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Saturated fat

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Saturated fat is fat that consists of triglycerides containing only saturated fatty acids. Saturated fatty acids have no double bonds between the carbon atoms of the fatty acid chain; hence, they are fully saturated with hydrogen atoms. There are several kinds of naturally occurring saturated fatty acids, their only difference being the number of carbon atoms - from 1 to 24. Some common examples of saturated fatty acids are butyric acid with 4 carbon atoms (contained in butter), lauric acid with 12 carbon atoms (contained in breast milk, coconut oil, palm oil), myristic acid with 14 carbon atoms (contained in cow milk and dairy products), palmitic acid with 16 carbon atoms (contained in palm oil, hence the name, and meat), and stearic acid with 18 carbon atoms (also contained in meat and cocoa butter).

Fat that occurs naturally in living matter such as animals and plants is used as food for human consumption and contains varying proportions of saturated and unsaturated fat. Foods that contain a high proportion of saturated fat are butter, ghee, suet, tallow, lard, coconut oil, cottonseed oil, and palm kernel oil, dairy products (especially cream and cheese), meat, and some prepared foods[1].

The higher saturated fats such as coconut oil and cow butter are more solid at room temperature, are more stable during cooking, and have longer shelf lives than oils such as olive oil or other liquid vegetable oils. Hydrogenation of liquid vegetable oils increases their shelf life and makes them solid at room temperature. In this they are similar but not comparable to pure, unadulterated, saturated fat. Conversely, dehydrogenation converts saturated fats to unsaturated fats.

Health issues

The relationship between dietary fats and CVD, especially coronary heart disease, has been extensively investigated, with strong and consistent associations emerging from a wide body of evidence accrued from animal experiments, as well as observational studies, clinical trials and metabolic studies conducted in diverse human populations...Saturated fatty acids raise total and low-density lipoprotein (LDL) cholesterol...The most effective replacement for saturated fatty acids in terms of coronary heart disease outcome are polyunsaturated fatty acids, especially linoleic acid. This finding is supported by the results of several large randomized clinical trials, in which replacement of saturated and trans fatty acids by polyunsaturated vegetable oils lowered coronary heart disease risk.

— World Health Organization, Population nutrient intake goals for preventing diet-related chronic diseases,5.4.4

Diets high in saturated fat correlate in with an increased incidence of atherosclerosis and coronary heart disease according to a number of studies, both animal and human [2] [3] [4][5] [6]. Numerous studies have determined that diets high in saturated fat increase the risk of heart disease and stroke. Epidemiological studies have found that those whose diets are high in saturated fatty acids, including lauric, myristic, palmitic, and stearic acid, were strong predictors of prevalence of coronary heart disease. [7] [8] [9] [10] Additionally, controlled experimental studies have found that those consuming high saturated fat diets experience negative cholesterol profile changes. [11] [12] [13] A 2003 meta-analysis published in the American Journal of Clinical Nutrition concluded that diets high in saturated fat negatively affected cholesterol profiles- predictors of a heart attack and other cardiovascular diseases. [14]

Epidemiological studies have determined that lauric acid consumption is a predictor for heart disease, though perhaps has a smaller impact than other forms of saturated fat, such as myristic and palmitic acids.[15] The World Health Organization has identified foods rich in lauric acid as a "possible" contributor to coronary heart disease.[16]

Dietary recommendations

A 2004 statement released by the CDC determined that "Americans need to continue working to reduce saturated fat intake..." [17] Additionally, reviews by the American Heart Association led the Association to recommend reducing saturated fat intake to less than 7% of total calories according to its 2006 recommendations.[18] [19] This concurs with similar conclusions made by the World Health Organization and the FDA, both of which determined that reduction in saturated fat consumption would positively affect health and reduce the prevalence of heart disease.[20][21]

The World Health Organization has concluded that saturated fats negatively affect cholesterol profiles, predisposing individuals to heart disease, and recommends avoiding saturated fats in order to reduce the risk of a cardiovascular disease. [22] [23]

Controversy

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It has been alleged that the many studies of saturated fat in the diet do not distinguish between saturated fat and trans fat.[citation needed]

It should be noted that the fat found in all foods is a mixture of saturated, monounsaturated (olive oil), and polyunsaturated (canola oil, corn oil, soybean oil).

