Understanding Dietary Fats
Blood cholesterol
Cholesterol is a fat like substance found throughout the body, and although cholesterol is an essential part of body cells, high levels are closely associated with heart disease. Heart disease results from a build up of fatty deposits on the walls of the arteries leading to the heart, causing the to narrow. High cholesterol levels can be inherited and passed on within families, but the problem is more commonly the result of dietary factors.
Most (about 75%) cholesterol is produced in the body. Only 25% comes from the diet, so it is not essential in the diet. Dietary cholesterol can raise blood cholesterol, but not to the same extent that saturated fat can, as we will mention below. Rich sources of dietary cholesterol include; offal, pate, egg yolks, fish roes, mayonnaise, shellfish, as well as red meat and dairy products.
How the body metabolises fat
In order to understand the relationship between dietary fats and heart disease we need to look at how fat is metabolised in the body.
Fats (or lipids), circulate in the blood as particles called lipoproteins.
Low density lipoproteins (LDL’s)
Contain most of the cholesterol in the blood, LDL cholesterol makes up the fatty deposits on the artery walls, clogging them up, which can eventually lead to a heart attack or stroke. It is often termed ‘bad’ cholesterol. Eating a diet high in saturated fat can lead to a rise in LDL cholesterol.
High density lipoproteins (HDL’s)
Also carry cholesterol but are mainly involved in taking it from sites where too much has accumulated, to the liver for disposal. HDL cholesterol is often referred to as ‘good’ cholesterol, so the more you have of this the better. HDL levels can be raised by stopping smoking, eating a diet low in saturated fat, and taking regular exercise.
Dietary Fats
Fat in foods is made up of varying amounts of different fatty acids. There are three main types of fat; saturates, mono-unsaturates and polyunsaturates. It is the overall balance of these in the diet as a whole that is important.
Saturated fatty acids
Saturated fats include fats which tend to be hard at room temperature e.g. butter, lard. An excessive amount of saturated fat in diets tends to raise the level of LDL (‘bad’) cholesterol in the blood which increases the risk of coronary heart disease (CHD).
Saturates are found mainly in;
• Full fat dairy products including full fat milk, hard cheese, full fat yoghurt, cream.
• Fatty meats and meat products e.g. sausages, meat pies.
• Savoury snacks.
• Confectionary; cakes, biscuits and chocolate.
• Butter, lard, some fat spreads, some vegetable oils, especially palm and coconut oil.
Cis and trans fatty acids
Unsaturated fatty acids can also be termed ‘cis’ or ‘trans’.
A cis fatty acid is a natural fatty acid that one would find in a good quality cold pressed olive oil. In the unheated state, this oil is very beneficial to health.
A trans fatty acid is an unnatural fatty acid as found in hydrogenated margarines. This fat is not beneficial to health. A cis fatty acid can be converted to a trans fatty acid through the process of heating or hydrogenation (manufacturing process used to convert liquid oils into solid oils as seen in the manufacture of margarine).
Mono-unsaturated fatty acids (MUFA’s)
Rich sources of MUFA’s include some vegetable oils (olive & rapeseed and fat spreads made from them. MUFA’s are also found in nuts seeds and meat.
Recent studies have shown that MUFA’s are effective at lowering LDL (‘bad’) cholesterol, without also lowering HDL (‘good’) cholesterol, when eaten in place of saturates. In Mediterranean countries, where the rate of heart disease is low although the diet is quite high in fat, this is mainly from olive oil, rich in MUFA’s. In addition, people living in these countries eat plenty of fresh fruit and vegetables which are high in antioxidant vitamins. It may be that this combination of factors helps protect these populations from heart disease.
Polyunsaturated fatty acids (PUFA’s)
There are two main groups of PUFA’s, and small amounts of PUFA’s are essential in the diet as our bodies cannot produce them.
Sources of PUFA’s include vegetable oils such as sunflower, soya and corn oil, some nuts, seeds and meat. Many studies have shown that such PUFA’s are effective at lowering LDL cholesterol when substituted for saturates. At high intakes, they may also lower HDL cholesterol.
The other group of PUFA’s are found in oil-rich fish, including herring mackerel, salmon, trout, pilchards and sardines. There is evidence that increasing dietary intakes of oil-rich fish can reduce the risk of death from heart disease in people who have already had one heart attack. It may be that eating more oil-rich fish can help reduce the risk of a first heart attack too, so try to eat some oil-rich fish at least once a week.
Eating for a healthy heart
1. Lower saturated fat intake – choose low fat varieties of milk and dairy products. Cut all visible fat off meat before cooking. Choose lean meat, poultry, fish and beans/pulses. Use fat spreads sparingly. Choose bread muffins, scones, tea cakes, and fruit as snacks instead of fancy cakes or Danish pastries.
2. When you do use fat in cooking – try to choose an unsaturated oil (sunflower, olive, soya or rapeseed), and only use small amounts. All fats are fattening so use sparingly.
3. Try to increase your intake of oil-rich fish (salmon, herring, mackerel, sardines or trout) to at least once a week.
4. Keep your intake of trans fats low by using all fat spreads sparingly(low fat spreads tend to have less trans fats than fuller fat products), limit your intake of biscuits and cakes, choose scones, muffins, currant buns or fresh fruit as alternative snacks. Check food nutritional information labels for ‘partially hydrogenated vegetable oils’ or ‘hydrogenated vegetable oils’. If this appears near the top of the ingredients list the food will contain some trans fats.
5. Increase your fibre intake by eating a variety of fruit and vegetables every day including; some beans, peas, oats and lentils regularly in your diet.
Starchy high fibre foods provide energy, B Vitamins and fibre. Try to eat more bread, potatoes, pasta, rice and noodles by basing your meals on these foods. This will help to switch the emphasis away from fatty foods.







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