FWD [forteana] The French Paradox

From: Terry W. Colvin (fortean1@mindspring.com)
Date: Tue Jul 08 2003 - 19:45:51 MDT

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    The Dallas Morning News, Europe Bureau, By Gregory Katz, 7 July 2003

    PARIS -- Does this diet seem healthful? Steak and other red meat
    topped by heavy sauces, large helpings of salted French fries and
    bread slathered with butter, plenty of wine with meals and a pack of
    cigarettes a day. Breakfast, of course, is chocolate pastry.

    It may sound like a recipe for heart disease, lung cancer and an
    early death. But the French live on average at least one year longer
    than Americans.

    While many Americans are using skimmed milk in their cappuccino and
    scouting out tasteless, low-fat muffins, the unperturbed French are
    still eating rich, buttery croissants and drinking their morning
    coffee with warm whole milk.

    How can they eat all this saturated fat and live so long? What is
    the reason for this anomaly, which doctors have dubbed the "French
    paradox"? Are there lessons that extend beyond the boundaries of
    France, where eating and drinking well are a national passion?

    "It's the wine," said Jacky Larsonneur, who with his wife, France,
    runs the small restaurant Je Thé Me in the Vaugirard neighborhood of
    Paris. "The red wine is very important. It has calcium, magnesium,
    potassium, all the mineral elements. You should have two or three
    glasses of wine a day, with your meals."

    It has become French custom to credit the health-giving properties of
    red wine for the low rates of heart disease that are a contributor to
    their longevity. It is a national credo that benefits the country's
    many wine-producing regions and furthers the image of France as a
    haven for enjoying the good life.

    The view that red wine helps prevent heart disease has been supported
    by numerous studies and endorsed by several leading cardiologists
    throughout the world. Nonetheless, many doctors are reluctant to
    advise patients to drink wine for fear of contributing to alcoholism.

    The French believe the benefits of their diet extend beyond the wine
    that is served with most meals. Many also believe that French food
    is much less likely to be treated with additives and preservatives
    than food found in American supermarkets. French consumers can
    usually consume meat, produce and fruit grown locally.

    "We have a lot of small markets here, and we can buy things very
    carefully to make sure the meat doesn't have hormones added, and we
    know how the meat has been raised and how the produce has been
    grown," said Mrs. Larsonneur, interrupting her husband's impassioned
    praise of red wine. "Here farming is done on a small scale, and the
    food is much better."

    The Larsonneurs, and many French people, agree that Americans simply
    eat too much junk.

    "We went to America and we could not eat like that," Mr. Larsonneur
    said. "Americans eat things that are too sweet and too heavy and too
    fat and soft drinks filled with additives. It's disgusting for a
    French person to watch."

    One indication of the commitment to fresh food can be found in the
    fact that the Larsonneurs do not have a freezer at their
    hole-in-the-wall restaurant. Freezing causes food to lose quality
    and nutritional value, they believe.

    Mrs. Larsonneur said the French also benefit because leisurely family
    meals are still a tradition, even during the busy workweek. "We take
    our time to prepare a very nice table, and we eat calmly and slowly,"
    she said. "In the U.S. they eat on the street; they eat very fast.
    I would rather not eat at all if I can't sit down. We may take an
    hour and a half to eat. It's important for your equilibrium."

    This attitude carries over to the business lunch. It is common in
    central Paris to see men and women in suits lingering over their last
    coffee and cigarettes after finishing a three-course meal. The
    classic lunch is still steak and fries, often served with a fried egg
    on top of the beef -- cholesterol be damned.

    And don't expect them to skip dessert. Profiteroles, chocolate mouse
    and scoops of rich Berthillon ice cream are popular. Another
    cultural difference can be found in the attitude toward wine. While
    American parents typically try to keep children from all alcohol,
    French parents usually start giving their children sips of wine when
    they are 5 or 6 years old.

    Dr. Serge Renaud, a prominent cardiologist whose research has helped
    establish a medical basis for the "French paradox", said there is now
    conclusive statistical evidence showing that wine can help prevent
    heart disease and reduce cancer rates.

    "The polyphenols in wine have a very important antioxidant effect
    throughout the body," he said. "But to be beneficial you have to
    drink moderately -- for a man, two or three sizable glasses a day,
    for a woman, one or two. And to be beneficial, you should drink it
    with meals and not become intoxicated."

    Some researchers believe the polyphenol molecules inhibit a peptide
    called endothelin-1, which is known to contribute to heart disease by
    causing blood vessels to narrow. Others, such as the late Dr.
    Christiaan Barnard, a pioneer heart transplant surgeon, maintain that
    the benefits of red wine cannot be easily understood and should
    simply be enjoyed.

    Skeptics say it is not surprising that Dr. Renaud of Bordeaux, famed
    the world over for its quality wines, believes that wine has health
    benefits. But Dr. Renaud cites many studies reported in prestigious
    medical journals in the last 11 years to back his claim.

    And he freely concedes that many French people drink far too much
    wine, not only losing the beneficial effect but also descending into
    life-threatening alcoholism. He said French life expectancy would be
    even higher if many men did not die relatively early because of
    alcohol abuse.

    "If you drink five or six glasses a day, you lose the benefit to your
    heart and your health; and if you drink more than that, it has a
    negative effect," he said.

    Dr. Renaud said the health benefits of wine can be amplified by
    modifying eating habits to conform to the so-called Mediterranean
    diet that emphasizes fish, whole grains, nuts, olive oil, fruits and
    vegetables along with moderate wine consumption.

    A survey of more than 22,000 Greeks released in late June found that
    this diet led to a 33 percent reduction in the death rate from heart
    disease and a 24 percent lowering of cancer rates. Doctors said the
    findings emphasized the importance of diet for overall health, not
    just the prevention of heart disease.

    None of this is news to devotees of French wine.

    Philippe Ansot gave up a career as a waiter to open a small wine shop
    in the Belleville neighborhood of Paris. He credits French longevity
    not just to the wine, but also to the overall quality of food that
    the French consume. He said they identify with their food and wine
    in a way that other cultures do not.

    "These local foods and products bring a lot of pleasure," he said.
    "The whole idea of taking pride in local cuisine and getting pleasure
    from locally raised food in combination with a local wine creates a
    kind of joy that maybe Americans don't have. It creates a universe
    in which you really live well."

    But there are indications that this healthy French lifestyle is
    starting to fade. A new study of 25,700 people released in June
    indicated that more and more French are overweight, in part because a
    sedentary lifestyle is taking hold. The study found that more
    children eat fast food and spend their free time watching television
    or playing computer games.

    Doctors analyzing the results predicted that rates of heart disease,
    diabetes and other serious illnesses probably would rise in the
    coming decades as a result. In effect, this would mean the end of
    the French paradox.

    It's a change that can be seen on the streets of Paris, said Mrs.
    Larsonneur, the restaurant ownder who believes in serving the
    freshest of foods. She has started to notice women carrying home
    ready-made dinners and -- horrors! -- frozen food from the
    supermarket.

    "We are trying to keep the traditions, but things are changing," she said.

    -- 
    Terry W. Colvin, Sierra Vista, Arizona (USA) < fortean1@mindspring.com >
         Alternate: < fortean1@msn.com >
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