Saturated fats are needed for the production of hormones, the stabilization of cellular membranes, the padding around organs and for energy. Biochemical signalling processes involving G-protein, and other, receptors make extensive use of the lauric, myristic and palmitic fatty acids, since the receptors must be "coupled with lipids in order to provide localization of function". The palmitoylation and myristoylation processes make use of the palmitic and myristic fatty acids, respectively, for the purposes of stabilization. Myristic acid has been linked to proper immune system function and tumor suppression. A deficiency in the consumption of these, and other, saturated fatty acids can lead to "age-related declines in white blood cell function", along with dysfunction of the immune system, and even cancer. On the basis of extensive research conducted during the 1970s by Canadian scientists on rapeseed and canola oil, it was ultimately determined that at least 25% of fat in the diet should be in the form of saturated fat.[24]

A 3-year study of 235 women, released in 2004, concluded that "saturated fat may slow atherosclerotic progression in postmenopausal women". Coronary angiography was employed to examine 2,243 coronary artery segments; once at the start of the study and once more at its conclusion. The same study revealed similarly surprising results when it was disclosed that a greater consumption of polyunsaturated oils "was also associated with greater progression of atherosclerosis". Both of these conclusions are in stark contrast to the current expert consensus view, along with that of the lipid hypothesis.[25]

A study of 297 acute MI cases in Portuguese males, published in February of 2007, concluded that, "Total fat intake, lauric acid, palmitic acid, and oleic acid were inversely associated with acute MI" and that, "Low intake of total fat and lauric acid from dairy products was related to acute MI". Nutrition Action also stated, in revealing the results of this study, that "some prospective studies show that replacing saturated fat with unsaturated fat is more effective in lowering CHD risk than reducing total fat consumption".[26]

Saturated fats have been reported to have nutritional benefits, according to Dr. Mary Enig, a biochemist and nutritionist on fats. Lauric acid, a medium chain fatty acid, "has antimicrobial properties and is the precursor to [1] monolaurin, the antimicrobial lipid (Enig, Mary G. Know Your Fats. p.114)." She also notes that lauric acid "gives human milk its major antimicrobial properties, and it may be a conditionally essential fatty acid since it cannot be made by mammals other than the lactating female and must be obtained from the diet (p.194)."

No well-controlled study has ever demonstrated hazardous effects in near-total replacement of saturated fat with mono- or polyunsaturated fats in humans.[citation needed] Similarly, no controlled clinical study has ever demonstrated an improvement in cholesterol profile as a result of increased saturated fat consumption or replacement of unsaturated and monunsaturated fats with saturated.[citation needed]

The initial, and most primary, scientific evidence underlying the health concerns regarding the consumption of saturated fats, is the lipid hypothesis, which argues that saturated fats cause heart disease.

There is also another issue of concern about the history behind saturated fat and trans fat. Partially and fully hydrogenated oils were actually portrayed as much healthier than the naturally occurring saturated fats. Some, such as Dr. Enig, have claimed that "big business" and other powerful vested interests played a significant role in the negative portrayals of saturated fats. [27]

Another confounding issue may be the formation of exogenous (outside the body) advanced glycation endproducts (AGEs) and oxidation products generated during cooking, which it appears some of the studies have not controlled for. It has been suggested that, "given the prominence of this type of food in the human diet, the deleterious effects of high-fat foods may be in part due to the high content in glycotoxins, above and beyond those due to oxidized fatty acid derivatives." [28] The glycotoxins, as he called them, are more commonly called AGEs.

Molecular description

Two-dimensional representation of the saturated fatty acid myristic acid.
Three-dimensional representation of the saturated fatty acid myristic acid.


See also

References

  1. ^ Saturated fat food sources
  2. ^ MS Wolfe, JK Sawyer, TM Morgan, BC Bullock and LL Rudel Dietary polyunsaturated fat decreases coronary artery atherosclerosis in a pediatric-aged population of African green monkeys Arteriosclerosis and Thrombosis Vol 14, 587-597
  3. ^ Lapinleimu H, Viikari J, Jokinen E, Salo P, Routi T, Leino A, Ronnemaa T, Seppanen R, Valimaki I, Simell O. Prospective randomised trial in 1062 infants of diet low in saturated fat and cholesterol Lancet 1995 Feb 25;345(8948):471-6
  4. ^ Francisco Fuentes; José López-Miranda; Elias Sánchez; Francisco Sánchez; José Paez; Elier Paz-Rojas; Carmen Marín; Purificación Gómez; José Jimenez-Perepérez; José M. Ordovás,; and Francisco Pérez-Jiménez Mediterranean and Low-Fat Diets Improve Endothelial Function in Hypercholesterolemic Men Annals of Internal Medicine 19 June 2001, Volume 134, Issue 12,Pages 1115-1119
  5. ^ http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12618280&dopt=Abstract
  6. ^ http://content.nejm.org/cgi/content/abstract/337/21/1491
  7. ^ http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7644455&dopt=Citation
  8. ^ http://www.ajcn.org/cgi/reprint/70/6/1001.pdf
  9. ^ Coronary heart disease in seven countries
  10. ^ http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9021429&dopt=Citation
  11. ^ http://jn.nutrition.org/cgi/content/abstract/133/1/78
  12. ^ http://www.ingentaconnect.com/content/cabi/bjn/2001/00000085/00000005/art00007
  13. ^ http://www.ajcn.org/cgi/content/abstract/59/5/995?ck=nck
  14. ^ http://www.fda.gov/ohrms/dockets/dockets/06q0458/06q-0458-sup0001-02.pdf
  15. ^ http://www.who.int/nutrition/topics/5_population_nutrient/en/index12.html
  16. ^ http://www.who.int/nutrition/topics/5_population_nutrient/en/index10.html
  17. ^ Trends in Intake of Energy, Protein, Carbohydrate, Fat, and Saturated Fat — United States, 1971–2000
  18. ^ Alice H. Lichtenstein, Lawrence J. Appel, Michael Brands, Mercedes Carnethon, Stephen Daniels, Harold A. Franch, Barry Franklin, Penny Kris-Etherton, William S. Harris, Barbara Howard, Njeri Karanja, Michael Lefevre, Lawrence Rudel, Frank Sacks, Linda Van Horn, Mary Winston, Judith Wylie-Rosett Diet and Lifestyle Recommendations Revision 2006: A Scientific Statement From the American Heart Association Nutrition Committee Circulation 2006;114:82-96
  19. ^ Ole Faergeman, David A. Wood, Michael Alderman, John Horgan, Philip Home, Sidney C. Smith, Jr, Rod Jackson, Thomas A. Pearson, Valentin Fuster, Salim Yusuf, Marilyn Hunn and Scott M. Grundy Principles for National and Regional Guidelines on Cardiovascular Disease Prevention: A Scientific Statement From the World Heart and Stroke Forum Circulation 2004;109;3112-3121 DOI: 10.1161/01.CIR.0000133427.35111.67
  20. ^ World Health Organization Diet, Nutrition and the Prevention of Chronic Diseases
  21. ^ U.S. Department of Health and Human Services U.S. Department of Agriculture Dietary Guidelines for Americans 2005
  22. ^ http://www.who.int/cardiovascular_diseases/en/cvd_atlas_06_lipids.pdf
  23. ^ http://www.who.int/cardiovascular_diseases/en/cvd_atlas_20_personal_choices.pdf
  24. ^ The Importance of Saturated Fats for Biological Functions, Enig, 2004/07/08
  25. ^ http://findarticles.com/p/articles/mi_m0CYD/is_13_39/ai_n6114090 'Surprising' data: saturated fat may slow atherosclerotic progression in postmenopausal women, OB/GYN News, July, 2004
  26. ^ http://findarticles.com/p/articles/mi_m0887/is_3_26/ai_n18791442 Risk of myocardial infarction and intake and adipose tissue composition of fatty acids, Nutrition Research, March, 2007 - Carla Lopes, Antti Aro, Ana Azevedo, et al. Intake and Adipose Tissue Composition of Fatty Acids and Risk of Myocardial Infarction in a Male Portuguese Community Sample. JADA;107:276-286 (February 2007)
  27. ^ The Oiling of America, Enig and Fallon, 1999
  28. ^ Koschinsky, 1997