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Joanna Dolgoff, M.D.

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Has the Ban on Trans Fats Made Foods Healthier?

Posted: 06/10/10 08:00 AM ET

While it may seem obvious that banning trans fats would make foods healthier, I did not think it would be so. I feared that food manufacturers would simply switch to another type of fat that was just as unhealthy as the trans fats. In fact, I have warned many a patient, "If it looks unhealthy, chances are it is unhealthy regardless of what the packaging claims." And while I still stand by that advice, it seems as if some (but not all!) food manufacturers have found a healthier type of fat.

All fats are not equal; different types of fat affect your body differently. Some fats (saturated fats and trans fats, specifically) increase your "bad" cholesterol and increase your risk for heart disease. Other fats (monounsaturated fats and polyunsaturated fats) actually lower cholesterol and decrease the likelihood of heart disease.

Trans fats are the worst types of fats. These fats increase LDL ("bad" cholesterol), increase total cholesterol and lower HDL ("good" cholesterol), causing a particularly increased risk of heart attack and stroke. They are not found in nature, but rather are artificially made in laboratories. Liquid oils are put through a chemical process to make them solid at room temperature. Trans fats greatly increase the shelf life of a product and are extremely inexpensive to produce. They are found in shortening, margarine, and most commercially prepared baked goods. Most fried foods are deep fried in trans fats.

A group from Harvard looked at 83 foods that had been reformulated since 2006, when the government required food labels to list the amount of trans fat in packaged products. At that time, food producers scrambled to find a cheap replacement. The mission was to find a fat that was inexpensive yet still tasted good and had a pleasing texture.

Dr. Dariush Mozaffarian, from Harvard, and the Center for Science in the Public Interest looked at the current fat content of both packaged foods and restaurant offerings. Researchers used information from the FDA databases, nutrition labels, and industry brochures. According to a letter published in a recent New England Journal of Medicine, nearly all of the foods were free or mostly free of trans fat and many companies did not increase their saturated fat content when they cut out the trans fats. 65 percent of supermarket products and 90 percent of restaurant fare contained saturated fat levels that were lower, unchanged or only slightly higher than before.

According to the study, a large order of McDonald's French fries had a favorable makeover. Trans fat dropped from 7 1/4 grams to zero; saturated fat went from five and one-half grams to three and one-half grams. Gorton's Crunchy Golden Fish Sticks also did well. Trans fat went from three grams per serving to zero; saturated fat unchanged at four grams. Entenmann's Rich Frosted Donut, however, is an example of a company removing trans fat without increasing the healthiness of the food. While trans fat dropped from five grams to zero, saturated fat more than doubled from five to 13 grams.

Entenmann's Rich Frosted Donut is just one example. "Just because trans fat is gone from gluttonous foods doesn't mean they're healthy", said Dr. David Heber, who heads the UCLA Center for Human Nutrition. "Trans fat or not, a doughnut is still a doughnut. Even Homer Simpson will back me up on that," said Heber, who had no connection with the research.

So it seems as if my advice still holds. Do not eat something without knowing what is in it. Make sure you check nutrition labels and limit your intake of trans fat and saturated fat. And, finally, remember my sage advice: If it looks unhealthy, it probably is unhealthy. Pick something else!

 
 
 

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While it may seem obvious that banning trans fats would make foods healthier, I did not think it would be so. I feared that food manufacturers would simply switch to another type of fat that was just ...
While it may seem obvious that banning trans fats would make foods healthier, I did not think it would be so. I feared that food manufacturers would simply switch to another type of fat that was just ...
 
 
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11:30 AM on 06/11/2010
The bloger evidently is not aware of the newer research published in Circulation "Red and Processed Meat Consumption and Risk of Incident Coronary Heart Disease, Stroke, and Diabetes Mellitus" which concluded "Conclusions— Consumption of processed meats, but not red meats, is associated with higher incidence of CHD and diabetes mellitus. These results highlight the need for better understanding of potential mechanisms of effects and for particular focus on processed meats for dietary and policy recommendations."
09:28 AM on 06/11/2010
Since two recent studies found that saturated fat was not connected to heart disease neither was red meat. Trans fat however does increase heart disease. ""Trans fat or not, a doughnut is still a doughnut." is a true enough statement but the real culprit in the doughnut is not the fat its the sugar. "Sugar the bitter truth" http://www.youtube.com/watch?v=dBnniua6-oM
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jmyoung666
01:17 PM on 07/17/2010
Please cite the studies that show this.
05:45 AM on 06/11/2010
I do wish that people (especially doctors!) would stop putting saturated fats and trans fats in the same "dangerous" category. The saturated fat in butter, lard and organic grass-fed beef is far better for you than using a lot of refined vegetable oil, which are the real culprit in increased heart disease. We get far too much omega-6 in our diet, which is the main fatty acid in oils like canola, sunflower, corn, etc.

