It has always been absurd to reduce the "French Paradox" to one single causal factor. First of all, there is not so much of a paradox remaining if one considers recent national statistics. There is some evidence that the data from the 1970s on which the French Paradox has initially been postulated may actually have underreported the rates of heart disease. If one looks at recent statistics aquired in accordance to international standards, there is not so much of a paradox remaining, except perhaps for the Mediteranean regions of France. Much of the lower rates of heart disease in those regions can simply be explained by the closer adherance to the Mediteranean diet: Olive oil, fish and more fresh fruits and vegetables. The remaining small discrepancy may be explained by the high consumption of red wine (which is above the avarage consumed even in most other Mediterranean countries) and its polyphenol content, but even this observation doesn't necessarily boil down to resveratrol as an important factor, as the alcohol itself as well as other potent polyphenols much more abundant in red wine (i.e. anthocyanins and oligomeric proanthocyanidins) are likely to be more significant than the very small and highly variable amounts of resveratrol found in red wine. The above-avarage consumption of cheese may be another part of the puzzle, as the detrimental effects from the saturated fat content of traditionally fermented cheese may be completely offset by its content of long-chain menaquinones (vitamin K2). Apologists of LC diets high in saturated fat like to cite the Rotterdam study showing heart-protective effects from cheese (and following their flawed logic saturated fat) consumption, but as usual they are distorting the evidence to fit their preconceptions, as the protective effects of menaquinones shown in this study have been statistically adjusted for the intake of saturated fat. If one looks at the unadjusted results, there is not much of a protective effect remaining for cheese consumption .
Edited by timar, 08 September 2015 - 11:57 AM.