1 00:00:33,000 --> 00:00:38,000 ñKç 2 00:00:42,000 --> 00:00:47,000 TASTE IS EVERYTHING IN THE WORLD OF FINE CUISINE. 3 00:00:48,000 --> 00:00:53,000 HEALTH FOOD HAS NO PLACE IN THE KITCHEN OF A GOURMET CHEF. 4 00:00:55,000 --> 00:00:57,000 BUT TIMES ARE CHANGING. 5 00:00:57,000 --> 00:01:00,000 Woman: AND WE WANT 100 GRAMS OF OLIVE OIL. 6 00:01:00,000 --> 00:01:01,000 WAS THAT SURPRISING? 7 00:01:01,000 --> 00:01:03,000 MOST OF US THINK 8 00:01:03,000 --> 00:01:06,000 THAT THE OLIVE OIL IS GOING TO BE LOWER IN CALORIES. 9 00:01:06,000 --> 00:01:09,000 ACTUALLY, IT'S 100% FAT 10 00:01:09,000 --> 00:01:14,000 WHEREAS THE BUTTER IS ONLY 80% FAT. 11 00:01:15,000 --> 00:01:19,000 TODAY GROCERY SHOPPING CAN BE A SCIENCE 12 00:01:19,000 --> 00:01:24,000 AS MILLIONS STRIVE FOR THE PERFECT DIET. 13 00:01:26,000 --> 00:01:31,000 OUR GARBAGE TELLS US WE STILL HAVE A LONG WAY TO GO. 14 00:01:38,000 --> 00:01:42,000 IF IT'S TRUE, "WE ARE WHAT WE EAT," IT'S NO WONDER 15 00:01:42,000 --> 00:01:47,000 AMERICA'S NUMBER ONE KILLER IS CORONARY HEART DISEASE. 16 00:01:48,000 --> 00:01:52,000 FOR THE PIMA INDIANS OF THE SONORAN DESERT 17 00:01:52,000 --> 00:01:57,000 HEALTH IS TIED TO THE FOODS OF THEIR ANCIENT HOMELAND. 18 00:01:57,000 --> 00:02:02,000 A CHANGE IN THEIR DIET SPELLED DISASTER. 19 00:02:05,000 --> 00:02:07,000 FIVE YEARS AGO 20 00:02:07,000 --> 00:02:12,000 A LIFETIME OF BAD HABITS CAUGHT UP WITH THIS MAN. 21 00:02:12,000 --> 00:02:16,000 THEN A REMARKABLE EXPERIMENT TAUGHT HIM 22 00:02:16,000 --> 00:02:21,000 DIET ALSO HAS THE POWER TO HEAL. 23 00:02:21,000 --> 00:02:26,000 Woman: THIS IS A NEW KIND OF FRUIT THAT'S CALLED LITCHIS. 24 00:02:26,000 --> 00:02:29,000 WOULD YOU LIKE TO TRY SOME? THEY TASTE GOOD. 25 00:02:29,000 --> 00:02:33,000 RESEARCHERS ARE STUDYING HOW OUR TASTES ARE SHAPED 26 00:02:33,000 --> 00:02:38,000 WHY WE REJECT SOME FOODS AND DELIGHT IN OTHERS. 27 00:02:38,000 --> 00:02:39,000 Woman: HOW WAS THAT? 28 00:02:39,000 --> 00:02:40,000 FINE. 29 00:02:40,000 --> 00:02:41,000 WHICH ONE IS BETTER? 30 00:02:41,000 --> 00:02:44,000 DO WE LEARN TO LIKE THE FOODS WE EAT 31 00:02:44,000 --> 00:02:49,000 OR ARE THERE TASTES WE WERE SIMPLY BORN TO CRAVE? 32 00:02:49,000 --> 00:02:54,000 JOIN US NOW FOR "A TASTE OF HEALTH." 33 00:03:03,000 --> 00:03:06,000 CAPTIONING OF THIS PROGRAM IS MADE POSSIBLE 34 00:03:06,000 --> 00:03:11,000 BY DIGITAL EQUIPMENT CORPORATION. 35 00:03:55,000 --> 00:03:57,000 THE INFINITE VOYAGE IS MADE POSSIBLE 36 00:03:57,000 --> 00:04:00,000 BY A GRANT FROM DIGITAL EQUIPMENT CORPORATION 37 00:04:00,000 --> 00:04:02,000 THROUGH ITS DIGITAL DISCOVERY SERIES. 38 00:04:02,000 --> 00:04:05,000 CELEBRATING THE ARTS, SCIENCES AND HUMANITIES 39 00:04:05,000 --> 00:04:09,000 DIGITAL AND ITS EMPLOYEES INVITE YOU TO JOIN WITH THEM 40 00:04:09,000 --> 00:04:14,000 IN SUPPORTING PUBLIC TELEVISION. 41 00:04:15,000 --> 00:04:20,000 Grey: EACH OCTOBER, THE RESIDENTS OF TUCSON, ARIZONA 42 00:04:20,000 --> 00:04:25,000 HOST A FIESTA TO HONOR THE CHILI PEPPER. 43 00:04:29,000 --> 00:04:34,000 ROASTED AND EATEN WHOLE, A GREEN CHILI CAN BE SURPRISINGLY SWEET. 44 00:04:36,000 --> 00:04:40,000 ITS SPICIER COUSINS SUPPLY THE UNMISTAKABLE BITE 45 00:04:40,000 --> 00:04:42,000 OF SOUTHWESTERN CUISINE. 46 00:04:42,000 --> 00:04:47,000 Woman: ARE YOU ENJOYING IT? 47 00:04:47,000 --> 00:04:50,000 Woman: CAN I GIVE YOU A LITTLE CHILI PASTE? 48 00:04:50,000 --> 00:04:53,000 THIS IS FRESH RED CHILIES 49 00:04:53,000 --> 00:04:57,000 THAT ARE PICKED, STEAMED AND MADE INTO A CHILI PASTE. 50 00:04:57,000 --> 00:05:01,000 Grey: FOUR YEARS AGO, GARY NABHAN HELPED CREATE THE FIESTA 51 00:05:01,000 --> 00:05:03,000 TO CELEBRATE THE LOCAL FOODS. 52 00:05:03,000 --> 00:05:08,000 BUT HIS INTEREST IS HARDLY THAT OF A GOURMET COOK. 53 00:05:15,000 --> 00:05:19,000 NABHAN IS AN ETHNOBOTANIST, A SCIENTIST WHO STUDIES PLANTS 54 00:05:19,000 --> 00:05:23,000 AND THEIR RELATIONSHIP TO PEOPLE. 55 00:05:23,000 --> 00:05:25,000 TO THE UNTRAINED EYE 56 00:05:25,000 --> 00:05:29,000 THE SONORAN DESERT SEEMS INHOSPITABLE. 57 00:05:29,000 --> 00:05:34,000 FOR NABHAN, IT'S A CORNUCOPIA OF NATIVE AMERICAN FOODS. 58 00:05:34,000 --> 00:05:38,000 THE BUD OF THE CHOLLA CACTUS, WHEN ROASTED 59 00:05:38,000 --> 00:05:43,000 HAS THE DELICATE FLAVOR OF ARTICHOKE HEARTS. 60 00:05:44,000 --> 00:05:49,000 CACTUS LEAVES CAN BE BOILED AND EATEN LIKE A VEGETABLE. 61 00:05:50,000 --> 00:05:55,000 THEY ALSO YIELD A SUCCULENT FRUIT CALLED THE PRICKLY PEAR. 62 00:05:57,000 --> 00:06:02,000 COME SUMMER, ITS SWEET PULP MAKES A DELICIOUS SYRUP OR JAM. 63 00:06:09,000 --> 00:06:11,000 MESQUITE BLOSSOMS INTO PODS 64 00:06:11,000 --> 00:06:14,000 THAT CAN BE GROUND INTO NUTRITIOUS FLOUR. 65 00:06:14,000 --> 00:06:19,000 FOR DESERT INDIANS, IT WAS A TREE OF LIFE. 66 00:06:19,000 --> 00:06:24,000 THE LANDSCAPE HERE IS DOMINATED BY DESERT LEGUME TREES. 67 00:06:24,000 --> 00:06:29,000 AND LEGUMES, OR BEANS, ALSO CAME TO DOMINATE THE DIET HERE. 68 00:06:30,000 --> 00:06:33,000 THE PIMA AND PAPAGO, OR O'ODHAM PEOPLE 69 00:06:33,000 --> 00:06:37,000 WERE AMONG THE BEAN-EATINGEST PEOPLE IN THE WORLD. 70 00:06:37,000 --> 00:06:42,000 TEPARY BEANS, LIMA BEANS, MESQUITE PODS, BLACK-EYED PEAS 71 00:06:42,000 --> 00:06:46,000 COW PEAS, AND MANY OTHER LEGUMES BECAME 72 00:06:46,000 --> 00:06:49,000 THE DOMINANT PORTION OF THEIR DIET. 73 00:06:49,000 --> 00:06:51,000 I BROUGHT YOU SOME VIHUK. 74 00:06:51,000 --> 00:06:52,000 OH, GOOD. THANK YOU. 75 00:06:52,000 --> 00:06:54,000 THEY'RE FROM PHOENIX, THOUGH... 76 00:06:54,000 --> 00:06:58,000 Grey: FRANCES MANUEL IS THE KEEPER OF AN ANCIENT TRADITION. 77 00:06:58,000 --> 00:07:02,000 A DESERT INDIAN, SHE IS ONE OF THE FEW IN HER TRIBE 78 00:07:02,000 --> 00:07:05,000 WHO STILL REMEMBERS THE OLD WAYS. 79 00:07:05,000 --> 00:07:09,000 Manuel: MY GRANDMOTHER TAUGHT ME ABOUT THE CHOLLA 80 00:07:09,000 --> 00:07:11,000 AND YOU THREW THEM IN THE BASKET 81 00:07:11,000 --> 00:07:16,000 AND IT'S WINDY, YOU GO LIKE THIS AND IT BLOWS AWAY THE STICKERS. 82 00:07:17,000 --> 00:07:20,000 WHEN IT'S THIS DRY, YOU START AWAY... SEE? 83 00:07:20,000 --> 00:07:23,000 I MEAN, YOU CAN ALSO EAT IT WHEN IT'S BOILED. 84 00:07:23,000 --> 00:07:27,000 Nabhan: THESE ARE JUST THE BUDS OF THE CHOLLA CACTUS, RIGHT? 85 00:07:27,000 --> 00:07:30,000 IF THEY START TO OPEN, IT'S TOO LATE? 86 00:07:30,000 --> 00:07:32,000 Manuel: YES. 87 00:07:32,000 --> 00:07:34,000 ARE PEOPLE STILL EATING THEM MUCH? 88 00:07:34,000 --> 00:07:37,000 NOWADAYS, THEY'LL TURN THEIR NOSES UP 89 00:07:37,000 --> 00:07:39,000 WHEN THEY SEE SOMETHING COOKING 90 00:07:39,000 --> 00:07:42,000 BECAUSE THEY THINK IT'S NOT... 91 00:07:42,000 --> 00:07:46,000 I DON'T KNOW WHETHER THEY THINK IT'S NOT GOOD 92 00:07:46,000 --> 00:07:49,000 OR WHETHER THEY DON'T WANT TO THINK 93 00:07:49,000 --> 00:07:54,000 THAT THAT'S WHAT... OUR ROOTS EAT, AND GROW UP ON THEM. 94 00:07:54,000 --> 00:07:59,000 Grey: FRANCES MANUEL MOURNS A WAY OF LIFE THAT HAS VANISHED. 95 00:08:02,000 --> 00:08:07,000 FOR CENTURIES, A HARDY PEOPLE THRIVED IN THE SONORAN DESERT. 96 00:08:08,000 --> 00:08:11,000 THE PIMA INDIANS GATHERED WILD PLANTS 97 00:08:11,000 --> 00:08:16,000 AND LIVED ACCORDING TO THE SEASONS. 98 00:08:17,000 --> 00:08:22,000 SETTLING NEAR RIVERS, THEY FISHED AND HUNTED SMALL GAME. 99 00:08:22,000 --> 00:08:26,000 A FARMING CULTURE, THEY WERE KNOWN FOR THEIR WHEAT-- 100 00:08:26,000 --> 00:08:28,000 AND FOR THEIR GENEROSITY. 101 00:08:28,000 --> 00:08:32,000 IN TIMES OF FAMINE, THEY SHARED THEIR CROPS. 102 00:08:32,000 --> 00:08:35,000 WHEN THE WHITE MAN CAME 103 00:08:35,000 --> 00:08:40,000 THEY SAW THEIR WAY OF LIFE DISAPPEAR. 104 00:08:42,000 --> 00:08:44,000 BY THE 1920s 105 00:08:44,000 --> 00:08:48,000 THE UNITED STATES GOVERNMENT LAID CLAIM TO THE DESERT. 106 00:08:48,000 --> 00:08:50,000 FOR THEIR GOOD FAITH 107 00:08:50,000 --> 00:08:54,000 THE PIMA WERE STRIPPED OF THEIR LAND. 108 00:08:54,000 --> 00:08:57,000 BUT THE FINAL BLOW WAS THE DAMMING OF RIVERS 109 00:08:57,000 --> 00:09:02,000 THAT HAD BEEN THEIR LIFEBLOOD. 110 00:09:02,000 --> 00:09:06,000 TODAY, THE RIVERS RUN AS DRY AS THE SURROUNDING DESERT 111 00:09:06,000 --> 00:09:11,000 AND MESQUITE GROVES HAVE GIVEN WAY TO CITIES. 112 00:09:19,000 --> 00:09:22,000 NEAR PHOENIX, THE GILA RIVER RESERVATION 113 00:09:22,000 --> 00:09:25,000 IS IN THE MIDST OF A HEALTH CRISIS. 