This article provides more facts about fats: http://www.natural-health-guide.com/saturated-fats.html

It's true that trans fats and interesterified fats are the worst, but hydrogenated vegetable oils aren't much better, and that is the primary fat used in most processed foods. To be truly healthy, ditch the processed food and make your own meals from real, whole food.

http://www.natural-health-guide.com
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jmyoung666
06:31 AM on 07/19/2010
Canola, sunflower, and others are much healthier than the saturated fats in butter and lard. Also, grass-fed beef is hard to come by, although I agree that is generally healthy.
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ddanimal
09:15 PM on 06/10/2010
Trans fats are bad, but there is nothing wrong with saturated fats.

The problem with only looking at trans and sat fats is that it ignores the big problem of omega-6 fats (vegetable oils). These are the bad actors, when eaten to excess. And its very very easy to eat too many omega-6, because they are the predominant fatty acid in seed oils. 80% of corn oil is omega 6. Omega 6 are easily oxidizable, and so consume vitamin E, and they block the beneficial effects of omega 3.

Saturated fats are a better choice than the omega 6 oils, which is what the food industry is replacing the trans fats with.

But anything to get the trans fats out is a step in the right direction.
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pfods
01:13 AM on 06/11/2010
which is why you always cook with olive oil
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jmyoung666
06:32 AM on 07/19/2010
The only problem with that is it's relatively low burn temperature. I do use it as much as possible.
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Victoria-nola
There is no way to peace; peace is the way.--Muste
01:34 AM on 06/11/2010
This is what I was thinking about as I read the article. Coconut oil is tremendously good for people, it got a bad rap back in the 70s. (Organic) Butter is far better for people than corn oil. Palm oil is fabulous.
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fcsakes
09:12 PM on 06/10/2010
Isn't it just better to eat lots of fruit and vegetables from your organic garden/gardener? Isn't is easier to remember the less processed foods the better?

Or is that oversimplification?
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fcsakes
09:09 PM on 06/10/2010
Well, I'm not sure. But I do wonder why chicken people put the words, "no hormones," on their chickens when synthetic hormones are already forbidden by federal law? Doesn't it cost extra to put those words on there?
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racetoinfinity
racetoeternity
08:36 PM on 06/10/2010
What about palm oil and palm kernel oil? One is supposedly not healthy, the other ok?
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ddanimal
09:16 PM on 06/10/2010
These oils are wonderful and healthful, especially if they are unrefined. they contain a lot of vitamin E, provided they are unrefined.
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RMankovitz
Researcher, inventor, entrepreneur, author
02:47 PM on 06/10/2010
Shall we play the guessing game of what exactly the food industry has concocted to replace trans fats? The answer is somewhat horrifying, and is called "interesterification."

They are mixing an undisclosed portion of fully hydrogenated oil with liquid polyunsaturated oils and calling it “interesterfied oil”. The claim is that fully hydrogenated oil is healthier because there are less trans fats when added to polyunsaturated oil.

The production of these Frankenoils uses a concoction of dangerous and highly toxic industrial materials . The resulting product may be trans-free, but it will still contain chemical residues, hexanes and many dangerous breakdown products full of free radicals.

Then there are the detrimental health effects from these fats. Testing has shown they cause a drop in insulin that can cause blood sugar to rise by an alarming 20 percent, promoting diabetes. For more details, see:

http://www.transfatfree.com/pages/articles/interesterified_fat.htm

http://www.westonaprice.org/know-your-fats/556-interesterification.html

http://www.stop-trans-fat.com/interesterified-fat.html

The demonizing of saturated fats is not only old news, but wrong news. For the latest analysis showing no association between the amount of saturated fat consumed and the risk of heart disease, see

http://www.scientificamerican.com/article.cfm?id=carbs-against-cardio

In my frame of reference, if one must use oils in cooking (I do not), then saturated fat is the way to go.

Roy Mankovitz, Director
http://www.MontecitoWellness.com
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fcsakes
09:10 PM on 06/10/2010
Holy crap! That's scary.
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ddanimal
09:18 PM on 06/10/2010
Saturated fats are good fats. The campaign against "tropical oils"-coconut and palm kernel oils, was a bunch of marketing nonsense promoted by the big seed oil manufacturers.

