Heart Disease and Trans Fat Traps

Producers make claims that can snare the unwary.

By Karen Collins, MS, RD, CDN, American Institute for Cancer Research

Here is another article I found that I thought so highly of I decided to include on the simplehand.org web site. Although it comes from an organization not usually considered part of the cardiac world, it is a respectable organization and as the saying goes, if the shoe fits… Warren Selkow

The latest World Health Organization scientific update on trans fat shows that companies are gradually removing them from many popular foods. Even so, it's easy to think you eat less trans fat than you do by falling into some common traps.

Most trans fat forms when liquid fats are subjected to a process called hydrogenation. Partial hydrogenation makes the oils spreadable or more shelf-stable. Natural trans fats are found in meats and dairy products but are a small proportion of our total intake and do not seem to pose the same health risks as the industrial (partially hydrogenated) trans fats.

Industrial trans fats account for about 2 percent to 3 percent of the average adult’s calories. Studies show that an increase of just 2 percent of our calories from trans fats is linked with at least 23 percent increase in heart disease. They increase LDL (“bad”) and decrease HDL (“good”) cholesterol and damage blood vessels. Now, studies suggest trans fat also promotes inflammation, which may raise the risk of cancer as well as heart disease. Current recommendations call for less than 1 percent of calories from trans fats, meaning less than 2 grams per day for the average adult.

Trap 1: You get trans fat from more places than you think

Some people assume that trans fat is only in margarine or fast food. Yet research reveals 40 percent of U.S. trans fat comes from foods like cookies, crackers, cakes, pies and muffins. Margarine and shortening account for almost a quarter of trans fat, although margarines and spreads vary widely in fat content. French fries and packaged snacks like chips and microwave popcorn provide about 13 percent of trans fat.

Trans fat can be just as concentrated in many deep-fried foods, such as chicken nuggets and breaded fish. Even if a restaurant fries food in zero-trans fat oil, if the product is pre-cooked it may have already accumulated trans fat in processing.

Trap 2: "Zero trans fat" doesn't mean zero

In the United States, a food with less than 0.5 grams of trans fat per serving is labeled as 0 trans fat. Unfortunately, foods that contain trans fat are often eaten in portions larger than the standard serving listed. So if you have two "0 trans fat" snack cakes that contain 0.4 grams of trans fat per serving, you've had more than a third of your recommended limit.

Trap 3: The effect of removing trans fat depends on what replaces it

Experts say the most common substitutes for partially hydrogenated oils are tropical oils, especially palm oil. At least half of their fat is saturated fat so they’re better, but not ideal. Other substitutes include interesterified oils, customized blends of a liquid oil with a highly saturated fat (like palm oil or a fully hydrogenated oil). Some can be relatively low in saturated fat, but others, especially those for baking, often contain substantial saturated fat.

Bottom line

Use oils like olive and canola oil when possible, and choose a soft zero-trans spread with low saturated fat. Limit commercial bakery goods (cookies, pies, doughnuts), chips, crackers and processed foods, including commercial sauces and dressings, breaded entrees and vegetables, and cake or muffin mixes. As side benefits, you’ll also reduce sugar, sodium and calories and have a chance to eat more unrefined, high-nutrient foods.
When you do buy precooked or processed foods, check the Nutrition Facts panel and the ingredients list. Top picks are those that don’t list partially hydrogenated oil and still have a comparatively low total of saturated plus trans fat.

Karen Collins, D.C.N., M.S., R.D., serves as the nutrition advisor to the American Institute for Cancer Research (AICR). Karen writes two syndicated weekly columns, "Nutrition Notes" and "Nutrition-Wise," distributed by AICR. Karen was an expert reviewer for AICR's landmark international report, "Diet, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective," which provides recommendations based on an examination of more than 7,000 research studies by a panel of internationally renowned scientists.

Provided by American Institute of Cancer Research

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