[000:00:32;731] ñKç [000:00:41;372] TASTE IS EVERYTHING [000:00:41;372] IN THE WORLD OF FINE CUISINE. [000:00:47;678] HEALTH FOOD HAS NO PLACE IN [000:00:47;678] THE KITCHEN OF A GOURMET CHEF. [000:00:54;184] BUT TIMES ARE CHANGING. [000:00:56;319] Woman: [000:00:56;319] AND WE WANT 100 GRAMS [000:00:56;319] OF OLIVE OIL. [000:00:59;089] WAS THAT SURPRISING? [000:01:00;690] MOST OF US THINK [000:01:02;059] THAT THE OLIVE OIL IS GOING [000:01:02;059] TO BE LOWER IN CALORIES. [000:01:05;895] ACTUALLY, IT'S 100% FAT [000:01:08;198] WHEREAS THE BUTTER IS [000:01:08;198] ONLY 80% FAT. [000:01:14;770] TODAY GROCERY SHOPPING [000:01:14;770] CAN BE A SCIENCE [000:01:18;274] AS MILLIONS STRIVE [000:01:18;274] FOR THE PERFECT DIET. [000:01:25;448] OUR GARBAGE TELLS US [000:01:25;448] WE STILL HAVE A LONG WAY TO GO. [000:01:37;759] IF IT'S TRUE, "WE ARE WHAT [000:01:37;759] WE EAT," IT'S NO WONDER [000:01:41;930] AMERICA'S NUMBER ONE KILLER [000:01:41;930] IS CORONARY HEART DISEASE. [000:01:47;868] FOR THE PIMA INDIANS [000:01:47;868] OF THE SONORAN DESERT [000:01:51;106] HEALTH IS TIED TO THE FOODS [000:01:51;106] OF THEIR ANCIENT HOMELAND. [000:01:56;644] A CHANGE IN THEIR DIET [000:01:56;644] SPELLED DISASTER. [000:02:04;518] FIVE YEARS AGO [000:02:06;253] A LIFETIME OF BAD HABITS [000:02:06;253] CAUGHT UP WITH THIS MAN. [000:02:11;891] THEN A REMARKABLE [000:02:11;891] EXPERIMENT TAUGHT HIM [000:02:15;195] DIET ALSO HAS [000:02:15;195] THE POWER TO HEAL. [000:02:20;500] Woman: [000:02:20;500] THIS IS A NEW KIND OF FRUIT [000:02:20;500] THAT'S CALLED LITCHIS. [000:02:25;038] WOULD YOU LIKE TO TRY SOME? [000:02:25;038] THEY TASTE GOOD. [000:02:28;574] RESEARCHERS ARE STUDYING [000:02:28;574] HOW OUR TASTES ARE SHAPED [000:02:32;878] WHY WE REJECT SOME FOODS [000:02:32;878] AND DELIGHT IN OTHERS. [000:02:37;016] Woman: [000:02:37;016] HOW WAS THAT? [000:02:38;583] FINE. [000:02:39;584] WHICH ONE [000:02:39;584] IS BETTER? [000:02:40;819] DO WE LEARN TO LIKE [000:02:40;819] THE FOODS WE EAT [000:02:43;355] OR ARE THERE TASTES [000:02:43;355] WE WERE SIMPLY BORN TO CRAVE? [000:02:48;093] JOIN US NOW FOR [000:02:48;093] "A TASTE OF HEALTH." [000:03:02;240] CAPTIONING OF THIS PROGRAM [000:03:02;240] IS MADE POSSIBLE [000:03:05;976] BY DIGITAL EQUIPMENT [000:03:05;976] CORPORATION. [000:03:54;323] THE INFINITE VOYAGE [000:03:54;323] IS MADE POSSIBLE [000:03:56;792] BY A GRANT FROM DIGITAL [000:03:56;792] EQUIPMENT CORPORATION [000:03:59;628] THROUGH ITS DIGITAL [000:03:59;628] DISCOVERY SERIES. [000:04:01;931] CELEBRATING THE ARTS, [000:04:01;931] SCIENCES AND HUMANITIES [000:04:04;767] DIGITAL AND ITS EMPLOYEES [000:04:04;767] INVITE YOU TO JOIN WITH THEM [000:04:08;170] IN SUPPORTING PUBLIC TELEVISION. [000:04:14;809] Grey: [000:04:14;809] EACH OCTOBER, THE RESIDENTS [000:04:14;809] OF TUCSON, ARIZONA [000:04:19;281] HOST A FIESTA TO HONOR [000:04:19;281] THE CHILI PEPPER. [000:04:28;822] ROASTED AND EATEN WHOLE, A GREEN [000:04:28;822] CHILI CAN BE SURPRISINGLY SWEET. [000:04:35;263] ITS SPICIER COUSINS SUPPLY [000:04:35;263] THE UNMISTAKABLE BITE [000:04:39;267] OF SOUTHWESTERN CUISINE. [000:04:41;269] Woman: [000:04:41;269] ARE YOU ENJOYING IT? [000:04:46;640] Woman: [000:04:46;640] CAN I GIVE YOU [000:04:46;640] A LITTLE CHILI PASTE? [000:04:49;976] THIS IS FRESH RED CHILIES [000:04:52;011] THAT ARE PICKED, STEAMED AND [000:04:52;011] MADE INTO A CHILI PASTE. [000:04:56;316] Grey: [000:04:56;316] FOUR YEARS AGO, GARY NABHAN [000:04:56;316] HELPED CREATE THE FIESTA [000:05:00;319] TO CELEBRATE THE LOCAL FOODS. [000:05:02;922] BUT HIS INTEREST IS HARDLY [000:05:02;922] THAT OF A GOURMET COOK. [000:05:14;300] NABHAN IS AN ETHNOBOTANIST, [000:05:14;300] A SCIENTIST WHO STUDIES PLANTS [000:05:18;804] AND THEIR RELATIONSHIP [000:05:18;804] TO PEOPLE. [000:05:22;775] TO THE UNTRAINED EYE [000:05:24;843] THE SONORAN DESERT [000:05:24;843] SEEMS INHOSPITABLE. [000:05:28;380] FOR NABHAN, IT'S A CORNUCOPIA [000:05:28;380] OF NATIVE AMERICAN FOODS. [000:05:33;518] THE BUD OF THE CHOLLA CACTUS, [000:05:33;518] WHEN ROASTED [000:05:37;655] HAS THE DELICATE FLAVOR [000:05:37;655] OF ARTICHOKE HEARTS. [000:05:43;528] CACTUS LEAVES CAN BE BOILED [000:05:43;528] AND EATEN LIKE A VEGETABLE. [000:05:49;166] THEY ALSO YIELD A SUCCULENT [000:05:49;166] FRUIT CALLED THE PRICKLY PEAR. [000:05:56;506] COME SUMMER, ITS SWEET PULP [000:05:56;506] MAKES A DELICIOUS SYRUP OR JAM. [000:06:08;318] MESQUITE BLOSSOMS INTO PODS [000:06:10;487] THAT CAN BE GROUND [000:06:10;487] INTO NUTRITIOUS FLOUR. [000:06:13;757] FOR DESERT INDIANS, [000:06:13;757] IT WAS A TREE OF LIFE. [000:06:18;228] THE LANDSCAPE HERE IS DOMINATED [000:06:18;228] BY DESERT LEGUME TREES. [000:06:23;499] AND LEGUMES, OR BEANS, ALSO [000:06:23;499] CAME TO DOMINATE THE DIET HERE. [000:06:29;271] THE PIMA AND PAPAGO, [000:06:29;271] OR O'ODHAM PEOPLE [000:06:32;274] WERE AMONG THE BEAN-EATINGEST [000:06:32;274] PEOPLE IN THE WORLD. [000:06:36;244] TEPARY BEANS, LIMA BEANS, [000:06:36;244] MESQUITE PODS, BLACK-EYED PEAS [000:06:41;416] COW PEAS, AND MANY OTHER [000:06:41;416] LEGUMES BECAME [000:06:45;052] THE DOMINANT PORTION [000:06:45;052] OF THEIR DIET. [000:06:48;356] I BROUGHT YOU [000:06:48;356] SOME VIHUK. [000:06:50;358] OH, GOOD. THANK YOU. [000:06:51;458] THEY'RE FROM [000:06:51;458] PHOENIX, THOUGH... [000:06:53;460] Grey: [000:06:53;460] FRANCES MANUEL IS THE KEEPER [000:06:53;460] OF AN ANCIENT TRADITION. [000:06:57;865] A DESERT INDIAN, SHE IS ONE [000:06:57;865] OF THE FEW IN HER TRIBE [000:07:01;535] WHO STILL REMEMBERS [000:07:01;535] THE OLD WAYS. [000:07:04;971] Manuel: [000:07:04;971] MY GRANDMOTHER TAUGHT ME [000:07:04;971] ABOUT THE CHOLLA [000:07:08;307] AND YOU THREW THEM IN THE BASKET [000:07:10;443] AND IT'S WINDY, YOU GO LIKE THIS [000:07:10;443] AND IT BLOWS AWAY THE STICKERS. [000:07:16;248] WHEN IT'S THIS DRY, [000:07:16;248] YOU START AWAY... SEE? [000:07:19;318] I MEAN, YOU CAN ALSO EAT IT [000:07:19;318] WHEN IT'S BOILED. [000:07:22;655] Nabhan: [000:07:22;655] THESE ARE JUST THE BUDS [000:07:22;655] OF THE CHOLLA CACTUS, RIGHT? [000:07:26;892] IF THEY START TO OPEN, [000:07:26;892] IT'S TOO LATE? [000:07:29;828] Manuel: [000:07:29;828] YES. [000:07:31;095] ARE PEOPLE STILL [000:07:31;095] EATING THEM MUCH? [000:07:33;264] NOWADAYS, THEY'LL [000:07:33;264] TURN THEIR NOSES UP [000:07:36;100] WHEN THEY SEE [000:07:36;100] SOMETHING COOKING [000:07:38;603] BECAUSE THEY THINK IT'S NOT... [000:07:41;271] I DON'T KNOW WHETHER [000:07:41;271] THEY THINK IT'S NOT GOOD [000:07:45;242] OR WHETHER THEY [000:07:45;242] DON'T WANT TO THINK [000:07:48;312] THAT THAT'S WHAT... OUR ROOTS [000:07:48;312] EAT, AND GROW UP ON THEM. [000:07:53;183] Grey: [000:07:53;183] FRANCES MANUEL MOURNS A WAY [000:07:53;183] OF LIFE THAT HAS VANISHED. [000:08:01;425] FOR CENTURIES, A HARDY PEOPLE [000:08:01;425] THRIVED IN THE SONORAN DESERT. [000:08:07;630] THE PIMA INDIANS [000:08:07;630] GATHERED WILD PLANTS [000:08:10;700] AND LIVED ACCORDING [000:08:10;700] TO THE SEASONS. [000:08:16;705] SETTLING NEAR RIVERS, THEY [000:08:16;705] FISHED AND HUNTED SMALL GAME. [000:08:21;210] A FARMING CULTURE, THEY [000:08:21;210] WERE KNOWN FOR THEIR WHEAT-- [000:08:25;014] AND FOR THEIR GENEROSITY. [000:08:27;583] IN TIMES OF FAMINE, [000:08:27;583] THEY SHARED THEIR CROPS. [000:08:31;987] WHEN THE WHITE MAN CAME [000:08:34;322] THEY SAW THEIR WAY [000:08:34;322] OF LIFE DISAPPEAR. [000:08:41;762] BY THE 1920s [000:08:43;298] THE UNITED STATES GOVERNMENT [000:08:43;298] LAID CLAIM TO THE DESERT. [000:08:47;468] FOR THEIR GOOD FAITH [000:08:49;069] THE PIMA WERE STRIPPED [000:08:49;069] OF THEIR LAND. [000:08:53;040] BUT THE FINAL BLOW WAS [000:08:53;040] THE DAMMING OF RIVERS [000:08:56;776] THAT HAD BEEN THEIR LIFEBLOOD. [000:09:01;214] TODAY, THE RIVERS RUN AS DRY [000:09:01;214] AS THE SURROUNDING DESERT [000:09:05;584] AND MESQUITE GROVES [000:09:05;584] HAVE GIVEN WAY TO CITIES. [000:09:18;631] NEAR PHOENIX, [000:09:18;631] THE GILA RIVER RESERVATION [000:09:21;867] IS IN THE MIDST [000:09:21;867] OF A HEALTH CRISIS. [000:09:24;737] MORE THAN HALF THE PIMA INDIANS [000:09:24;737] OVER 35 HAVE DIABETES. [000:09:29;942] VICTIMS SUFFER FROM [000:09:29;942] KIDNEY FAILURE, BLINDNESS [000:09:34;279] AND EARLY DEATH. [000:09:36;448] IT'S THE HIGHEST KNOWN INCIDENCE [000:09:36;448] OF DIABETES IN THE WORLD. [000:09:42;887] TO HELP FIND A CURE [000:09:44;756] THE NATIONAL INSTITUTES [000:09:44;756] OF HEALTH ESTABLISHED [000:09:49;093] THE PHOENIX INDIAN [000:09:49;093] MEDICAL CENTER. [000:09:52;363] Man: [000:09:52;363] OKAY, ROD, I WANT YOU [000:09:52;363] TO PUT THIS IN YOUR MOUTH. [000:09:56;367] Grey: [000:09:56;367] PIMA INDIANS LIKE ROD HOWARD [000:09:58;802] HAVE FORMED A UNIQUE [000:09:58;802] PARTNERSHIP WITH SCIENTISTS. [000:10:02;273] I'M WATCHING [000:10:02;273] YOUR HEARTBEAT. [000:10:03;774] Grey: [000:10:03;774] EVERY YEAR, ROD UNDERGOES [000:10:03;774] A WEEK OF TESTING [000:10:07;009] UNDER THE SUPERVISION [000:10:07;009] OF STEPHEN LILLIOJA. [000:10:10;580] THE MORE WE HAVE STUDIED [000:10:10;580] THE PIMA INDIANS [000:10:13;516] THE MORE WE'VE BEEN ABLE TO SEE [000:10:15;818] THAT UNDERLYING DIABETES [000:10:15;818] AND OBESITY IN THIS POPULATION [000:10:19;755] ARE GENETIC PREDISPOSITIONS. [000:10:21;823] AND THAT MEANS [000:10:23;525] THAT SOME PEOPLE HAVE [000:10:23;525] A GREAT DEAL MORE DIFFICULTY [000:10:27;129] IN STAYING SLIM AND STAYING [000:10:27;129] HEALTHY THAN OTHERS. [000:10:30;632] AND THE PURPOSE OFUR STUDIES [000:10:33;235] IS TO TRY AND FIND UNDERLYING [000:10:33;235] CAUSES TO THESE DISEASES. [000:10:39;273] Grey: [000:10:39;273] WEIGHING ROD UNDER WATER [000:10:41;977] REVEALS THAT OVER 40% OF [000:10:41;977] HIS 360 POUNDS IS FAT-- [000:10:46;380] MORE THAN DOUBLE [000:10:46;380] THAT OF THE AVERAGE MAN. [000:10:50;151] Man: [000:10:50;151] OKAY, COME ON UP. [000:10:51;953] Grey: [000:10:51;953] TESTS LIKE THESE CAN BE TRYING [000:10:54;955] BUT ROD IS COMMITTED [000:10:54;955] TO HIS PEOPLE. [000:10:57;891] I LOOK AROUND AND SEE A LOT [000:10:57;891] OF DIABETICS AT HOME [000:11:02;663] ESPECIALLY MY MOM, [000:11:02;663] SHE'S DIABETIC, TOO [000:11:06;399] AND SHE HAD TO COME HERE [000:11:06;399] AND TAKE MEDICATION [000:11:10;803] AND MY YOUNGER BROTHERS [000:11:10;803] AND SISTERS ARE COMING UP [000:11:14;707] AND I DON'T WANT THEM [000:11:14;707] TO HAVE IT, YOU KNOW. [000:11:18;177] AND I DON'T KNOW IF [000:11:18;177] THEY'RE GOING TO HAVE IT [000:11:21;681] BUT I JUST SEE OTHER RELATIVES, [000:11:21;681] A LOT OF MY FRIENDS [000:11:25;784] THAT ARE YOUNGER THAN ME, [000:11:25;784] AND THEY... [000:11:28;754] SO I GUESS DIABETES IS [000:11:28;754] A BAD THING THAT'S AROUND. [000:11:33;325] AND THAT'S WHY I COME IN [000:11:33;325] AND TRY TO HELP. [000:11:37;196] Grey: [000:11:37;196] TO CHECK FOR SIGNS OF DIABETES, [000:11:37;196] ROD ENDURES AN EIGHT-HOUR TEST. [000:11:42;933] A SPECIAL HOOD MEASURES [000:11:42;933] HIS OXYGEN INTAKE [000:11:46;371] TO SEE HOW EFFICIENTLY HIS BODY [000:11:46;371] BURNS BLOOD SUGAR, OR GLUCOSE. [000:11:50;941] AN INFUSION OF GLUCOSE SHOULD [000:11:50;941] TRIGGER A RELEASE OF INSULIN [000:11:54;979] A HORMONE THAT HELPS CLEAR SUGAR [000:11:54;979] FROM THE BLOODSTREAM. [000:11:58;783] I'M JUST GOING TO DRAW ONE [000:11:58;783] MORE BLOOD SAMPLE, OKAY? [000:12:02;553] ALL RIGHT. [000:12:04;722] Grey: [000:12:04;722] THE PIMA SUFFER FROM [000:12:04;722] ADULT-ONSET DIABETES. [000:12:09;727] THEY PRODUCE INSULIN, [000:12:09;727] BUT IT HAS LITTLE EFFECT. [000:12:13;697] BLOOD SUGAR REMAINS HIGH. [000:12:15;699] TESTS CONFIRM ROD IS BORDERLINE. [000:12:19;502] YOU CAN START TO MOVE [000:12:19;502] AROUND A LITTLE BIT NOW. [000:12:23;006] THE CRITICAL PERIOD [000:12:23;006] IS OVER. [000:12:25;108] I'M GOING TO TAKE [000:12:25;108] THE HOOD OFF, OKAY? [000:12:27;943] Grey: [000:12:27;943] ADULT-ONSET DIABETES [000:12:27;943] IS LINKED TO OBESITY. [000:12:31;613] ROD'S CONDITION IS LIKELY TO GET [000:12:31;613] WORSE UNLESS HE LOSES WEIGHT. [000:12:36;384] UNFORTUNATELY, THE PIMAS [000:12:36;384] EAT A DIET HIGH IN FAT. [000:12:41;389] IN ORDER TO TEST THE HYPOTHESIS [000:12:43;858] THAT A HIGH FAT CONTENT OF [000:12:43;858] THE DIET WAS A DISADVANTAGE [000:12:48;162] WE STUDIED A GROUP OF 12 PEOPLE [000:12:48;162] ON A TRADITIONAL TYPE OF DIET [000:12:53;000] THAT IS A HIGH-CARBOHYDRATE... [000:12:55;402] HIGH UNREFINED CARBOHYDRATE [000:12:55;402] DIET, LOW-FAT DIET [000:12:59;040] AND COMPARED THEM ON THAT DIET [000:13:01;442] WITH A HIGH-FAT TYPE [000:13:01;442] OF MODERN DIET [000:13:04;211] TO SEE IF THERE REALLY WAS [000:13:04;211] A DIFFERENCE THAT YOU COULD TELL [000:13:08;882] IN HOW WELL INSULIN DID ITS WORK [000:13:11;452] AND HOW MUCH INSULIN THE BODY [000:13:11;452] WAS ABLE TO SECRETE. [000:13:15;422] Grey: [000:13:15;422] IN THE STAINLESS STEEL KITCHEN [000:13:15;422] OF THE MEDICAL CENTER [000:13:20;293] DIETICIANS RECREATE AN INDIAN [000:13:20;293] MEAL OF A CENTURY AGO. [000:13:27;934] A MAIN COURSE OF BEANS [000:13:30;303] MAKES THE PIMA DIET HIGH [000:13:30;303] IN CARBOHYDRATES AND LOW IN FAT. [000:13:36;976] SPINACH MUST PASS [000:13:36;976] FOR DESERT GREENS [000:13:39;912] BUT A DRINK MADE WITH CHIA SEEDS [000:13:39;912] SOAKED IN WATER [000:13:44;449] IS THE REAL THING. [000:13:50;955] VOLUNTEERS SPEND TWO WEEKS [000:13:50;955] ON THE PIMA DIET [000:13:55;760] THEN TWO WEEKS [000:13:55;760] ON A MODERN, HIGH-FAT DIET [000:13:59;164] OF FOODS LIKE CHEESE, [000:13:59;164] HAM AND ICE CREAM. [000:14:02;500] BLOOD TESTS SHOW THAT [000:14:02;500] ON THE MODERN DIET [000:14:05;836] INSULIN IS LESS EFFECTIVE [000:14:05;836] THAN ON THE LOW-FAT PIMA DIET. [000:14:12;343] THE STUDY SUGGESTS THAT A RETURN [000:14:12;343] TO MORE TRADITIONAL FOODS [000:14:17;181] COULD HAVE AN IMPORTANT IMPACT [000:14:17;181] ON THE HEALTH OF THE INDIANS. [000:14:26;756] IN TUCSON, GARY NABHAN [000:14:26;756] HELPS PRESERVE NATIVE FOODS. [000:14:30;760] HALF THE DESERT CROPS THAT [000:14:30;760] EXISTED AT THE TIME OF COLUMBUS [000:14:35;098] MAY ALREADY BE LOST. [000:14:37;133] TO SAVE WHAT IS LEFT, [000:14:37;133] NABHAN HAS ESTABLISHED [000:14:41;504] A NATIVE SEED BANK. [000:14:44;207] PERHAPS THESE ANCIENT SEEDS [000:14:44;207] MAY AGAIN OFFER HOPE [000:14:47;844] TO THE PIMA INDIANS. [000:14:49;879] YOU CANNOT REALLY [000:14:49;879] SEPARATE A CULTURE [000:14:54;083] FROM THE DIET [000:14:54;083] UNDER WHICH IT EVOLVED [000:14:58;321] WITHOUT SOME [000:14:58;321] TRAGIC CONSEQUENCES. [000:15:02;225] EACH CULTURE THAT HAS LIVED [000:15:04;526] FOR HUNDREDS OR THOUSANDS [000:15:04;526] OF YEARS IN ONE PLACE [000:15:08;429] HAS SOMEHOW ADAPTED [000:15:10;065] TO THE MIX OF FOODS [000:15:10;065] AVAILABLE IN THAT PLACE. [000:15:13;735] AND IF YOU REMOVE DESERT PEOPLE [000:15:13;735] FROM A DIET OF DESERT FOODS [000:15:19;374] THEIR PROTECTION AGAINST SOME [000:15:19;374] NUTRITION-RELATED DISEASES [000:15:24;745] IS THEN LOST. [000:15:30;050] Grey: [000:15:30;050] LIFE IN THE DESERT [000:15:30;050] IS UNPREDICTABLE. [000:15:33;487] THE ABILITY TO GAIN WEIGHT [000:15:33;487] QUICKLY IN TIMES OF PLENTY [000:15:38;025] MAY HAVE BEEN AN ADVANTAGE [000:15:38;025] IN TIMES OF FAMINE. [000:15:41;494] FOR THE PIMA, IT HAS BECOME [000:15:41;494] A TRAGIC LIABILITY. [000:15:45;698] PERHAPS THEY WERE SHAPED BY [000:15:45;698] A WORLD THAT NO LONGER EXISTS. [000:15:51;037] IN THAT SENSE, [000:15:51;037] THEY ARE HARDLY UNIQUE. [000:15:58;611] LITTLE HAS CHANGED [000:15:58;611] IN HUMAN PHYSIOLOGY [000:16:01;680] IN THE LAST 100,000 YEARS. [000:16:04;349] THE PURSUIT OF FOOD KEPT [000:16:04;349] OUR ANCESTORS ACTIVE AND LEAN. [000:16:10;723] WE SHARE THEIR GENES [000:16:10;723] AND THEIR ANATOMY [000:16:13;692] BUT OUR LIFESTYLE [000:16:13;692] HAS COME A LONG WAY [000:16:16;561] SINCE THE DAYS OF THE CAVEMAN. [000:16:22;434] CHEF HEINZ HOLTMANN [000:16:22;434] WON A GOLD MEDAL [000:16:25;404] FOR HIS "SHRIMP MADAGASCAR." [000:16:34;778] HEAVY CREAM, SCALLIONS, [000:16:34;778] CLARIFIED SWEET BUTTER [000:16:40;051] LICORICE LIQUEUR [000:16:40;051] AND GREEN PEPPERCORNS. [000:16:46;623] WHAT IS IT ABOUT SOME FOOD THAT [000:16:46;623] MAKES IT MELT IN OUR MOUTHS? [000:16:53;063] IT'S A MATTER OF TASTE. [000:16:57;501] EXPLORING ITS MYSTERIES [000:16:59;369] IS THE AIM OF THE MONELL [000:16:59;369] CHEMICAL SENSES CENTER [000:17:03;139] IN PHILADELPHIA. [000:17:08;445] OVERSEEING THE WORK [000:17:08;445] OF NEARLY 50 SCIENTISTS [000:17:11;781] IN FIELDS AS VARIED [000:17:11;781] AS NEUROSCIENCE [000:17:14;484] BIOCHEMISTRY AND PSYCHOLOGY [000:17:17;152] IS DIRECTOR GARY BEAUCHAMP. [000:17:19;821] THE SENSE OF TASTE IS PROBABLY [000:17:19;821] THE SENSE THAT IS MOST INVOLVED [000:17:24;093] IN IMMEDIATE PLEASURE [000:17:24;093] AND DISPLEASURE [000:17:26;661] AND HENCE THERE ARE [000:17:26;661] BASIC TASTE PREFERENCES [000:17:29;598] AND BASIC TASTE AVERSIONS [000:17:31;367] AND THESE ARE EVIDENT [000:17:31;367] IN NEWBORN BABIES; [000:17:34;068] SOME OF THEM ARE EVEN EVIDENT [000:17:34;068] IN PREMATURE BABIES. [000:17:37;506] PREMATURE BABIES HAVE A HIGH [000:17:37;506] PREFERENCE FOR SWEET TASTES. [000:17:41;476] THEY BEGIN TO SUCK [000:17:41;476] IN RESPONSE TO SWEET TASTE [000:17:44;513] THEY SHOW A VARIETY OF [000:17:44;513] PHYSIOLOGICAL RESPONSES [000:17:47;649] IN RESPONSE TO SWEET TASTE. [000:17:49;518] THE PERCEPTION OF SWEET TASTE [000:17:49;518] AND THE PREFERENCE FOR IT [000:17:53;287] ARE BUILT IN, JUST LIKE TWO ARMS [000:17:53;287] ARE BUILT IN TO A BABY. [000:17:57;125] Grey: [000:17:57;125] IT'S A CRAVING [000:17:57;125] THAT STAYS WITH US FOR LIFE. [000:18:02;063] NO WONDER WE LOVE CHOCOLATE, [000:18:02;063] CANDY AND SOFT DRINKS. [000:18:07;367] OUR SECOND BASIC [000:18:07;367] TASTE PREFERENCE [000:18:09;569] ALSO APPEARS EARLY IN LIFE. [000:18:14;674] JUSTIN IS SEVEN MONTHS OLD. [000:18:17;010] HIS RESPONSE TO PLAIN [000:18:17;010] WATER IS MEASURED. [000:18:22;882] LET'S SWITCH BOTTLES. [000:18:27;787] Grey: [000:18:27;787] NEXT HE'LL BE GIVEN WATER WITH [000:18:27;787] A MINUTE CONCENTRATION OF SALT. [000:18:35;094] BEFORE THE AGE OF FOUR MONTHS [000:18:37;196] BABIES SEEM TO LACK THE NEURAL [000:18:37;196] MECHANISMS TO PERCEIVE SALT. [000:18:41;467] BUT BETWEEN FOUR AND SIX MONTHS [000:18:43;769] A DRAMATIC PREFERENCE FOR IT [000:18:43;769] USUALLY DEVELOPS. [000:18:53;712] JUSTIN APPEARS TO BE [000:18:53;712] RIGHT ON SCHEDULE. [000:19:03;755] AS CHILDREN GROW, [000:19:03;755] THEIR CRAVING INCREASES. [000:19:06;758] BY THE TIME THEY [000:19:06;758] REACH SCHOOL AGE [000:19:09;094] MANY CHILDREN PREFER SALT LEVELS [000:19:11;429] THAT AN ADULT WOULD [000:19:11;429] FIND INTOLERABLE. [000:19:15;200] Woman: [000:19:15;200] HOW WAS THAT? [000:19:16;701] GOOD. [000:19:18;136] TAKE A TASTE [000:19:18;136] OF THAT ON [000:19:21;772] HOW WAS THAT ONE? [000:19:23;475] Grey: [000:19:23;475] GIVEN A CHOICE, MOST PICK SOUP [000:19:23;475] SAMPLES WITH TWICE AS MUCH SALT [000:19:27;611] AS MOST COMMERCIAL BRANDS. [000:19:29;779] OKAY, HERE'S THIS ONE. [000:19:31;615] Grey: [000:19:31;615] FOOD WITHOUT SALT [000:19:31;615] IS UNAPPETIZING. [000:19:35;051] YET FOR REASONS UNKNOWN [000:19:37;821] WE CONSUME TEN TO 100 TIMES [000:19:37;821] MORE THAN WE NEED. [000:19:42;125] DOES CHILDHOOD TASTE DETERMINE [000:19:42;125] OUR SALT USE AS ADULTS? [000:19:46;895] THE LEVELS AT WHICH [000:19:46;895] THEY PREFER SALT, THOUGH [000:19:49;865] CAN BE MODATED BY EXPERIENCE. [000:19:52;034] WE'VE SHOWN, AND OTHERS [000:19:52;034] HAVE SHOWN NOW, TOO [000:19:54;970] THAT IF YOU PUT ADULTS ON A DIET [000:19:54;970] THAT CUTS THEIR SALT IN HALF [000:19:59;141] THAT IS A LOW, BUT NOT A VERY, [000:19:59;141] VERY LOW SODIUM DIET [000:20:02;644] THAT THEIR PREFERENCE [000:20:02;644] FOR SALT SHIFTS DOWN. [000:20:05;780] THIS TAKES ABOUT [000:20:05;780] TWO TO THREE MONTHS [000:20:08;383] MAYBE A LITTLE BIT LONGER. [000:20:10;352] IT'S A GRADUAL SHIFT [000:20:11;786] AND IT CAN MOVE UP VERY QUICKLY [000:20:11;786] BACK WHERE IT WAS BEFORE [000:20:15;523] IF THEY RETURN [000:20:15;523] TO THE HIGHER SALT DIET. [000:20:18;192] Grey: [000:20:18;192] INNATE TASTES ARE POWERFUL. [000:20:20;894] BUT THERE ARE MANY OTHER FACTORS [000:20:20;894] THAT INFLUENCE WHAT WE'LL EAT. [000:20:26;200] PSYCHOLOGIST MARCI PELCHAT [000:20:26;200] WANTS TO KNOW [000:20:29;335] HOW TO CONVINCE CHILDREN [000:20:29;335] TO TRY NEW AND UNUSUAL FOODS. [000:20:33;606] DO YOU KNOW [000:20:33;606] WHAT THESE ARE? [000:20:35;608] NO. [000:20:36;609] THAT'S A NEW [000:20:36;609] KIND OF FRUIT. [000:20:38;678] THEY'RE CALLED [000:20:38;678] LITCHIS. [000:20:40;513] THEY TASTE GOOD. [000:20:41;781] YOU WANT [000:20:41;781] TO TRY SOME? [000:20:43;483] NO? [000:20:45;151] A LOT OF OTHER KIDS TRIED THEM. [000:20:54;960] YEAH. [000:20:55;961] I'LL TAKE THIS ONE. [000:20:57;963] ALL RIGHT. [000:20:59;665] Grey: [000:20:59;665] PELCHAT FINDS PRESCHOOL [000:20:59;665] CHILDREN THE MOST RESISTANT. [000:21:03;668] HOW IS IT? [000:21:05;737] IT'S GOOD. [000:21:07;371] Grey: [000:21:07;371] BUT THAT CHANGES WITH AGE. [000:21:11;009] BY THE TIME YOU GET TO [000:21:11;009] COLLEGE AGE, OR YOUNG ADULTS [000:21:14;779] YOU SEE PRETTY GOOD WILLINGNESS [000:21:14;779] TO TRY NOVEL FOODS [000:21:18;481] ALTHOUGH THERE ARE LARGE [000:21:18;481] INDIVIDUAL DIFFERENCES. [000:21:22;052] THERE ARE SOME INDIVIDUALS [000:21:22;052] WHO SEEK OUT UNFAMILIAR FOODS [000:21:26;223] AND THERE ARE OTHER INDIVIDUALS [000:21:26;223] WHO AVOID THEM AT ALL COSTS. [000:21:30;694] WE DON'T KNOW WHAT HAPPENS TO [000:21:30;694] WILLINGNESS TO TRY NOVEL FOODS [000:21:35;532] AS PEOPLE GO FROM YOUNG [000:21:35;532] ADULTHOOD TO OLD AGE [000:21:39;135] AND THAT'S ONE OF THE THINGS [000:21:39;135] THAT I'M STUDYING NOW. [000:21:43;340] Pelchat: [000:21:43;340] HERE'S THE FIRST FOOD. [000:21:45;542] THIS IS CALLED "LANGUA STEAK." [000:21:47;777] IT'S MEAT FROM A SMALL [000:21:47;777] SOUTH AMERICAN GAME ANIMAL [000:21:51;380] AND IT'S SUPPOSED [000:21:51;380] TO CONTAIN [000:21:53;415] A KIND OF CHOLESTEROL [000:21:55;017] THAT ACTUALLY PROTECTS [000:21:55;017] YOUR ARTERIES. [000:21:57;754] Grey: [000:21:57;754] TO CREATE A NOVEL FOOD [000:21:59;956] PELCHAT INVENTS A FICTIONAL [000:21:59;956] NAME FOR COMMON BEEF. [000:22:03;892] I'VE NEVER SEEN OR [000:22:03;892] EVEN TRIED THAT FOOD. [000:22:09;397] Pelchat: [000:22:09;397] AND FINALLY, [000:22:09;397] I'D LIKE YOU TO RATE [000:22:13;401] YOUR WILLINGNESS TO TRY [000:22:13;401] THE LANGUA STEAK. [000:22:17;438] ONE IS EXTREMELY [000:22:17;438] UNWILLING [000:22:19;974] SEVEN IS EXTREMELY [000:22:19;974] WILLING. [000:22:22;610] FOR SCIENCE, I WILL TRY IT. [000:22:28;048] DO YOU KNOW [000:22:28;048] WHAT THESE ARE? [000:22:30;217] NO. [000:22:31;218] OKAY, THESE [000:22:31;218] ARE CRACKERS [000:22:32;820] MADE OUT OF RICE [000:22:32;820] AND SEAWEED. [000:22:35;656] WOULD YOU LIKE [000:22:35;656] TO TRY SOME? [000:22:38;024] NO? A LOT OF OTHER [000:22:38;024] KIDS TRIED THEM. [000:22:46;099] Grey: [000:22:46;099] SOMETIMES THE MOST PERSUASIVE [000:22:46;099] ARGUMENT CAN BACKFIRE. [000:22:50;236] HOW IS IT? [000:22:52;738] WHAT, GOOD OR BAD? [000:22:54;239] BAD. [000:22:55;308] BAD. DO YOU WANT [000:22:55;308] TO SPIT IT OUT? [000:22:58;977] OKAY, HERE, YOU [000:22:58;977] CAN SPIT IT OUT. [000:23:03;516] THAT'S OKAY. [000:23:05;250] DO YOU WANT ME TO [000:23:05;250] GET YOU SOMETHING [000:23:05;250] ELSE