114 00:09:25,000 --> 00:09:30,000 MORE THAN HALF THE PIMA INDIANS OVER 35 HAVE DIABETES. 115 00:09:30,000 --> 00:09:35,000 VICTIMS SUFFER FROM KIDNEY FAILURE, BLINDNESS 116 00:09:35,000 --> 00:09:37,000 AND EARLY DEATH. 117 00:09:37,000 --> 00:09:42,000 IT'S THE HIGHEST KNOWN INCIDENCE OF DIABETES IN THE WORLD. 118 00:09:43,000 --> 00:09:45,000 TO HELP FIND A CURE 119 00:09:45,000 --> 00:09:50,000 THE NATIONAL INSTITUTES OF HEALTH ESTABLISHED 120 00:09:50,000 --> 00:09:53,000 THE PHOENIX INDIAN MEDICAL CENTER. 121 00:09:53,000 --> 00:09:57,000 Man: OKAY, ROD, I WANT YOU TO PUT THIS IN YOUR MOUTH. 122 00:09:57,000 --> 00:09:59,000 Grey: PIMA INDIANS LIKE ROD HOWARD 123 00:09:59,000 --> 00:10:03,000 HAVE FORMED A UNIQUE PARTNERSHIP WITH SCIENTISTS. 124 00:10:03,000 --> 00:10:04,000 I'M WATCHING YOUR HEARTBEAT. 125 00:10:04,000 --> 00:10:08,000 Grey: EVERY YEAR, ROD UNDERGOES A WEEK OF TESTING 126 00:10:08,000 --> 00:10:11,000 UNDER THE SUPERVISION OF STEPHEN LILLIOJA. 127 00:10:11,000 --> 00:10:14,000 THE MORE WE HAVE STUDIED THE PIMA INDIANS 128 00:10:14,000 --> 00:10:16,000 THE MORE WE'VE BEEN ABLE TO SEE 129 00:10:16,000 --> 00:10:20,000 THAT UNDERLYING DIABETES AND OBESITY IN THIS POPULATION 130 00:10:20,000 --> 00:10:22,000 ARE GENETIC PREDISPOSITIONS. 131 00:10:22,000 --> 00:10:24,000 AND THAT MEANS 132 00:10:24,000 --> 00:10:28,000 THAT SOME PEOPLE HAVE A GREAT DEAL MORE DIFFICULTY 133 00:10:28,000 --> 00:10:31,000 IN STAYING SLIM AND STAYING HEALTHY THAN OTHERS. 134 00:10:31,000 --> 00:10:34,000 AND THE PURPOSE OFUR STUDIES 135 00:10:34,000 --> 00:10:39,000 IS TO TRY AND FIND UNDERLYING CAUSES TO THESE DISEASES. 136 00:10:40,000 --> 00:10:42,000 Grey: WEIGHING ROD UNDER WATER 137 00:10:42,000 --> 00:10:47,000 REVEALS THAT OVER 40% OF HIS 360 POUNDS IS FAT-- 138 00:10:47,000 --> 00:10:51,000 MORE THAN DOUBLE THAT OF THE AVERAGE MAN. 139 00:10:51,000 --> 00:10:52,000 Man: OKAY, COME ON UP. 140 00:10:52,000 --> 00:10:55,000 Grey: TESTS LIKE THESE CAN BE TRYING 141 00:10:55,000 --> 00:10:58,000 BUT ROD IS COMMITTED TO HIS PEOPLE. 142 00:10:58,000 --> 00:11:03,000 I LOOK AROUND AND SEE A LOT OF DIABETICS AT HOME 143 00:11:03,000 --> 00:11:07,000 ESPECIALLY MY MOM, SHE'S DIABETIC, TOO 144 00:11:07,000 --> 00:11:11,000 AND SHE HAD TO COME HERE AND TAKE MEDICATION 145 00:11:11,000 --> 00:11:15,000 AND MY YOUNGER BROTHERS AND SISTERS ARE COMING UP 146 00:11:15,000 --> 00:11:19,000 AND I DON'T WANT THEM TO HAVE IT, YOU KNOW. 147 00:11:19,000 --> 00:11:22,000 AND I DON'T KNOW IF THEY'RE GOING TO HAVE IT 148 00:11:22,000 --> 00:11:26,000 BUT I JUST SEE OTHER RELATIVES, A LOT OF MY FRIENDS 149 00:11:26,000 --> 00:11:29,000 THAT ARE YOUNGER THAN ME, AND THEY... 150 00:11:29,000 --> 00:11:34,000 SO I GUESS DIABETES IS A BAD THING THAT'S AROUND. 151 00:11:34,000 --> 00:11:38,000 AND THAT'S WHY I COME IN AND TRY TO HELP. 152 00:11:38,000 --> 00:11:43,000 Grey: TO CHECK FOR SIGNS OF DIABETES, ROD ENDURES AN EIGHT-HOUR TEST. 153 00:11:43,000 --> 00:11:47,000 A SPECIAL HOOD MEASURES HIS OXYGEN INTAKE 154 00:11:47,000 --> 00:11:51,000 TO SEE HOW EFFICIENTLY HIS BODY BURNS BLOOD SUGAR, OR GLUCOSE. 155 00:11:51,000 --> 00:11:55,000 AN INFUSION OF GLUCOSE SHOULD TRIGGER A RELEASE OF INSULIN 156 00:11:55,000 --> 00:11:59,000 A HORMONE THAT HELPS CLEAR SUGAR FROM THE BLOODSTREAM. 157 00:11:59,000 --> 00:12:03,000 I'M JUST GOING TO DRAW ONE MORE BLOOD SAMPLE, OKAY? 158 00:12:03,000 --> 00:12:05,000 ALL RIGHT. 159 00:12:05,000 --> 00:12:10,000 Grey: THE PIMA SUFFER FROM ADULT-ONSET DIABETES. 160 00:12:10,000 --> 00:12:14,000 THEY PRODUCE INSULIN, BUT IT HAS LITTLE EFFECT. 161 00:12:14,000 --> 00:12:16,000 BLOOD SUGAR REMAINS HIGH. 162 00:12:16,000 --> 00:12:20,000 TESTS CONFIRM ROD IS BORDERLINE. 163 00:12:20,000 --> 00:12:24,000 YOU CAN START TO MOVE AROUND A LITTLE BIT NOW. 164 00:12:24,000 --> 00:12:26,000 THE CRITICAL PERIOD IS OVER. 165 00:12:26,000 --> 00:12:28,000 I'M GOING TO TAKE THE HOOD OFF, OKAY? 166 00:12:28,000 --> 00:12:32,000 Grey: ADULT-ONSET DIABETES IS LINKED TO OBESITY. 167 00:12:32,000 --> 00:12:37,000 ROD'S CONDITION IS LIKELY TO GET WORSE UNLESS HE LOSES WEIGHT. 168 00:12:37,000 --> 00:12:42,000 UNFORTUNATELY, THE PIMAS EAT A DIET HIGH IN FAT. 169 00:12:42,000 --> 00:12:44,000 IN ORDER TO TEST THE HYPOTHESIS 170 00:12:44,000 --> 00:12:49,000 THAT A HIGH FAT CONTENT OF THE DIET WAS A DISADVANTAGE 171 00:12:49,000 --> 00:12:54,000 WE STUDIED A GROUP OF 12 PEOPLE ON A TRADITIONAL TYPE OF DIET 172 00:12:54,000 --> 00:12:56,000 THAT IS A HIGH-CARBOHYDRATE... 173 00:12:56,000 --> 00:13:00,000 HIGH UNREFINED CARBOHYDRATE DIET, LOW-FAT DIET 174 00:13:00,000 --> 00:13:02,000 AND COMPARED THEM ON THAT DIET 175 00:13:02,000 --> 00:13:05,000 WITH A HIGH-FAT TYPE OF MODERN DIET 176 00:13:05,000 --> 00:13:09,000 TO SEE IF THERE REALLY WAS A DIFFERENCE THAT YOU COULD TELL 177 00:13:09,000 --> 00:13:12,000 IN HOW WELL INSULIN DID ITS WORK 178 00:13:12,000 --> 00:13:16,000 AND HOW MUCH INSULIN THE BODY WAS ABLE TO SECRETE. 179 00:13:16,000 --> 00:13:21,000 Grey: IN THE STAINLESS STEEL KITCHEN OF THE MEDICAL CENTER 180 00:13:21,000 --> 00:13:26,000 DIETICIANS RECREATE AN INDIAN MEAL OF A CENTURY AGO. 181 00:13:28,000 --> 00:13:31,000 A MAIN COURSE OF BEANS 182 00:13:31,000 --> 00:13:36,000 MAKES THE PIMA DIET HIGH IN CARBOHYDRATES AND LOW IN FAT. 183 00:13:37,000 --> 00:13:40,000 SPINACH MUST PASS FOR DESERT GREENS 184 00:13:40,000 --> 00:13:45,000 BUT A DRINK MADE WITH CHIA SEEDS SOAKED IN WATER 185 00:13:45,000 --> 00:13:50,000 IS THE REAL THING. 186 00:13:51,000 --> 00:13:56,000 VOLUNTEERS SPEND TWO WEEKS ON THE PIMA DIET 187 00:13:56,000 --> 00:14:00,000 THEN TWO WEEKS ON A MODERN, HIGH-FAT DIET 188 00:14:00,000 --> 00:14:03,000 OF FOODS LIKE CHEESE, HAM AND ICE CREAM. 189 00:14:03,000 --> 00:14:06,000 BLOOD TESTS SHOW THAT ON THE MODERN DIET 190 00:14:06,000 --> 00:14:11,000 INSULIN IS LESS EFFECTIVE THAN ON THE LOW-FAT PIMA DIET. 191 00:14:13,000 --> 00:14:18,000 THE STUDY SUGGESTS THAT A RETURN TO MORE TRADITIONAL FOODS 192 00:14:18,000 --> 00:14:23,000 COULD HAVE AN IMPORTANT IMPACT ON THE HEALTH OF THE INDIANS. 193 00:14:27,000 --> 00:14:31,000 IN TUCSON, GARY NABHAN HELPS PRESERVE NATIVE FOODS. 194 00:14:31,000 --> 00:14:36,000 HALF THE DESERT CROPS THAT EXISTED AT THE TIME OF COLUMBUS 195 00:14:36,000 --> 00:14:38,000 MAY ALREADY BE LOST. 196 00:14:38,000 --> 00:14:42,000 TO SAVE WHAT IS LEFT, NABHAN HAS ESTABLISHED 197 00:14:42,000 --> 00:14:45,000 A NATIVE SEED BANK. 198 00:14:45,000 --> 00:14:48,000 PERHAPS THESE ANCIENT SEEDS MAY AGAIN OFFER HOPE 199 00:14:48,000 --> 00:14:50,000 TO THE PIMA INDIANS. 200 00:14:50,000 --> 00:14:55,000 YOU CANNOT REALLY SEPARATE A CULTURE 201 00:14:55,000 --> 00:14:59,000 FROM THE DIET UNDER WHICH IT EVOLVED 202 00:14:59,000 --> 00:15:03,000 WITHOUT SOME TRAGIC CONSEQUENCES. 203 00:15:03,000 --> 00:15:05,000 EACH CULTURE THAT HAS LIVED 204 00:15:05,000 --> 00:15:09,000 FOR HUNDREDS OR THOUSANDS OF YEARS IN ONE PLACE 205 00:15:09,000 --> 00:15:11,000 HAS SOMEHOW ADAPTED 206 00:15:11,000 --> 00:15:14,000 TO THE MIX OF FOODS AVAILABLE IN THAT PLACE. 207 00:15:14,000 --> 00:15:19,000 AND IF YOU REMOVE DESERT PEOPLE FROM A DIET OF DESERT FOODS 208 00:15:20,000 --> 00:15:25,000 THEIR PROTECTION AGAINST SOME NUTRITION-RELATED DISEASES 209 00:15:25,000 --> 00:15:30,000 IS THEN LOST. 210 00:15:31,000 --> 00:15:34,000 Grey: LIFE IN THE DESERT IS UNPREDICTABLE. 211 00:15:34,000 --> 00:15:39,000 THE ABILITY TO GAIN WEIGHT QUICKLY IN TIMES OF PLENTY 212 00:15:39,000 --> 00:15:42,000 MAY HAVE BEEN AN ADVANTAGE IN TIMES OF FAMINE. 213 00:15:42,000 --> 00:15:46,000 FOR THE PIMA, IT HAS BECOME A TRAGIC LIABILITY. 214 00:15:46,000 --> 00:15:51,000 PERHAPS THEY WERE SHAPED BY A WORLD THAT NO LONGER EXISTS. 215 00:15:52,000 --> 00:15:57,000 IN THAT SENSE, THEY ARE HARDLY UNIQUE. 216 00:15:59,000 --> 00:16:02,000 LITTLE HAS CHANGED IN HUMAN PHYSIOLOGY 217 00:16:02,000 --> 00:16:05,000 IN THE LAST 100,000 YEARS. 218 00:16:05,000 --> 00:16:10,000 THE PURSUIT OF FOOD KEPT OUR ANCESTORS ACTIVE AND LEAN. 219 00:16:11,000 --> 00:16:14,000 WE SHARE THEIR GENES AND THEIR ANATOMY 220 00:16:14,000 --> 00:16:17,000 BUT OUR LIFESTYLE HAS COME A LONG WAY 221 00:16:17,000 --> 00:16:22,000 SINCE THE DAYS OF THE CAVEMAN. 222 00:16:23,000 --> 00:16:26,000 CHEF HEINZ HOLTMANN WON A GOLD MEDAL 223 00:16:26,000 --> 00:16:31,000 FOR HIS "SHRIMP MADAGASCAR." 