Coconut oil is 95% saturated. it has been consumed by many cultures in large amounts that have a low incidence of heart disease. Same deal with butter, palm oil, and ghee.These people start to get heart disease when they start using the polyunsaturated oils-soybean, corn, etc.
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RMankovitz
Researcher, inventor, entrepreneur, author
09:31 PM on 06/10/2010
I agree.
01:06 PM on 06/10/2010
Sorry Joanna, you've got it all wrong. The elimination of trans fats was not supposed to make food healthier - it was supposed to make people healthier. So far, we do not have a scintilla of proof that that has happenned. We know the exact date that trans fats were banned in New York City and you would expect that New York's excellent epidemiological resources would have detected a positive blip in the health metrics of its citizens, but it has not. There is not a single positive health metric in the population that can be attributed to the ban in trans fats - not one. No data on changes to cardiovascular disease, cholesterol, nothing.

So, we are plagued with public health policies and initiatives that are no longer required to prove their merit to consumers - we are simply supposed to bear them and "trust" a medical and public health establishment that has repeatedly proven its incompetence and poor judgement. This is no longer science, it is ideology.

Your commentary does not improve the matter
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01:29 PM on 06/10/2010
the portion sizes and what we expect in flavor is wrong. We expect too much sweetness, and creamy fat. and the portion size listed on packed food does not really match what people each. A lot of this stuff should be listed calories, sugar, fat and Glycemic index per package. a Pint of Ben and JErry feeds one when my daughter is upset for example.
02:14 PM on 06/10/2010
I'm not disagreeing with what you're saying but why do we expect results overnight? I would only expect any sort of result to occur a decade or so after the ban.
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peskime
Patriotism is the last refuge of a scoundrel
12:02 PM on 06/10/2010
How about the fact its best to eat little to no processed food.
If my child wants a cookie, I'll actually make it from scratch because then I know what the actual ingredients are. Easy enough concept
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pfods
01:16 AM on 06/11/2010
not everyone has the time for that. i would love to cook delicious, healthy, things for every meal, unfortunately i do not have the time. therefor i settle with low sodium, low fat "less than four ingredients i can't pronounce" processed food.
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peskime
Patriotism is the last refuge of a scoundrel
11:27 AM on 06/11/2010
You can't possibly be any busier than I am. I am an artist preparing for a show in New York
I have kids and pets. There is always time to cook a healthy meal at home. A simple stir fry literally takes minutes to prepare and cook. Salads are easy and nutritious. Pasta with a homemade marinara can be made in half hour. There are cook books completely dedicated to the person who is pressed for time.

We live in a society that values convenience over quality.

I am more of the quality persuasion.
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Judster
11:11 AM on 06/12/2010
I agree --- I eat almost no processed foods at all. I cook each and every meal at home, except for those rare occasions when I join a friend for dinner at a restaurant. It hasn't been very hard for me to avoid processed foods, but I guess knowing how to cook helps.
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organicconnect
12:00 PM on 06/10/2010
A lot more than trans fat needs to be banned from our foods to start making really healthy foods more easily available. We can start the list with pesticides, GMO seeds, chemical food additives and even fake "natural" sweeteners like high-fructose corn syrup. The last item on my list has a growing movement now to ban it in the US. http://organicconnectmag.com/wp/2010/05/the-impact-of-one-mans-outrage/
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pfods
01:16 AM on 06/11/2010
just stop corn subsidies. you'd be surprised how quickly our diet would change.
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10:18 AM on 06/10/2010
Just because a product claims "no trans fat per serving" does not mean it is free of trans fats. Just about everything pre-packaged contains partially or fully hydrogenated oils of some sort and those are indeed trans fats. They may be present in amounts low enough per serving that they do not need to be reported on the nutrition label, but the fact is, you are still consuming them if you eat anything that is in a box or bag (for the most part).

Staying away from pre-packaged foods is the best, followed closely by reading the labels to avoid that junk.
09:50 AM on 06/10/2010
It's made them a HELL of a lot more bland. I can attest to that.
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joannadolgoffmd
08:53 AM on 06/10/2010
Restaurants are no longer allowed to use trans fats in their cooking!
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JohnFromCensornati
The End is near
08:59 AM on 06/10/2010
On what planet?
03:36 PM on 06/10/2010
An island, although I guess some people consider NYC a planet of its own.
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JohnFromCensornati
The End is near
08:06 AM on 06/10/2010
What "ban" does the headline refer to? I must have missed something.