Saturated fat

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Types of fats in food
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Saturated fat is fat that consists of triglycerides containing only saturated fatty acid radicals. There are several kinds of naturally occurring saturated fatty acids, which differ by the number of carbon atoms, from 1 to 24. Saturated fatty acids have no double bonds between the carbon atoms of the fatty acid chain and are thus fully saturated with hydrogen atoms.

Fat that occurs naturally in living matter contains varying proportions of saturated and unsaturated fat. Examples of foods containing a high proportion of saturated fat include dairy products (especially cream and cheese but also butter and ghee), animal fats such as suet, tallow, lard and fatty meat, coconut oil, cottonseed oil, palm kernel oil, chocolate, and some prepared foods[1].

Contents

[edit] Fat profiles

While nutrition labels usually lump them together, the saturated fatty acids appear in different proportions among food groups. Lauric and myristic acid radicals are most commonly found in "tropical" oils (e.g. palm kernel[citation needed], coconut) and dairy products. The saturated fat in meat, eggs, chocolate and nuts is primarily the triglycerides of palmitic and stearic acid.

Saturated fat profile of common foods (Esterified fatty acids as percentage of total fat )[2]
Food Lauric acid Myristic acid Palmitic acid Stearic acid
Coconut oil 47% 18% 9% 3%
Butter 3% 11% 29% 13%
Ground beef 0% 4% 26% 15%
Dark chocolate 0% 0% 34% 43%
Salmon 0% 1% 29% 3%
Eggs 0% 0% 27% 10%
Cashews 2% 1% 10% 7%
Soybean oil 0% 0% 11% 4%

[edit] Examples of saturated fatty acids

Some common examples of fatty acids are:

[edit] Related diseases

[edit] Cardiovascular diseases

Diets high in saturated fat are correlated with an increased incidence of atherosclerosis and coronary heart disease according to a number of studies, both in African green monkeys[3] and humans, such as a study of infant diets [4] and 22 hypercholesterolemic men. [5][6][7] Some studies have suggested 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, had a higher prevalence of coronary heart disease.[8][9][10][11] Additionally, controlled experimental studies have found that people consuming high saturated fat diets experience negative cholesterol profile changes.[4][12][13][14] A 2003 meta-analysis published in the American Journal of Clinical Nutrition concluded that diets high in saturated fat might adversely affect cholesterol profiles.

Experiments in which subjects were randomly assigned to either Mediterranean or a control diet (which replaces saturated fat with mono and polyunsaturated fat) showed that subjects assigned to a Mediterranean diet exhibited a significantly decreased likelihood of suffering a second heart attack, cardiac death, heart failure or stroke.[15][16]

An evaluation of data from Harvard Nurses' Health Study found that "diets lower in carbohydrate and higher in protein and fat are not associated with increased risk of coronary heart disease in women. When vegetable sources of fat and protein are chosen, these diets may moderately reduce the risk of coronary heart disease." [17]

[edit] Fatty acid specificity

Epidemiological studies of heart disease have implicated the four major saturated fatty acids to varying degrees. The World Health Organization has determined that there is "convincing" evidence that myristic and palmitic acid intake increases the probability, "possible" risk from lauric acid, and no increased risk at all from stearic acid consumption.[18]

[edit] Cancer

[edit] Breast cancer

There is one theorized association between saturated fatty acids intake and increased breast cancer risk.

[edit] Prostate cancer

Myristic and palmitic saturated fatty acids are associated with prostate cancer.

[edit] Dietary recommendations

A 2004 statement released by the Centers for Disease Control (CDC) determined that "Americans need to continue working to reduce saturated fat intake..." [19] 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.[20] [21] This concurs with similar conclusions made by the World Health Organization (WHO) and the US Department of Health and Human Services, both of which determined that reduction in saturated fat consumption would positively affect health and reduce the prevalence of heart disease.[22][23] [24]

The World Health Organization (WHO) 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. [25] [26]

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-(saturated)fat foods may be in part due to the high content in glycotoxins, above and beyond those due to oxidized fatty acid derivatives." The glycotoxins, as he called them, are more commonly called AGEs[27]