224 00:16:35,000 --> 00:16:40,000 HEAVY CREAM, SCALLIONS, CLARIFIED SWEET BUTTER 225 00:16:41,000 --> 00:16:46,000 LICORICE LIQUEUR AND GREEN PEPPERCORNS. 226 00:16:47,000 --> 00:16:52,000 WHAT IS IT ABOUT SOME FOOD THAT MAKES IT MELT IN OUR MOUTHS? 227 00:16:54,000 --> 00:16:58,000 IT'S A MATTER OF TASTE. 228 00:16:58,000 --> 00:17:00,000 EXPLORING ITS MYSTERIES 229 00:17:00,000 --> 00:17:04,000 IS THE AIM OF THE MONELL CHEMICAL SENSES CENTER 230 00:17:04,000 --> 00:17:09,000 IN PHILADELPHIA. 231 00:17:09,000 --> 00:17:12,000 OVERSEEING THE WORK OF NEARLY 50 SCIENTISTS 232 00:17:12,000 --> 00:17:15,000 IN FIELDS AS VARIED AS NEUROSCIENCE 233 00:17:15,000 --> 00:17:18,000 BIOCHEMISTRY AND PSYCHOLOGY 234 00:17:18,000 --> 00:17:20,000 IS DIRECTOR GARY BEAUCHAMP. 235 00:17:20,000 --> 00:17:25,000 THE SENSE OF TASTE IS PROBABLY THE SENSE THAT IS MOST INVOLVED 236 00:17:25,000 --> 00:17:27,000 IN IMMEDIATE PLEASURE AND DISPLEASURE 237 00:17:27,000 --> 00:17:30,000 AND HENCE THERE ARE BASIC TASTE PREFERENCES 238 00:17:30,000 --> 00:17:32,000 AND BASIC TASTE AVERSIONS 239 00:17:32,000 --> 00:17:35,000 AND THESE ARE EVIDENT IN NEWBORN BABIES; 240 00:17:35,000 --> 00:17:38,000 SOME OF THEM ARE EVEN EVIDENT IN PREMATURE BABIES. 241 00:17:38,000 --> 00:17:42,000 PREMATURE BABIES HAVE A HIGH PREFERENCE FOR SWEET TASTES. 242 00:17:42,000 --> 00:17:45,000 THEY BEGIN TO SUCK IN RESPONSE TO SWEET TASTE 243 00:17:45,000 --> 00:17:48,000 THEY SHOW A VARIETY OF PHYSIOLOGICAL RESPONSES 244 00:17:48,000 --> 00:17:50,000 IN RESPONSE TO SWEET TASTE. 245 00:17:50,000 --> 00:17:54,000 THE PERCEPTION OF SWEET TASTE AND THE PREFERENCE FOR IT 246 00:17:54,000 --> 00:17:58,000 ARE BUILT IN, JUST LIKE TWO ARMS ARE BUILT IN TO A BABY. 247 00:17:58,000 --> 00:18:03,000 Grey: IT'S A CRAVING THAT STAYS WITH US FOR LIFE. 248 00:18:03,000 --> 00:18:08,000 NO WONDER WE LOVE CHOCOLATE, CANDY AND SOFT DRINKS. 249 00:18:08,000 --> 00:18:10,000 OUR SECOND BASIC TASTE PREFERENCE 250 00:18:10,000 --> 00:18:15,000 ALSO APPEARS EARLY IN LIFE. 251 00:18:15,000 --> 00:18:18,000 JUSTIN IS SEVEN MONTHS OLD. 252 00:18:18,000 --> 00:18:23,000 HIS RESPONSE TO PLAIN WATER IS MEASURED. 253 00:18:23,000 --> 00:18:28,000 LET'S SWITCH BOTTLES. 254 00:18:28,000 --> 00:18:33,000 Grey: NEXT HE'LL BE GIVEN WATER WITH A MINUTE CONCENTRATION OF SALT. 255 00:18:36,000 --> 00:18:38,000 BEFORE THE AGE OF FOUR MONTHS 256 00:18:38,000 --> 00:18:42,000 BABIES SEEM TO LACK THE NEURAL MECHANISMS TO PERCEIVE SALT. 257 00:18:42,000 --> 00:18:44,000 BUT BETWEEN FOUR AND SIX MONTHS 258 00:18:44,000 --> 00:18:49,000 A DRAMATIC PREFERENCE FOR IT USUALLY DEVELOPS. 259 00:18:54,000 --> 00:18:59,000 JUSTIN APPEARS TO BE RIGHT ON SCHEDULE. 260 00:19:04,000 --> 00:19:07,000 AS CHILDREN GROW, THEIR CRAVING INCREASES. 261 00:19:07,000 --> 00:19:10,000 BY THE TIME THEY REACH SCHOOL AGE 262 00:19:10,000 --> 00:19:12,000 MANY CHILDREN PREFER SALT LEVELS 263 00:19:12,000 --> 00:19:16,000 THAT AN ADULT WOULD FIND INTOLERABLE. 264 00:19:16,000 --> 00:19:17,000 Woman: HOW WAS THAT? 265 00:19:17,000 --> 00:19:19,000 GOOD. 266 00:19:19,000 --> 00:19:22,000 TAKE A TASTE OF THAT ON 267 00:19:22,000 --> 00:19:24,000 HOW WAS THAT ONE? 268 00:19:24,000 --> 00:19:28,000 Grey: GIVEN A CHOICE, MOST PICK SOUP SAMPLES WITH TWICE AS MUCH SALT 269 00:19:28,000 --> 00:19:30,000 AS MOST COMMERCIAL BRANDS. 270 00:19:30,000 --> 00:19:32,000 OKAY, HERE'S THIS ONE. 271 00:19:32,000 --> 00:19:36,000 Grey: FOOD WITHOUT SALT IS UNAPPETIZING. 272 00:19:36,000 --> 00:19:38,000 YET FOR REASONS UNKNOWN 273 00:19:38,000 --> 00:19:43,000 WE CONSUME TEN TO 100 TIMES MORE THAN WE NEED. 274 00:19:43,000 --> 00:19:47,000 DOES CHILDHOOD TASTE DETERMINE OUR SALT USE AS ADULTS? 275 00:19:47,000 --> 00:19:50,000 THE LEVELS AT WHICH THEY PREFER SALT, THOUGH 276 00:19:50,000 --> 00:19:53,000 CAN BE MODATED BY EXPERIENCE. 277 00:19:53,000 --> 00:19:55,000 WE'VE SHOWN, AND OTHERS HAVE SHOWN NOW, TOO 278 00:19:55,000 --> 00:20:00,000 THAT IF YOU PUT ADULTS ON A DIET THAT CUTS THEIR SALT IN HALF 279 00:20:00,000 --> 00:20:03,000 THAT IS A LOW, BUT NOT A VERY, VERY LOW SODIUM DIET 280 00:20:03,000 --> 00:20:06,000 THAT THEIR PREFERENCE FOR SALT SHIFTS DOWN. 281 00:20:06,000 --> 00:20:09,000 THIS TAKES ABOUT TWO TO THREE MONTHS 282 00:20:09,000 --> 00:20:11,000 MAYBE A LITTLE BIT LONGER. 283 00:20:11,000 --> 00:20:12,000 IT'S A GRADUAL SHIFT 284 00:20:12,000 --> 00:20:16,000 AND IT CAN MOVE UP VERY QUICKLY BACK WHERE IT WAS BEFORE 285 00:20:16,000 --> 00:20:19,000 IF THEY RETURN TO THE HIGHER SALT DIET. 286 00:20:19,000 --> 00:20:21,000 Grey: INNATE TASTES ARE POWERFUL. 287 00:20:21,000 --> 00:20:26,000 BUT THERE ARE MANY OTHER FACTORS THAT INFLUENCE WHAT WE'LL EAT. 288 00:20:27,000 --> 00:20:30,000 PSYCHOLOGIST MARCI PELCHAT WANTS TO KNOW 289 00:20:30,000 --> 00:20:34,000 HOW TO CONVINCE CHILDREN TO TRY NEW AND UNUSUAL FOODS. 290 00:20:34,000 --> 00:20:36,000 DO YOU KNOW WHAT THESE ARE? 291 00:20:36,000 --> 00:20:37,000 NO. 292 00:20:37,000 --> 00:20:39,000 THAT'S A NEW KIND OF FRUIT. 293 00:20:39,000 --> 00:20:41,000 THEY'RE CALLED LITCHIS. 294 00:20:41,000 --> 00:20:42,000 THEY TASTE GOOD. 295 00:20:42,000 --> 00:20:44,000 YOU WANT TO TRY SOME? 296 00:20:44,000 --> 00:20:46,000 NO? 297 00:20:46,000 --> 00:20:51,000 A LOT OF OTHER KIDS TRIED THEM. 298 00:20:55,000 --> 00:20:56,000 YEAH. 299 00:20:56,000 --> 00:20:58,000 I'LL TAKE THIS ONE. 300 00:20:58,000 --> 00:21:00,000 ALL RIGHT. 301 00:21:00,000 --> 00:21:04,000 Grey: PELCHAT FINDS PRESCHOOL CHILDREN THE MOST RESISTANT. 302 00:21:04,000 --> 00:21:06,000 HOW IS IT? 303 00:21:06,000 --> 00:21:08,000 IT'S GOOD. 304 00:21:08,000 --> 00:21:12,000 Grey: BUT THAT CHANGES WITH AGE. 305 00:21:12,000 --> 00:21:15,000 BY THE TIME YOU GET TO COLLEGE AGE, OR YOUNG ADULTS 306 00:21:15,000 --> 00:21:19,000 YOU SEE PRETTY GOOD WILLINGNESS TO TRY NOVEL FOODS 307 00:21:19,000 --> 00:21:23,000 ALTHOUGH THERE ARE LARGE INDIVIDUAL DIFFERENCES. 308 00:21:23,000 --> 00:21:27,000 THERE ARE SOME INDIVIDUALS WHO SEEK OUT UNFAMILIAR FOODS 309 00:21:27,000 --> 00:21:31,000 AND THERE ARE OTHER INDIVIDUALS WHO AVOID THEM AT ALL COSTS. 310 00:21:31,000 --> 00:21:36,000 WE DON'T KNOW WHAT HAPPENS TO WILLINGNESS TO TRY NOVEL FOODS 311 00:21:36,000 --> 00:21:40,000 AS PEOPLE GO FROM YOUNG ADULTHOOD TO OLD AGE 312 00:21:40,000 --> 00:21:44,000 AND THAT'S ONE OF THE THINGS THAT I'M STUDYING NOW. 313 00:21:44,000 --> 00:21:46,000 Pelchat: HERE'S THE FIRST FOOD. 314 00:21:46,000 --> 00:21:48,000 THIS IS CALLED "LANGUA STEAK." 315 00:21:48,000 --> 00:21:52,000 IT'S MEAT FROM A SMALL SOUTH AMERICAN GAME ANIMAL 316 00:21:52,000 --> 00:21:54,000 AND IT'S SUPPOSED TO CONTAIN 317 00:21:54,000 --> 00:21:56,000 A KIND OF CHOLESTEROL 318 00:21:56,000 --> 00:21:58,000 THAT ACTUALLY PROTECTS YOUR ARTERIES. 319 00:21:58,000 --> 00:22:00,000 Grey: TO CREATE A NOVEL FOOD 320 00:22:00,000 --> 00:22:04,000 PELCHAT INVENTS A FICTIONAL NAME FOR COMMON BEEF. 321 00:22:04,000 --> 00:22:09,000 I'VE NEVER SEEN OR EVEN TRIED THAT FOOD. 322 00:22:10,000 --> 00:22:14,000 Pelchat: AND FINALLY, I'D LIKE YOU TO RATE 323 00:22:14,000 --> 00:22:18,000 YOUR WILLINGNESS TO TRY THE LANGUA STEAK. 324 00:22:18,000 --> 00:22:20,000 ONE IS EXTREMELY UNWILLING 325 00:22:20,000 --> 00:22:23,000 SEVEN IS EXTREMELY WILLING. 326 00:22:23,000 --> 00:22:28,000 FOR SCIENCE, I WILL TRY IT. 327 00:22:29,000 --> 00:22:31,000 DO YOU KNOW WHAT THESE ARE? 328 00:22:31,000 --> 00:22:32,000 NO. 329 00:22:32,000 --> 00:22:33,000 OKAY, THESE ARE CRACKERS 330 00:22:33,000 --> 00:22:36,000 MADE OUT OF RICE AND SEAWEED. 331 00:22:36,000 --> 00:22:39,000 WOULD YOU LIKE TO TRY SOME? 332 00:22:39,000 --> 00:22:44,000 NO? A LOT OF OTHER KIDS TRIED THEM. 333 00:22:47,000 --> 00:22:51,000 Grey: SOMETIMES THE MOST PERSUASIVE ARGUMENT CAN BACKFIRE. 334 00:22:51,000 --> 00:22:53,000 HOW IS IT? 335 00:22:53,000 --> 00:22:55,000 WHAT, GOOD OR BAD? 336 00:22:55,000 --> 00:22:56,000 BAD. 337 00:22:56,000 --> 00:22:59,000 BAD. DO YOU WANT TO SPIT IT OUT? 338 00:22:59,000 --> 00:23:04,000 OKAY, HERE, YOU CAN SPIT IT OUT. 339 00:23:04,000 --> 00:23:06,000 THAT'S OKAY. 340 00:23:06,000 --> 00:23:09,000 DO YOU WANT ME TO GET YOU SOMETHING ELSE TO EAT? 341 00:23:09,000 --> 00:23:12,000 WHAT WOULD YOU LIKE TO EAT? 342 00:23:12,000 --> 00:23:13,000 PIZZA. 343 00:23:13,000 --> 00:23:18,000 PIZZA. 