SPRING 2013 DEMYSTIFYING FATS AND OILS Over many years, fats and oils have developed a bad reputation. This is largely due to the misconception that all types of fats have a negative impact on health, such as increasing the risk for chronic conditions like heart disease. However, research shows that some types of fats and oils can be beneficial for the body, and have the potential to reduce the risk of certain conditions. Fat is an essential nutrient for growth and development. Fats are energy dense and perform a number of important functions in the body including contributing to brain function, hormone development, and aiding in the absorption of vitamins A, D, E, and K.1,2 Research also indicates polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA) may play a role in heart health. 3 In adults, it is recommended that 20 % to 35 % of your calories should come from fat.4 For women, this is about 45 to 75 grams of fat per day, while for men it ranges from 60 to 105 grams of fat per day. 5 However, the most recent Canadian Community Health Survey by Health Canada reported that 25 % of males and 23 % of females, 19 years and older, had fat intakes above the recommended range.6 Research into the various roles and benefits of fatty acids has prompted government agencies and health organizations to revise dietary recommendations to emphasize the quality of fats in the diet rather than the quantity. The following is an overview of the various recommendations, including a summary of the types of fats and their important role as part of a healthy diet. TYPES OF FATS Total fat refers to the cumulative total of the saturated, monounsaturated, polyunsaturated, and trans fats found in food. All foods have a varying mix of these types of fats. While all fats provide approximately the same number of calories per gram, they act differently in the body. Saturated fat is a “bad” fat most often found in animal food products including milk, eggs, meat and butter. Saturated fat is also found in significant amounts in some tropical oils such as coconut and palm oils and some vegetable oils, like cottonseed. A diet high in saturated fat has been linked to increased risk of heart disease due to increased LDL and total cholesterol.7 Unsaturated fat includes polyunsaturated and monounsaturated fats, and, when these fats are processed or hydrogenated, trans fats. Monounsaturated and polyunsaturated fats may have a beneficial effect on heart health if they replace saturated fats in the diet. 8,9 It is important to remember that total fat intake should remain the same to prevent adding calories to the diet and thus more is not necessarily beneficial. Monounsaturated fat (MUFA) also known as omega-9, is a type of “good” fat found in oils (sunflower, olive, canola), seeds, olives and avocado. MUFAs have been shown to decrease total cholesterol and low density lipoprotein (LDL) cholesterol (“bad”) and maintain high density lipoprotein (HDL)-cholesterol (“good”).1 Polyunsaturated fat (PUFA) is a type of “good” fat also found in oils (corn, soybean and safflower), fish and many types of nuts. Omega-6 PUFAs have been shown to reduce the risk of developing heart disease by decreasing LDL and total cholesterol.1 Some research has shown that omega-3 PUFAs, from fish, may help to prevent blood from clotting and to lower triglycerides.10 Trans fat is a “bad” fat formed during the industrial process of hydrogenation, which helps keep oil stable at room temperatures. It is found in foods such as some margarines, and, as a result of the cooking process, in foods such as french fries and doughnuts. It is also found naturally in meats and milk in small quantities. Trans fats from industrial sources are considered more harmful because they increase LDL and total cholesterol as well as lower HDL cholesterol.11 Trans fats are at least five times more harmful, on a gram-by-gram basis, than saturated fats.12 Reviewed By: Dr. David Ma, Ph.D., Associate Professor, Human Health & Nutritional Sciences, University of Guelph FATS AND HEART HEALTH In recent years, a growing body of evidence has demonstrated that the association between fat and heart disease is related more to the type of fat rather than the total amount of fat consumed. 