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November 2014 Natural Trans Fats: What We’ve Learned Adapted from naturaltransfats.ca with permission Introduction One of the key areas of discussion in recent years within nutrition and health communities is the role of trans fats in human health. Key Messages • Natural trans fats are different from industrial trans fats. • Natural trans fats are not harmful when consumed at normal dietary levels. • Pre-clinical studies indicate natural trans fats may be health enhancing. • Currently, nutrition labels on food products do not distinguish between industrial and natural trans fats. Much of the public understanding of trans fats is based on industrial trans fats. However, advances in science have contributed to a steadily growing body of evidence to suggest that there is a broader picture to consider – there is also a separate family of trans fats that are produced naturally. Not all trans fats are created equal Industrial trans fats are produced through the chemical process of hydrogenation during certain food manufacturing processes or food preparation approaches. Natural trans fats (NTF’s) are produced by ruminant animals and found naturally in milk and meat from these animals. Industrial trans fats. To recap the fundamentals, in the case of food product manufacturing, industrial trans fats are created when hydrogen bonds are added to unsaturated fats, converting unsaturated fatty acids into trans fatty acids. This conversion is known as “hydrogenation” and the resulting trans fats are also referred to as “hydrogenated fats” or “partially hydrogenated fats.” Hydrogenation in food manufacturing is typically aimed at increasing the stability and shelf-life of food products. This process converts liquid fats, such as those in vegetable oils, into more stable, solid fats that do not spoil as quickly. For the same stabilizing and preservative benefits, fats and oils containing trans fats are also sometimes favoured as blending agents. 2 for Health Educators Another way industrial trans fats get into food is when oils or other fat sources containing these artificial trans fatty acids are used in cooking. While this practice has reduced dramatically in recent years, the use of oils containing trans fats has been particularly common in commercial deep frying, since the presence of trans fatty acids allows the oils to be used for a longer period of time. Natural trans fats. NTF’s are also produced through the process of hydrogenation. However, this process occurs naturally within ruminant animals and the resulting trans fats are substantially different.1-4 Most of the research on NTF’s has focused on the types produced by bovine animals, such as dairy and beef cattle. In the unique ruminant digestive system, the rumen fore-stomach of these animals contains thousands of micro-organisms that break down feedstuff. The current understanding is that NTF’s are created in the rumen when these microorganisms break down plant material and a portion of the resulting components bond with hydrogen to form a trans fatty acid.5 There is also evidence that enzymes within the animal may also support conversion of unsaturated fatty acid into natural trans fatty acid.5 A portion of the trans fatty acids produced within ruminant animals is found naturally in the meat and milk from these animals. For example, NTF’s are found in all dairy and beef products. However, while all trans fats share the process of hydrogenation in common, research has confirmed that, beyond this commonality, NTF’s are substantially different from industrial trans fatty acids in terms of their specific nature, mechanisms and health implications.5 Journal review bolsters case for natural trans fats The body of evidence continues to grow that NTF’s are not harmful to human health at normal dietary levels. This is according to an extensive review published in 2013 in the British Journal of Nutrition, which discusses the current issues surrounding trans fat policy and related implications for health, industry and food labels.6 The review is based on the most up-to-date scientific evidence spanning several decades of research and features a wealth of critical analysis and discussion. Among the highlights: Major population-based studies show no risk for cardiovascular disease. A quantitative analysis of 10 large-scale cohort studies7 compares the health implications of natural versus industrial trans fats consumed from the diet in populations in the United States and Europe. It concludes clearly that in contrast to dietary intake of industrially produced trans fat, consuming NTF’s from foods currently available on the market does not affect the risk of cardiovascular disease (CVD) in healthy individuals.7 Clinical trials further support findings for cardiovascular disease risk. Another quantitative analysis8 – this time of randomized clinical trials – continues the positive news for NTF’s. It covers three decades of studies and examines the differences in CVD risk factors resulting from dietary consumption of industrial trans fat, natural conjugated linoleic acid (CLA) trans fat and other forms of NTF’s. In all, data from 58 trials involving healthy subjects was considered – 11 focused on the effects of natural ruminant trans fats and the remainder focused on the effects of CLA supplements or industrial trans fats. Results indicate that consumption of NTF’s from dairy products, at levels achievable in the regular human diet, does not have any effect on LDL or HDL cholesterol in healthy individuals.8 Pre-clinical studies indicate health enhancing potential. Cumulating evidence from animal studies adds support to these findings while also highlighting the potential for NTF’s to actually enhance health.9-14 A leading example is the science for Health Educators related to trans-11 vaccenic acid (VA) – the major NTF generally accounting for 70 per cent of total NTF’s in the diet.11 Several animal studies10-14 have shown that VA can reduce major CVD risk factors including blood levels of LDL cholesterol, triacylglycerol and total cholesterol. Dairy fat enriched with VA and cis-9, trans-11 CLA has also shown neutral to beneficial effect on CVD risk.10,15 3 from ruminant animals do not contain any of the industrial trans fats that are detrimental to health. In North America and certain other jurisdictions, a portion of NTF’s content is included in nutrition labels and not differentiated from industrial trans fats. Leading researchers would like to see all NTF’s clearly distinguished from industrial trans fats in nutrition information, to make it easier for consumers to make decisions. Journal articles on NTF’s To learn more about the latest science, click here for a listing of key publications in scientific journals. Fresh Thinking on Labels The science points to a need for fresh thinking on how information on trans fats is presented on nutrition labels. The science community is working with the regulatory community to evaluate needs and potential changes. “In Canada, the trans fat content is required to be clearly labeled on food packages, whether it is from industrially-produced, partially hydrogenated vegetable oils, or from natural sources such as dairy fat and ruminant meats,” says Dr. Flora Wang, co-author of the 2013 review in the British Journal of Nutrition6 and a leading natural trans fats researcher. “However, the emerging science consistently supports a neutral health effect of NTF’s at levels achievable through a normal diet. The findings of the review are further evidence that there needs to be a clear distinction between natural and artificial (industrial) trans fats in all forms of public health information, including food labels.” What’s the bottom line? The bottom line for consumers? When consumed as part of a balanced diet, there is no nutrition or health concern related to NTF’s. Meat and milk References and recent issues of NFFHE can be found on our website here. Archived issues of NFFHE can be found here. The team of Alberta Milk registered dietitians are: Jaclyn Chute, RD Lee Finell, MHSA, RD Colinda Hunter, RD Cindy Thorvaldson, MSc, RD Nutrition File® is a free quarterly research newsletter for health educators, funded by the dairy producers of Alberta. If you are a new reader and would like to add your name to our distribution list, please contact Alberta Milk at [email protected] or phone 1-877-3611231.