344 00:23:29,000 --> 00:23:34,000 Grey: FAST FOOD CATERS TO OUR INBORN CRAVINGS FOR SALT AND SUGAR 345 00:23:34,000 --> 00:23:39,000 AND TO AN ACQUIRED TASTE FOR FAT. 346 00:23:39,000 --> 00:23:43,000 FAT CARRIES FLAVOR AND ADDS BODY TO FOOD. 347 00:23:43,000 --> 00:23:46,000 IT MAY BE THE FEEL OF IT WE LOVE MOST. 348 00:23:46,000 --> 00:23:50,000 THE OCCASIONAL BURGER CAN BE A TREAT 349 00:23:50,000 --> 00:23:55,000 BUT A STEADY DIET OF FATTY FOODS CAN TAKE ITS TOLL. 350 00:24:02,000 --> 00:24:07,000 EVERYTHING WE EAT BECOMES PART OF US. 351 00:24:08,000 --> 00:24:12,000 FOOD TRAVELS DOWN THE ESOPHAGUS INTO THE STOMACH 352 00:24:12,000 --> 00:24:16,000 WHERE IT MIXES WITH HYDROCHLORIC ACID. 353 00:24:16,000 --> 00:24:20,000 IN THE 15-FOOT-LONG TUBE OF THE SMALL INTESTINE 354 00:24:20,000 --> 00:24:24,000 WHAT WAS ONCE HAMBURGER IS REDUCED TO SIMPLE MOLECULES. 355 00:24:24,000 --> 00:24:28,000 LINING THE INTESTINE ARE MILLIONS OF TINY FINGERS 356 00:24:28,000 --> 00:24:32,000 THAT ABSORB NUTRIENTS INTO THE BLOODSTREAM. 357 00:24:32,000 --> 00:24:36,000 FOOD IS TRANSFORMED INTO TISSUE, MUSCLE, BONE 358 00:24:36,000 --> 00:24:39,000 AND FATTY SUBSTANCES CALLED CHOLESTEROL. 359 00:24:39,000 --> 00:24:43,000 THE MORE FAT WE EAT, THE MORE CHOLESTEROL IN OUR BLOOD. 360 00:24:43,000 --> 00:24:46,000 TOO MUCH CAN CLOG ARTERIES. 361 00:24:46,000 --> 00:24:49,000 THE BUILDUP, CALLED PLAQUE 362 00:24:49,000 --> 00:24:54,000 LEADS TO HARDENING OF THE ARTERIES, OR ATHEROSCLEROSIS. 363 00:24:55,000 --> 00:25:00,000 EVENTUALLY IT CAN BLOCK THE FLOW OF BLOOD. 364 00:25:03,000 --> 00:25:08,000 PLAQUE IS REMOVED FROM THIS PATIENT'S CORONARY ARTERY 365 00:25:08,000 --> 00:25:10,000  TO PREVENT A MASSIVE HEART ATTACK. 366 00:25:10,000 --> 00:25:15,000 SOME PEOPLE ARE NOT SO LUCKY. 367 00:25:18,000 --> 00:25:23,000 EVERY 32 SECONDS, SOMEONE IN AMERICA HAS A HEART ATTACK. 368 00:25:23,000 --> 00:25:27,000 Man: IS IT GOING ANYWHERE, OR IS IT JUST STAYING IN YOUR CHEST? 369 00:25:27,000 --> 00:25:29,000 LET'S GET THAT E.K.G. 370 00:25:29,000 --> 00:25:33,000 Grey: ONE IN TWO AMERICANS WILL DIE OF HEART DISEASE OR STROKE. 371 00:25:33,000 --> 00:25:38,000 WHAT ARE HIS VITAL SIGNS? 372 00:25:39,000 --> 00:25:41,000 YOU'RE HAVING A HEART ATTACK. 373 00:25:41,000 --> 00:25:45,000 THIS MEDICINE WILL HELP YOUR BODY DISSOLVE THIS BLOOD CLOT 374 00:25:45,000 --> 00:25:48,000 THAT'S CAUSING THE HEART ATTACK. 375 00:25:48,000 --> 00:25:52,000 Grey: TODAY THE DOCTOR HAS THE TOOLS AND THE KNOWLEDGE 376 00:25:52,000 --> 00:25:55,000 TO SAVE THIS PATIENT'S LIFE. 377 00:25:55,000 --> 00:25:59,000 SIR, ARE YOU STARTING TO FEEL ANY RELIEF? 378 00:25:59,000 --> 00:26:00,000 I THINK SO. 379 00:26:00,000 --> 00:26:01,000 Grey: ONLY HALF A CENTURY AGO 380 00:26:01,000 --> 00:26:06,000 THE CAUSES OF HEART DISEASE WERE COMPLETELY UNKNOWN. 381 00:26:08,000 --> 00:26:11,000 IN SOUTHERN ITALY, HEART DISEASE IS RARE 382 00:26:11,000 --> 00:26:13,000 A FACT THAT DID NOT ESCAPE 383 00:26:13,000 --> 00:26:18,000 PIONEERING PHYSIOLOGIST ANCEL KEYS. 384 00:26:18,000 --> 00:26:23,000 KEYS HAS SPENT THE LAST 50 YEARS LOOKING AT HOW THE WORLD EATS. 385 00:26:25,000 --> 00:26:29,000 HE BEGAN HIS CAREER AT THE UNIVERSITY OF MINNESOTA. 386 00:26:29,000 --> 00:26:32,000 HIS GOAL, IN HIS OWN WORDS, WAS 387 00:26:32,000 --> 00:26:36,000 "TO FIND OUT WHY PEOPLE GET SICK BEFORE THEY GET SICK." 388 00:26:36,000 --> 00:26:40,000 IN 1941, THE SECRETARY OF WAR ASKED KEYS 389 00:26:40,000 --> 00:26:45,000 TO DEVELOP THE PERFECT MEAL FOR A SOLDIER IN COMBAT. 390 00:26:47,000 --> 00:26:49,000 IF VITAMINS WERE MISSING FROM HIS FOOD 391 00:26:49,000 --> 00:26:52,000 A SOLDIER MIGHT HAVE TO TAKE VITAMINS. 392 00:26:52,000 --> 00:26:56,000 IF HE HAD VITAMINS BUT NO FOOD, HE WOULD STARVE. 393 00:26:56,000 --> 00:27:01,000 THE BEST WAY IS TO SUPPLY VITAMINS IN THE FOOD. 394 00:27:01,000 --> 00:27:05,000 Grey: KEYS' CREATION WOULD BEAR HIS INITIAL: K-RATIONS. 395 00:27:05,000 --> 00:27:10,000 CANNED MEAT, FRUIT BARS, POWDERED COFFEE, CHOCOLATE-- 396 00:27:10,000 --> 00:27:12,000 IT WASN'T TASTY 397 00:27:12,000 --> 00:27:17,000 BUT THE K-RATION FED 16 MILLION SERVICEMEN DURING WORLD WAR II. 398 00:27:20,000 --> 00:27:25,000 OTHERS FARED FAR WORSE. 399 00:27:25,000 --> 00:27:27,000 WAR-TORN EUROPE. 400 00:27:27,000 --> 00:27:29,000 LIFELINES DESTROYED. 401 00:27:29,000 --> 00:27:34,000 AS FOOD SUPPLIES DWINDLE, MILLIONS GO HUNGRY. 402 00:27:34,000 --> 00:27:37,000 IN THE MIDST OF THIS SUFFERING 403 00:27:37,000 --> 00:27:39,000 LOCAL DOCTORS NOTE A CURIOUS FACT: 404 00:27:39,000 --> 00:27:43,000 THE RATE OF HEART DISEASE IS SLOWLY DROPPING. 405 00:27:43,000 --> 00:27:47,000 THE REPORTS RECEIVE LITTLE NOTICE. 406 00:27:47,000 --> 00:27:52,000 BUT FOR ANCEL KEYS, THEY HOLD THE GERM OF AN IDEA. 407 00:27:53,000 --> 00:27:57,000 HE WOULD SPEND THE NEXT 40 YEARS FOLLOWING A HUNCH. 408 00:27:57,000 --> 00:28:02,000 COULD DIET AND HEART DISEASE BE LINKED? 409 00:28:02,000 --> 00:28:07,000 AN INTRIGUING CLUE CAME FROM AN ITALIAN COLLEAGUE IN NAPLES. 410 00:28:07,000 --> 00:28:09,000 ONE OF THE MEMBERS WAS 411 00:28:09,000 --> 00:28:12,000 A PROFESSOR OF PHYSIOLOGY AT NAPLES 412 00:28:12,000 --> 00:28:16,000 AND HE SAYS, "WE DON'T HAVE CORONARY HEART DISEASE HERE." 413 00:28:16,000 --> 00:28:19,000 WELL, IT WAS TRUE, THEY HAD VERY LITTLE 414 00:28:19,000 --> 00:28:21,000 AND THEY HAD VERY LOW CHOLESTEROL 415 00:28:21,000 --> 00:28:24,000 AND THE DIET WAS RADICALLY DIFFERENT 416 00:28:24,000 --> 00:28:27,000 EVEN FROM WHAT WE HAD BEEN EATING IN OXFORD 417 00:28:27,000 --> 00:28:31,000 LET ALONE THE UNITED STATES. 418 00:28:31,000 --> 00:28:36,000 Grey: IN 1957, AT THE HELM OF AN INTERNATIONAL TEAM 419 00:28:36,000 --> 00:28:39,000 KEYS ESTABLISHED THE "SEVEN COUNTRIES" STUDY. 420 00:28:39,000 --> 00:28:41,000 FOR NEARLY TWO DECADES 421 00:28:41,000 --> 00:28:45,000 HE WOULD TRACK THE DIET AND HEALTH OF 12,000 MEN 422 00:28:45,000 --> 00:28:50,000 ACROSS EUROPE, THE UNITED STATES AND JAPAN. 423 00:28:51,000 --> 00:28:54,000 EVENTUALLY A PATTERN EMERGED. 424 00:28:54,000 --> 00:28:59,000 HEART ATTACKS WERE MOST FREQUENT IN MEN WITH HIGH CHOLESTEROL 425 00:28:59,000 --> 00:29:02,000 AND DIETS RICH IN MEATS AND DAIRY PRODUCTS-- 426 00:29:02,000 --> 00:29:04,000 FOODS WITH SATURATED FAT. 427 00:29:04,000 --> 00:29:09,000 DIETS LOW IN SATURATED FAT MEANT LESS HEART DISEASE. 428 00:29:11,000 --> 00:29:15,000 KEYS FOUND A KILLER IN OUR FOOD. 429 00:29:15,000 --> 00:29:19,000 A CHEESEBURGER WOULD NEVER BE THE SAME. 430 00:29:19,000 --> 00:29:22,000 TODAY, KEYS LIVES IN ITALY 431 00:29:22,000 --> 00:29:26,000 AND CONTINUES TO UPDATE THE "SEVEN COUNTRIES" STUDY. 432 00:29:26,000 --> 00:29:29,000 HE HAS SEEN SOME DRAMATIC CHANGES 433 00:29:29,000 --> 00:29:32,000 SINCE THE SURVEY BEGAN SOME 30 YEARS AGO. 434 00:29:32,000 --> 00:29:37,000 IN EASTERN FINLAND, PEOPLE WERE ACTIVE AND TRIM 435 00:29:37,000 --> 00:29:42,000 BUT THEY HAD THE HIGHEST RATE OF HEART DISEASE IN THE WORLD. 436 00:29:43,000 --> 00:29:46,000 THE FINNS LIKE THEIR FISH SALTED 437 00:29:46,000 --> 00:29:50,000 AND A GLASS OF WHOLE MILK WITH EVERY MEAL. 438 00:29:50,000 --> 00:29:53,000 A LOCAL DELICACY, THE "HOT POT" 439 00:29:53,000 --> 00:29:58,000 IS MADE WITH PORK BELLY, BEEF AND MUTTON SIMMERED IN LARD. 440 00:29:58,000 --> 00:30:00,000 SERVED WITH BREAD AND BUTTER 441 00:30:00,000 --> 00:30:05,000 IT'S AN OVERDOSE OF SATURATED FAT. 442 00:30:05,000 --> 00:30:07,000 IN THE 1970s 443 00:30:07,000 --> 00:30:12,000 THE GOVERNMENT LAUNCHED A MASSIVE PUBLIC HEALTH CAMPAIGN. 444 00:30:13,000 --> 00:30:15,000 THE FOOD INDUSTRY RESPONDED 445 00:30:15,000 --> 00:30:19,000 WITH FINLAND'S FIRST LOW-FAT DAIRY PRODUCTS 446 00:30:19,000 --> 00:30:21,000 AND LEANER CUTS OF MEAT. 447 00:30:21,000 --> 00:30:23,000 THANKS TO PUBLIC EDUCATION 448 00:30:23,000 --> 00:30:28,000 THE FINNS HAVE REDUCED HEART DISEASE BY 30%. 449 00:30:30,000 --> 00:30:34,000 IN JAPAN, THE DIET NEEDED LITTLE CHANGE. 450 00:30:34,000 --> 00:30:38,000 RICE, FISH AND VEGETABLES MADE THE TYPICAL MEAL 451 00:30:38,000 --> 00:30:43,000 LOW IN SATURATED FAT. 452 00:30:45,000 --> 00:30:49,000 RED MEAT AND PROCESSED FOODS WERE RARE. 453 00:30:49,000 --> 00:30:52,000 NOT ANYMORE. 