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Strategies for altering population intakes of fats and fatty acids

Published online by Cambridge University Press:  28 February 2007

M. J. Gibney*
Affiliation:
Institute of European Food Studies, Trinity College, Dublin 2, Republic of Ireland
*
Corresponding author: Professor M. J. Gibney. fax +353 1 6710672, email [email protected]
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Abstract

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Quantitative dietary guidelines for fats were first issued in 1977 in the USA and these guidelines have changed little since then. In the UK only 14 % of the population achieve the dietary goal for fat (33 % energy) and only 3 % achieve the target (10 % energy) from saturated fatty acids. Analysis of the Dietary and Nutritional Survey of British Adults reveals that across quartiles of decreasing total fat intake, the actual fatty acid composition of this fat does not alter; i.e. when total fat is lowered, all fatty acid categories are equally lowered. This arises because 85 % of total fat and of each of the categories of fatty acids are provided by just five foods (milk, meat, cereals, spreads and vegetables). When total fat in the UK is lowered, the intake of polyunsaturated fatty acids is lowered. The problem is that if the intake of polyunsaturated fatty acids falls below a threshold of about 5 % energy, the cholesterol-raising properties of certain saturated fatty acids, e.g. myristic acid, are greatly augmented. In order to alter the balance of dietary fatty acids, more data are needed on food choices of those in the population achieving particular targets. These targets cannot be based on existing dietary goals, since so few people attain them. A new set of‘interim attainable dietary guidelines’, based on prevailing dietary intakes, must be the basis for establishing sensible food-based dietary guidelines.

Type
Micronutrient Group Symposium on ‘Dietary determinants of lipoprotein-mediated cardiovascular risk’
Copyright
Copyright © The Nutrition Society 1999

References

Connor, WE & Connor, SL (1997) Should a low-fat, high-carbohydrate diet be recommended for everyone. The case for a low-fat, high-carbohydrate diet. New England Journal of Medicine 337, 562563.Google ScholarPubMed
Gregory, J, Foster, K, Tyler, H & Wiseman, M (1990) The Dietary and Nutritional Survey of British Adults. London: H. M. Stationery Office.Google Scholar
Hardiman, A & Herd, SL (1988) Exercise and postprandial lipid metabolism. Proceedings of the Nutrition Society 57, 6372.CrossRefGoogle Scholar
Hayes, KC, Kohsla, P, Hajri, T & Pronczuk, A (1997) Saturated fatty acids and LDL receptor modulation in humans and monkeys. Prostaglandins, Leukotrienes and Essential Fatty Acids 57, 411418.CrossRefGoogle ScholarPubMed
Hulshof, KF, Lowik, MR, Kistemaker, C, Hermus, RJ, ten Hoor, F & Ockhuizen, T (1993) Comparison of dietary intake data with guidelines: some potential pitfalls (Dutch Nutrition Surveillance System). Journal of the American College of Nutrition 12, 176185.CrossRefGoogle ScholarPubMed
Katan, MB, Grundy, SM & Willett, WC (1997) Should a low-fat, high-carbohydrate diet be recommended for everyone. Beyond low-fat diets. New England Journal of Medicine 337, 562566.Google ScholarPubMed
Katan, MB, Zock, PL & Mensink, RP (1994) Effects of fats and fatty acids on blood lipids in humans: an overview. American Journal of Clinical Nutrition 60, 1017S1022S.CrossRefGoogle ScholarPubMed
Kritchevsky, D (1998) History of recommendations to the public about dietary fat. Journal of Nutrition 128, 449S452S.CrossRefGoogle Scholar
Ministry of Agriculture, Fisheries and Food (1994) The Dietary and Nutritional Survey of British Adults. A Future Analysis. London: H. M. Stationery Office.Google Scholar
Roche, HM & Gibney, MJ (1996) Postprandial triacylglycerolaemia: the effect of low-fat dietary treatment with and without fish oil supplementation. European Journal of Clinical Nutrition 50, 617624.Google ScholarPubMed
US Senate Select Committee on Nutrition and Human Needs (1977) Dietary Goals for the United States. Washington, DC: US Government Printing Office.Google Scholar
World Health Organization (1996) Preparation and Use of Food-based Dietary Guidelines. Report of a Joint FAO/WHO Consultation. Geneva: WHO.Google Scholar