Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová,...
Transcript of Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová,...
![Page 1: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/1.jpg)
Jiří BrátCzech Chemical Society, Section on Fats & Oils
Fediol General Assembly13th June 2014, Prague
Fats & oils eating habit and relatedissue in CR/CEE and the way howto manage them
![Page 2: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/2.jpg)
CEE – fragmented region
•18 countries•not all are EU members•different legislation•different culture•different eating habit•different health status
![Page 3: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/3.jpg)
Mortality rates in Europe, relatedrisk factors and dietaryrecommendation
Comparison WE and CEE
![Page 4: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/4.jpg)
Age-standardized mortality in Europe
men women
![Page 5: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/5.jpg)
Coronary heart disease (CHD) mortalityrates in Europe*
<30
>=30, <45
>=45, <80
>=80, <130
>=130
Deaths per 100,000
Age-standardized data, men aged 0 - 64 year*European cardiovascular disease statistics, 2008.
![Page 6: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/6.jpg)
2000Shift from “low” tomoderate fat and
low SAFA
Recommendations shiftedfrom low-fat to fat quality
1980“Low-Fat” diets
(quantity)
2003The qualitative
compositionof fats important
![Page 7: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/7.jpg)
Current dietary recommendations on fatintake
FAO/WHO 2008 % of total energy
Total fat 20-35%
SFA <10%
Total PUFA 6-11%
Omega 6 PUFA 2.5-9%
Omega 3 PUFA 0.5-2%
TFA <1%
MUFA by difference
% energy fromtotal fat increased
% energy from PUFA(upper level) and omega 6PUFA slightly increased
![Page 8: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/8.jpg)
What issues dowe have?
![Page 9: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/9.jpg)
http://naturaltransfats.ca/
MEDIA VIEW SEEMS TO BE OFTENDIFFERENT
![Page 10: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/10.jpg)
Czech Republic and CEE are not exceptions
Internet – main source of information Information on internet are not always true and scientifically
proven Myths about foods are spread quite quickly Some group of activists become aggressive, no discussion or
argumentation accepted Focus on specific topic rather than overall nutrition
![Page 11: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/11.jpg)
Headlines are different – example from US
![Page 12: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/12.jpg)
Headlines are different – example from CREat fatty meal. You become healthier and loose weight
![Page 13: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/13.jpg)
Spreading information across media
The same titleeverywhere
![Page 14: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/14.jpg)
Order of health risk perception –expert vs. consumer
Health risk from foodOrder According to nutritionist According to consumer
1. Diet (food composition) Chemical contaminants
2. MB contamination incl.toxins
Food additives („E“numbers)
3. Natural toxic compounds MB contamination incl.toxins
4. Chemical contaminants Diet (food composition)
5. Food additives („E“numbers)
Natural toxic compounds
![Page 15: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/15.jpg)
Consumer research resultsRelation Food & Health
* Highest value* Lowest value N=10.742
Yes. I amafraid
I am a bitworried
I am notworried
I do notcare
I do notknow
Chemical residues (e.g. Antibiotics in meat,dioxin in oil) 50.2% 30.1% 13.8% 3.1% 2.5%
Pesticides in F&V, cereals 47.2% 32.4% 15.2% 2.5% 2.4%
MB contamination 43.2% 26.4% 20.5% 7.3% 2.3%
GMO 33.9% 26.9% 20.8% 13.4% 4.7%
Animal diseases transfer 33.2% 25.7% 26.8% 12.1% 1.9%
Bad nutrition composition 16.8% 38.9% 30.6% 8.9% 4.5%
Diseases caused by bad diet 33.6% 38.8% 17.1% 7.8% 2.4%
Weight uptake 25.3% 37.6% 22.6% 11.4% 2.8%
Foods additives 36.5% 37.3% 17.9% 4.9% 3.1%
Food allergies 21.2% 28.9% 26.4% 19.2% 4%
TOP 2 boxes55,7% only
![Page 16: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/16.jpg)
Fat & Oils related programs,campaigns
![Page 17: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/17.jpg)
How to help consumer better understand theproblematic No by state organization lead projects related to fat & oil
problematic Campaign supporting usage of rapeseed oil in food
granted by EU Few NGO activities
Choices Initiative „Vím, co jím“– Promoting lower intake SAFA, TFA, salt and added
sugar STOB
– Stop obesity, adequate energy intake, balanceddiet
Health Nutrition Forum– General dietary advise
Educational campaign from General Practitioners– Reduce SAFA intake
![Page 18: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/18.jpg)
Campaign supporting usage of rapeseed oil infood
leaflets tastingweb
articles competitionspress conferences
![Page 19: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/19.jpg)
IssuesTrans Fatty Acids
![Page 20: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/20.jpg)
Trans Fatty Acids issue
Margarine damages health.