[edit] Contrary research

  • A 3-year study of 235 postmenopausal women conducted by Mozaffarian et al was released in 2004. The study subjects all had established coronary artery disease. Most were hypertensive and many had diabetes (19–31%). Their body mass index ranged from 29 to 30 and their lipid profile indicated combined hyperlipidemia. These combined characteristics are consistent with metabolic syndrome. 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 study concluded that "in postmenopausal women with relatively low total fat intake, a greater saturated fat intake is associated with less progression of coronary atherosclerosis." 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".[28][29][30]
  • A study of 297 acute myocardial infarction (MI) cases in Portuguese males, published in February 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". The researchers 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".[31]
  • Fulani of northern Nigeria get around 25% of energy from saturated fat, yet their lipid profile is indicative of a low risk of cardiovascular disease. This finding is likely due to their high activity level and their low total energy intake.[32]
  • A 2004 article in The American Journal of Clinical Nutrition raised the possibility that the supposed causal relationship between saturated fats and heart disease may actually be a statistical mistake because of the greater precision with which saturated fats have been measured.[33]

[edit] Molecular description

Two-dimensional representation of the saturated fatty acid myristic acid
A space-filling model of the saturated fatty acid myristic acid


[edit] See also

[edit] References

  1. ^ Saturated fat food sources
  2. ^ U.S. Department of Agriculture, Agricultural Research Service. 2007. USDA National Nutrient Database for Standard Reference, Release 20. Nutrient Data Laboratory Home Page
  3. ^ 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
  4. ^ a b Lapinleimu H, Viikari J, Jokinen E, et al (February 1995). "Prospective randomised trial in 1062 infants of diet low in saturated fat and cholesterol". Lancet 345 (8948): 471–6. doi:10.1016/S0140-6736(95)90580-4. PMID 7861873. 
  5. ^ 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, pp. 1115–1119
  6. ^ Rivellese AA, Maffettone A, Vessby B, et al (March 2003). "Effects of dietary saturated, monounsaturated and n-3 fatty acids on fasting lipoproteins, LDL size and post-prandial lipid metabolism in healthy subjects". Atherosclerosis 167 (1): 149–58. doi:10.1016/S0021-9150(02)00424-0. PMID 12618280. http://linkinghub.elsevier.com/retrieve/pii/S0021915002004240. 
  7. ^ Hu FB, Stampfer MJ, Manson JE, et al (November 1997). "Dietary fat intake and the risk of coronary heart disease in women". N. Engl. J. Med. 337 (21): 1491–9. doi:10.1056/NEJM199711203372102. PMID 9366580. http://content.nejm.org/cgi/content/abstract/337/21/1491. 
  8. ^ Kromhout D, Menotti A, Bloemberg B, et al (May 1995). "Dietary saturated and trans fatty acids and cholesterol and 25-year mortality from coronary heart disease: the Seven Countries Study". Prev Med 24 (3): 308–15. doi:url=http://linkinghub.elsevier.com/retrieve/pii/S0091743585710493. PMID 7644455. 
  9. ^ Hu FB, Stampfer MJ, Manson JE, et al (December 1999). "Dietary saturated fats and their food sources in relation to the risk of coronary heart disease in women". Am. J. Clin. Nutr. 70 (6): 1001–8. PMID 10584044. http://www.ajcn.org/cgi/pmidlookup?view=long&pmid=10584044. 
  10. ^ Coronary heart disease in seven countries
  11. ^ Beegom R, Singh RB (January 1997). "Association of higher saturated fat intake with higher risk of hypertension in an urban population of Trivandrum in south India". Int. J. Cardiol. 58 (1): 63–70. doi:10.1016/S0167-5273(96)02842-2. PMID 9021429. http://linkinghub.elsevier.com/retrieve/pii/S0167-5273(96)02842-2. 