454 00:30:52,000 --> 00:30:55,000 WESTERN-STYLE FOODS HAVE FOUND THEIR PLACE 455 00:30:55,000 --> 00:31:00,000 ON THE JAPANESE DINNER TABLE, ALONGSIDE HOMEGROWN FARE. 456 00:31:02,000 --> 00:31:07,000 ( saying prayer in Japanese ) 457 00:31:07,000 --> 00:31:11,000 TODAY'S HOMEMAKER PREPARES A DOUBLE MEAL. 458 00:31:11,000 --> 00:31:16,000 IT REFLECTS JAPAN'S RICH CULTURAL PAST 459 00:31:16,000 --> 00:31:21,000 AND ITS RAPIDLY EVOLVING FUTURE. 460 00:31:24,000 --> 00:31:25,000 40 YEARS AGO 461 00:31:25,000 --> 00:31:29,000 HEART DISEASE WAS CLOSE TO NONEXISTENT. 462 00:31:29,000 --> 00:31:31,000 ALL THAT IS CHANGING. 463 00:31:31,000 --> 00:31:35,000 CHOLESTEROL LEVELS ARE ON THE RISE. 464 00:31:35,000 --> 00:31:37,000 SO ARE HEART ATTACKS. 465 00:31:37,000 --> 00:31:40,000 FOR NOW, THE JAPANESE STILL ENJOY 466 00:31:40,000 --> 00:31:45,000 THE LOWEST RATE OF HEART DISEASE IN THE INDUSTRIALIZED WORLD. 467 00:31:46,000 --> 00:31:51,000 BUT A NEW GENERATION MAY BE AT RISK. 468 00:31:56,000 --> 00:31:58,000 MEDITERRANEAN CUISINE 469 00:31:58,000 --> 00:32:02,000 REMAINS ANCEL KEYS' PERSONAL PRESCRIPTION FOR GOOD HEALTH. 470 00:32:02,000 --> 00:32:06,000 PRACTICING WHAT HE PREACHES, HE USHERED IN THE ERA 471 00:32:06,000 --> 00:32:07,000 OF THE LOW-FAT DIET 472 00:32:07,000 --> 00:32:12,000 AND CHANGED FOREVER THE WAY WE LOOK AT FOOD. 473 00:32:13,000 --> 00:32:17,000 KEYS CONFIRMED THAT CHOLESTEROL AND HEART DISEASE 474 00:32:17,000 --> 00:32:19,000 ARE INEXTRICABLY LINKED 475 00:32:19,000 --> 00:32:24,000 BUT IT WAS ONLY RECENTLY THAT WE UNDERSTOOD HOW. 476 00:32:25,000 --> 00:32:30,000 ( orchestra playing ) 477 00:32:30,000 --> 00:32:33,000 IN 1985, A NOBEL PRIZE WAS SHARED BY MICHAEL BROWN 478 00:32:33,000 --> 00:32:38,000 AND LONG-TIME COLLEAGUE JOSEPH GOLDSTEIN. 479 00:32:41,000 --> 00:32:45,000 THEIR AWARD-WINNING RESEARCH BEGAN 12 YEARS EARLIER 480 00:32:45,000 --> 00:32:49,000 AT THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER IN DALLAS. 481 00:32:49,000 --> 00:32:52,000 BROWN AND GOLDSTEIN TEAMED UP 482 00:32:52,000 --> 00:32:57,000 TO INVESTIGATE WHY HEART DISEASE RUNS IN FAMILIES. 483 00:32:57,000 --> 00:33:02,000 THEY BEGAN BY LOOKING AT HOW THE BODY REGULATES CHOLESTEROL. 484 00:33:02,000 --> 00:33:05,000 CHOLESTEROL CIRCULATES IN THE BLOODSTREAM. 485 00:33:05,000 --> 00:33:08,000 ALL OF THE CELLS IN THE BODY REQUIRE CHOLESTEROL 486 00:33:08,000 --> 00:33:11,000 BECAUSE THEY USE CHOLESTEROL TO MAKE THE OUTER WALL 487 00:33:11,000 --> 00:33:13,000 THAT SURROUNDS EACH CELL. 488 00:33:13,000 --> 00:33:16,000 SO CHOLESTEROL HAS TO BE TRANSPORTED IN THE BLOOD 489 00:33:16,000 --> 00:33:18,000 FROM ONE TISSUE TO ANOTHER. 490 00:33:18,000 --> 00:33:22,000 Grey: NOTHING MORE GRAPHICALLY ILLUSTRATES 491 00:33:22,000 --> 00:33:23,000 A BREAKDOWN IN THIS SYSTEM 492 00:33:23,000 --> 00:33:27,000 THAN CHILDREN WITH A RARE, INHERITED DISORDER 493 00:33:27,000 --> 00:33:30,000 THAT RESULTS IN LETHAL LEVELS OF CHOLESTEROL. 494 00:33:30,000 --> 00:33:35,000 IT'S A STRIKING CLINICAL PICTURE WHERE YOU SEE THESE CHILDREN 495 00:33:35,000 --> 00:33:37,000 THAT HAVE CHOLESTEROL LEVELS OF 1,000. 496 00:33:37,000 --> 00:33:41,000 THE NORMAL WOULD BE 150, 160 FOR A CHILD, AND IT'S 1,000. 497 00:33:41,000 --> 00:33:45,000 AND THAT CAUSES THESE DEPOSITS OF CHOLESTEROL 498 00:33:45,000 --> 00:33:47,000 IN THEIR ELBOWS, THEIR HANDS, THEIR KNEES 499 00:33:47,000 --> 00:33:51,000 AND THEN THEY ALSO BEGIN TO HAVE HEART ATTACKS 500 00:33:51,000 --> 00:33:53,000 AS EARLY AS TWO YEARS OF AGE. 501 00:33:53,000 --> 00:33:55,000 Grey: BROWN AND GOLDSTEIN COMPARED CELLS 502 00:33:55,000 --> 00:33:58,000 FROM THESE CHILDREN TO THOSE OF HEALTHY PEOPLE 503 00:33:58,000 --> 00:34:03,000 AND FOUND THEY LACKED A CRITICAL MOLECULE, THE "L.D.L. RECEPTOR." 504 00:34:04,000 --> 00:34:07,000 RECEPTORS TRAP CHOLESTEROL CALLED L.D.L. 505 00:34:07,000 --> 00:34:10,000 AND RELEASE IT INSIDE THE CELL. 506 00:34:10,000 --> 00:34:15,000 WHEN CHOLESTEROL IS LOW, RECEPTORS ARE RECYCLED. 507 00:34:15,000 --> 00:34:17,000 BUT WHEN CHOLESTEROL IS HIGH 508 00:34:17,000 --> 00:34:21,000 THE CELL RESPONDS BY SHUTTING DOWN ITS RECEPTORS. 509 00:34:21,000 --> 00:34:26,000 EXCESS CHOLESTEROL THEN ACCUMULATES IN THE BLOOD. 510 00:34:29,000 --> 00:34:32,000 A FORMER STUDENT OF BROWN AND GOLDSTEIN, MONTY KRIEGER 511 00:34:32,000 --> 00:34:37,000 WANTED TO KNOW JUST HOW EXCESS CHOLESTEROL DOES ITS DAMAGE. 512 00:34:40,000 --> 00:34:43,000 A MICROSCOPIC VIEW OF A HARDENED ARTERY 513 00:34:43,000 --> 00:34:47,000 REVEALS LAYERS OF SCAVENGER CELLS, CALLED "MACROPHAGES." 514 00:34:47,000 --> 00:34:50,000 THEY ARE FILLED WITH CHOLESTEROL. 515 00:34:50,000 --> 00:34:53,000 IF THEIR L.D.L. RECEPTORS HAVE SHUT DOWN 516 00:34:53,000 --> 00:34:57,000 HOW DO THESE CELLS ABSORB CHOLESTEROL? 517 00:34:57,000 --> 00:35:00,000 AT THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY 518 00:35:00,000 --> 00:35:05,000 KRIEGER ISOLATED A RECEPTOR ON THE SURFACE OF A MACROPHAGE. 519 00:35:05,000 --> 00:35:10,000 A YEAR'S WORK WOULD YIELD ITS GENETIC CODE 520 00:35:10,000 --> 00:35:14,000 AND A COMPUTER MODEL OF ITS STRUCTURE. 521 00:35:14,000 --> 00:35:19,000 IN 1990, KRIEGER HAD HIS FIRST LOOK AT THE SCAVENGER RECEPTOR. 522 00:35:20,000 --> 00:35:23,000 THIS RECEPTOR TRAPS CHOLESTEROL 523 00:35:23,000 --> 00:35:28,000 THAT HAS DETERIORATED WHILE IN THE BODY. 524 00:35:28,000 --> 00:35:33,000 FOR KRIEGER, IT WAS AN IMPORTANT CLUE TO ITS FUNCTION. 525 00:35:33,000 --> 00:35:37,000 WHY SHOULD WE HAVE A RECEPTOR ON OUR MACROPHAGES 526 00:35:37,000 --> 00:35:39,000 THAT CAUSES ATHEROSCLEROSIS? 527 00:35:39,000 --> 00:35:41,000 PERHAPS THAT RECEPTOR NORMALLY PROTECTS US 528 00:35:41,000 --> 00:35:43,000 RATHER THAN HARMS US. 529 00:35:43,000 --> 00:35:46,000 INDEED, MODIFIED L.D.L. CAN BE TOXIC TO CELLS. 530 00:35:46,000 --> 00:35:50,000 IT SEEMS REASONABLE TO THINK THAT THIS RECEPTOR IS THERE 531 00:35:50,000 --> 00:35:54,000 TO REMOVE THAT TOXIC L.D.L. AND DESTROY IT-- MODIFIED L.D.L.-- 532 00:35:54,000 --> 00:35:56,000 BUT IF ONE HAS HYPERCHOLESTEROLEMIA-- 533 00:35:56,000 --> 00:35:58,000 TOO MUCH L.D.L. IN THE BLOOD-- 534 00:35:58,000 --> 00:36:02,000 THERE WILL BE TOO MUCH OF THE MODIFIED L.D.L. MADE. 535 00:36:02,000 --> 00:36:03,000 THEN, INSTEAD OF PROTECTING 536 00:36:03,000 --> 00:36:07,000 WE HAVE FOAM CELL FORMATION AND ATHEROSCLEROSIS. 537 00:36:07,000 --> 00:36:10,000 Grey: THE LONGER CHOLESTEROL CIRCULATES 538 00:36:10,000 --> 00:36:12,000 THE MORE TOXIC IT BECOMES. 539 00:36:12,000 --> 00:36:15,000 MACROPHAGES ABSORB TOXIC L.D.L.. 540 00:36:15,000 --> 00:36:19,000 THEY ADHERE TO ARTERY WALLS AND BECOME BLOATED. 541 00:36:19,000 --> 00:36:22,000 IF CHOLESTEROL STAYS HIGH 542 00:36:22,000 --> 00:36:24,000 THE VICIOUS CYCLE REPEATS ITSELF... 543 00:36:24,000 --> 00:36:26,000 ( heart monitor beeping ) 544 00:36:26,000 --> 00:36:28,000 SILENTLY, WITHOUT WARNING... 545 00:36:28,000 --> 00:36:30,000 ( heart monitor stops beeping ) 546 00:36:30,000 --> 00:36:33,000 TO ITS INEVITABLE CONCLUSION. 547 00:36:33,000 --> 00:36:38,000 SOME PEOPLE DON'T REALIZE THEY ARE AT RISK UNTIL IT'S TOO LATE. 548 00:36:39,000 --> 00:36:43,000 ED AHRENS, A LONG BEACH, CALIFORNIA, RESIDENT, WAS LUCKY. 549 00:36:43,000 --> 00:36:47,000 ...IN THE FALL ON A HOT DAY, AND I WAS WORKING OUT IN THE YARD. 550 00:36:47,000 --> 00:36:50,000 I WAS DIGGING UP THE BACKYARD. 551 00:36:50,000 --> 00:36:54,000 AND I JUST ALL OF A SUDDEN BROKE OUT INTO A SWEAT 552 00:36:54,000 --> 00:36:57,000 AND I GOT VERY DIZZY AND BEGAN HAVING PAINS 553 00:36:57,000 --> 00:37:00,000 DOWN IN MY LEFT ARM AND LEFT LEG. 554 00:37:00,000 --> 00:37:04,000 WELL, IT WAS SEVERE ENOUGH THAT I ALMOST LOST CONSCIOUSNESS 555 00:37:04,000 --> 00:37:08,000 AND I HAD TO BE TAKEN BY PARAMEDICS TO THE HOSPITAL. 556 00:37:08,000 --> 00:37:11,000 BUT I'D HAD NO PREVIOUS INDICATION 557 00:37:11,000 --> 00:37:13,000 THAT THIS WAS HAPPENING. 558 00:37:13,000 --> 00:37:16,000 Grey: ED'S CHEST PAINS WERE A WARNING. 559 00:37:16,000 --> 00:37:18,000 HIS DOCTOR REFERRED HIM 560 00:37:18,000 --> 00:37:21,000 TO THE ATHEROSCLEROSIS RESEARCH INSTITUTE 561 00:37:21,000 --> 00:37:24,000 OF THE UNIVERSITY OF SOUTHERN CALIFORNIA. 562 00:37:24,000 --> 00:37:27,000 DIRECTOR DAVID BLANKENHORN WANTED TO KNOW 563 00:37:27,000 --> 00:37:32,000 IF HARDENING OF THE ARTERIES COULD BE REVERSED. 