TO EAT? [000:23:08;920] WHAT WOULD YOU [000:23:08;920] LIKE TO EAT? [000:23:11;222] PIZZA. [000:23:12;724] PIZZA. [000:23:28;306] Grey: [000:23:28;306] FAST FOOD CATERS TO OUR INBORN [000:23:28;306] CRAVINGS FOR SALT AND SUGAR [000:23:33;677] AND TO AN ACQUIRED [000:23:33;677] TASTE FOR FAT. [000:23:38;382] FAT CARRIES FLAVOR [000:23:38;382] AND ADDS BODY TO FOOD. [000:23:42;653] IT MAY BE THE FEEL OF IT [000:23:42;653] WE LOVE MOST. [000:23:45;522] THE OCCASIONAL BURGER [000:23:45;522] CAN BE A TREAT [000:23:49;460] BUT A STEADY DIET OF FATTY [000:23:49;460] FOODS CAN TAKE ITS TOLL. [000:24:01;571] EVERYTHING WE EAT [000:24:01;571] BECOMES PART OF US. [000:24:07;344] FOOD TRAVELS DOWN THE ESOPHAGUS [000:24:07;344] INTO THE STOMACH [000:24:11;348] WHERE IT MIXES WITH [000:24:11;348] HYDROCHLORIC ACID. [000:24:15;217] IN THE 15-FOOT-LONG TUBE [000:24:15;217] OF THE SMALL INTESTINE [000:24:19;088] WHAT WAS ONCE HAMBURGER IS [000:24:19;088] REDUCED TO SIMPLE MOLECULES. [000:24:23;625] LINING THE INTESTINE ARE [000:24:23;625] MILLIONS OF TINY FINGERS [000:24:27;696] THAT ABSORB NUTRIENTS [000:24:27;696] INTO THE BLOODSTREAM. [000:24:31;332] FOOD IS TRANSFORMED [000:24:31;332] INTO TISSUE, MUSCLE, BONE [000:24:35;403] AND FATTY SUBSTANCES [000:24:35;403] CALLED CHOLESTEROL. [000:24:38;273] THE MORE FAT WE EAT, THE MORE [000:24:38;273] CHOLESTEROL IN OUR BLOOD. [000:24:42;277] TOO MUCH CAN CLOG ARTERIES. [000:24:45;380] THE BUILDUP, CALLED PLAQUE [000:24:48;481] LEADS TO HARDENING OF THE [000:24:48;481] ARTERIES, OR ATHEROSCLEROSIS. [000:24:54;721] EVENTUALLY IT CAN BLOCK [000:24:54;721] THE FLOW OF BLOOD. [000:25:02;362] PLAQUE IS REMOVED FROM THIS [000:25:02;362] PATIENT'S CORONARY ARTERY [000:25:07;033]  [000:25:07;033] TO PREVENT A MASSIVE [000:25:07;033] HEART ATTACK. [000:25:09;969] SOME PEOPLE ARE NOT SO LUCKY. [000:25:17;977] EVERY 32 SECONDS, SOMEONE [000:25:17;977] IN AMERICA HAS A HEART ATTACK. [000:25:22;314] Man: [000:25:22;314] IS IT GOING ANYWHERE, OR IS IT [000:25:22;314] JUST STAYING IN YOUR CHEST? [000:25:26;484] LET'S GET THAT E.K.G. [000:25:28;219] Grey: [000:25:28;219] ONE IN TWO AMERICANS WILL DIE [000:25:28;219] OF HEART DISEASE OR STROKE. [000:25:32;257] WHAT ARE [000:25:32;257] HIS VITAL SIGNS? [000:25:38;728] YOU'RE HAVING [000:25:38;728] A HEART ATTACK. [000:25:40;764] THIS MEDICINE WILL HELP YOUR [000:25:40;764] BODY DISSOLVE THIS BLOOD CLOT [000:25:44;935] THAT'S CAUSING THE HEART ATTACK. [000:25:47;304] Grey: [000:25:47;304] TODAY THE DOCTOR HAS [000:25:47;304] THE TOOLS AND THE KNOWLEDGE [000:25:51;141] TO SAVE THIS PATIENT'S LIFE. [000:25:54;444] SIR, ARE YOU STARTING [000:25:54;444] TO FEEL ANY RELIEF? [000:25:58;081] I THINK SO. [000:25:59;082] Grey: [000:25:59;082] ONLY HALF A CENTURY AGO [000:26:00;984] THE CAUSES OF HEART DISEASE [000:26:00;984] WERE COMPLETELY UNKNOWN. [000:26:07;023] IN SOUTHERN ITALY, [000:26:07;023] HEART DISEASE IS RARE [000:26:10;360] A FACT THAT DID NOT ESCAPE [000:26:12;628] PIONEERING PHYSIOLOGIST [000:26:12;628] ANCEL KEYS. [000:26:17;900] KEYS HAS SPENT THE LAST 50 YEARS [000:26:17;900] LOOKING AT HOW THE WORLD EATS. [000:26:24;273] HE BEGAN HIS CAREER AT [000:26:24;273] THE UNIVERSITY OF MINNESOTA. [000:26:28;443] HIS GOAL, IN HIS OWN WORDS, WAS [000:26:31;113] "TO FIND OUT WHY PEOPLE GET [000:26:31;113] SICK BEFORE THEY GET SICK." [000:26:35;617] IN 1941, THE SECRETARY [000:26:35;617] OF WAR ASKED KEYS [000:26:39;488] TO DEVELOP THE PERFECT MEAL [000:26:39;488] FOR A SOLDIER IN COMBAT. [000:26:46;127] IF VITAMINS WERE [000:26:46;127] MISSING FROM HIS FOOD [000:26:48;962] A SOLDIER MIGHT HAVE [000:26:48;962] TO TAKE VITAMINS. [000:26:51;798] IF HE HAD VITAMINS BUT NO FOOD, [000:26:51;798] HE WOULD STARVE. [000:26:55;403] THE BEST WAY IS TO SUPPLY [000:26:55;403] VITAMINS IN THE FOOD. [000:27:00;140] Grey: [000:27:00;140] KEYS' CREATION WOULD BEAR [000:27:00;140] HIS INITIAL: K-RATIONS. [000:27:04;444] CANNED MEAT, FRUIT BARS, [000:27:04;444] POWDERED COFFEE, CHOCOLATE-- [000:27:09;950] IT WASN'T TASTY [000:27:11;885] BUT THE K-RATION FED 16 MILLION [000:27:11;885] SERVICEMEN DURING WORLD WAR II. [000:27:19;759] OTHERS FARED FAR WORSE. [000:27:24;797] WAR-TORN EUROPE. [000:27:26;465] LIFELINES DESTROYED. [000:27:28;333] AS FOOD SUPPLIES DWINDLE, [000:27:28;333] MILLIONS GO HUNGRY. [000:27:33;672] IN THE MIDST OF THIS SUFFERING [000:27:36;107] LOCAL DOCTORS NOTE [000:27:36;107] A CURIOUS FACT: [000:27:38;977] THE RATE OF HEART DISEASE [000:27:38;977] IS SLOWLY DROPPING. [000:27:42;614] THE REPORTS RECEIVE [000:27:42;614] LITTLE NOTICE. [000:27:46;550] BUT FOR ANCEL KEYS, [000:27:46;550] THEY HOLD THE GERM OF AN IDEA. [000:27:52;155] HE WOULD SPEND THE NEXT 40 YEARS [000:27:52;155] FOLLOWING A HUNCH. [000:27:56;393] COULD DIET AND HEART DISEASE [000:27:56;393] BE LINKED? [000:28:01;899] AN INTRIGUING CLUE CAME FROM [000:28:01;899] AN ITALIAN COLLEAGUE IN NAPLES. [000:28:06;970] ONE OF THE MEMBERS WAS [000:28:08;638] A PROFESSOR OF PHYSIOLOGY [000:28:08;638] AT NAPLES [000:28:11;241] AND HE SAYS, "WE DON'T HAVE [000:28:11;241] CORONARY HEART DISEASE HERE." [000:28:15;612] WELL, IT WAS TRUE, [000:28:15;612] THEY HAD VERY LITTLE [000:28:18;548] AND THEY HAD [000:28:18;548] VERY LOW CHOLESTEROL [000:28:20;984] AND THE DIET WAS [000:28:20;984] RADICALLY DIFFERENT [000:28:23;686] EVEN FROM WHAT WE HAD [000:28:23;686] BEEN EATING IN OXFORD [000:28:26;889] LET ALONE THE UNITED STATES. [000:28:30;994] Grey: [000:28:30;994] IN 1957, AT THE HELM [000:28:30;994] OF AN INTERNATIONAL TEAM [000:28:35;430] KEYS ESTABLISHED [000:28:35;430] THE "SEVEN COUNTRIES" STUDY. [000:28:38;967] FOR NEARLY TWO DECADES [000:28:40;736] HE WOULD TRACK THE DIET [000:28:40;736] AND HEALTH OF 12,000 MEN [000:28:44;539] ACROSS EUROPE, THE UNITED [000:28:44;539] STATES AND JAPAN. [000:28:50;145] EVENTUALLY A PATTERN EMERGED. [000:28:53;148] HEART ATTACKS WERE MOST FREQUENT [000:28:53;148] IN MEN WITH HIGH CHOLESTEROL [000:28:58;153] AND DIETS RICH IN MEATS [000:28:58;153] AND DAIRY PRODUCTS-- [000:29:01;789] FOODS WITH SATURATED FAT. [000:29:03;891] DIETS LOW IN SATURATED FAT [000:29:03;891] MEANT LESS HEART DISEASE. [000:29:10;430] KEYS FOUND A KILLER IN OUR FOOD. [000:29:14;268] A CHEESEBURGER WOULD [000:29:14;268] NEVER BE THE SAME. [000:29:18;838] TODAY, KEYS LIVES IN ITALY [000:29:21;107] AND CONTINUES TO UPDATE [000:29:21;107] THE "SEVEN COUNTRIES" STUDY. [000:29:25;578] HE HAS SEEN [000:29:25;578] SOME DRAMATIC CHANGES [000:29:28;381] SINCE THE SURVEY BEGAN [000:29:28;381] SOME 30 YEARS AGO. [000:29:31;884] IN EASTERN FINLAND, [000:29:31;884] PEOPLE WERE ACTIVE AND TRIM [000:29:36;556] BUT THEY HAD THE HIGHEST RATE [000:29:36;556] OF HEART DISEASE IN THE WORLD. [000:29:42;027] THE FINNS LIKE THEIR FISH SALTED [000:29:45;530] AND A GLASS OF WHOLE MILK [000:29:45;530] WITH EVERY MEAL. [000:29:49;068] A LOCAL DELICACY, THE "HOT POT" [000:29:52;370] IS MADE WITH PORK BELLY, BEEF [000:29:52;370] AND MUTTON SIMMERED IN LARD. [000:29:57;274] SERVED WITH BREAD AND BUTTER [000:29:59;844] IT'S AN OVERDOSE [000:29:59;844] OF SATURATED FAT. [000:30:04;682] IN THE 1970s [000:30:06;851] THE GOVERNMENT LAUNCHED A [000:30:06;851] MASSIVE PUBLIC HEALTH CAMPAIGN. [000:30:12;555] THE FOOD INDUSTRY RESPONDED [000:30:14;758] WITH FINLAND'S FIRST [000:30:14;758] LOW-FAT DAIRY PRODUCTS [000:30:18;195] AND LEANER CUTS OF MEAT. [000:30:20;197] THANKS TO PUBLIC EDUCATION [000:30:22;999] THE FINNS HAVE REDUCED [000:30:22;999] HEART DISEASE BY 30%. [000:30:29;171] IN JAPAN, THE DIET [000:30:29;171] NEEDED LITTLE CHANGE. [000:30:33;008] RICE, FISH AND VEGETABLES [000:30:33;008] MADE THE TYPICAL MEAL [000:30:37;813] LOW IN SATURATED FAT. [000:30:44;486] RED MEAT AND PROCESSED FOODS [000:30:44;486] WERE RARE. [000:30:48;857] NOT ANYMORE. [000:30:51;326] WESTERN-STYLE FOODS [000:30:51;326] HAVE