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>

> So Saturated

> By Tallmadge

>

> Saturated fats are the " evildoers " of the nutrition world, and they come in

>

> the guise of some of the most delicious foods: butter, cream, cheese,

> chocolate, coconut, prime rib.

>

> How could something so good be so bad? Well, first of all, let me assure

> you

> that not all saturated fats are created equal. In fact, some of the foods

> high

> in saturated fats have redeeming qualities that may mitigate their damage.

> Second, if there's one thing I've learned in the field of nutrition,

> there's

> never just one magic -- or deadly -- bullet.

>

> I discovered the power of saturated fats while working with patients. I

> found when saturated fats are cut to extremely low levels, cholesterol

> levels drop

> precipitously. I was stunned at what a simple dietary change could achieve.

>

>

> The National Academy of Sciences says Americans should minimize their

> intake

> of saturated fats, which play a role in raising bad cholesterol (LDL) and

> increasing the risk of cardiovascular disase, which kills half of all

> Americans.

>

> Foods contain a mixture of fats, some of which are essential for health.

> Certain polyunsaturated fats (the omega-3 fatty acids in seafood, flax and

> walnuts, and omega-6 fatty acids in soybean and corn oil) are essential.

> You

> need

> them in your diet because your body can't synthesize them, and you'll

> develop

> deficiency symptoms without them.

>

> Saturated fats are nonessential fats, which means that the body can make

> them

> on its own, so they're not needed in the diet. Chocolate and animal fats

> found in dairy, meat, lard and tallow are high in a saturated fat called

> stearic

> acid. While other saturated fats raise LDL levels, stearic acid has been

> found

> to have a neutral effect on LDL. In fact, some folks in the chocolate,

> dairy

> and meat industries have pointed to this neutral effect as a reason to go

> ahead

> and enjoy these foods without worrying about the risk of heart disease.

>

> But a new study appears to challenge this claim. Scientists have found tat

>

> while it's true that stearic acid doesn't raise LDL levels, it still may

> increase the risk of cardiovascular disease because it increases fibrinogen

>

> and

> C-reactive protein levels in the blood. Fibrinogen and C-reactive protein

> are both

> indicators of inflammation, an emerging risk factor in cardiovascular

> disease

> development as well as cancer and many other diseases.

>

> " This news is going to change the thinking about stearic acid being

> neutral, "

> said Baer, lead investigator of the study, conducted at the

> Department

> of Agriculture's Diet and Human Performance Laboratory in Beltsville.

>

> In addition to stearic acid, there are three other common saturated fats --

>

> palmitic acid (found in palm oil, chocolate and meat), lauric acid (found

> in

> coconut) and myristic acid (the most potent LDL-raiser, found in dairy and

> coconut). These three fats raise not only LDL but also HDL, thus keeping

> constant

> that important ratio between the " bad " and the " good " cholesterol.

> Scientists

> are not ure how much protection this provides, despite the fact that HDL

> levels are high. These saturated fats may also cause inflammation, but the

> research

> isn't definitive yet.

>

> But some foods that are rich in saturated fat contain protective, healthy

> nutrients as well. Chocolate, for instance, contains antioxidants and

> anti-platelet factors. Coconut also contains antioxidants. There is some

> evidence that

> these benefits may help outweigh the risks from the saturated fat. But most

>

> experts believe it is still not good to eat large amounts of these foods.

>

> Saturated fats, which are solid at room temperature, have other negative

> effects. When they're high in the diet, they replace in the body's cells

> the

> more

> positive unsaturated fats, which are liquid at room temperature. The

> saturated

> fats become incorporated into cell membranes and make the membranes more

> rigid, causing malfunctions leading to, among other things, insulin

> resistance.

>

> " Saturated fats can reduce insulin's ability to contro blood glucose and in

>

> the long run may cause type 2 diabetes, " says Hu, associate professor

>

> of

> nutrition and epidemiology at Harvard University's School of Public Health.

>

>

> Adding to the diabetes connection, a recent s Hopkins University study

> found that dietary saturated fat correlated with higher levels of belly

> fat,

> a

> known risk factor in heart disease, hypertension and diabetes.

> High-saturated-fat diets may even play a role in dementia and Alzheimer's

> disease.

>

> Unsaturated oils do just the opposite. If they're prevalent in the diet and

>

> can compete successfully with saturated fat, they incorporate into the cell

>

> membranes instead and increase cell fluidity and flexibility, which is one

> of

> many reasons scientists believe they're so beneficial to overall health.

>

> In fact, there is also a theory that the ratio of polyunsaturated fat to

> saturated fat in the diet may be more influential in heart disease risk

> than

> the

> absolute numbers -- yet another example of the importance ofbalance in the

> world of nutrition.

>

> Several large studies have verified that when people replace saturated fat

> with unsaturated oils, a 40 percent to 65 percent reduction in heart

> disease

> deaths can be achieved, especially when a little omega-3 fatty acid is

> added.

> Interestingly, these studies showed only a modest reduction in LDL, which

> illustrates the importance of paying attention to other risk factors such

> as

> inflammation.

>

> Comparatively, treatment with statin drugs that lower LDL cholesterol

> (arguably one of the most prescribed medications today) reduces heart

> disease deaths

> by only about 30 percent because it doesn't remove all the risks. So even

> when

> taking statins, dietary change is essential.

>

> " Diet and lifestyle change can work better than statins, " says Ernst

> Schaefer, director of the Lipid and Heart Disease Prevention Program at the

>

> New

> England Medical Center. " But the problem is compliance. "

>

> Many people find it challenging to reduce the amount of saturated fat in

> teir diets. Life without chocolate or butter seems draconian and a goal

> that

> is

> impossible to meet. But a heart-healthy diet need not be so austere if you

> keep

> balance and variety in mind.

>

> The trouble comes with extremes, when you're eating burgers, fries and a

> shake -- all in one meal. Try this instead: Choose a leaner burger with a

> green

> salad and vinaigrette on the side and a bowl of berries and nuts for

> dessert.

> The antioxidants from the salad and berries, and the healthy fats from the

> nuts

> and vinaigrette just might counterbalance the saturated fat in the burger.

>

> Another solution would be to try to always have surf with your turf. The

> anti-inflammatory compounds in the omega-3 fatty acids in fish may help

> counteract

> the inflammatory compounds in the beef.

>

> " And if you burned what you ate through activity, this all wouldn't be as

> much of a problem! " says Baer, research physiologist at USDA.

>

>

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