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  3. We’re always being told by the Department of Health to eat five portions of

We’re always being told by the Department of Health to eat five portions of

游客2023-10-31  31
问题     We’re always being told by the Department of Health to eat five portions of fruit and vegetables a day. But it’s not clear where the evidence for this comes from and a large study by the European Prospective Investigation into Cancer and Nutrition(EPIC)two years ago of the dietary intake of more than 400, 000 people found only a weak link between eating fruit and vegetables and a reduction in overall cancer risk. There’s no evidence it reduces breast or prostate cancer.
    Even so, how could anyone argue against eating more fruit and vegetables? Well, it depends what fruit you’re eating. A review article in the Canadian Medical Association Journal warns that a chemical in grapefruits can interact fatally with certain medicines. Even apple juice, the staple of many breakfast tables, may reduce our absorption of some drugs. Parents also often think fruit juice is a healthy alternative to soda drinks but juices contain sugar and calories too—as much as a glass of Coke(160 calories)—so should be drunk in moderation.
    Grapefruit has also been linked to an increase in breast cancer. A study in the British Journal of Cancer(BJC)of 500, 000 postmenopausal women found that eating a quarter of the fruit a day increased the risk by 30%.
    There is one good reason for not eating grapefruits—they taste sour. But they are unlikely to increase your risk of breast cancer: further research in the BJC showed no increase of breast cancer in pre- or post-menopausal women who tuck into grapefruits or drink juice.
    Grapefruit contains a type of chemical called furanocoumarin(also found in Seville oranges and limes but not Valencia or other sweet oranges), which, by inhibiting the enzyme CYP3A4, stops the breakdown of some prescription drugs. So the concentrations of these drugs rise and can have serious side-effects, including kidney damage, heart block(where no electrical impulses pass through the heart and it can stop beating), and deep vein thrombosis(which occurred when an oral contraceptive was taken by a woman who also ate grapefruit three days in a row).
    Patient information leaflets should tell you what foods to avoid with which drugs. If in doubt, ask your doctor. So you don’t need to eat less fruit, and may still need to eat more. Another paper from the EPIC study found a 22% reduction in deaths from heart attacks in people who ate eight portions of fruit and vegetables a day compared to those who ate three or fewer. The way the study is designed, however, means that it can only suggest a link—it can’t prove one. [br] EPIC conducted a research two years ago to______.
选项 A、prove that people should eat five portions of fruit a day
B、find a way to reduce the overall cancer risk
C、make sure the right amount of fruit eaten every day
D、investigate the relation between eating fruit and reducing cancer risk
答案 D
解析 推理题。文章第一段第二句提到，两年前欧洲癌症与营养前瞻性调研协会对40多万人的饮食摄入情况进行了大规模研究，发现吃水果和蔬菜与减少癌症总发病率之间的关系不大，由此推知，该研究是为了调查吃水果和蔬菜与减少癌症总发病率之间的关系，所以选[D]。同时第一段第二句还提到每天应该吃五份水果和蔬菜这一说法的来源还不清楚，但并未提及该研究是否证明了这一说法，所以排除[A]“证明人们应该每天吃五份水果”；这一研究的目的只是调查吃水果和蔬菜与减少癌症总发病率之间的关系，而不是为了找到减少癌症总发病率的方法，因此排除[B]；该句提到EPIC研究了40多万人的饮食摄入情况，但并未提及[C]“确定每天适当的水果摄入量”，故排除。
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