FOUND THEIR PLACE [000:30:54;896] ON THE JAPANESE DINNER TABLE, [000:30:54;896] ALONGSIDE HOMEGROWN FARE. [000:31:01;068] ( saying prayer in Japanese ) [000:31:06;173] TODAY'S HOMEMAKER [000:31:06;173] PREPARES A DOUBLE MEAL. [000:31:10;844] IT REFLECTS JAPAN'S [000:31:10;844] RICH CULTURAL PAST [000:31:15;182] AND ITS RAPIDLY EVOLVING FUTURE. [000:31:23;257] 40 YEARS AGO [000:31:24;925] HEART DISEASE WAS [000:31:24;925] CLOSE TO NONEXISTENT. [000:31:28;528] ALL THAT IS CHANGING. [000:31:30;363] CHOLESTEROL LEVELS [000:31:30;363] ARE ON THE RISE. [000:31:34;434] SO ARE HEART ATTACKS. [000:31:36;403] FOR NOW, [000:31:36;403] THE JAPANESE STILL ENJOY [000:31:39;539] THE LOWEST RATE OF HEART DISEASE [000:31:39;539] IN THE INDUSTRIALIZED WORLD. [000:31:45;011] BUT A NEW GENERATION [000:31:45;011] MAY BE AT RISK. [000:31:55;354] MEDITERRANEAN CUISINE [000:31:57;056] REMAINS ANCEL KEYS' PERSONAL [000:31:57;056] PRESCRIPTION FOR GOOD HEALTH. [000:32:01;794] PRACTICING WHAT HE PREACHES, [000:32:01;794] HE USHERED IN THE ERA [000:32:05;397] OF THE LOW-FAT DIET [000:32:06;865] AND CHANGED FOREVER [000:32:06;865] THE WAY WE LOOK AT FOOD. [000:32:12;604] KEYS CONFIRMED THAT [000:32:12;604] CHOLESTEROL AND HEART DISEASE [000:32:16;742] ARE INEXTRICABLY LINKED [000:32:18;811] BUT IT WAS ONLY RECENTLY [000:32:18;811] THAT WE UNDERSTOOD HOW. [000:32:24;115] ( orchestra playing ) [000:32:29;054] IN 1985, A NOBEL PRIZE [000:32:29;054] WAS SHARED BY MICHAEL BROWN [000:32:32;324] AND LONG-TIME COLLEAGUE [000:32:32;324] JOSEPH GOLDSTEIN. [000:32:40;130] THEIR AWARD-WINNING RESEARCH [000:32:40;130] BEGAN 12 YEARS EARLIER [000:32:44;068] AT THE UNIVERSITY OF TEXAS [000:32:44;068] HEALTH SCIENCE CENTER IN DALLAS. [000:32:48;673] BROWN AND GOLDSTEIN TEAMED UP [000:32:51;609] TO INVESTIGATE WHY [000:32:51;609] HEART DISEASE RUNS IN FAMILIES. [000:32:56;580] THEY BEGAN BY LOOKING AT HOW [000:32:56;580] THE BODY REGULATES CHOLESTEROL. [000:33:01;618] CHOLESTEROL CIRCULATES [000:33:01;618] IN THE BLOODSTREAM. [000:33:04;354] ALL OF THE CELLS IN THE BODY [000:33:04;354] REQUIRE CHOLESTEROL [000:33:07;524] BECAUSE THEY USE CHOLESTEROL [000:33:07;524] TO MAKE THE OUTER WALL [000:33:10;860] THAT SURROUNDS EACH CELL. [000:33:12;561] SO CHOLESTEROL HAS TO BE [000:33:12;561] TRANSPORTED IN THE BLOOD [000:33:15;831] FROM ONE TISSUE TO ANOTHER. [000:33:17;666] Grey: [000:33:17;666] NOTHING MORE [000:33:17;666] GRAPHICALLY ILLUSTRATES [000:33:21;004] A BREAKDOWN IN THIS SYSTEM [000:33:22;939] THAN CHILDREN WITH A RARE, [000:33:22;939] INHERITED DISORDER [000:33:26;241] THAT RESULTS IN LETHAL LEVELS [000:33:26;241] OF CHOLESTEROL. [000:33:29;544] IT'S A STRIKING CLINICAL PICTURE [000:33:29;544] WHERE YOU SEE THESE CHILDREN [000:33:34;049] THAT HAVE [000:33:34;049] CHOLESTEROL LEVELS OF 1,000. [000:33:36;785] THE NORMAL WOULD BE 150, 160 [000:33:36;785] FOR A CHILD, AND IT'S 1,000. [000:33:40;923] AND THAT CAUSES [000:33:40;923] THESE DEPOSITS OF CHOLESTEROL [000:33:44;025] IN THEIR ELBOWS, [000:33:44;025] THEIR HANDS, THEIR KNEES [000:33:46;860] AND THEN THEY ALSO BEGIN [000:33:46;860] TO HAVE HEART ATTACKS [000:33:50;064] AS EARLY AS TWO YEARS OF AGE. [000:33:52;099] Grey: [000:33:52;099] BROWN AND GOLDSTEIN [000:33:52;099] COMPARED CELLS [000:33:54;235] FROM THESE CHILDREN [000:33:54;235] TO THOSE OF HEALTHY PEOPLE [000:33:57;638] AND FOUND THEY LACKED A CRITICAL [000:33:57;638] MOLECULE, THE "L.D.L. RECEPTOR." [000:34:03;076] RECEPTORS TRAP CHOLESTEROL [000:34:03;076] CALLED L.D.L. [000:34:06;879] AND RELEASE IT INSIDE THE CELL. [000:34:09;983] WHEN CHOLESTEROL IS LOW, [000:34:09;983] RECEPTORS ARE RECYCLED. [000:34:14;720] BUT WHEN CHOLESTEROL IS HIGH [000:34:16;923] THE CELL RESPONDS [000:34:16;923] BY SHUTTING DOWN ITS RECEPTORS. [000:34:20;827] EXCESS CHOLESTEROL THEN [000:34:20;827] ACCUMULATES IN THE BLOOD. [000:34:28;133] A FORMER STUDENT OF BROWN [000:34:28;133] AND GOLDSTEIN, MONTY KRIEGER [000:34:31;971] WANTED TO KNOW JUST HOW EXCESS [000:34:31;971] CHOLESTEROL DOES ITS DAMAGE. [000:34:39;878] A MICROSCOPIC VIEW [000:34:39;878] OF A HARDENED ARTERY [000:34:42;881] REVEALS LAYERS OF SCAVENGER [000:34:42;881] CELLS, CALLED "MACROPHAGES." [000:34:46;751] THEY ARE FILLED [000:34:46;751] WITH CHOLESTEROL. [000:34:49;653] IF THEIR L.D.L. RECEPTORS [000:34:49;653] HAVE SHUT DOWN [000:34:52;923] HOW DO THESE CELLS [000:34:52;923] ABSORB CHOLESTEROL? [000:34:56;294] AT THE MASSACHUSETTS INSTITUTE [000:34:56;294] OF TECHNOLOGY [000:34:59;864] KRIEGER ISOLATED A RECEPTOR [000:34:59;864] ON THE SURFACE OF A MACROPHAGE. [000:35:04;634] A YEAR'S WORK WOULD [000:35:04;634] YIELD ITS GENETIC CODE [000:35:09;572] AND A COMPUTER MODEL [000:35:09;572] OF ITS STRUCTURE. [000:35:13;377] IN 1990, KRIEGER HAD HIS FIRST [000:35:13;377] LOOK AT THE SCAVENGER RECEPTOR. [000:35:19;682] THIS RECEPTOR TRAPS CHOLESTEROL [000:35:22;886] THAT HAS DETERIORATED [000:35:22;886] WHILE IN THE BODY. [000:35:27;056] FOR KRIEGER, IT WAS AN IMPORTANT [000:35:27;056] CLUE TO ITS FUNCTION. [000:35:32;996] WHY SHOULD WE HAVE A RECEPTOR [000:35:32;996] ON OUR MACROPHAGES [000:35:36;165] THAT CAUSES ATHEROSCLEROSIS? [000:35:38;066] PERHAPS THAT RECEPTOR [000:35:38;066] NORMALLY PROTECTS US [000:35:40;869] RATHER THAN HARMS US. [000:35:42;270] INDEED, MODIFIED L.D.L. [000:35:42;270] CAN BE TOXIC TO CELLS. [000:35:45;340] IT SEEMS REASONABLE TO THINK [000:35:45;340] THAT THIS RECEPTOR IS THERE [000:35:49;077] TO REMOVE THAT TOXIC L.D.L. AND [000:35:49;077] DESTROY IT-- MODIFIED L.D.L.-- [000:35:53;214] BUT IF ONE HAS [000:35:53;214] HYPERCHOLESTEROLEMIA-- [000:35:55;650] TOO MUCH L.D.L. IN THE BLOOD-- [000:35:57;685] THERE WILL BE TOO MUCH [000:35:57;685] OF THE MODIFIED L.D.L. MADE. [000:36:01;089] THEN, INSTEAD OF PROTECTING [000:36:02;924] WE HAVE FOAM CELL FORMATION [000:36:02;924] AND ATHEROSCLEROSIS. [000:36:06;127] Grey: [000:36:06;127] THE LONGER [000:36:06;127] CHOLESTEROL CIRCULATES [000:36:09;430] THE MORE TOXIC IT BECOMES. [000:36:11;565] MACROPHAGES ABSORB TOXIC L.D.L.. [000:36:14;368] THEY ADHERE TO ARTERY WALLS [000:36:14;368] AND BECOME BLOATED. [000:36:18;872] IF CHOLESTEROL STAYS HIGH [000:36:21;308] THE VICIOUS CYCLE [000:36:21;308] REPEATS ITSELF... [000:36:23;577] ( heart monitor beeping ) [000:36:25;244] SILENTLY, WITHOUT WARNING... [000:36:27;113] ( heart monitor stops beeping ) [000:36:29;182] TO ITS INEVITABLE CONCLUSION. [000:36:32;919] SOME PEOPLE DON'T REALIZE THEY [000:36:32;919] ARE AT RISK UNTIL IT'S TOO LATE. [000:36:38;692] ED AHRENS, A LONG BEACH, [000:36:38;692] CALIFORNIA, RESIDENT, WAS LUCKY. [000:36:42;128] ...IN THE FALL ON A HOT DAY, AND [000:36:42;128] I WAS WORKING OUT IN THE YARD. [000:36:46;832] I WAS DIGGING UP THE BACKYARD. [000:36:49;235] AND I JUST ALL OF A SUDDEN [000:36:49;235] BROKE OUT INTO A SWEAT [000:36:53;072] AND I GOT VERY DIZZY [000:36:53;072] AND BEGAN HAVING PAINS [000:36:56;409] DOWN IN MY LEFT ARM [000:36:56;409] AND LEFT LEG. [000:36:59;011] WELL, IT WAS SEVERE ENOUGH [000:36:59;011] THAT I ALMOST LOST CONSCIOUSNESS [000:37:03;716] AND I HAD TO BE TAKEN [000:37:03;716] BY PARAMEDICS TO THE HOSPITAL. [000:37:07;886] BUT I'D HAD [000:37:07;886] NO PREVIOUS INDICATION [000:37:10;322] THAT THIS WAS HAPPENING. [000:37:12;057] Grey: [000:37:12;057] ED'S CHEST PAINS WERE A WARNING. [000:37:15;393] HIS DOCTOR REFERRED HIM [000:37:17;262] TO THE ATHEROSCLEROSIS [000:37:17;262] RESEARCH INSTITUTE [000:37:20;532] OF THE UNIVERSITY [000:37:20;532] OF SOUTHERN CALIFORNIA. [000:37:23;602] DIRECTOR DAVID BLANKENHORN [000:37:23;602] WANTED TO KNOW [000:37:26;638] IF HARDENING OF THE ARTERIES [000:37:26;638] COULD BE REVERSED. [000:37:33;344] WE KNEW THAT IN ANIMALS [000:37:35;146] IF YOU PRODUCE THE DISORDER [000:37:35;146] BY CHOLESTEROL FEEDING [000:37:39;049] AND THEN THE CHOLESTEROL [000:37:39;049] ACCUMULATES [000:37:41;852] IN THE ANIMALS' ARTERIES [000:37:43;754] LATER, IF YOU STOP [000:37:43;754] THE CHOLESTEROL FEEDING [000:37:47;023] THE DEPOSITS WOULD GO AWAY. [000:37:49;159] THE SECOND THING WE KNEW [000:37:51;060] WAS THAT IN WORLD WAR II, [000:37:51;060] WHEN POPULATIONS WERE STARVED [000:37:55;465] THE CHOLESTEROL DEPOSITS [000:37:55;465] IN THEIR ARTERIES WAS REDUCED. [000:37:59;769] BUT AT THE TIME [000:37:59;769] THESE STUDIES WERE STARTED-- [000:38:03;072] THE FIRST ANGIOGRAPHIC TRIALS-- [000:38:05;474] NOBODY REALLY KNEW [000:38:05;474] WHAT WAS ACTUALLY GOING ON [000:38:08;844] INSIDE A HUMAN HEART, [000:38:08;844] IN THOSE ARTERIES; [000:38:11;881] WERE THE CHOLESTEROL DEPOSITS [000:38:11;881] ACTUALLY GETTING SMALLER. [000:38:16;051] Nurse: [000:38:16;051] LET'S SEE [000:38:16;051] HOW WELL YOU'VE DONE. [000:38:19;287] Grey: [000:38:19;287] ED AHRENS VOLUNTEERED [000:38:19;287] FOR A CLINICAL TRIAL [000:38:22;791] TO TEST [000:38:22;791] A CHOLESTEROL-LOWERING DRUG. [000:38:25;293] PRETTY GOOD, I HOPE. [000:38:27;562] Grey: [000:38:27;562] ONCE A MONTH, FOR FOUR YEARS [000:38:32;365] ED'S WEIGHT, BLOOD PRESSURE [000:38:32;365] AND CHOLESTEROL WERE CHECKED. [000:38:36;970] PERFECT. [000:38:38;638] SQUEEZE THAT. [000:38:41;541] ALL RIGHT. [000:38:42;976] Woman: [000:38:42;976] YOUR DIET LOOKS GOOD. [000:38:45;345] Grey: [000:38:45;345] WITH DIETARY COUNSELING, ED [000:38:45;345] ALSO LEARNED NEW EATING HABITS. [000:38:51;117] HE WORKED CLOSELY WITH PROJECT [000:38:51;117] DIETITIAN MARTHA CHARLESON [000:38:55;221] TO LOWER HIS FAT INTAKE. [000:38:56;956] YOU'RE WATCHING [000:38:56;956] YOUR FAT. [000:38:58;958] MY SON LOVES TO FISH [000:39:01;194] AND HE CAUGHT SOME FISH, [000:39:01;194] AND SO WE ATE IT. [000:39:05;831] FISH IS AN ANIMAL PRODUCT [000:39:07;633] AND DOES CONTAIN [000:39:07;633] SOME CHOLESTEROL. [000:39:10;068] OKAY. [000:39:10;969] NOW, YOU SAY YOU HAD A LOT. [000:39:12;771] COMPARED TO THIS PORTION, [000:39:12;771] WHAT IS YOUR PORTION? [000:39:15;974] I PROBABLY HAD [000:39:15;974] THREE TIMES THAT AMOUNT. [000:39:18;810] DON'T GO OVERBOARD. [000:39:20;346] WATCH YOUR [000:39:20;346] FISH PORTIONS, OKAY? [000:39:22;781] WELL, HE DOESN'T GO [000:39:22;781] FISHING EVERY WEEK. [000:39:28;486] Grey: [000:39:28;486] WITH THE HELP OF HIS WIFE, [000:39:28;486] MARGARET, ED MADE CHANGES. [000:39:34;459] GONE WERE THE BACON-AND-EGG [000:39:34;459] BREAKFASTS HE ONCE LOVED. [000:39:41;799] OATMEAL, NONFAT MILK, [000:39:41;799] WHOLE-GRAIN TOAST [000:39:45;770] AND FRESH FRUIT [000:39:45;770] BECAME HIS DAILY FARE. [000:39:49;640] Margaret: [000:39:49;640] THEY HAD SOME KIND OF A FRACAS [000:39:49;640] DOWN AT THAT MINI-MART... [000:39:56;412] NOT BAD; IT'LL DO. [000:39:58;114] Grey: [000:39:58;114] IT'S NOT EASY [000:40:00;316] TO GIVE UP OLD HABITS, [000:40:00;316] BUT ED MADE THE BEST OF IT. [000:40:03;887] MAY SOUND STRANGE, [000:40:03;887] BUT I ACTUALLY ENJOYED IT. [000:40:07;090] I TOOK IT AS A GAME [000:40:07;090] OR A CHALLENGE. [000:40:10;159] AND I DECIDED THAT I WAS GOING [000:40:10;159] TO WIN AND CHOLESTEROL WASN'T. [000:40:15;964] THE ANGIOGRAPHIC MACHINES [000:40:15;964] ARE DOWN HERE. [000:40:19;334] Grey: [000:40:19;334] TODAY, ED WILL FIND OUT [000:40:21;870] IF FOUR YEARS [000:40:21;870] OF HARD WORK HAVE PAID OFF. [000:40:25;039] AN ANGIOGRAM, OR X-RAY FILM [000:40:25;039] OF HIS HEART, WAS TAKEN [000:40:30;511] AT THE TIME [000:40:30;511] HE ENTERED THE STUDY. [000:40:32;814] Blankenhorn: [000:40:32;814] ...AND THEN YOU SEE [000:40:35;082] THIS LITTLE NARROW STRIP [000:40:35;082] OF VESSEL GOING THROUGH THERE [000:40:38;920] WHICH IS REALLY QUITE NARROW, [000:40:38;920] SO THAT'S THE THING OF INTEREST. [000:40:43;357] WE'RE LOOKING [000:40:43;357] AT THAT VERY NARROW THING [000:40:46;126] WHICH WE'RE GOING TO COMPARE [000:40:46;126] WITH THE ONE ON THE OTHER SIDE. [000:40:50;397] THAT'S THE ORIGIN OF THE [000:40:50;397] CIRCUMFLEX CORONARY ARTERY. [000:40:54;201] Grey: [000:40:54;201] ED'S CORONARY ARTERY [000:40:54;201] WAS DANGEROUSLY BLOCKED. [000:40:58;404] BUT A RECENT ANGIOGRAM [000:40:58;404] REVEALS A DRAMATIC CHANGE. [000:41:02;241] Blankenhorn: [000:41:02;241] AND WE'RE LOOKING [000:41:02;241] AT THAT STRIP RIGHT THERE [000:41:06;679] WHICH IS OVERALL [000:41:06;679] VERY MUCH LARGER [000:41:09;281] THAN IT WAS FOUR YEARS EARLIER. [000:41:11;718] NO QUESTION-- [000:41:11;718] THAT'S BETTER. [000:41:13;918] REMARKABLE. [000:41:15;086] Grey: [000:41:15;086] THE PLAQUE IS DISAPPEARING. [000:41:17;989] Ahrens: [000:41:17;989] EVEN I CAN SEE IT [000:41:20;225] IN MY UNEDUCATED MEDICAL EYE. [000:41:23;194] Grey: [000:41:23;194] ANOTHER REVELATION MAKES IT [000:41:23;194] ALL THE MORE IMPRESSIVE. [000:41:27;432] HALF THE VOLUNTEERS RECEIVED [000:41:27;432] PLACEBOS, INSTEAD OF THE DRUG. [000:41:31;502] ED WAS ONE OF THEM. [000:41:32;803] THE RESULTS OF THE TRIAL [000:41:32;803] ARE NOT YET IN [000:41:36;974] BUT ED IS PROOF: [000:41:36;974] DIET ALONE CAN HEAL THE HEART. [000:41:42;079] I HAD BEEN SORT OF LED [000:41:42;079] TO BELIEVE [000:41:44;281] JUST BY MY OWN READING [000:41:44;281] AND HEARING PEOPLE TALK [000:41:47;450] THAT YOU COULDN'T DO IT-- [000:41:49;119] YOU COULD NOT HAVE [000:41:49;119] REGRESSION ON DIET ALONE. [000:41:52;122] AND I THOUGHT THAT HERE I SPENT [000:41:52;122] ALL THIS TIME AND NO MEDICATION. [000:41:56;526] BUT THEN WHEN IT TURNED OUT THE [000:41:56;526] WAY IT DID, I WAS REAL HAPPY. [000:42:00;730] THE IMPORTANT THING TO KNOW IS [000:42:00;730] THAT MODERATE CHANGES OF DIET-- [000:42:04;667] JUST A MODERATE FAT RESTRICTION [000:42:06;736] THAT DOESN'T TAKE [000:42:06;736] ALL THAT MUCH CHANGE-- [000:42:09;205] CAN PREVENT THE DISEASE [000:42:09;205] IN THE FIRST PLACE. [000:42:12;008] AND AN OUNCE OF PREVENTION [000:42:12;008] IS WORTH A POUND OF CURE. [000:42:15;412] AND IN THIS CASE [000:42:16;879] AN OUNCE OF PREVENTION IS [000:42:16;879] MUCH EASIER THAN THE CURE. [000:42:20;248] Grey: [000:42:20;248] ED AHRENS JUST TURNED 72. [000:42:23;018] IT'S NEVER TOO LATE [000:42:23;018] TO START EATING RIGHT. [000:42:26;588] MOST OF US JUST DON'T KNOW HOW. [000:42:32;761] IN THE SHADOW [000:42:32;761] OF THE FOOTBALL STADIUM [000:42:35;931] AT THE UNIVERSITY OF ARIZONA, [000:42:35;931] AN UNUSUAL CLASS IS IN SESSION. [000:42:40;835] HERE'S YOUR [000:42:40;835] "GARBAGE DU JOUR." [000:42:43;939] ENJOY. [000:42:45;240] Grey: [000:42:45;240] STUDENTS ENROLLED [000:42:45;240] IN "ARCHEOLOGY 199" [000:42:48;509] ARE GLEANING CLUES [000:42:50;010] ABOUT A CULTURE'S [000:42:50;010] EATING PATTERNS. [000:42:56;850] THEY'RE CATALOGING [000:42:56;850] AMERICA'S GARBAGE. [000:43:00;154] THE DETAILED ANALYSIS OF [000:43:00;154] WRAPPERS, LABELS AND LEFTOVERS [000:43:04;624] PROVIDES UNIQUE INSIGHT INTO [000:43:04;624] WHAT WE REALLY EAT AND DRINK. [000:43:08;862] IT'S FRIES? [000:43:10;396] 148. [000:43:11;865] I'VE GOT [000:43:11;865] A QUESTION ON THE WAY [000:43:11;865] THE MATRIX BREAKS DOWN. [000:43:15;469] Grey: [000:43:15;469] FOUNDED TWO DECADES AGO [000:43:17;671] THE "GARBAGE PROJECT" [000:43:17;671] IS THE BRAINCHILD [000:43:20;406]  [000:43:20;406] OF WILLIAM RATHJE. [000:43:25;644] A LOT OF PEOPLE [000:43:25;644] JUST DON'T HAVE ANY IDEA [000:43:28;380] WHAT THEY ACTUALLY [000:43:28;380] EAT AND DRINK. [000:43:30;616] YOU KNOW, HOW MANY OUNCES [000:43:30;616] OF GREEN VEGETABLE [000:43:33;586] DID YOU HAVE YESTERDAY? [000:43:35;187] NOBODY REALLY KNOWS [000:43:35;187] THAT VERY WELL. [000:43:37;590] AND WE FOUND OUT [000:43:37;590] FROM SORTING GARBAGE [000:43:40;058] THAT THERE'S A BIG DIFFERENCE [000:43:42;060] BETWEEN WHAT PEOPLE SAY THEY EAT [000:43:44;596] AND THE REMAINS [000:43:44;596] OF THEIR DIET IN GARBAGE CANS. [000:43:48;233] AND SECONDLY, THE PROBLEM IS, [000:43:48;233] IF YOU DID KNOW [000:43:52;537] A LOT OF PEOPLE [000:43:52;537] WOULDN'T WANT TO TELL ANYBODY [000:43:56;207] HOW MUCH BEER, HOW MUCH CANDY [000:43:58;209] HOW MUCH ICE CREAM [000:43:58;209] THEY ACTUALLY CONSUME. [000:44:00;912] WHEN PEOPLE GO TO THE STORE [000:44:02;847] THEY KNOW EXACTLY [000:44:02;847] WHAT THEY WANT TO EAT [000:44:05;617] AND WHAT THEY SHOULD EAT [000:44:07;351] WHICH IS FRESH PRODUCE, [000:44:07;351] FRESH VEGETABLES [000:44:10;186] FRESH FRUIT, FRESH MEATS [000:44:11;989] AND THEY'RE GOING [000:44:11;989] TO MAKE THOSE DINNERS. [000:44:14;825] BUT THEY ALSO KNOW [000:44:14;825] WHAT THEIR LIFESTYLES ARE LIKE. [000:44:18;461] SO THEY BUY MICROWAVE [000:44:18;461] AND FROZEN STUFF [000:44:21;031] THAT THEY CAN PREPARE QUICKLY. [000:44:23;133] AND AFTER TWO WEEKS [000:44:25;701] THE BOXES AND THE BAGS [000:44:25;701] AND SO FORTH [000:44:28;303] OF THE PRE-PREPARED MEALS [000:44:28;303] ARE IN THEIR GARBAGE [000:44:31;507] AND THE HEAD OF LETTUCE, [000:44:31;507] CELERY, ONION [000:44:34;476] AND MEAT IS BLUE AND GOOEY, [000:44:34;476] AND THEY THROW IT OUT. [000:44:37;914] PEOPLE DON'T HAVE [000:44:37;914] REALISTIC EXPECTATIONS [000:44:40;750] OF THEIR OWN BEHAVIOR [000:44:42;284] ANY RE THAN THEY CAN [000:44:42;284] REALISTICALLY REPORT [000:44:45;354] WHAT THEY'VE EATEN [000:44:45;354] IN THE LAST WEEK. [000:44:47;923] Grey: [000:44:47;923] IN THE 1970s, FAT BECAME [000:44:47;923] A MAJOR DIETARY CONCERN. [000:44:53;628] THE UNITED STATES DEPARTMENT [000:44:53;628] OF AGRICULTURE [000:44:58;132] HIRED RATHJE TO MONITOR [000:45:00;601] HOW MUCH FAT AMERICANS [000:45:00;601] TRIMMED OFF RED MEAT. [000:45:06;240] FROM 1977 TO THE END OF 1982 [000:45:08;776] THERE WAS A VERY CONSTANT LEVEL [000:45:08;776] OF FAT THAT WAS CUT OFF. [000:45:13;847] IN 1983 IT DOUBLED-- [000:45:13;847] BOOM!-- JUST LIKE THAT. [000:45:17;350] ALL OF A SUDDEN, PEOPLE ARE [000:45:17;350] CUTTING OFF TWICE AS MUCH FAT. [000:45:21;921] MEAT ISN'T CHEAPER IF YOU DON'T [000:45:21;921] CUT THE FAT OFF OR IF YOU DO. [000:45:26;293] ALL WE COULD FIGURE WAS [000:45:26;293] THAT AT THE END OF '82 [000:45:30;163] THE NATIONAL ACADEMY [000:45:30;163] OF SCIENCE PUBLISHED [000:45:33;132] ITS DIET, NUTRITION [000:45:33;132] AND CANCER BOOK [000:45:35;702] WHICH FINGERED THE FAT [000:45:35;702] FROM RED MEAT [000:45:38;370] AS A RISK FACTOR [000:45:38;370] IN COLON AND BREAST CANCER. [000:45:41;641] EVERYBODY WAS SO HAPPY [000:45:41;641] WITH THESE RESULTS [000:45:44;711] UNTIL WE LET [000:45:44;711] THE OTHER SHOE DROP. [000:45:47;146] YOU SEE, PEOPLE WERE BUYING [000:45:47;146] LESS RED MEAT-- [000:45:50;382] FEWER STEAKS, ROASTS AND CHOPS-- [000:45:52;818] AND THEY WERE CUTTING [000:45:52;818] A LOT MORE FAT OFF [000:45:55;821] OF THOSE STEAKS, [000:45:55;821] ROASTS AND CHOPS. [000:45:58;357] BUT WHAT DID THEY DO [000:45:58;357] TO MAKE UP FOR THAT DIFFERENCE? [000:46:02;294] THEY BOUGHT SALAMI, BOLOGNA, [000:46:02;294] SAUSAGE, BACON-- [000:46:07;098] ALL RED-MEAT PROCESSED ITEMS [000:46:07;098] THAT HAVE A LOT OF HIDDEN FAT. [000:46:12;337] WHAT I THINK IS REALLY [000:46:12;337] EXCITING ABOUT THIS IS [000:46:16;407] TO UNDERSTAND THE DIFFERENCE [000:46:16;407] BETWEEN WHAT'S CONSUMED [000:46:20;210] WHAT ISN'T, [000:46:20;210] AND HOW PEOPLE SEE FOODS [000:46:22;546] SO YOU CAN REALLY UNDERSTAND [000:46:22;546] WAYS TO CHANGE [000:46:26;049] WHAT PEOPLE ARE DOING [000:46:27;884] BECAUSE YOU NEED TO KNOW [000:46:29;853] BOTH THEIR BEHAVIOR [000:46:29;853] AND THEIR ATTITUDES [000:46:32;789] TO GET THAT INTERVENTION [000:46:32;789] IN DIET TO WORK. [000:46:35;958] Announcer: [000:46:35;958] HERE'S YOUR HAMBURGER, [000:46:35;958] THE WAY YOU LIKE IT. [000:46:39;828] BUT ALL THE GARNISHES [000:46:39;828] WON'T CHANGE ONE FACT: [000:46:42;598] THE AVERAGE HAMBURGER [000:46:42;598] IS 1/4 FAT-- [000:46:44;767] FAT THAT HARDENS [000:46:44;767] IN YOUR ARTERIES [000:46:46;835] AND LEADS TO HEART ATTACKS. [000:46:48;604] SUBSTITUTE FOODS [000:46:48;604] THAT ARE LOW IN FAT [000:46:50;973] LIKE GRILLED FISH [000:46:50;973] OR BROILED CHICKEN [000:46:53;341] AND EAT MORE VEGETABLES. [000:46:55;009] CUT DOWN ON HAMBURGERS; [000:46:55;009] IT'S BETTER FOR YOUR HEART. [000:46:59;281] Grey: [000:46:59;281] STANFORD UNIVERSITY [000:46:59;281] HAS LONG BEEN KNOWN [000:47:03;751] FOR ITS BOLD THINKERS. [000:47:05;453] TO CHANGE THE DIET [000:47:05;453] OF 100,000 PEOPLE [000:47:08;289] IS NO MEAN FEAT. [000:47:10;023] BUT JOHN FARQUHAR [000:47:10;023] THOUGHT IT COULD BE DONE-- [000:47:13;394] SURPRISING, FOR A MAN [000:47:13;394] WHO STARTED OUT [000:47:16;263] IN INTERNAL MEDICINE. [000:47:18;265] BUT I GOT FRUSTRATED [000:47:18;265] AS A CLINICIAN [000:47:21;034] BECAUSE I WOULD SEE MY PATIENTS [000:47:23;570] WHO HAD LOST WEIGHT [000:47:23;570] IN A HOSPITAL SETTING [000:47:26;806] REGAIN IT IN THEIR NORMAL LIFE [000:47:26;806] WHEN I SAW THEM AS OUTPATIENTS. [000:47:31;811] AND SO, THE FRUSTRATION [000:47:31;811] OF THE CLINICIAN LED ME TO ASK [000:47:36;048] WELL, WHAT ARE THE FACTORS [000:47:38;184] THAT LEAD PEOPLE [000:47:38;184] TO LIVE THE WAY THEY DO? [000:47:41;453] WHAT DETERMINES LIFESTYLE? [000:47:43;589] WHAT ARE THE SOCIAL [000:47:43;589] FORCES INVOLVED [000:47:46;358] IN CAUSING THE RISK FACTORS [000:47:46;358] OF SMOKING, OVERWEIGHT [000:47:50;362] LACK OF EXERCISE AND BAD DIETS? [000:47:52;898] I REALIZED PEOPLE DON'T LIVE [000:47:52;898] IN DOCTOR'S OFFICES. [000:47:56;235] THEY LIVE IN COMMUNITIES. [000:47:58;002] YOU NEED TO APPROACH IT [000:47:58;002] WHERE THEY LIVE. [000:48:00;739] Grey: [000:48:00;739] IN 1980, FARQUHAR ORCHESTRATED [000:48:00;739] A PUBLIC HEALTH CAMPAIGN [000:48:07;613] IN TWO CALIFORNIA COMMUNITIES: [000:48:10;215] MONTEREY, [000:48:10;215] A WELL-TO-DO RESORT TOWN [000:48:13;217] AND NEARBY SALINAS-- [000:48:13;217] FARM COUNTRY. [000:48:17;788] FOR SIX YEARS, NEWSPAPERS, RADIO [000:48:17;788] AND TELEVISION SPREAD THE WORD. [000:48:24;695] Announcer: [000:48:24;695] "THE NUTRITION KIT"-- [000:48:27;864] A FREE, FOUR-STEP PROGRAM [000:48:27;864] FOR HEALTHY EATING [000:48:30;933] THAT LETS YOU CHANGE [000:48:30;933] AT YOUR OWN PACE. [000:48:33;503] PICK UP YOUR KIT NOW [000:48:33;503] AT YOUR PUBLIC LIBRARY. [000:48:36;773] A MESSAGE FROM [000:48:36;773] THE STANFORD HEART DISEASE [000:48:36;773] PREVENTION PROGRAM. [000:48:41;077] Grey: [000:48:41;077] EVERY NIGHT AFTER DINNER [000:48:44;080] SALINAS RESIDENT BOB BUMBA [000:48:44;080] USED TO EAT ICE CREAM. [000:48:48;517] THEN HIS WIFE BEGAN TO [000:48:48;517] EXPERIMENT WITH LOW-FAT RECIPES. [000:48:53;189] THE FRIDGE WAS STOCKED [000:48:53;189] WITH VEGETABLES AND FRUIT JUICE. [000:48:57;894] THE STANFORD MESSAGE [000:48:57;894] WAS INESCAPABLE. [000:49:04;232] THE HEART WAS ALWAYS THERE. [000:49:06;101] AND YOU WOULD SEE THAT LOGO [000:49:08;003] ON TELEVISION [000:49:08;003] AND IN THE NEWSPAPERS [000:49:10;406] AND YOU STARTED TO RELATE TO IT. [000:49:12;641] SUBLIMINALLY, IT MUST HAVE BEEN [000:49:12;641] DOING SOMETHING TO ME. [000:49:16;377] I STOPPED EATING ICE CREAM. [000:49:18;713] I SUBSTITUTED POPCORN. [000:49:20;648] I'M A BEER DRINKER. [000:49:21;982] I CONTINUE TO DRINK BEER, [000:49:21;982] HOPEFULLY IN MODERATION. [000:49:25;186] IN THE PAPER [000:49:25;186] THERE WERERTICLES... [000:49:27;855] AND I WAS PART OF IT. [000:49:29;524] AND I WOULD TELL MY FRIENDS, [000:49:29;524] AND THEY THOUGHT IT WAS NEAT. [000:49:33;960] AND EACH YEAR, AS IT WENT ON [000:49:36;196] I SAW PROGRESS IN MY WEIGHT LOSS [000:49:38;498] AND I NEVER KILLED MYSELF [000:49:38;498] OR ANYTHING. [000:49:41;201] Grey: [000:49:41;201] BEFORE HE KNEW IT, [000:49:41;201] BOB HAD LOST 20 POUNDS. [000:49:45;205] MONTEREY ATTORNEY [000:49:45;205] BOB BEBERMEYER [000:49:47;474] CYCLES THE THREE MILES [000:49:47;474] BETWEEN OFFICE AND HOME. [000:49:50;743] THAT'S