Skip to main content

Fats and Oils

  • Chapter
  • First Online:
The Mediterranean Diet

Abstract

Understanding the structure, function, nomenclature, and clinical effects of fats is necessary when discussing a Mediterranean diet with patients. The most important concept regarding fats is that they can vary greatly in their health effects on the human body. In the past, knowledge that avoidance of some fats could reduce heart disease led to overly general recommendations to avoid all fats, irrespective of type. As a result of advances in understanding the benefits of consuming so-called healthy fats, advice to avoid all types of fats as a strategy for health is now rare in the medical literature. For example, the American Heart Association (AHA), a former advocate for aggressive restriction of all fats, no longer advises this strategy. The AHA dietary guidelines recognize that, consistent with a MedDiet, obtaining up to 35% of all calories from healthy unsaturated fatty acids while avoiding trans-fats and minimizing saturated fatty acids (SFAs) is an effective coronary heart disease preventive dietary strategy [1, 2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. American Heart Association (AHA). http://circ.ahajournals.org/content/123/4/e18.full.pdf. Accessed 27 May 2011.

  2. Krauss RM, Deckelbaum RJ, Ernst N, Fisher E, Howard BV, Knopp RH, et al. Dietary guidelines for healthy American adults. A statement for health professionals from the Nutrition Committee, American Heart Association. Circulation. 1996;94(7):1795–800.

    Article  PubMed  CAS  Google Scholar 

  3. Anon. Mortality after 10 1/2 years for hypertensive participants in the Multiple Risk Factor Intervention Trial, “MRFIT”. Circulation. 1990;82(5):1616–28.

    Google Scholar 

  4. Genest JJ, McNamara JR, Salem DN, Schaefer EJ. Prevalence of risk factors in men with premature coronary artery disease. Am J Cardiol. 1991;67(15):1185–9.

    Article  PubMed  CAS  Google Scholar 

  5. Dietary Guidelines for Americans Advisory Committee (DGAC) 2010. U.S. Department of Agriculture. Center for Nutrition Policy and Promotion. Dietary guidelines for Americans, 2010. http://www.cnpp.usda.gov/dietaryguidelines.htm. Accessed 1 Jan 2011.

  6. Azadbakht L, Mirmiran P, Hedayati M, Esmaillzadeh A, Shiva N, Azizi F. Particle size of LDL is affected by the National Cholesterol Education Program (NCEP) step II diet in dyslipidaemic adolescents. Br J Nutr. 2007;98(1):134–9.

    Article  PubMed  CAS  Google Scholar 

  7. Berglund L, Lefevre M, Ginsberg HN, Kris-Etherton PM, Elmer PJ, Stewart PW, et al. DELTA Investigators. Comparison of monounsaturated fat with carbohydrates as a replacement for saturated fat in subjects with a high metabolic risk profile: studies in the fasting and postprandial states. Am J Clin Nutr. 2007;86(6):1611–20.

    PubMed  CAS  Google Scholar 

  8. Chen SC, Judd JT, Kramer M, Meijer GW, Clevidence BA, Baer DJ. Phytosterol intake and dietary fat reduction are independent and additive in their ability to reduce plasma LDL cholesterol. Lipids. 2009;44(3):273–81.

    Article  PubMed  CAS  Google Scholar 

  9. Furtado JD, Campos H, Appel LJ, Miller ER, Laranjo N, Carey VJ, Sacks FM. Effect of protein, unsaturated fat, and carbohydrate intakes on plasma apolipoprotein B and VLDL and LDL containing apolipoprotein C-III: results from the OmniHeart Trial. Am J Clin Nutr. 2008;87(6):1623–36.

    PubMed  CAS  Google Scholar 

  10. Galgani JE, Uauy RD, Aguirre CA, Díaz EO. Effect of the dietary fat quality on insulin sensitivity. Br J Nutr. 2008;100(3):471–9.

    Article  PubMed  CAS  Google Scholar 

  11. Jakobsen MU, O’Reilly EJ, Heitmann BL, Pereira MA, Bälter K, Fraser GE, et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr. 2009;89(5):1425–32.

    Article  PubMed  CAS  Google Scholar 

  12. Kralova Lesna I, Suchanek P, Kovar J, Stavek P, Poledne R. Replacement of dietary saturated FAs by PUFAs in diet and reverse cholesterol transport. J Lipid Res. 2008;49(11):2414–8.

    Article  PubMed  CAS  Google Scholar 

  13. Lichtenstein AH, Matthan NR, Jalbert SM, Resteghini NA, Schaefer EJ, Ausman LM. Novel soybean oils with different fatty acid profiles alter cardiovascular disease risk factors in moderately hyperlipidemic subjects. Am J Clin Nutr. 2006;84(3):497–504.

