Current Guidelines - Dietitian Connection · • Coconut oil cannot be recommended for health based...
Transcript of Current Guidelines - Dietitian Connection · • Coconut oil cannot be recommended for health based...
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Current Guidelines• Limit intake of foods high in saturated fat
• Replace high fat foods which contain predominantly saturated fats such as:• Butter
• Cream
• Cooking margarine
• Coconut and Palm oil
• Replace with foods which contain predominantly polyunsaturated and monounsaturated fats such as:• Oils
• Spreads
• Nut butters/pastes
• Avocado
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How much per day?• 4 serves men < age 70
• 2 serves women > 18, men > 70, adolescents 14-18
• 1.5 serves children 12-13
• 1 serve children 3-12
• ½ serve children 2-3
What is a serve?• 250kJ
• 10g spread (2 tsp)
• 7g oil (<2 tsp)
• 10g nuts or nut butter (but 30g can be included as protein choice)
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Fat Profiles
Saturated Polyunsaturated Monounsaturated
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Cooking Temperatures
• Pan frying (sautéing) 120°C
• Deep frying 160-180°C
• Oven baking 180°C
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What happens when you heat oil?
• Hydrolysis & oxidation reactions
• Generation of toxic compounds such as polymers &
polar compounds
• Changes in physical characteristics such as viscosity,
density and foaming
• Affected by degree of unsaturation of the fatty acids,
the temperature & frying time
• Seed oils are susceptible to oxidation due to high
PUFA and low levels of phenolics – they do have
higher levels of Vit E but phenolics are more active
antioxidants under these conditions
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Potential Harmful Effects
• In animal models consumption of frying oil
increases peroxidation in all lipoproteins
• Polar compound content in oil associated
with endothelial dysfunction &
hypertension
• In contrast EVOO rich in phenolic
compounds reduces postprandial
inflammation compared to sunflower oil
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Oils, Antioxidants & Postprandial Oxidative Stress
• Spanish study – 20 obese people with no evidence of chronic disease, no diabetes, non-smokers
• 4 different breakfasts incorporating different oils into muffins
• Randomised crossover design – each group ate one breakfast every 2 weeks
• Oils:• Virgin olive oil naturally rich in phenols (VOO)
• A mixed seed oil (30% high oleic sunflower & 70% canola oil) enriched with phenol compounds extracted from residues of olive oil production (SOP)
• A mixed seed oil (30% high oleic sunflower & 70% canola oil) with added oxidation inhibitor dimethylpolysiloxane (SOX)
• Sunflower oil (SFO)
• Oils subjected to 20 cycles heating to 180 for 5 mins with 30 mins cooling time in between
Perez-Herrara et al. 2013 Food Chemistry 138; 2250-2259
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Effect on NADPH oxidase gene expression
• NADPH oxidase produces ROS
• Major cause of atherosclerosis
• Sunflower oil performed the
worst, significantly increasing
mRNA of all NADPH oxidase
subunits
• The phenolics present in VOO and
SOP seemed to prevent this
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Summary of Findings
• Virgin olive oil, or a mixed seed oil with added phenolics or
an oxidation inhibitor, lowered postprandial oxidative stress
compared to sunflower oil
• Sunflower oil increased gene expression of an enzyme that generates ROS – this caused an imbalance in the ratio of reduced to oxidised glutathione (GSH/GSSG) a marker of oxidative stress
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What’s in EVOO?