IN ADDITION TO THE [000:49:50;743] EIGHT MILES HE RUNS EVERY DAY. [000:49:56;549] HE WAS SHOCKED TO FIND [000:49:56;549] HIS CHOLESTEROL WAS HIGH. [000:50:01;554] I WAS LABORING [000:50:01;554] UNDER THE IMPRESSION [000:50:03;823] THAT IF I HAD A VIGOROUS [000:50:03;823] EXERCISE PROGRAM [000:50:06;492] THAT THIS WOULD ESSENTIALLY [000:50:06;492] SOLVE ALL ILLS [000:50:09;194] THAT I WOULD HAVE, HEALTH-WISE; [000:50:11;196] THAT THAT WAS [000:50:11;196] ESSENTIALLY AN END-ALL. [000:50:13;599]  [000:50:13;599] I FOUND OUT THAT THE EXERCISE [000:50:13;599] PROGRAM ALONE WAS A COMPONENT [000:50:17;470] BUT IT CERTAINLY [000:50:17;470] WASN'T THE ULTIMATE. [000:50:19;872] YOU ARE WHAT YOU EAT, SO [000:50:19;872] THE TWO NEED TO WORK TOGETHER. [000:50:23;842] Grey: [000:50:23;842] A GOURMET COOK, LINDA BEBERMEYER [000:50:23;842] PUT THE PRIME RIB ON HOLD. [000:50:29;247] NOW BOB'S CHOLESTEROL IS LOW. [000:50:32;617] MORE VEGETABLES, TOFU [000:50:34;952] AND LESS MEAT [000:50:34;952] HAVE MADE A HEALTHY DIFFERENCE. [000:50:40;457] THE BEBERMEYERS ARE NOT UNIQUE. [000:50:44;628] LIFESTYLE CHANGES MADE BY THE [000:50:44;628] PEOPLE OF MONTEREY AND SALINAS [000:50:49;266] WILL PREVENT 800 HEART ATTACKS [000:50:49;266] OVER THE NEXT DECADE. [000:50:53;236] WHAT WE'RE ALL AFTER IS [000:50:54;771] THAT WE SHOULD BE ALLOWED [000:50:54;771] TO LIVE OUR ALLOTTED LIFE-SPAN [000:50:58;341] IN PEACE, FREEDOM AND DIGNITY, [000:50:58;341] AND IN GOOD HEALTH [000:51:01;544] AND NOT AS CRIPPLES, AND NOT [000:51:01;544] HAVING PREVENTABLE DISEASE. [000:51:05;248] THAT'S WHAT WE ALL WANT. [000:51:06;883] NOW, A LOT OF THAT [000:51:06;883] IS WITHIN OUR REACH. [000:51:09;485] WE HAVE TO BE [000:51:09;485] OPTIMISTIC ABOUT IT. [000:51:11;853] SO WHAT WE'RE TALKING ABOUT [000:51:11;853] IS MORE PEOPLE [000:51:14;756] WHO ARE FREE OF DISEASE [000:51:14;756] AND DISABILITY [000:51:17;393] FOR A LONGER PORTION [000:51:17;393] OF THEIR LIFE-SPAN. [000:51:20;095] Grey: [000:51:20;095] MANY OF THE PROGRAMS CREATED BY [000:51:20;095] STANFORD CONTINUE TO BE POPULAR. [000:51:26;968] ...HOW MUCH FAT, [000:51:26;968] CARBOHYDRATES... [000:51:29;103] Grey: [000:51:29;103] AT A MONTEREY SCHOOL [000:51:30;704]  [000:51:30;704] INSTRUCTOR MICHELLE BULL [000:51:30;704] TEACHES FIFTH-GRADERS [000:51:33;574] HOW TO READ A FOOD LABEL. [000:51:35;410] Student: [000:51:35;410] INGREDIENTS ARE RIGHT HERE. [000:51:37;979] SALT, IRON-- [000:51:37;979] THERE'S NO IRON-- [000:51:37;979] CALCIUM... [000:51:44;818] Bull: [000:51:44;818] AND YOU'RE ALSO GETTING 25% OF [000:51:44;818] THE PROTEIN YOU NEED EACH DAY. [000:51:49;923] SO IT GIVES YOU [000:51:49;923] TWO DIFFERENT READINGS. [000:51:55;329] Student: [000:51:55;329] VITAMINS... [000:51:56;763] SALT-- THAT'S NOT GOOD. [000:52:01;633] WOW! THIS ONE'S TOTALLY GOOD! [000:52:05;137] IT'S ALREADY [000:52:05;137] JUNK FOOD. [000:52:08;240] WHAT MAKES IT A JUNK FOOD? [000:52:10;009] IT HAS LOTS OF SALT [000:52:10;009] AND FAKE CHEESE AND FAT. [000:52:13;012] Grey: [000:52:13;012] AN OUNCE OF PREVENTION [000:52:13;012] IS WORTH A POUND OF CURE. [000:52:18;283] THE STANFORD PROGRAM [000:52:19;884] AT A COST OF LESS THAN [000:52:19;884] FOUR DOLLARS PER PERSON PER YEAR [000:52:24;222] PROVES WE CAN'T AFFORD [000:52:24;222] NOT TO EAT RIGHT. [000:52:27;692] THESE CHILDREN ARE PART [000:52:27;692] OF A HEALTH REVOLUTION [000:52:31;695] THAT IS SWEEPING AMERICA. [000:52:37;067] THE WINDS OF CHANGE HAVE [000:52:37;067] REACHED A REVERED INSTITUTION [000:52:40;837] ON THE HUDSON RIVER [000:52:40;837] IN UPSTATE NEW YORK. [000:52:43;640] FOR NEARLY HALF A CENTURY, THE [000:52:43;640] CULINARY INSTITUTE OF AMERICA [000:52:48;711] HAS TRAINED SOME [000:52:48;711] OF THE WORLD'S FINEST CHEFS. [000:52:52;548] SEE THE TWO THUMBS? [000:52:52;548] THEY'RE LOVERS. [000:52:55;151] SO YOU WANT TO GO [000:52:55;151] INTO THE INSIDE [000:52:57;420] AND THE TWO THUMBS [000:52:57;420] SNEAK A LITTLE KISS. [000:53:01;424] SO WE KEEP STIRRING [000:53:01;424] UNTIL THE CHOCOLATE IS COOL. [000:53:05;327] FROM THE DOUBLE BOILER, [000:53:05;327] ADD A PIECE OF CHOCOLATE [000:53:08;530] AND TEMPER IT. [000:53:09;931] BRING THE TEMPERATURE [000:53:09;931] TO WHAT DEGREE? [000:53:15;937] Grey: [000:53:15;937] IN THE WORLD OF GASTRONOMY, [000:53:15;937] NO FOOD IS ENEMY; [000:53:20;241] NO BUTTER TOO RICH, [000:53:20;241] NO SUGAR TOO SWEET [000:53:25;346] NO FORBIDDEN FRUIT. [000:53:29;717] THE CULINARY ARTS [000:53:29;717] HAVE BEEN COMPARED TO MUSIC. [000:53:36;256] THE ROLE OF THE CHEF [000:53:36;256] IS TO ORCHESTRATE [000:53:41;028] WITH PERFECT TIMING [000:53:41;028] AND PROPORTION [000:53:43;630] A MEDLEY OF TASTE AND TEXTURE. [000:53:50;703] NUTRITIONIST CATHERINE POWERS [000:53:52;872] TEACHES TOMORROW'S CHEFS [000:53:52;872] A NEW TUNE. [000:53:55;575] Powers: [000:53:55;575] WHAT DO YOU SAY [000:53:55;575] WE SAUTE THIS CHICKEN BREAST? [000:53:59;078] LET'S SEE WHAT BUTTER DOES. [000:54:00;913] SO LET'S TYPE IN "BUTTER": [000:54:02;582] B-U-T-T-E-R. [000:54:05;150] Grey: [000:54:05;150] IN 1989, THE INSTITUTE [000:54:05;150] OPENED A NUTRITION CENTER. [000:54:10;922] COMPUTER SYSTEMS HELP STUDENTS [000:54:10;922] ANALYZE RECIPES FOR NUTRIENTS. [000:54:15;494] Powers: [000:54:15;494] THE OLIVE OIL HAS [000:54:15;494] ABOUT 100 MORE CALORIES [000:54:18;997] PER HUNDRED GRAMS [000:54:18;997] THAN THE BUTTER. [000:54:21;499] NOW IF WE LOOK AT THAT, [000:54:21;499] TIMOTHY, WE SEE [000:54:24;635] THAT THE OLIVE OIL, IN FACT, HAS [000:54:24;635] ZERO MILLIGRAMS OF CHOLESTEROL [000:54:30;208] AND THE BUTTER HAS 222. [000:54:32;577] I WOULD SUGGEST HERE [000:54:32;577] THAT WE USE THE OLIVE OIL. [000:54:36;380] Grey: [000:54:36;380] CHEF JONATHON ZEARFOSS [000:54:36;380] BRINGS NUTRITION TO THE KITCHEN. [000:54:42;452] HE SUPERVISES ADVANCED STUDENTS [000:54:45;889] IN AN ON-CAMPUS, [000:54:45;889] WORKING RESTAURANT. [000:54:49;927] IF WE OIL THE GRILL [000:54:51;294] WE DON'T HAVE TO PUT [000:54:51;294] ANY OIL IN THE MEAT [000:54:54;196] WHICH WOULD PUT [000:54:54;196] A LOT OF FAT IN IT. [000:54:56;866] Grey: [000:54:56;866] BROILING, POACHING [000:54:56;866] AND LIGHT SAUTEING [000:55:00;302] HELP MAKE LOW-FAT MEALS THAT [000:55:00;302] TOTAL LESS THAN 1,000 CALORIES. [000:55:05;708] THE WORK IS A LITTLE BIT HARDER [000:55:07;944] TO MAKE THIS CUISINE LIVE UP [000:55:07;944] TO PEOPLE'S EXPECTATIONS [000:55:11;680] IN TERMS OF TASTE [000:55:12;914] BUT IT'S ONLY LIMITED [000:55:12;914] BY OUR IMAGINATIONS. [000:55:18;086] Grey: [000:55:18;086] BAKED SEA BASS WITH GRILLED [000:55:18;086] VEGETABLES, 380 CALORIES. [000:55:24;325] COUNTRY TURKEY WITH WILD RICE, [000:55:24;325] 415 CALORIES. [000:55:32;833] FOREST MUSHROOM PARFAIT, [000:55:32;833] 104 CALORIES. [000:55:39;040] CHOCOLATE YOGURT MOUSSE [000:55:39;040] IN APRICOT SAUCE. [000:55:43;677] HARD TO BELIEVE IT'S ONLY [000:55:43;677] 165 CALORIES, ISN'T IT? [000:55:47;380] YOU BET IT'S [000:55:47;380] HARD TO BELIEVE. [000:55:55;521] Grey: [000:55:55;521] THE DINERS AT THE CULINARY [000:55:55;521] INSTITUTE CONFIRM THE NEWS: [000:56:00;059] FOOD THAT'S GOOD FOR US [000:56:00;059] CAN TASTE GOOD, TOO. [000:56:10;002] IF WE ARE WHAT WE EAT, [000:56:10;002] SHOULDN'T WE EAT WELL? [000:56:18;710] A TOAST TO A TASTE OF HEALTH. [000:56:22;247] Captioned by [000:56:22;247] The Caption Center [000:56:22;247] WGBH Educational Foundation [000:57:22;936] THE INFINITE VOYAGE [000:57:22;936] IS MADE POSSIBLE [000:57:25;172] BY A GRANT FROM DIGITAL [000:57:25;172] EQUIPMENT CORPORATION [000:57:27;908] THROUGH ITS DIGITAL [000:57:27;908] DISCOVERY SERIES. [000:57:30;244] CELEBRATING THE ARTS, [000:57:30;244] SCIENCES AND HUMANITIES [000:57:32;913] DIGITAL AND ITS EMPLOYEES [000:57:32;913] INVITE YOU TO JOIN WITH THEM [000:57:35;983] IN SUPPORTING PUBLIC TELEVISION.