564 00:37:34,000 --> 00:37:36,000 WE KNEW THAT IN ANIMALS 565 00:37:36,000 --> 00:37:40,000 IF YOU PRODUCE THE DISORDER BY CHOLESTEROL FEEDING 566 00:37:40,000 --> 00:37:42,000 AND THEN THE CHOLESTEROL ACCUMULATES 567 00:37:42,000 --> 00:37:44,000 IN THE ANIMALS' ARTERIES 568 00:37:44,000 --> 00:37:48,000 LATER, IF YOU STOP THE CHOLESTEROL FEEDING 569 00:37:48,000 --> 00:37:50,000 THE DEPOSITS WOULD GO AWAY. 570 00:37:50,000 --> 00:37:52,000 THE SECOND THING WE KNEW 571 00:37:52,000 --> 00:37:56,000 WAS THAT IN WORLD WAR II, WHEN POPULATIONS WERE STARVED 572 00:37:56,000 --> 00:38:00,000 THE CHOLESTEROL DEPOSITS IN THEIR ARTERIES WAS REDUCED. 573 00:38:00,000 --> 00:38:04,000 BUT AT THE TIME THESE STUDIES WERE STARTED-- 574 00:38:04,000 --> 00:38:06,000 THE FIRST ANGIOGRAPHIC TRIALS-- 575 00:38:06,000 --> 00:38:09,000 NOBODY REALLY KNEW WHAT WAS ACTUALLY GOING ON 576 00:38:09,000 --> 00:38:12,000 INSIDE A HUMAN HEART, IN THOSE ARTERIES; 577 00:38:12,000 --> 00:38:17,000 WERE THE CHOLESTEROL DEPOSITS ACTUALLY GETTING SMALLER. 578 00:38:17,000 --> 00:38:20,000 Nurse: LET'S SEE HOW WELL YOU'VE DONE. 579 00:38:20,000 --> 00:38:23,000 Grey: ED AHRENS VOLUNTEERED FOR A CLINICAL TRIAL 580 00:38:23,000 --> 00:38:26,000 TO TEST A CHOLESTEROL-LOWERING DRUG. 581 00:38:26,000 --> 00:38:28,000 PRETTY GOOD, I HOPE. 582 00:38:28,000 --> 00:38:33,000 Grey: ONCE A MONTH, FOR FOUR YEARS 583 00:38:33,000 --> 00:38:37,000 ED'S WEIGHT, BLOOD PRESSURE AND CHOLESTEROL WERE CHECKED. 584 00:38:37,000 --> 00:38:39,000 PERFECT. 585 00:38:39,000 --> 00:38:42,000 SQUEEZE THAT. 586 00:38:42,000 --> 00:38:43,000 ALL RIGHT. 587 00:38:43,000 --> 00:38:46,000 Woman: YOUR DIET LOOKS GOOD. 588 00:38:46,000 --> 00:38:51,000 Grey: WITH DIETARY COUNSELING, ED ALSO LEARNED NEW EATING HABITS. 589 00:38:52,000 --> 00:38:56,000 HE WORKED CLOSELY WITH PROJECT DIETITIAN MARTHA CHARLESON 590 00:38:56,000 --> 00:38:57,000 TO LOWER HIS FAT INTAKE. 591 00:38:57,000 --> 00:38:59,000 YOU'RE WATCHING YOUR FAT. 592 00:38:59,000 --> 00:39:02,000 MY SON LOVES TO FISH 593 00:39:02,000 --> 00:39:06,000 AND HE CAUGHT SOME FISH, AND SO WE ATE IT. 594 00:39:06,000 --> 00:39:08,000 FISH IS AN ANIMAL PRODUCT 595 00:39:08,000 --> 00:39:11,000 AND DOES CONTAIN SOME CHOLESTEROL. 596 00:39:11,000 --> 00:39:13,000 OKAY. NOW, YOU SAY YOU HAD A LOT. 597 00:39:13,000 --> 00:39:16,000 COMPARED TO THIS PORTION, WHAT IS YOUR PORTION? 598 00:39:16,000 --> 00:39:19,000 I PROBABLY HAD THREE TIMES THAT AMOUNT. 599 00:39:19,000 --> 00:39:21,000 DON'T GO OVERBOARD. 600 00:39:21,000 --> 00:39:23,000 WATCH YOUR FISH PORTIONS, OKAY? 601 00:39:23,000 --> 00:39:28,000 WELL, HE DOESN'T GO FISHING EVERY WEEK. 602 00:39:29,000 --> 00:39:34,000 Grey: WITH THE HELP OF HIS WIFE, MARGARET, ED MADE CHANGES. 603 00:39:35,000 --> 00:39:40,000 GONE WERE THE BACON-AND-EGG BREAKFASTS HE ONCE LOVED. 604 00:39:42,000 --> 00:39:46,000 OATMEAL, NONFAT MILK, WHOLE-GRAIN TOAST 605 00:39:46,000 --> 00:39:50,000 AND FRESH FRUIT BECAME HIS DAILY FARE. 606 00:39:50,000 --> 00:39:55,000 Margaret: THEY HAD SOME KIND OF A FRACAS DOWN AT THAT MINI-MART... 607 00:39:57,000 --> 00:39:59,000 NOT BAD; IT'LL DO. 608 00:39:59,000 --> 00:40:01,000 Grey: IT'S NOT EASY 609 00:40:01,000 --> 00:40:04,000 TO GIVE UP OLD HABITS, BUT ED MADE THE BEST OF IT. 610 00:40:04,000 --> 00:40:08,000 MAY SOUND STRANGE, BUT I ACTUALLY ENJOYED IT. 611 00:40:08,000 --> 00:40:11,000 I TOOK IT AS A GAME OR A CHALLENGE. 612 00:40:11,000 --> 00:40:16,000 AND I DECIDED THAT I WAS GOING TO WIN AND CHOLESTEROL WASN'T. 613 00:40:16,000 --> 00:40:20,000 THE ANGIOGRAPHIC MACHINES ARE DOWN HERE. 614 00:40:20,000 --> 00:40:22,000 Grey: TODAY, ED WILL FIND OUT 615 00:40:22,000 --> 00:40:26,000 IF FOUR YEARS OF HARD WORK HAVE PAID OFF. 616 00:40:26,000 --> 00:40:31,000 AN ANGIOGRAM, OR X-RAY FILM OF HIS HEART, WAS TAKEN 617 00:40:31,000 --> 00:40:33,000 AT THE TIME HE ENTERED THE STUDY. 618 00:40:33,000 --> 00:40:36,000 Blankenhorn: ...AND THEN YOU SEE 619 00:40:36,000 --> 00:40:39,000 THIS LITTLE NARROW STRIP OF VESSEL GOING THROUGH THERE 620 00:40:39,000 --> 00:40:44,000 WHICH IS REALLY QUITE NARROW, SO THAT'S THE THING OF INTEREST. 621 00:40:44,000 --> 00:40:47,000 WE'RE LOOKING AT THAT VERY NARROW THING 622 00:40:47,000 --> 00:40:51,000 WHICH WE'RE GOING TO COMPARE WITH THE ONE ON THE OTHER SIDE. 623 00:40:51,000 --> 00:40:55,000 THAT'S THE ORIGIN OF THE CIRCUMFLEX CORONARY ARTERY. 624 00:40:55,000 --> 00:40:59,000 Grey: ED'S CORONARY ARTERY WAS DANGEROUSLY BLOCKED. 625 00:40:59,000 --> 00:41:03,000 BUT A RECENT ANGIOGRAM REVEALS A DRAMATIC CHANGE. 626 00:41:03,000 --> 00:41:07,000 Blankenhorn: AND WE'RE LOOKING AT THAT STRIP RIGHT THERE 627 00:41:07,000 --> 00:41:10,000 WHICH IS OVERALL VERY MUCH LARGER 628 00:41:10,000 --> 00:41:12,000 THAN IT WAS FOUR YEARS EARLIER. 629 00:41:12,000 --> 00:41:14,000 NO QUESTION-- THAT'S BETTER. 630 00:41:14,000 --> 00:41:16,000 REMARKABLE. 631 00:41:16,000 --> 00:41:18,000 Grey: THE PLAQUE IS DISAPPEARING. 632 00:41:18,000 --> 00:41:21,000 Ahrens: EVEN I CAN SEE IT 633 00:41:21,000 --> 00:41:24,000 IN MY UNEDUCATED MEDICAL EYE. 634 00:41:24,000 --> 00:41:28,000 Grey: ANOTHER REVELATION MAKES IT ALL THE MORE IMPRESSIVE. 635 00:41:28,000 --> 00:41:32,000 HALF THE VOLUNTEERS RECEIVED PLACEBOS, INSTEAD OF THE DRUG. 636 00:41:32,000 --> 00:41:33,000 ED WAS ONE OF THEM. 637 00:41:33,000 --> 00:41:37,000 THE RESULTS OF THE TRIAL ARE NOT YET IN 638 00:41:37,000 --> 00:41:42,000 BUT ED IS PROOF: DIET ALONE CAN HEAL THE HEART. 639 00:41:43,000 --> 00:41:45,000 I HAD BEEN SORT OF LED TO BELIEVE 640 00:41:45,000 --> 00:41:48,000 JUST BY MY OWN READING AND HEARING PEOPLE TALK 641 00:41:48,000 --> 00:41:50,000 THAT YOU COULDN'T DO IT-- 642 00:41:50,000 --> 00:41:53,000 YOU COULD NOT HAVE REGRESSION ON DIET ALONE. 643 00:41:53,000 --> 00:41:57,000 AND I THOUGHT THAT HERE I SPENT ALL THIS TIME AND NO MEDICATION. 644 00:41:57,000 --> 00:42:01,000 BUT THEN WHEN IT TURNED OUT THE WAY IT DID, I WAS REAL HAPPY. 645 00:42:01,000 --> 00:42:05,000 THE IMPORTANT THING TO KNOW IS THAT MODERATE CHANGES OF DIET-- 646 00:42:05,000 --> 00:42:07,000 JUST A MODERATE FAT RESTRICTION 647 00:42:07,000 --> 00:42:10,000 THAT DOESN'T TAKE ALL THAT MUCH CHANGE-- 648 00:42:10,000 --> 00:42:13,000 CAN PREVENT THE DISEASE IN THE FIRST PLACE. 649 00:42:13,000 --> 00:42:16,000 AND AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE. 650 00:42:16,000 --> 00:42:17,000 AND IN THIS CASE 651 00:42:17,000 --> 00:42:21,000 AN OUNCE OF PREVENTION IS MUCH EASIER THAN THE CURE. 652 00:42:21,000 --> 00:42:24,000 Grey: ED AHRENS JUST TURNED 72. 653 00:42:24,000 --> 00:42:27,000 IT'S NEVER TOO LATE TO START EATING RIGHT. 654 00:42:27,000 --> 00:42:32,000 MOST OF US JUST DON'T KNOW HOW. 655 00:42:33,000 --> 00:42:36,000 IN THE SHADOW OF THE FOOTBALL STADIUM 656 00:42:36,000 --> 00:42:41,000 AT THE UNIVERSITY OF ARIZONA, AN UNUSUAL CLASS IS IN SESSION. 657 00:42:41,000 --> 00:42:44,000 HERE'S YOUR "GARBAGE DU JOUR." 658 00:42:44,000 --> 00:42:46,000 ENJOY. 659 00:42:46,000 --> 00:42:49,000 Grey: STUDENTS ENROLLED IN "ARCHEOLOGY 199" 660 00:42:49,000 --> 00:42:51,000 ARE GLEANING CLUES 661 00:42:51,000 --> 00:42:56,000 ABOUT A CULTURE'S EATING PATTERNS. 662 00:42:57,000 --> 00:43:01,000 THEY'RE CATALOGING AMERICA'S GARBAGE. 663 00:43:01,000 --> 00:43:05,000 THE DETAILED ANALYSIS OF WRAPPERS, LABELS AND LEFTOVERS 664 00:43:05,000 --> 00:43:09,000 PROVIDES UNIQUE INSIGHT INTO WHAT WE REALLY EAT AND DRINK. 665 00:43:09,000 --> 00:43:11,000 IT'S FRIES? 666 00:43:11,000 --> 00:43:12,000 148. 667 00:43:12,000 --> 00:43:16,000 I'VE GOT A QUESTION ON THE WAY THE MATRIX BREAKS DOWN. 668 00:43:16,000 --> 00:43:18,000 Grey: FOUNDED TWO DECADES AGO 669 00:43:18,000 --> 00:43:21,000 THE "GARBAGE PROJECT" IS THE BRAINCHILD 670 00:43:21,000 --> 00:43:26,000  OF WILLIAM RATHJE. 671 00:43:26,000 --> 00:43:29,000 A LOT OF PEOPLE JUST DON'T HAVE ANY IDEA 672 00:43:29,000 --> 00:43:31,000 WHAT THEY ACTUALLY EAT AND DRINK. 673 00:43:31,000 --> 00:43:34,000 YOU KNOW, HOW MANY OUNCES OF GREEN VEGETABLE 674 00:43:34,000 --> 00:43:36,000 DID YOU HAVE YESTERDAY? 675 00:43:36,000 --> 00:43:38,000 NOBODY REALLY KNOWS THAT VERY WELL. 676 00:43:38,000 --> 00:43:41,000 AND WE FOUND OUT FROM SORTING GARBAGE 677 00:43:41,000 --> 00:43:43,000 THAT THERE'S A BIG DIFFERENCE 678 00:43:43,000 --> 00:43:45,000 BETWEEN WHAT PEOPLE SAY THEY EAT 679 00:43:45,000 --> 00:43:49,000 AND THE REMAINS OF THEIR DIET IN GARBAGE CANS. 680 00:43:49,000 --> 00:43:53,000 AND SECONDLY, THE PROBLEM IS, IF YOU DID KNOW 681 00:43:53,000 --> 00:43:57,000 A LOT OF PEOPLE WOULDN'T WANT TO TELL ANYBODY 682 00:43:57,000 --> 00:43:59,000 HOW MUCH BEER, HOW MUCH CANDY 683 00:43:59,000 --> 00:44:01,000 HOW MUCH ICE CREAM THEY ACTUALLY CONSUME. 