Fat has been the most criticized food
component of the last two decades. The message of
many health care organizations has been the same
- cut the fat. The justification for this recommendation
was that excessive fat intake had been found to be
associated with a number of medical conditions including
heart disease, stroke, obesity, and cancer. This
edict was so uniformly endorsed that many Americans
thought that the secret to a long and healthy life
was simply to cut fat from their diets.
However, during this time period the number of obese
Americans increased dramatically. Currently the number
of people in this country considered clinically obese,
greater than 30% of their ideal body weight, ranges
from 30-50%. Clearly, cutting dietary fat intake
via the plethora of fat-free products did nothing
to stem the tide of obesity in this country. In fact,
in many ways, it may have contributed to the problem
of obesity as well as other medical problems. Dr.
Walter Willett (discussed in the heart disease section)
stated that replacing saturated fat with carbohydrate
can increase one's triglyceride levels and decrease
the good HDL cholesterol, thereby increasing one's
risk for heart disease. He states that healthy fats
in the diet, such as monounsaturated and polyunsaturated
fats can decrease the risk of heart disease, as well
as help with obesity by increasing satiety.
Fat supplies essential fatty acids needed for healthy
skin, hair, and digestion and absorption of fat-soluble
vitamins (A,E,D,K). Fat can trigger you to feel full
and stop eating. Fat provides 9 calories per gram.
The recommendation for fat is between 20-35% of calories.
Different types of fats exist: saturated, trans
fat, and unsaturated fats. Saturated fat is found
in chicken skin, fat around meat, butter, and lard.
Trans fat is found in hydrogenated products (unsaturated
fats that have taken on a structure similar to saturated
fats). Hydrogenation is a chemical process that snack
food manufacturers often use to turn oils into shortening
or stick margarine. Types of foods that contain trans
fat include cookies, cakes, crackers, and other snack
foods that can be found in any market or convenience
store which do not require refrigeration. Increasing
one's intake of saturated and/or trans fatty acids
can significantly increase one's risk for heart disease.
The two major categories of unsaturated fat include
polyunsaturated fat and monounsaturated fat. Polyunsaturated
fats are found in most of the vegetable oils except
for olive and canola oil, which are monounsaturated.
Fish and fish oils are typically high in polyunsaturated
fats. Polyunsaturated fats provide the body with
omega-3-fatty acids, which are helpful in the prevention
of heart disease. Monounsaturated fats are found
in olive and canola oils and to a lesser degree peanut
oils. In addition, avocados and most nuts and seeds
are good sources of monounsaturated fats. Their use
on a regular basis is associated with a lower risk
of heart disease.
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