2 Evidence supports current recommendations indicating that monounsaturated and polyunsaturated fatty acids reduce blood cholesterol concentration and help lower the risk of heart disease when they replace saturated fatty acids in the diet. 3 A Harvard study that reviewed 147 original investigations and meta-analyses, concluded that solely lowering the percentage of calories from fat in the diet is unlikely to improve the lipid profile or reduce heart disease incidence. In contrast, the meta-analyses confirmed that lipid profiles improved when saturated fat was replaced with polyunsaturated fat, regardless of whether or not total fat was reduced.13 Another Harvard analysis, examining data from the Nurses Health Study, predicted that making small substitutions such as replacing calories from saturated fat, trans fat or carbohydrates with calories from mono- and polyunsaturated fats could reduce risk for heart disease.14 Additionally, a study by Jakobsen et al. 2009, concluded that replacing saturated fatty acids with polyunsaturated fatty acids rather than monounsaturated fatty acids or carbohydrates prevents coronary heart disease over a wide range of intakes. 8 A meta-analysis conducted by Mozaffarian et al. 2010, also suggests that consuming polyunsaturated fatty acids in place of saturated fatty acids reduces coronary heart disease events in randomized control trials.9 Liquid oils are an abundant source of MUFAs and PUFAs for the diet. It is helpful to understand that most oils contain a combination of MUFA, PUFA and saturated fatty acids. Table 1: Common Sources of Different Fatty Acids 15 RECOMMENDATIONS FOR INTAKES OF FATS AND OILS * Table 2: Summary of Fat Intake Guidelines Various authoritative bodies around the world have similar guidelines regarding fat intake. Health Canada’s guidelines are adopted from the Institute of Medicine dietary reference intakes. The Heart and Stroke Foundation also recommends similar levels of intake.10 In 2005, Health Canada introduced the mandatory labelling of trans fats on Nutrition Facts Tables, to help provide consumers with the tools necessary to make healthy food choices. Canada was amongst the first countries in the world to require mandatory labelling of trans fats.7 Health Canada3 Dietitians of Canada1 Total Fat 20-35 % 20-35 % Polyunsaturated Fat (PUFAs) 5-10 % (5-10 % from omega-6 PUFAs; 0.6-1.2 % from omega-3 PUFAs) 3-10 % (3-10 % from omega-6 PUFAs; 0.6-1.2 % from omega-3 PUFAs) Monounsaturated Fat (MUFAs) Replace saturated fats with Provides remaining fatty acids MUFAs and PUFAs to meet total fat Saturated Fat As low as possible As low as possible Trans Fat As low as possible As low as possible *For adults, based on a 2,000 calorie diet DID YOU KNOW? Even small substitutions count. Recent analyses suggests that replacement of 5 % of calories from saturated fat would reduce coronary heart disease risk by 10 %. 8,9 FOR YOUR PRACTICE MUFAs and PUFAs are found in a wide range of foods from nuts, avocados and fish, vegetable oils like corn, soybean, sunflower, canola or olive oil, to packaged foods cooked in healthier oils.11 It is important to help your clients recognize sources of “good” fats, and replace less healthful fats. Choose foods high in MUFAs and PUFAs, over those high in saturated and trans fats. For example: • Put slices of avocado on a sandwich • Choose products like snack chips cooked in sunflower, soybean or corn oil over those cooked in other oils • Add nuts to tossed salads instead of bacon • Limit products high in “hydrogenated or partially hydrogenated oil” or “shortening” • Remember to look at the Nutrition Facts Table, it will help identify products that contain saturated and trans fats THE BOTTOM LINE While dietary recommendations are based on ever-changing scientific research, such changes can be confusing to consumers. After years of hearing that “fats are bad” and being told to be mindful of total dietary fat it is important to understand the difference between the various types of fats, and also to be able to recognize which types of foods contain which fats. SPRING 2013 IN THE MARKETPLACE PepsiCo Canada has been an industry leader by using trans fat-free oils in many of our products. The types of vegetable oils primarily used are canola, corn and sunflower. It is easy