    PubMed  CAS  Google Scholar 

  14. Lindström J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemiö K, Finnish Diabetes Prevention Study Group, et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet. 2006;368(9548): 1673–9.

    Article  PubMed  Google Scholar 

  15. López S, Bermúdez B, Pacheco YM, Villar J, Abia R, Muriana FJ. Distinctive postprandial modulation of beta cell function and insulin sensitivity by dietary fats: monounsaturated compared with saturated fatty acids. Am J Clin Nutr. 2008;88(3):638–44.

    PubMed  Google Scholar 

  16. Paniagua JA, de la Sacristana AG, Sánchez E, Romero I, Vidal-Puig A, Berral FJ, et al. A MUFA-rich diet improves posprandial glucose, lipid and GLP-1 responses in insulin-resistant subjects. J Am Coll Nutr. 2007;26(5):434–44.

    PubMed  CAS  Google Scholar 

  17. Pérez-Jiménez F, López-Miranda J, Pinillos MD, Gómez P, Paz-Rojas E, Montilla P, et al. A Mediterranean and a high-carbohydrate diet improve glucose metabolism in healthy young persons. Diabetologia. 2001;44(11):2038–43.

    Article  PubMed  Google Scholar 

  18. Salmerón J, Hu FB, Manson JE, Stampfer MJ, Colditz GA, Rimm EB, Willett WC. Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr. 2001;73(6):1019–26.

    PubMed  Google Scholar 

  19. Allman-Farinelli MA, Gomes K, Favaloro EJ, Petocz P. A diet rich in high-oleic-acid sunflower oil favorably alters low-density lipoprotein cholesterol, triglycerides, and factor VII coagulant activity. J Am Diet Assoc. 2005;105(7):1071–9.

    Article  PubMed  CAS  Google Scholar 

  20. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swain JF, Miller 3rd ER, OmniHeart Collaborative Research Group, et al. Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial. JAMA. 2005;294(19):2455–64.

    Article  PubMed  CAS  Google Scholar 

  21. Berglund L, Lefevre M, Ginsberg HN, Kris-Etherton PM, Elmer PJ, Stewart PW, et al. DELTA Investigators. Comparison of monounsaturated fat with carbohydrates as a replacement for saturated fat in subjects with a high metabolic risk profile: studies in the fasting and postprandial states. Am J Clin Nutr. 2007;86(6):1611–20.

    PubMed  CAS  Google Scholar 

  22. Rasmussen BM, Vessby B, Uusitupa M, Berglund L, Pedersen E, Riccardi G, KANWU Study Group, et al. Effects of dietary saturated, monounsaturated, and n-3 fatty acids on blood pressure in healthy subjects. Am J Clin Nutr. 2006;83(2):221–6.

    PubMed  CAS  Google Scholar 

  23. Tanasescu M, Cho E, Manson JE, Hu FB. Dietary fat and cholesterol and the risk of cardiovascular disease among women with type 2 diabetes. Am J Clin Nutr. 2004;79(6):999–1005.

    PubMed  CAS  Google Scholar 

  24. Binkoski AE, Kris-Etherton PM, Wilson TA, Mountain ML, Nicolosi RJ. Balance of unsaturated fatty acids is important to a cholesterol-lowering diet: comparison of mid-oleic sunflower oil and olive oil on cardiovascular disease risk factors. J Am Diet Assoc. 2005;105(7): 1080–6.

    Article  PubMed  CAS  Google Scholar 

  25. Jakobsen MU, O’Reilly EJ, Heitmann BL, Pereira MA, Bälter K, Fraser GE, et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr. 2009;89(5):1425–32.

    Article  PubMed  CAS  Google Scholar 

  26. Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC. Trans fatty acids and cardiovascular disease. N Engl J Med. 2006;354(15):1601–13.

    Article  PubMed  CAS  Google Scholar 

  27. Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJ, Ezzati M. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med. 2009;6(4):e1000058.

    Article  PubMed  Google Scholar 

  28. St-Onge MP, Aban I, Bosarge A, Gower B, Hecker KD, Allison DB. Snack chips fried in corn oil alleviate cardiovascular disease risk factors when substituted for low-fat or high-fat snacks. Am J Clin Nutr. 2007;85(6):1503–10.

    PubMed  CAS  Google Scholar 

  29. Zhao G, Etherton TD, Martin KR, West SG, Gillies PJ, Kris-Etherton PM. Dietary alpha-linolenic acid reduces inflammatory and lipid cardiovascular risk factors in hypercholesterolemic men and women. J Nutr. 2004;134(11):2991–7.

    PubMed  CAS  Google Scholar 

  30. Burdge G. Alpha-linolenic acid metabolism in men and women: nutritional and biological implications. Curr Opin Clin Nutr Metab Care. 2004;7(2):137–44.