Chain letter:„Margarine damages health“
![Page 21: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/21.jpg)
TFA content in tub margarine
Almost all products VTF, except one private label
![Page 22: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/22.jpg)
TFA content in baking margarines, white fats
Some products VTF, some TFA content around 4 %
![Page 23: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/23.jpg)
Rapid Information Flow
Originated in US book translation internet hot topic /media interest
US market is different Raw material portfolio different Need for hardening Higher TFA level
Eckel et al, Circulation, duben 2007
![Page 24: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/24.jpg)
TFA content in chocolate alternatives
ProductTFA SAFA MUFA PUFA
143,48 30,93 22,82 2,77
20,54 78,38 17,41 3,67
331,98 44,42 22 1,6
40,79 90,99 6,12 2,1
Source: Jana Dostálová, ICT Praha, 2013
![Page 25: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/25.jpg)
TFA content in fine bakery products
18,417,324,539,730,7Kapsičky kokosové
9,221,330,738,730,0Kapsičky višňové
21,716,032,529,528,3Linecké kolečko
6,38,534,151,122,2Croissant
10,714,034,740,630,6Loupák
28,89,929,731,426,8Koblihy IV
12,28,532,247,130,8Meruňková kapsa
0,329,559,810,25,3Vánočka III
9,820,326,543,319,4Loupák neplněný
0,88,738,252,238,5Koblihy III
0,128,662,18,99,4Velká buchta
10,521,627,939,924,0Loupák plněný
0,948,835,514,45,3Vánočka II
22,88,732,535,921,5Koblihy II
1,755,427,415,411,4České buchtičky II
1,555,027,116,25,3Vánočka I
0,812,237,949,024,4Koblihy I
2,254,427,315,610,9České buchtičky I
TRANSPUFAMUFASAFAFatcontent
Product
Source: Jana Dostálová,ICT Praha, 2009
![Page 26: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/26.jpg)
Issues
Palm oil
![Page 27: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/27.jpg)
Palm oil issue – sensitivity mapping percountries
Negative consumer behaviour andlegislative threat
Reputational issue but not visibleconsumer or authority activity
Little reputational issue
![Page 28: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/28.jpg)
Palm oil - example
„Palm oil – well hidden killer“
![Page 29: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/29.jpg)
Finding are miss-interpreted
http://www.stream.cz/adost/775252-palmovy-olej-dobre-utajeny-zabijak
Over303000visit
![Page 30: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/30.jpg)
PO anti-campaign argumentation
7 times higher SFA content compare to rapeseed oil,BUT never compared with
lard or butter
![Page 31: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/31.jpg)
PO anti-campaign argumentation
talking more about deforestation, than sustainableproduction or social aspects
![Page 32: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/32.jpg)
PO anti-campaign argumentation
talking about methane emissions, BUT not aboutbio-energy potential or LCA comparison of different
products e.g. butter vs. margarine
4 x global warming potential2 x eutrofication potential2 x acidification potential2 x land use
http://conservationmagazine.org/2014/03/butter-vs-margarine-environmental/
![Page 33: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/33.jpg)
PO anti-campaign argumentation
Oil / fat presence in a product ScoreTraditional butter 2Fresh butter 1Rapeseed oil 1Rapeseed oil – one sort 3Any oil refined 0Vegetable oil / fat non specified -2Hardened fat -3Coconut, palmkernel, palm oil -5
Productevaluationbased onpresence ofingredient
rather than
nutrition profile
![Page 34: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/34.jpg)
Issues
Saturated Fatty Acids,Polyunsaturated FattyAcidsOmega 6 & 3Carbohydrates
![Page 35: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/35.jpg)
Saturated fatty acids are not problem?
![Page 36: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/36.jpg)
Saturated fats advocacy through mediaScientists been mistaken, killer for heart are sugars not fats
![Page 37: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/37.jpg)
Saturated fatty acids to be limited – GPcampaign
![Page 38: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/38.jpg)
Coconut – Superfood?