to make good food choices that can incorporate MUFAs and PUFAs into the diet. The following recipe provides a variety of healthy fats and can be enjoyed with PepsiCo Canada products you already know and love. AVOCADO HUMMUS WITH TOASTED CHILI PUMPKIN SEEDS INGREDIENTS Pumpkin Seeds 1 cup shelled pumpkin seeds ½ tbsp canola oil ½ tsp chili powder ¼ tsp salt Pinch ground black pepper INSTRUCTIONS Avocado Hummus 2 large avocados (or three small) 3 tbsp lemon juice 1 clove garlic, crushed 1½ tsp salt 4 tsp tahini 4 tsp olive oil ¼ tsp ground cumin Pinch of ground coriander (optional) Pinch of cardamom (optional) Avocado Hummus 1.Place all ingredients in a food processor and blend until smooth. 2.Spread the avocado hummus into a serving dish. 3.Sprinkle evenly with pumpkin seeds and chopped cilantro. 4.Squeeze one or two lime wedges over the top and garnish with additional lime wedges. 5.Serve with Tostitos® Multigrain Scoops!® Tortilla Chips. DID YOU KNOW? Quaker ® Fibre & Omega-3 granola bars are a source of omega-3 polyunsaturated fatty acids. Pumpkin Seeds 1.In a large sauté pan, heat the canola oil over medium heat for 2-3 minutes, add the seeds and spices, toast for 4-5 minutes allowing the chili and spices to adhere to the nuts. 2.Cool the seeds on a sheet tray. 3.Coarsely chop. To save time, replace pumpkin seeds with seasoned, shelled pumpkin seeds. Quaker® Fibre & Omega-3 Granola Bars Dark Chocolate Chunk (1 bar/35 g) Total Fat 4 g Saturated Fat 1 g Trans Fat 0 g Polyunsaturated 1 g Omega-6 0 g Omega-3 0.4 g Monounsaturated 1.5 g Brought to you by the Nutrition Professionals at PepsiCo Canada. To download these materials and previous issues, please scan: or visit www.pepsiconutrition.ca REFERENCES 1. Position of the American Dietetic Association and Dietitians of Canada: Dietary Fatty Acids. Journal of the American Dietetic Association. September 2007;107(9):1599-1611. 2. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty acids, Cholesterol, Protein and Amino Acids. Washington, DC: National Academies Press; 2005. 3. Health Canada. Summary of Health Canada’s Assessment of a Health Claim about the Replacement of Saturated Fat with Mono- and Polyunsaturated Fat and Blood Cholesterol Lowering. Available at: http://www.hc-sc.gc.ca/fn-an/label-etiquet/claims-reclam/assessevalu/sat-mono-poly-fat-gras-eng.php 4. Dietary Reference Intake Tables (Health Canada, 2005) Available at: http://www.hc-sc.gc.ca/ fn-an/nutrition/reference/table/index-eng.php 5. Heart and Stroke Foundation. Dietary fats, oils and cholesterol. Available at: http://www. heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.3581947/k.D7AE/Healthy_Living__Dietary_ fats_oils_and__cholesterol.htm 6. Health Canada. Do Canadian Adults Meet Their Nutrient Requirements through Food Intake Alone? Available at: http://www.hc-sc.gc.ca/fn-an/surveill/nutrition/commun/art-nutradult-eng.php 7. Health Canada. Trans Fat. Available at: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/food-aliment/ trans-eng.php If you would like to receive our e-newsletter, please scan: or email [email protected] 8. 9. 10. 11. 12. 13. 14. 15. Jakobsen et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr. 2009;89:1425–32 Mozaffarian et al. Effects on Coronary Heart Disease of Increasing Polyunsaturated Fat in Place of Saturated Fat: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS Medicine. March 2010; 7(3): e1000252. Heart and Stroke Foundation of Canada Position Statement Trans Fatty Acids (‘Trans Fat’) And Heart Disease and Stroke. Available at: http://www.heartandstroke.com/atf/cf/ {99452D8B-E7F1-4BD6-A57D-B136CE6C95BF}/4pgTransFat.pdf Health Canada. Fats: The Good the Bad and the Ugly. Available at: http://www.hc-sc.gc.ca/ hl-vs/iyh-vsv/med/fats-gras-eng.php Stender S, Dyerberg J. Influence of trans fatty acids on health. Annals of Nutrition & Metabolism. 2004;48:61-6. Hu FB, Willet WC. Optimal Diets for the prevention of heart disease. J Am Med Assoc, 2002; 288(20):2569-2578 Hu FB, et al. Dietary fat intake and the risk of coronary heart disease in women. N Engl J Med, 1997;337:1491-9 Health Canada. Canadian Nutrient File (CNF) – Search By Food. Available at: http://webprod3.hc-sc.gc.ca/cnf-fce/index-eng.jsp
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