guilty of doing this also. The vegetable oils are n-6, pro-inflammatory PUFA’s, that have only arrived in our diets in the last 30 years and unbalanced our fat ratios and metabolism.Saturated fat became part of our nutrition 2-3 million years ago when we became omnivores. The very long established balance between the n-6/n-3 PUFA’s in our nutrition at approx.,1-2, now runs at 10-30! No, Olive oil is not a vegetable oil.Also there is concern that using vegetable oils as cooking oils, heating them, may generate undesirable fat compounds.Heating animal fat and lard produces no undesirable compounds.
This Lipid profile today is known as the Atherogenic or CHO Dyslipidemia and for most clinical purposes is a form of the Metabolic Syndrome.It arises with CHO overdose. Campbell, a GP in South Africa recognised this in the 1950’s amongst a large Indian contingent of sugar extraction workers, who were given refined sugar each week as part of their wages! A Bantu cohort adjacent consumed their Indigenous diet without sugar and processed CHO, avoided CHD, OWOB, and DM.
There was a collection of credible evidence from outside the USA and also from the USA, that saturated fat and cholesterol consumption had nothing to do with atheroma or CHD!! So why did the USA steam roll over counter arguments?Could ‘Big Business’, the processed food industry, powerful agriculture, have played a part? Politics , non-medical vested interests, including official bodies behaved illogically too often.Did processed CHO from all seeds, sugar, corn syrup, and all the vegetable oils provide a template for an extensive range of natural food substitutes and an unlimited range of artificial, processed foods to fill the shelves of the Supermarkets. Provided the first batch of test mice or rats did not kark it, the product could be in a packet and on the shelves next week. The number and variety of articles in the average supermarket trolley today are testament to the explosion in manufactured, processed food industry’s ‘success’. In societies where financial success is the driver of their economy, the secondary effects such as disease, disability and dysfunction are not recognised or allowed to be, until death intervenes! Its consistent with my modified Newton’s Third Law of Motion, that applies to human change, progress. For every action, change, there is a reaction of unknown nature, duration or extent, in this instance, disease!