Wednesday, February 17, 2010

Saturated with fat




Spin You Right Round


One thing is for certain, today any dietary "facts" you once held have been turned on their head.  Take saturated fat, the Darth Vader of fats.  You once thought of him as a serious badass--destroying lives and worlds in the name of evil.  That is what we once thought about saturated fat--that it was a one-way ticket to coronary heart disease.  Then, along come the Star Wars prequels, and now we think of the ultimate evil Darth as just one of many darths and really a wimpy, moody kid.   Thank you George Lucas for emasculating such an awesome villain.  Back to fats, we can actually thank the current research into fatty acids that saturated fat has been de-villainized.  This is a lot to wrap your mind around, I know, but saturated fat...is...not...bad.  Let me explain why.


The Big Bad


First off, lets look at the research.  Here is an excellent summary of the current research for the layperson.  There are some basic points to address from the article:


  1. The diet-heart hypothesis established in 1953 that set up saturated fat as the big bad has been questioned by a slew of contrary evidence.  
  2. LDL/HDL ratios are more important than simply looking at LDL count.  
  3. LDL particle size is more important than its total count since small, dense LDL are the only ones that correlate with increased risk of heart disease by clogging arteries.  
  4. Saturated fat intake increases both LDL and HDL counts, and HDL is the "good" cholesterol that cleans up the LDL.  
  5. When fats replace carbohydrates in the diet, the amount of small, dense LDL decreases.  
  6. Low-carb, high-fat dieters compared to high-carb, low-fat dieters typically have reduced markers of heart disease: reduced small, dense LDL, better HDL/LDL ratio, and reduced triglicerides.
  7. What happens to excess carbohydrates in your diet?  They are converted into triglicerides.  This is why low-fat dieters can still have high triglicerides.  
  8. Triglicerides are equally relevant in risk of heart disease.  
  9. The current American Heart Association guidelines did not address this LDL research when making their guidelines to reduce saturated fat intake from 10% to 7% or less of daily calories.  

More on the current research: a meta-analysis performed in part by Dr. Krauss (who is referred to in the previous article as founder of the particle size importance) made this conclusion:
A meta-analysis of prospective epidemiologic studies showed that there is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of CHD or CVD. More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace saturated fat.
Even Loren Cordain, Paleo Diet founder, has softened his once hardline stance on saturated fats.  From his blog:
The bottom line is that we do not recommend cutting down saturated fatty acid intake but rather decrease high-glycemic load foods, vegetable oils, refined sugars, grains, legumes and dairy.
My conclusion: it seems that saturated fat isn't the big bad we had once thought.



Is it actually, dare I say the word, beneficial?

Here are the main points of a Dr. Eades interview at Four Hour Work Week entitled: 7 Reasons to Eat More Saturated Fat.  Dr. Eades is a proponent of a high protein, high fat diet with reduced carbohydrate intake.  Go and read it for yourself to see the details.  Here are the benefits:
1. Improved Cardiovascular Risk Factors
2. Stronger Bones
3. Improved Liver Health
4. Healthy Lungs
5. Healthy Brain
6. Proper Nerve Signaling
7. Strong Immune System

However, if one has chronic inflammation, Dr. Ayers of Cooling Inflammation suggests limiting saturated fats, although he readily promotes saturated fats over vegetable oils and includes them as part of an anti-inflammatory diet.

Here is another take on the benefits of saturated fats from the Weston A. Price Foundation, a non-profit that distributes nutritional information from their founder, a nutritional guru.  Please read the site for more specifics and references to each point.  To quote his list of saturated fat benefits:




  • Saturated fatty acids constitute at least 50% of the cell membranes. They are what gives our cells necessary stiffness and integrity.
  • They play a vital role in the health of our bones. For calcium to be effectively incorporated into the skeletal structure, at least 50% of the dietary fats should be saturated.
  • They lower Lp(a), a substance in the blood that indicates proneness to heart disease. They protect the liver from alcohol and other toxins, such as Tylenol.
  • They enhance the immune system.
  • They are needed for the proper utilization of essential fatty acids.
    Elongated omega-3 fatty acids are better retained in the tissues when the diet is rich in saturated fats. 
  • Saturated 18-carbon stearic acid and 16-carbon palmitic acid are the preferred foods for the heart, which is why the fat around the heart muscle is highly saturated. The heart draws on this reserve of fat in times of stress.
  • Short- and medium-chain saturated fatty acids have important antimicrobial properties. They protect us against harmful microorganisms in the digestive tract.
Bottom line: There seems to be more good about saturated fat than bad.  How about them apples?


Other Contributing Evidence


Here is another article, an older one, discussing saturated fats and their dietary role.  Unfortunately, it was funded by Nestle with agricultural interests to avoid having to reduce saturated fats in foods.

Mark's Daily Apple has a good discussion of saturated fat summarizing the background to the debate and why not to avoid them.

Free the Animal also has an extensive review of the debate and current research.  He is definitely not afraid to offend, so you are hereby warned.

Whole Health Source has a great post with a bunch of research articles to read about the topic.