  12. ^ Hanne Müller, Anja S. Lindman, Anne Lise Brantsæter, and Jan I. Pedersen The Serum LDL/HDL Cholesterol Ratio Is Influenced More Favorably by Exchanging Saturated with Unsaturated Fat Than by Reducing Saturated Fat in the Diet of Women The American Society for Nutritional Sciences J. Nutr 133:78–83, January 2003
  13. ^ Mendis S, Samarajeewa U, Thattil RO (May 2001). "Coconut fat and serum lipoproteins: effects of partial replacement with unsaturated fats". Br. J. Nutr. 85 (5): 583–9. doi:10.1079/BJN2001331. PMID 11348573. http://journals.cambridge.org/abstract_S0007114501000836. 
  14. ^ Abbey M, Noakes M, Belling GB, Nestel PJ (May 1994). "Partial replacement of saturated fatty acids with almonds or walnuts lowers total plasma cholesterol and low-density-lipoprotein cholesterol". Am. J. Clin. Nutr. 59 (5): 995–9. PMID 8172107. http://www.ajcn.org/cgi/pmidlookup?view=long&pmid=8172107. 
  15. ^ de Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N (February 1999). "Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study". Circulation 99 (6): 779–85. PMID 9989963. http://circ.ahajournals.org/cgi/pmidlookup?view=long&pmid=9989963. 
  16. ^ http://www.aims.ubc.ca/home/modules/conference/2005/med_diet_study_1994.pdf
  17. ^ Halton TL, Willett WC, Liu S, et al (November 2006). "Low-carbohydrate-diet score and the risk of coronary heart disease in women". N. Engl. J. Med. 355 (19): 1991–2002. doi:10.1056/NEJMoa055317. PMID 17093250. http://content.nejm.org/cgi/content/short/355/19/1991. 
  18. ^ World Health Organization Disease-specific recommendations
  19. ^ Trends in Intake of Energy, Protein, Carbohydrate, Fat, and Saturated Fat — United States, 1971–2000
  20. ^ Lichtenstein AH, Appel LJ, Brands M, et al (July 2006). "Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee". Circulation 114 (1): 82–96. doi:10.1161/CIRCULATIONAHA.106.176158. PMID 16785338. http://circ.ahajournals.org/cgi/content/full/114/1/82. 
  21. ^ Smith SC, Jackson R, Pearson TA, et al (June 2004). "Principles for national and regional guidelines on cardiovascular disease prevention: a scientific statement from the World Heart and Stroke Forum" (PDF). Circulation 109 (25): 3112–21. doi:10.1161/01.CIR.0000133427.35111.67. PMID 15226228. http://circ.ahajournals.org/cgi/reprint/109/25/3112.pdf. 
  22. ^ World Health Organization Diet, Nutrition and the Prevention of Chronic Diseases
  23. ^ U.S. Department of Health and Human Services U.S. Department of Agriculture Dietary Guidelines for Americans 2005
  24. ^ U.S. Department of Health and Human Services Dietary Guidelines for Americans 2005
  25. ^ World Health Organization Risk factor: lipids
  26. ^ World Health Organization Prevention: personal choices and actions
  27. ^ Koschinsky T, He CJ, Mitsuhashi T, et al (June 1997). "Orally absorbed reactive glycation products (glycotoxins): an environmental risk factor in diabetic nephropathy". Proc. Natl. Acad. Sci. U.S.A. 94 (12): 6474–9. doi:10.1073/pnas.94.12.6474. PMID 9177242. PMC: 21074. http://www.pnas.org/cgi/pmidlookup?view=long&pmid=9177242. 
  28. ^ 'Surprising' data: saturated fat may slow atherosclerotic progression in postmenopausal women, OB/GYN News, July 2004
  29. ^ Mozaffarian D, Rimm EB, Herrington DM (November 2004). "Dietary fats, carbohydrate, and progression of coronary atherosclerosis in postmenopausal women". Am. J. Clin. Nutr. 80 (5): 1175–84. PMID 15531663. PMC: 1270002. http://www.ajcn.org/cgi/content/full/80/5/1175. 
  30. ^ Knopp RH, Retzlaff BM (November 2004). "Saturated fat prevents coronary artery disease? An American paradox". Am. J. Clin. Nutr. 80 (5): 1102–3. PMID 15531654. http://www.ajcn.org/cgi/content/full/80/5/1102. 
  31. ^ Risk of myocardial infarction and intake and adipose tissue composition of fatty acids, Nutrition Research Newsletter, 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)
  32. ^ Glew RH, Williams M, Conn CA, et al (2001). "Cardiovascular disease risk factors and diet of Fulani pastoralists of northern Nigeria". Am. J. Clin. Nutr. 74 (6): 730–6. PMID 11722953. 
  33. ^ Saturated fat prevents coronary artery disease? An American paradox
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