This has the potential to be an extraordinary thread combining psychology, anthropology, biochemistry, and a few other disciplines as it does.
Hopefully, the crazies won't be too quick to hijack the thread.
With respect to heart attacks, cancer, and such there almost certainly is a genetic element (and the family health history questionnaires we fill out when going in for a physical exam seem to suggest the same), but our genetic profiles are out of our control. So, physicians and others are quick to emphasize those elements we can control--our lifestyle choices, which would include our diets. And they are right to do that.
When it comes to keeping up with the East Africans, it's much more a matter of pride than survival. And, where pride is at stake, psychology becomes the dominant player among the sciences. We readily make excuses for why we can't keep up when the lifestyle cost of keeping up seems excessive. We manufacture pseudo-scientific reasons to cover for our unwillingness to make the commitments necessary to effectively compete. And, to some extent, by the age we have the desire to compete with the East Africans, many, if not most, of the lifestyle choices that impact our ability to compete have already taken their toll. That produces a veneer that perhaps makes the differences look more genetic than, in fact, they are.
That's not to say East Africans have no genetic advantages, but there are probably genetic disadvantages in their makeup as well. But, it makes no sense to ascribe all the performance differences to the genetic code when there are so many confounding variables in place that we haven't even come close to controlling for by way of a sound experimental design.
In short, the non-negotiables of the Western lifestyle are, for the moment at least, precluding a thorough scientific investigation of the matter.