• Total tocopherols (vitamin E activity) 100-300mg/kg
– Major antioxidant in body
• Phenolic compounds 200-1500mg/kg
– Antioxidant, anti-inflammatory, anti-thrombotic activities
• Squalene 1000-8000mg/kg
– Involved in oxidative stability of the oil, anti-tumour activity
against colon and skin cancer
• Sterols 113-265mg/100g
– Lowering LDL-cholesterol, anti-cancer, anti-inflammatory, anti-
atherogenicity, and antioxidative activities
J. Agric. Food Chem. 2007, 55, 9646–9654
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Antioxidant Content
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Extra Virgin OliveOil
Olive Oil (refinedblend)
Rice Bran Oil Vegetable Oil Canola Oil Virgin CoconutOil
An
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xid
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(in
mg/
kg)
Average Antioxidant Content of Mainstream Cooking Oils
α Tocopherols# Total Polyphenols
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Stability of EVOO on Prolonged Heating
• 2 varieties of EVOO (Arbiquina & Picual) heated to 180°C for 36 hours
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Stability of EVOO on Prolonged Heating
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Stability of EVOO on Prolonged Heating
• Oleic acid did not change
• The polyunsaturated fats linoleic (C18:2) and linolenic (C18:3) were reduced
after 6 hrs then were stable – other research also shown thermal degradation
of polyunsaturated fats higher
• Squalene very stable
• High stability of of sterols
• Considerable loss of tocopherols – used to protect the oil against thermal
damage (but only after hours of heating)
• Total phenols reduced but again only after several hours
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Preliminary Data from Modern Olives• Effect of heating a variety of cooking oils to 240°C over 15
minutes
• Preliminary data included smoke point, biophenols, tocopherols, polar compounds
• Polar compounds include aldehydes, alkyl benzenes and other aromatic hydrocarbons – links to cancer & neurodegenerative diseases such as Alzheimer’s & Parkinson’s
• % of polar compounds in the oil is the most common chemical parameter used in industrial kitchens to determine the moment that the oil is no longer safe to be used
• Typically, different country standards place that level between 24 and 27%
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Smoke Point (ºC)
267 263 256237 226
208 206 196 191175
154
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Evolution of Polar Compounds
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Evolution of Polar Compounds after 15 minutes of gradual heating up to 240ºC
Preliminary results from the Evaluation of chemical and physical changes in different commercial oils during heating; Authors: De Alzaa, F.; Guillaume, C.; and Ravetti, L.; Modern Olives
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Study Conclusions• Smoke point of oils is very poor predictor of
the oils performance and stability
• There is no benefit to choosing a higher smoke point oil when the smoke point already above cooking temperature
• EVOO shown to produce very few potentially harmful polar compounds – it performed the best in this regard
• Grapeseed oil, canola oil & rice bran oil – all sold as healthier cooking oils performed the worst
• These results are applicable to industrial cooking – effects at home with much shorter cooking times?
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Coconut Oil• Predominant fatty acid is Lauric acid (12:0)
• Can be classified as either medium or long chain fatty acid
• BUT…• In digestion & metabolism behaves like long-chain fatty
acids – 70-75% is absorbed with chylomicrons whereas medium-chain fatty acids are absorbed directly into portal vein
• Medium-chain are more soluble at C:10 and less
• Medium-chain triglycerides are hydrolyzed faster and more completely – does not apply to the triglycerides in coconut oil
• The evidence from studies on MCTs cannot be applied to coconut oil
• Traditional communities tend to consume more coconut products rather than coconut oil – very different to adding extracted coconut oil to a Western diet
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Review of Coconut Oil
“Studies suggest that the consumption of coconut products that
contain fiber, such as coconut flesh and coconut flour, within a
traditional dietary pattern that includes sufficient polyunsaturated
fats (omega-3) in the absence of excessive calories from refined
carbohydrates does not pose a risk for heart disease. In contrast,
the excessive use of coconut oil as the major lipid in the typical
Western diet produces effects similar to those of other saturated
fats. Despite claims that coconut oil may reduce cardiovascular
risk factors, this review found no evidence indicating that coconut
oil is preferable to other unsaturated plant oils.”
Eyres L. et al. 2016 Nutrition Reviews 74(4): 267-280
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How Much EVOO? • PREDIMED gave 50ml per
person per day –approximately 22% of their energy intake
• EVOO listed with fruits & vegetables for every day consumption in Spain
• Mainstay of traditional Greek diet is vegetables cooked liberally in evoo – up to 45% energy from fat
• Our ADG of 28g for men & 14g for women falls far short… too small to obtain the benefits?
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Conclusion: Key Points
• Simply assessing oils & fats on their fat profiles alone does not tell us their effects on health
• Smoke point is not a good guide as to the safety of an oil for prolonged or repeated frying
• Polyunsaturated oils are being promoted as best cooking oils –but perform the worst in recent studies on effects of heating
• Phenolics are highest in EVOO and shown to protect the oil from degradation during heating
• Production of potentially harmful polar compounds is minimal in evoo – highest in canola, followed by grapeseed & rice bran oils
• Coconut oil cannot be recommended for health based on current evidence & cannot be classified as rich in MCTs – eat whole coconut products instead!
• EVOO stands out as the clear winner for health amongst cooking oils
• HSR & ADG do not currently reflect this – time for change!• Up to 3 tb EVOO daily (55g) shown to be beneficial & not
affect weight in context of healthy diet – focus on cutting refined carbohydrate rich foods instead
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