as fruit and meat … In the wealthier countries, there is evidence that sugar and sugar-containing foods contribute to several diseases, including obesity, dental caries, diabetes mellitus and myocardial infarction … the known association of the prevalence of diabetes and of myocardial infarction with the level of fat intake is fortuitous and secondary. It is more likely that the primary association is with levels of sugar intake, which I have shown are, in turn, closely related to levels of fat intake.104