684 00:44:01,000 --> 00:44:03,000 WHEN PEOPLE GO TO THE STORE 685 00:44:03,000 --> 00:44:06,000 THEY KNOW EXACTLY WHAT THEY WANT TO EAT 686 00:44:06,000 --> 00:44:08,000 AND WHAT THEY SHOULD EAT 687 00:44:08,000 --> 00:44:11,000 WHICH IS FRESH PRODUCE, FRESH VEGETABLES 688 00:44:11,000 --> 00:44:12,000 FRESH FRUIT, FRESH MEATS 689 00:44:12,000 --> 00:44:15,000 AND THEY'RE GOING TO MAKE THOSE DINNERS. 690 00:44:15,000 --> 00:44:19,000 BUT THEY ALSO KNOW WHAT THEIR LIFESTYLES ARE LIKE. 691 00:44:19,000 --> 00:44:22,000 SO THEY BUY MICROWAVE AND FROZEN STUFF 692 00:44:22,000 --> 00:44:24,000 THAT THEY CAN PREPARE QUICKLY. 693 00:44:24,000 --> 00:44:26,000 AND AFTER TWO WEEKS 694 00:44:26,000 --> 00:44:29,000 THE BOXES AND THE BAGS AND SO FORTH 695 00:44:29,000 --> 00:44:32,000 OF THE PRE-PREPARED MEALS ARE IN THEIR GARBAGE 696 00:44:32,000 --> 00:44:35,000 AND THE HEAD OF LETTUCE, CELERY, ONION 697 00:44:35,000 --> 00:44:38,000 AND MEAT IS BLUE AND GOOEY, AND THEY THROW IT OUT. 698 00:44:38,000 --> 00:44:41,000 PEOPLE DON'T HAVE REALISTIC EXPECTATIONS 699 00:44:41,000 --> 00:44:43,000 OF THEIR OWN BEHAVIOR 700 00:44:43,000 --> 00:44:46,000 ANY RE THAN THEY CAN REALISTICALLY REPORT 701 00:44:46,000 --> 00:44:48,000 WHAT THEY'VE EATEN IN THE LAST WEEK. 702 00:44:48,000 --> 00:44:53,000 Grey: IN THE 1970s, FAT BECAME A MAJOR DIETARY CONCERN. 703 00:44:54,000 --> 00:44:59,000 THE UNITED STATES DEPARTMENT OF AGRICULTURE 704 00:44:59,000 --> 00:45:01,000 HIRED RATHJE TO MONITOR 705 00:45:01,000 --> 00:45:06,000 HOW MUCH FAT AMERICANS TRIMMED OFF RED MEAT. 706 00:45:07,000 --> 00:45:09,000 FROM 1977 TO THE END OF 1982 707 00:45:09,000 --> 00:45:14,000 THERE WAS A VERY CONSTANT LEVEL OF FAT THAT WAS CUT OFF. 708 00:45:14,000 --> 00:45:18,000 IN 1983 IT DOUBLED-- BOOM!-- JUST LIKE THAT. 709 00:45:18,000 --> 00:45:22,000 ALL OF A SUDDEN, PEOPLE ARE CUTTING OFF TWICE AS MUCH FAT. 710 00:45:22,000 --> 00:45:27,000 MEAT ISN'T CHEAPER IF YOU DON'T CUT THE FAT OFF OR IF YOU DO. 711 00:45:27,000 --> 00:45:31,000 ALL WE COULD FIGURE WAS THAT AT THE END OF '82 712 00:45:31,000 --> 00:45:34,000 THE NATIONAL ACADEMY OF SCIENCE PUBLISHED 713 00:45:34,000 --> 00:45:36,000 ITS DIET, NUTRITION AND CANCER BOOK 714 00:45:36,000 --> 00:45:39,000 WHICH FINGERED THE FAT FROM RED MEAT 715 00:45:39,000 --> 00:45:42,000 AS A RISK FACTOR IN COLON AND BREAST CANCER. 716 00:45:42,000 --> 00:45:45,000 EVERYBODY WAS SO HAPPY WITH THESE RESULTS 717 00:45:45,000 --> 00:45:48,000 UNTIL WE LET THE OTHER SHOE DROP. 718 00:45:48,000 --> 00:45:51,000 YOU SEE, PEOPLE WERE BUYING LESS RED MEAT-- 719 00:45:51,000 --> 00:45:53,000 FEWER STEAKS, ROASTS AND CHOPS-- 720 00:45:53,000 --> 00:45:56,000 AND THEY WERE CUTTING A LOT MORE FAT OFF 721 00:45:56,000 --> 00:45:59,000 OF THOSE STEAKS, ROASTS AND CHOPS. 722 00:45:59,000 --> 00:46:03,000 BUT WHAT DID THEY DO TO MAKE UP FOR THAT DIFFERENCE? 723 00:46:03,000 --> 00:46:08,000 THEY BOUGHT SALAMI, BOLOGNA, SAUSAGE, BACON-- 724 00:46:08,000 --> 00:46:13,000 ALL RED-MEAT PROCESSED ITEMS THAT HAVE A LOT OF HIDDEN FAT. 725 00:46:13,000 --> 00:46:17,000 WHAT I THINK IS REALLY EXCITING ABOUT THIS IS 726 00:46:17,000 --> 00:46:21,000 TO UNDERSTAND THE DIFFERENCE BETWEEN WHAT'S CONSUMED 727 00:46:21,000 --> 00:46:23,000 WHAT ISN'T, AND HOW PEOPLE SEE FOODS 728 00:46:23,000 --> 00:46:27,000 SO YOU CAN REALLY UNDERSTAND WAYS TO CHANGE 729 00:46:27,000 --> 00:46:28,000 WHAT PEOPLE ARE DOING 730 00:46:28,000 --> 00:46:30,000 BECAUSE YOU NEED TO KNOW 731 00:46:30,000 --> 00:46:33,000 BOTH THEIR BEHAVIOR AND THEIR ATTITUDES 732 00:46:33,000 --> 00:46:36,000 TO GET THAT INTERVENTION IN DIET TO WORK. 733 00:46:36,000 --> 00:46:40,000 Announcer: HERE'S YOUR HAMBURGER, THE WAY YOU LIKE IT. 734 00:46:40,000 --> 00:46:43,000 BUT ALL THE GARNISHES WON'T CHANGE ONE FACT: 735 00:46:43,000 --> 00:46:45,000 THE AVERAGE HAMBURGER IS 1/4 FAT-- 736 00:46:45,000 --> 00:46:47,000 FAT THAT HARDENS IN YOUR ARTERIES 737 00:46:47,000 --> 00:46:49,000 AND LEADS TO HEART ATTACKS. 738 00:46:49,000 --> 00:46:51,000 SUBSTITUTE FOODS THAT ARE LOW IN FAT 739 00:46:51,000 --> 00:46:54,000 LIKE GRILLED FISH OR BROILED CHICKEN 740 00:46:54,000 --> 00:46:56,000 AND EAT MORE VEGETABLES. 741 00:46:56,000 --> 00:47:00,000 CUT DOWN ON HAMBURGERS; IT'S BETTER FOR YOUR HEART. 742 00:47:00,000 --> 00:47:04,000 Grey: STANFORD UNIVERSITY HAS LONG BEEN KNOWN 743 00:47:04,000 --> 00:47:06,000 FOR ITS BOLD THINKERS. 744 00:47:06,000 --> 00:47:09,000 TO CHANGE THE DIET OF 100,000 PEOPLE 745 00:47:09,000 --> 00:47:11,000 IS NO MEAN FEAT. 746 00:47:11,000 --> 00:47:14,000 BUT JOHN FARQUHAR THOUGHT IT COULD BE DONE-- 747 00:47:14,000 --> 00:47:17,000 SURPRISING, FOR A MAN WHO STARTED OUT 748 00:47:17,000 --> 00:47:19,000 IN INTERNAL MEDICINE. 749 00:47:19,000 --> 00:47:22,000 BUT I GOT FRUSTRATED AS A CLINICIAN 750 00:47:22,000 --> 00:47:24,000 BECAUSE I WOULD SEE MY PATIENTS 751 00:47:24,000 --> 00:47:27,000 WHO HAD LOST WEIGHT IN A HOSPITAL SETTING 752 00:47:27,000 --> 00:47:32,000 REGAIN IT IN THEIR NORMAL LIFE WHEN I SAW THEM AS OUTPATIENTS. 753 00:47:32,000 --> 00:47:37,000 AND SO, THE FRUSTRATION OF THE CLINICIAN LED ME TO ASK 754 00:47:37,000 --> 00:47:39,000 WELL, WHAT ARE THE FACTORS 755 00:47:39,000 --> 00:47:42,000 THAT LEAD PEOPLE TO LIVE THE WAY THEY DO? 756 00:47:42,000 --> 00:47:44,000 WHAT DETERMINES LIFESTYLE? 757 00:47:44,000 --> 00:47:47,000 WHAT ARE THE SOCIAL FORCES INVOLVED 758 00:47:47,000 --> 00:47:51,000 IN CAUSING THE RISK FACTORS OF SMOKING, OVERWEIGHT 759 00:47:51,000 --> 00:47:53,000 LACK OF EXERCISE AND BAD DIETS? 760 00:47:53,000 --> 00:47:57,000 I REALIZED PEOPLE DON'T LIVE IN DOCTOR'S OFFICES. 761 00:47:57,000 --> 00:47:59,000 THEY LIVE IN COMMUNITIES. 762 00:47:59,000 --> 00:48:01,000 YOU NEED TO APPROACH IT WHERE THEY LIVE. 763 00:48:01,000 --> 00:48:06,000 Grey: IN 1980, FARQUHAR ORCHESTRATED A PUBLIC HEALTH CAMPAIGN 764 00:48:08,000 --> 00:48:11,000 IN TWO CALIFORNIA COMMUNITIES: 765 00:48:11,000 --> 00:48:14,000 MONTEREY, A WELL-TO-DO RESORT TOWN 766 00:48:14,000 --> 00:48:18,000 AND NEARBY SALINAS-- FARM COUNTRY. 767 00:48:18,000 --> 00:48:23,000 FOR SIX YEARS, NEWSPAPERS, RADIO AND TELEVISION SPREAD THE WORD. 768 00:48:25,000 --> 00:48:28,000 Announcer: "THE NUTRITION KIT"-- 769 00:48:28,000 --> 00:48:31,000 A FREE, FOUR-STEP PROGRAM FOR HEALTHY EATING 770 00:48:31,000 --> 00:48:34,000 THAT LETS YOU CHANGE AT YOUR OWN PACE. 771 00:48:34,000 --> 00:48:37,000 PICK UP YOUR KIT NOW AT YOUR PUBLIC LIBRARY. 772 00:48:37,000 --> 00:48:42,000 A MESSAGE FROM THE STANFORD HEART DISEASE PREVENTION PROGRAM. 773 00:48:42,000 --> 00:48:45,000 Grey: EVERY NIGHT AFTER DINNER 774 00:48:45,000 --> 00:48:49,000 SALINAS RESIDENT BOB BUMBA USED TO EAT ICE CREAM. 775 00:48:49,000 --> 00:48:54,000 THEN HIS WIFE BEGAN TO EXPERIMENT WITH LOW-FAT RECIPES. 776 00:48:54,000 --> 00:48:58,000 THE FRIDGE WAS STOCKED WITH VEGETABLES AND FRUIT JUICE. 777 00:48:58,000 --> 00:49:03,000 THE STANFORD MESSAGE WAS INESCAPABLE. 778 00:49:05,000 --> 00:49:07,000 THE HEART WAS ALWAYS THERE. 779 00:49:07,000 --> 00:49:09,000 AND YOU WOULD SEE THAT LOGO 780 00:49:09,000 --> 00:49:11,000 ON TELEVISION AND IN THE NEWSPAPERS 781 00:49:11,000 --> 00:49:13,000 AND YOU STARTED TO RELATE TO IT. 782 00:49:13,000 --> 00:49:17,000 SUBLIMINALLY, IT MUST HAVE BEEN DOING SOMETHING TO ME. 783 00:49:17,000 --> 00:49:19,000 I STOPPED EATING ICE CREAM. 784 00:49:19,000 --> 00:49:21,000 I SUBSTITUTED POPCORN. 785 00:49:21,000 --> 00:49:22,000 I'M A BEER DRINKER. 786 00:49:22,000 --> 00:49:26,000 I CONTINUE TO DRINK BEER, HOPEFULLY IN MODERATION. 787 00:49:26,000 --> 00:49:28,000 IN THE PAPER THERE WERERTICLES... 788 00:49:28,000 --> 00:49:30,000 AND I WAS PART OF IT. 789 00:49:30,000 --> 00:49:34,000 AND I WOULD TELL MY FRIENDS, AND THEY THOUGHT IT WAS NEAT. 790 00:49:34,000 --> 00:49:37,000 AND EACH YEAR, AS IT WENT ON 791 00:49:37,000 --> 00:49:39,000 I SAW PROGRESS IN MY WEIGHT LOSS 792 00:49:39,000 --> 00:49:42,000 AND I NEVER KILLED MYSELF OR ANYTHING. 793 00:49:42,000 --> 00:49:46,000 Grey: BEFORE HE KNEW IT, BOB HAD LOST 20 POUNDS. 794 00:49:46,000 --> 00:49:48,000 MONTEREY ATTORNEY BOB BEBERMEYER 795 00:49:48,000 --> 00:49:51,000 CYCLES THE THREE MILES BETWEEN OFFICE AND HOME. 796 00:49:51,000 --> 00:49:56,000 THAT'S IN ADDITION TO THE EIGHT MILES HE RUNS EVERY DAY. 797 00:49:57,000 --> 00:50:02,000 HE WAS SHOCKED TO FIND HIS CHOLESTEROL WAS HIGH. 798 00:50:02,000 --> 00:50:04,000 I WAS LABORING UNDER THE IMPRESSION 799 00:50:04,000 --> 00:50:07,000 THAT IF I HAD A VIGOROUS EXERCISE PROGRAM 800 00:50:07,000 --> 00:50:10,000 THAT THIS WOULD ESSENTIALLY SOLVE ALL ILLS 801 00:50:10,000 --> 00:50:12,000 THAT I WOULD HAVE, HEALTH-WISE; 802 00:50:12,000 --> 00:50:14,000 THAT THAT WAS ESSENTIALLY AN END-ALL. 803 00:50:14,000 --> 00:50:18,000  I FOUND OUT THAT THE EXERCISE PROGRAM ALONE WAS A COMPONENT 804 00:50:18,000 --> 00:50:20,000 BUT IT CERTAINLY WASN'T THE ULTIMATE. 805 00:50:20,000 --> 00:50:24,000 YOU ARE WHAT YOU EAT, SO THE TWO NEED TO WORK TOGETHER. 806 00:50:24,000 --> 00:50:29,000 Grey: A GOURMET COOK, LINDA BEBERMEYER PUT THE PRIME RIB ON HOLD. 807 00:50:30,000 --> 00:50:33,000 NOW BOB'S CHOLESTEROL IS LOW. 808 00:50:33,000 --> 00:50:35,000 MORE VEGETABLES, TOFU 809 00:50:35,000 --> 00:50:40,000 AND LESS MEAT HAVE MADE A HEALTHY DIFFERENCE. 810 00:50:41,000 --> 00:50:45,000 THE BEBERMEYERS ARE NOT UNIQUE. 811 00:50:45,000 --> 00:50:50,000 LIFESTYLE CHANGES MADE BY THE PEOPLE OF MONTEREY AND SALINAS 812 00:50:50,000 --> 00:50:54,000 WILL PREVENT 800 HEART ATTACKS OVER THE NEXT DECADE. 813 00:50:54,000 --> 00:50:55,000 WHAT WE'RE ALL AFTER IS 814 00:50:55,000 --> 00:50:59,000 THAT WE SHOULD BE ALLOWED TO LIVE OUR ALLOTTED LIFE-SPAN 815 00:50:59,000 --> 00:51:02,000 IN PEACE, FREEDOM AND DIGNITY, AND IN GOOD HEALTH 816 00:51:02,000 --> 00:51:06,000 AND NOT AS CRIPPLES, AND NOT HAVING PREVENTABLE DISEASE. 817 00:51:06,000 --> 00:51:07,000 THAT'S WHAT WE ALL WANT. 818 00:51:07,000 --> 00:51:10,000 NOW, A LOT OF THAT IS WITHIN OUR REACH. 819 00:51:10,000 --> 00:51:12,000 WE HAVE TO BE OPTIMISTIC ABOUT IT. 820 00:51:12,000 --> 00:51:15,000 SO WHAT WE'RE TALKING ABOUT IS MORE PEOPLE 821 00:51:15,000 --> 00:51:18,000 WHO ARE FREE OF DISEASE AND DISABILITY 822 00:51:18,000 --> 00:51:21,000 FOR A LONGER PORTION OF THEIR LIFE-SPAN. 823 00:51:21,000 --> 00:51:26,000 Grey: MANY OF THE PROGRAMS CREATED BY STANFORD CONTINUE TO BE POPULAR. 824 00:51:27,000 --> 00:51:30,000 ...HOW MUCH FAT, CARBOHYDRATES... 825 00:51:30,000 --> 00:51:31,000 Grey: AT A MONTEREY SCHOOL 826 00:51:31,000 --> 00:51:34,000  INSTRUCTOR MICHELLE BULL TEACHES FIFTH-GRADERS 827 00:51:34,000 --> 00:51:36,000 HOW TO READ A FOOD LABEL. 828 00:51:36,000 --> 00:51:38,000 Student: INGREDIENTS ARE RIGHT HERE. 829 00:51:38,000 --> 00:51:43,000 SALT, IRON-- THERE'S NO IRON-- CALCIUM... 830 00:51:45,000 --> 00:51:50,000 Bull: AND YOU'RE ALSO GETTING 25% OF THE PROTEIN YOU NEED EACH DAY. 831 00:51:50,000 --> 00:51:55,000 SO IT GIVES YOU TWO DIFFERENT READINGS. 832 00:51:56,000 --> 00:51:57,000 Student: VITAMINS... 833 00:51:57,000 --> 00:52:02,000 SALT-- THAT'S NOT GOOD. 834 00:52:02,000 --> 00:52:06,000 WOW! THIS ONE'S TOTALLY GOOD! 835 00:52:06,000 --> 00:52:09,000 IT'S ALREADY JUNK FOOD. 836 00:52:09,000 --> 00:52:11,000 WHAT MAKES IT A JUNK FOOD? 837 00:52:11,000 --> 00:52:14,000 IT HAS LOTS OF SALT AND FAKE CHEESE AND FAT. 838 00:52:14,000 --> 00:52:19,000 Grey: AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE. 839 00:52:19,000 --> 00:52:20,000 THE STANFORD PROGRAM 840 00:52:20,000 --> 00:52:25,000 AT A COST OF LESS THAN FOUR DOLLARS PER PERSON PER YEAR 841 00:52:25,000 --> 00:52:28,000 PROVES WE CAN'T AFFORD NOT TO EAT RIGHT. 842 00:52:28,000 --> 00:52:32,000 THESE CHILDREN ARE PART OF A HEALTH REVOLUTION 843 00:52:32,000 --> 00:52:37,000 THAT IS SWEEPING AMERICA. 844 00:52:38,000 --> 00:52:41,000 THE WINDS OF CHANGE HAVE REACHED A REVERED INSTITUTION 845 00:52:41,000 --> 00:52:44,000 ON THE HUDSON RIVER IN UPSTATE NEW YORK. 846 00:52:44,000 --> 00:52:49,000 FOR NEARLY HALF A CENTURY, THE CULINARY INSTITUTE OF AMERICA 847 00:52:49,000 --> 00:52:53,000 HAS TRAINED SOME OF THE WORLD'S FINEST CHEFS. 848 00:52:53,000 --> 00:52:56,000 SEE THE TWO THUMBS? THEY'RE LOVERS. 849 00:52:56,000 --> 00:52:58,000 SO YOU WANT TO GO INTO THE INSIDE 850 00:52:58,000 --> 00:53:02,000 AND THE TWO THUMBS SNEAK A LITTLE KISS. 851 00:53:02,000 --> 00:53:06,000 SO WE KEEP STIRRING UNTIL THE CHOCOLATE IS COOL. 852 00:53:06,000 --> 00:53:09,000 FROM THE DOUBLE BOILER, ADD A PIECE OF CHOCOLATE 853 00:53:09,000 --> 00:53:10,000 AND TEMPER IT. 854 00:53:10,000 --> 00:53:15,000 BRING THE TEMPERATURE TO WHAT DEGREE? 855 00:53:16,000 --> 00:53:21,000 Grey: IN THE WORLD OF GASTRONOMY, NO FOOD IS ENEMY; 856 00:53:21,000 --> 00:53:26,000 NO BUTTER TOO RICH, NO SUGAR TOO SWEET 857 00:53:26,000 --> 00:53:30,000 NO FORBIDDEN FRUIT. 858 00:53:30,000 --> 00:53:35,000 THE CULINARY ARTS HAVE BEEN COMPARED TO MUSIC. 859 00:53:37,000 --> 00:53:42,000 THE ROLE OF THE CHEF IS TO ORCHESTRATE 860 00:53:42,000 --> 00:53:44,000 WITH PERFECT TIMING AND PROPORTION 861 00:53:44,000 --> 00:53:49,000 A MEDLEY OF TASTE AND TEXTURE. 862 00:53:51,000 --> 00:53:53,000 NUTRITIONIST CATHERINE POWERS 863 00:53:53,000 --> 00:53:56,000 TEACHES TOMORROW'S CHEFS A NEW TUNE. 864 00:53:56,000 --> 00:54:00,000 Powers: WHAT DO YOU SAY WE SAUTE THIS CHICKEN BREAST? 865 00:54:00,000 --> 00:54:01,000 LET'S SEE WHAT BUTTER DOES. 866 00:54:01,000 --> 00:54:03,000 SO LET'S TYPE IN "BUTTER": 867 00:54:03,000 --> 00:54:06,000 B-U-T-T-E-R. 868 00:54:06,000 --> 00:54:11,000 Grey: IN 1989, THE INSTITUTE OPENED A NUTRITION CENTER. 869 00:54:11,000 --> 00:54:16,000 COMPUTER SYSTEMS HELP STUDENTS ANALYZE RECIPES FOR NUTRIENTS. 870 00:54:16,000 --> 00:54:19,000 Powers: THE OLIVE OIL HAS ABOUT 100 MORE CALORIES 871 00:54:19,000 --> 00:54:22,000 PER HUNDRED GRAMS THAN THE BUTTER. 872 00:54:22,000 --> 00:54:25,000 NOW IF WE LOOK AT THAT, TIMOTHY, WE SEE 873 00:54:25,000 --> 00:54:30,000 THAT THE OLIVE OIL, IN FACT, HAS ZERO MILLIGRAMS OF CHOLESTEROL 874 00:54:31,000 --> 00:54:33,000 AND THE BUTTER HAS 222. 875 00:54:33,000 --> 00:54:37,000 I WOULD SUGGEST HERE THAT WE USE THE OLIVE OIL. 876 00:54:37,000 --> 00:54:42,000 Grey: CHEF JONATHON ZEARFOSS BRINGS NUTRITION TO THE KITCHEN. 877 00:54:43,000 --> 00:54:46,000 HE SUPERVISES ADVANCED STUDENTS 878 00:54:46,000 --> 00:54:50,000 IN AN ON-CAMPUS, WORKING RESTAURANT. 879 00:54:50,000 --> 00:54:52,000 IF WE OIL THE GRILL 880 00:54:52,000 --> 00:54:55,000 WE DON'T HAVE TO PUT ANY OIL IN THE MEAT 881 00:54:55,000 --> 00:54:57,000 WHICH WOULD PUT A LOT OF FAT IN IT. 882 00:54:57,000 --> 00:55:01,000 Grey: BROILING, POACHING AND LIGHT SAUTEING 883 00:55:01,000 --> 00:55:06,000 HELP MAKE LOW-FAT MEALS THAT TOTAL LESS THAN 1,000 CALORIES. 884 00:55:06,000 --> 00:55:08,000 THE WORK IS A LITTLE BIT HARDER 885 00:55:08,000 --> 00:55:12,000 TO MAKE THIS CUISINE LIVE UP TO PEOPLE'S EXPECTATIONS 886 00:55:12,000 --> 00:55:13,000 IN TERMS OF TASTE 887 00:55:13,000 --> 00:55:18,000 BUT IT'S ONLY LIMITED BY OUR IMAGINATIONS. 888 00:55:19,000 --> 00:55:24,000 Grey: BAKED SEA BASS WITH GRILLED VEGETABLES, 380 CALORIES. 889 00:55:25,000 --> 00:55:30,000 COUNTRY TURKEY WITH WILD RICE, 415 CALORIES. 890 00:55:33,000 --> 00:55:38,000 FOREST MUSHROOM PARFAIT, 104 CALORIES. 891 00:55:40,000 --> 00:55:44,000 CHOCOLATE YOGURT MOUSSE IN APRICOT SAUCE. 892 00:55:44,000 --> 00:55:48,000 HARD TO BELIEVE IT'S ONLY 165 CALORIES, ISN'T IT? 893 00:55:48,000 --> 00:55:53,000 YOU BET IT'S HARD TO BELIEVE. 894 00:55:56,000 --> 00:56:01,000 Grey: THE DINERS AT THE CULINARY INSTITUTE CONFIRM THE NEWS: 895 00:56:01,000 --> 00:56:06,000 FOOD THAT'S GOOD FOR US CAN TASTE GOOD, TOO. 896 00:56:11,000 --> 00:56:16,000 IF WE ARE WHAT WE EAT, SHOULDN'T WE EAT WELL? 897 00:56:19,000 --> 00:56:23,000 A TOAST TO A TASTE OF HEALTH. 898 00:56:23,000 --> 00:56:28,000 Captioned by The Caption Center WGBH Educational Foundation 899 00:57:23,000 --> 00:57:26,000 THE INFINITE VOYAGE IS MADE POSSIBLE 900 00:57:26,000 --> 00:57:28,000 BY A GRANT FROM DIGITAL EQUIPMENT CORPORATION 901 00:57:28,000 --> 00:57:31,000 THROUGH ITS DIGITAL DISCOVERY SERIES. 902 00:57:31,000 --> 00:57:33,000 CELEBRATING THE ARTS, SCIENCES AND HUMANITIES 903 00:57:33,000 --> 00:57:36,000 DIGITAL AND ITS EMPLOYEES INVITE YOU TO JOIN WITH THEM 904 00:57:36,000 --> 00:57:39,000 IN SUPPORTING PUBLIC TELEVISION.