Increase of HDL-cholesterol,but not mentioned effect onLDL- cholesterol
![Page 39: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/39.jpg)
Paleodiet
Vegetable fats,margarine to beremoved
![Page 40: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/40.jpg)
LA intake % Energy
0
1
2
3
4
5
6
7
8
9
10
Hungary Slovakia Israel US Japan Germany Belgium China UK Australia SouthKorea
Finland Sweden Mexico
WHO recommended level:2.5-9 E%
Data based on individual dietary surveys
Linoleic acid intake is withinrecommendation, but there is room forimprovement
![Page 41: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/41.jpg)
Intake of alpha linolenic acid is at the lowerend of recommendations and can beincreased
ALA intake % Energy
0
0,2
0,4
0,6
0,8
1
1,2
1,4
1,6
1,8
2
Finland UK Germany Israel Japan Belgium China Sweden US Australia Slovakia SouthKorea
Hungary Mexico
WHO recommended level: 0.5-2 E%
Data based on individual dietary surveys
![Page 42: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/42.jpg)
![Page 43: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/43.jpg)
SAFA and PUFA intake in different countries
H.K.Rajwinder et al: Intake of Fatty Acids in General Populations Worldwide Does Not Meet DietaryRecommendations to Prevent Coronary Heart Disease: A Systematic Review of Data from 40 Countries. Ann.Nutr. Metab . 2013;63:229–238
![Page 44: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/44.jpg)
Omega 6 & 3 in tub margarine is balanced
![Page 45: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/45.jpg)
Population dataDocumented changes in eatinghabits and consequences
![Page 46: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/46.jpg)
Risk of CHD According to P:S Ratio
0.0
0.2
0.4
0.6
0.8
1.0
1.2
0.2 0.3 0.4 0.5 0.6
Dietary P:S Ratio (circles for NHS, squares for Poland)
RR
of C
HD
in N
HS
RR
for C
HD
Mor
talit
y in
Pola
nd
1.0
0.7
Poland1990
1996
1992
1994
1999
.33 .56
Source: W. Willet webvideoconference , 25.4.2014
![Page 47: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/47.jpg)
Age-adjusted Death Rates for CoronaryHeart Disease, US 1950-2007
Source: W. Willet webvideoconference , 25.4.2014
Deaths 100,000 Population
1,137,000 Deaths Averted in 2007 Due to Declinefrom Peak Rate in 1968 (1,543,000-406,000)
Year
![Page 48: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/48.jpg)
North Karelia – change of eating habits
1972 no consumption of low fat milk 1997 50% women / 40% men 1972 90% population bread with butter 1997 10% population bread with butter
1972 – 1997 consequencesTotal cholesterol - 18%Mortality rate in productive age - 82%Life expectancy +7 years
![Page 49: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/49.jpg)
no fats
Consumption of fats on bread in NorthKarelia
low fat margarinemargarine with stanols„soft“ margarinemelanges
máslo
P. Puska: Institute on Public Health, Helsinky, Finland. 2005
![Page 50: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/50.jpg)
Death rate per100 000
Mortality rate change in Finland
P. Puska: Institute on Public Health, Helsinky, Finland. 2005
![Page 51: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/51.jpg)
CR – change of eating habits 1997 versus1989
1989 = 100 %
130 % vegetable oils, margarines
118 % poultry
110 % fruit and vegetable
92 % pork54 % beef
44 % butter
1997
![Page 52: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/52.jpg)
Mortality rate change in Czech Republic
men
women
lard
butter
Vegetable fats
CVD mortality rate /100000
Fat consumption per person / year
IKEM
Reduction of non-HDL cholesterol 1988-1997 ~ 13%
![Page 53: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/53.jpg)
Mortality rate reduction CR vs. othercountries
Source: WHO Regional Office for Europe 2012
![Page 54: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/54.jpg)
REPLACEMENT AVAILABLE EVIDENCE SAFA PUFA: convincing SAFA MUFA: possible/probable SAFA Carbohydrate: depends on type of carb TFA Anything: convincing
ADDITION OMEGA-3
MARINE EPA/DHA convincing/probable
VEGETABLE ALA possible
Dietary fats and risk of heart disease -evidences
![Page 55: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/55.jpg)
Nordic Nutrition Recommendation
http://www.norden.org/en/publications/publikationer/nord-2013-009
published in September 2013
![Page 56: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/56.jpg)
● Vegetable oils play key role in the nutrition, they are integrated partof latest dietary recommendation
● TFA are gradually disappearing from food industry and catering
● Saturated fats to be replaced by polyunsaturated – a convincingopinion of expert in nutrition
● Palm oil represents a good alternative for PHVO replacement andfrom nutrition point of view it is better or on parity with animal fats
● Omega 6 FA are not in overconsumption, the problem is generallylow intake of omega 3 FA in order to get a proper balance
● It is difficult to fight against all myths and get the proper attention onmore important nutrition elements like basic food composition incl.proper and balanced fat intake to be in line with dietaryrecommendation
Summary
![Page 57: Fats & oils eating habit and related issue in CR/CEE and ... Brat.pdf · Source: Jana Dostálová, ICT Praha, 2013. TFA content in fine bakery products Kapsičky kokosové 30,7 39,7](https://reader036.fdocuments.us/reader036/viewer/2022071213/602d955f1b2b310b1873e12f/html5/thumbnails/57.jpg)
Do not forget about PhysicalActivity
Thank you for attention