    Article  PubMed  CAS  Google Scholar 

  31. Institute of Medicine Fact Sheet, October 2006. http://www.iom.edu/∼/media/Files/Report%20Files/2006/Seafood-Choices-Balancing-Benefits-and-Risks/11762_SeafoodChoicesFactSheet.pdf. Accessed 2 Dec 2011.

  32. Monterey Bay Aquarium. http://www.montereybayaquarium.org/cr/cr_seafoodwatch/download.aspx. Accessed 27 May 2011.

  33. Natural Resources Defense Council. http://www.nrdc.org/oceans/seafoodguide/. Accessed 27 May 2011.

  34. Environmental Defense Fund. www.edf.org/seafoodhealth. Accessed 27 May 2011.

  35. O’Keefe Jr JH, Cordain L, Harris WH, Moe RM, Vogel R. Optimal low-density lipoprotein is 50 to 70 mg/dl: lower is better and physiologically normal. J Am Coll Cardiol. 2004;43(11):2142–6.

    Article  PubMed  Google Scholar 

  36. Harman NL, Leeds AR, Griffin BA. Increased dietary cholesterol does not increase plasma low density lipoprotein when accompanied by an energy-restricted diet and weight loss. Eur J Nutr. 2008;47(6):287–93.

    Article  PubMed  Google Scholar 

  37. Greene CM, Zern TL, Wood RJ, Shrestha S, Aggarwal D, Sharman MJ, et al. Maintenance of the LDL cholesterol:HDL cholesterol ratio in an elderly population given a dietary cholesterol challenge. J Nutr. 2005;135(12):2793–8.

    PubMed  CAS  Google Scholar 

  38. Goodrow EF, Wilson TA, Houde SC, Vishwanathan R, Scollin PA, Handelman G, Nicolosi RJ. Consumption of one egg per day increases serum lutein and zeaxanthin concentrations in older adults without altering serum lipid and lipoprotein cholesterol concentrations. J Nutr. 2006;136(10):2519–24.

    PubMed  CAS  Google Scholar 

  39. Weggemans RM, Zock PL, Katan MB. Dietary cholesterol from eggs increases the ratio of total cholesterol to high-density lipoprotein cholesterol in humans: a meta-analysis. Am J Clin Nutr. 2001;73(5):885–91.

    PubMed  CAS  Google Scholar 

  40. Nakamura Y, Iso H, Kita Y, Ueshima H, Okada K, Konishi M, et al. Egg consumption, serum total cholesterol concentrations and coronary heart disease incidence: Japan Public Health Center-based prospective study. Br J Nutr. 2006;96(5):921–8.

    Article  PubMed  CAS  Google Scholar 

  41. Qureshi AI, Suri FK, Ahmed S, Nasar A, Divani AA, Kirmani JF. Regular egg consumption does not increase the risk of stroke and cardiovascular diseases. Med Sci Monit. 2007;13(1):CR1–8.

    PubMed  Google Scholar 

  42. Hu FB, Stampfer MJ, Rimm EB, Manson JE, Ascherio A, Colditz GA, et al. A prospective study of egg consumption and risk of cardiovascular disease in men and women. JAMA. 1999;281(15):1387–94.

    Article  PubMed  CAS  Google Scholar 

  43. Hu FB, Stampfer MJ, Manson JE, Rimm EB, Wolk A, Colditz GA, et al. Dietary intake of alpha-linolenic acid and risk of fatal ischemic heart disease among women. Am J Clin Nutr. 1999;69(5):890–7.

    PubMed  CAS  Google Scholar 

  44. Kritchevsky SB, Kritchevsky D. Egg consumption and coronary heart disease: an epidemiologic overview. J Am Coll Nutr. 2000;19(5 Suppl):549S–55S.

    PubMed  CAS  Google Scholar 

  45. Clarke R, Frost C, Collins R, Appleby P, Peto R. Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ. 1997;314(7074):112–7.

    Article  PubMed  CAS  Google Scholar 

  46. Perez-Jimenez F, de Alvarez Cienfuegos G, Badimon L, Barja G, Battino M, Blanco A, et al. International conference on the healthy effect of virgin olive oil. Eur J Clin Invest. 2005;35(7): 421–4.

    Article  PubMed  CAS  Google Scholar 

  47. Huang CL, Sumpio BE. Olive oil, the Mediterranean diet, and cardiovascular health. J Am Coll Surg. 2008;207(3):407–16.

    Article  PubMed  Google Scholar 

  48. USDA Food Bank. www.nal.usda.gov/fnic/foodcomp/data/food. Accessed 27 May 2011.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Zacharias, E. (2012). Fats and Oils. In: The Mediterranean Diet. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3326-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-3326-2_11

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3325-5

  • Online ISBN: 978-1-4614-3326-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics