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Introduction
⚫Fatsare best known membersof a chemical group
called the lipids.
⚫The term lipid is applied to a group of naturally
occurring substancescharacterized by their
insolubility in water, greasy feel and solubility in
organic solvents likeether, chloroform, benzeneor
other fatsolvents.
⚫The term lipid was first used by the German
biochemist Bloor in 1943
Introduction
⚫In normal human subjects, fatsconstitutes between
10-15 % of bodyweight.
⚫Mostof the body fat(99%) is stored in the adipose
tissues.
⚫Fat present in the diet or in human body are in the
formof fattyacids, triglycerides, phospholipidsand
cholesterol.
⚫Each fat molecule is made upof fourcompounds, one
alcohol and three fattyacids.
Functions of Fats
1) Insulationand Padding:
⚫ Fatsaredeposited in adipose tissue, subcutaneous tissue
and abdominal cavity
⚫ Fats surrounds theorgans and laced throughout muscle
tissue
⚫ Fats functions like insulating material againstcold
⚫ Fats protects vital organs against physical injuries by
forming a padding around them
Functions of Fats cont…
2. Energy:
⚫ The primary function of fat is to supplyenergy.
⚫ It isaveryconcentrated source of energy.
⚫ Each gram of fat when oxidized yields approximately 9
kcal, twice as much energyas one gram of carbohydrate or
protein.
⚫ Fat specially supplyenergy in between the meals and
during starvation.
Functions of Fats cont…
3. Carriersof fat solublevitamins:
⚫ Dietary fat isacarrierof the fat solublevitamins-A,D,E
and Vitamin K
⚫ Fat is also necessary fortheabsorption of Vitamin A and
its precursor, carotene.
Functions of Fats cont…
4. Satiety function:
⚫ Fats improves the palatabilityof thediet.
⚫It slows digestion--resulting in satiety (a sense of
fullness and satisfaction aftereating).
⚫In theabsence of fats the food become non palatable.
Functions of Fats cont…
5. Fats provide essential fattyacidswhich the
bodycan’t manufacture.
6. Fatsare theconstituentsof cell membrane
and regulates the membrane permeability.
7. Fatsarealso function as cellular metabolic
regulators in the form of prostaglandins and
steroid hormones.
Sources of dietary FATS
Fatsof animal origin : Ghee, butter, milk, cheese, eggs
and fatof meatand fish
Fatsof plantsorigin: Groundnutoil, Coconutoil,
Palm oil, Mustard oil, Canola
oil, Sesameoil, Corn oil
Other Sources: Cereals, Pulses, Oil seeds (Sunflower,
Safflower, Soyabean, Cottonseeds), rice
bran and Leafy green vegetables
Classification of Fats
Mainlyclassified into twoways:
A) Based on biochemical composition
B) Based on nutritional significance
Bio chemical classification of fats
A. Simple Lipids:
Simple lipids are defined as those which yield only
oneor more fattyacids and an alcohol on hydrolysis.
Example: 1) Fatsand Oils, also known as triglycerides
2) Waxes
Bio chemical classification of fats cont….
B. Compound Lipids:
Compounds lipids are those lipids which contain in
addition to fattyacids and glycerol, someotherorganic
compoundssuch as phosphoricacid, nitrogenous
base, sugars and Proteins.
Example:
Phospholipids, Sphingolipids, Glycolipids,
Sulpholipidsand lipoproteins
Bio chemical classification of fats cont….
C. Derived Lipids:
Theseare thederivativesobtained on the hydrolysis
of simple and compound lipids which possess the
characteristics of lipids.
Example:
Fattyacids, monoand diacylglycerols, lipid soluble
vitamins, steroid hormonesand ketone bodies
Nutritional classification of Fats
Digestion of Fats
Fivedifferent phases:
⚫ Hydrolysis of triglycerides (TG) to free fattyacids (FFA)
and monoacylglycerols
⚫Solubilization of FFA and monoacylglycerols by
detergents (bileacids) and transportation from the
intestinal lumen toward thecell surface
⚫Uptakeof FFA and monoacylglycerols into thecell and
resynthesis to triglyceride
⚫Packaging of TG’s intochylomicrons
⚫Exocytosis of chylomicrons into lymph
Enzymes Involved in Digestion of Lipids
⚫lingual lipase: Hydrolyze short and medium chain
fattyacids.
⚫Gastric Lipase: Hydrolyze Long, medium and short
chain fatty acids.
⚫Pancreatic lipase: majorenzymeaffecting
triglyceride hydrolysis
⚫Colipase: protein anchoring lipase to the lipid
⚫lipid esterase: secreted by pancreas, acts on
cholestrol esters, activated by bile
⚫phospholipases: cleavephospholipids, activated
by trypsin
Digestion of Fats cont….
Metabolism of Fats cont…
Products of Fats Metabolism
1. FattyAcids
2. Triglycerides
3. Phospholipids
4. Sterols
5. Lipoproteins
1.Fatty Acids
⚫ Saturated FattyAcids
⚫ Unsaturated FattyAcids – Monounsaturated Fatty
Acids
- Polyunsaturated Fatty
Acids
Saturated fatty acids
•
Saturated fatty contains no double bonds (having no points of
Unsaturation).
Saturated fattyacids continues..
Saturated fats are considered as harmful fats
because they increases total cholesterol level and
TGs level.
Sources :
Animal foods such as meat, poultry and full-fat
dairy products
Tropical oils such as palm and coconut
RDA: Less than 10% of total energy intake perday.
Unsaturated fatty acids
Fattyacid with one or more points of Unsaturation.
Unsaturated fats are found in foods from both plantand
animal sources.
Monounsaturated fatty acids
⚫Fattyacid containing one pointof Unsaturation.
⚫Theyareconsidered as beneficial for human health.
⚫Replacing SFA with MUFA reduces LDL cholesterol
concentrationand total cholesterol / HDL cholesterol
ratio.
⚫Replacing carbohydratewith MUFAs increases HDL
cholesterol concentration.
⚫Sources: vegetableoils such as olive, canola, and peanut.
⚫RDA: Bydifference
Classification of MUFAs
Monounsaturated Fattyacids are of two type:
1) Cis- unsaturated fatty acids
2) Trans- unsaturated fatty acids
Cis- unsaturated fatty acids
Natural unsaturated fatty acids have Cis- double bonds.
The unsaturated fatty acids can’t bunch tightly together.
The bend helps the fat stay liquid rather than solid.
Significance –
⚫Decreases total cholesterol and TGs level.
⚫Increases HDL level.
Trans unsaturated fatty acids
Unsaturated fatty acids (MUFAs and PUFAs) containing
one or moredouble bonds in trans configuration arecalled
trans fattyacids (TFAs).
Hydrogen atoms areon theoppositesides of the molecule.
Trans fatty acids cont….
Produced during partial hydrogenation of vegetableoils.
Partially hydrogenation of vegetable oil results in longer
shelf lifeof a product. less rancidity and oxidationwhen
exposed to heatand light.
Alsodeveloped in vegetableoils during frying and heating.
Sources:
“Formationof trans fattyacids in edible oils during the frying and heating
process” (Vol.123, No.4, 15Dec.2010, pp 976-982, doi:
10.1016/j.foodchem.2010.05.048)
Why trans fatty acids are harmful …
Trans fatty acids are much more linear than cis fatty acids,
so their melting points are higher and studies have shown
that trans fats mayact similarly to saturated fats.
Increases the ratio of total cholesterol to HDL cholesterol,
a powerful predictorof the risk of CHD
A recent study suggests trans fats harm the cardiovascular
system by triggering inflammation in blood vessels.
In addition, trans fat may increase risk forcancers of the
breast and prostate.
Trans fatty acids cont….
Sources:
1. Spreads: Butter, margarine
2. Package foods: Cake mixes, Biscuits
3. Soups: Plain soups, Noodlesoups
4. Fast foods: Deep fried Fish and Chicken, Pancakes
5. Frozen foods: Frozen pies, pot pies, wafers
6. Backed foods: Cakes, doughnuts
7. Chipsand Crackers: Potatochips
8. Cookiesand Candy: Choc0late bars, Cream filled
cookies
RDA for Trans fatty acid
The American Heart Association recommends limiting
total trans fat intake to less than 1 percentof our total daily
calories, which means less than 2 grams per day for many
people.
Since mostof us get that much from naturallyoccurring
trans fat in red meat and dairy, we need to cut trans fat
from other foods to zero.
That meanschecking every ingredient listand bypassing
foods that declare any hydrogenated oils or partially
hydrogenated oils, even if it states "trans fat 0 g" on the
nutrition panel.
Polyunsaturated fatty acids
Polyunsaturated fatty acids are those fatty acids where
Unsaturation occur more than two points.
They possess protective role on human health. considered as
beneficial for consumption.
⚫Increase esterification process of cholesterol & prevents its
absorption.
⚫By increasing the synthesis of eicosanoids, acts as an anti
platelet aggregating factor, so decreases the chances of clot
formation.
⚫Decreases the synthesis of the precursor of VLDLAND TGs.
⚫Increases clearance of LDL cholesterol.
Polyunsaturated fatty acids cont…
Polyunsaturated fatty acids cont…
Sources:
Found in nuts and vegetableoils such as safflower,
sunflower, and soybean, and in fatty fish.
RDA: 6-10% of total energy intake per day.
Essential Fatty Acids:
There are two PUFAs which cannot be synthesized in
the body and required in the preformed state in diet
forgrowth and maintenanceof normal skin.
Thesearecalled Essential fattyacids and include
linoleicacid and linolenicacid.
The term essential fattyacid was introduced by Burr
and Burr.
Essential Fatty Acids cont…..
⚫Sourcesof linoleicacid:
⚫Leafyvegetables, nuts, vegetableoils (seasame, corn oil,
sunflower, soybean), poultry fat
⚫Sourceso f linolenicacid:
⚫Nuts, seeds (soybean, walnuts, flaxseed) and oils
(soybean, canola)
⚫ RDA: Minimum intake levels foressential fattyacids
estimated to be 2.5% E LA and 0.5% EALA
Omega 6 Fatty Acid- Linoleic acid
RDA: 5-8% of total energy intake perday
Sources:
Saff loweroil
Sunf loweroil
Corn oil
Soybeanoil
Pros:
- helps lower LDLcholesterol; thereby lowering ourrisk of
heartdisease
- helps makeour blood "sticky" so it isable toclot
- supportskin health
Omega 6 Fatty Acid (continued)
Butwhenomega-6saren't balanced with sufficientamountsof
omega-3s…
Cons:
- Excessiveamounts increase the inflammatory response in
ourbodies
- Can exacerbateconditions likearthritis, lupusand perhaps
somecancers
- When blood is too 'sticky,' itpromotes clot formation―
increasing the risk of heartattack and stroke
Omega 3 Family of Fatty Acids
ALA (alpha linolenicacid)
RDA: 1-2 % of total energy
intake perday
Sources:
Flaxseed
Walnuts
Canolaoil
Soybean oil
Dark green vegetables
(Mint,Watercress,Parsley)
Omega 3 Family of Fatty Acids (continued)
ALA can converttootheromega 3 fattyacids—DHA and
EPA (atavery low percentage)
DHA = Docosahexaenoicacid
EPA = Eicosapentaenoic acid
Sources:
Fish
Mother’s milk
Specific Functions of Each
⚫ DHA:
- importantfor maintaining neurotransmitterfunctionand a
calming effecton the nervoussystem
- anti-inflammatory effect in the joints, blood stream and
tissues
- support retinal and brain development in fetusand infants
⚫ EPA:
- fights inflammation by bolstering the immunesystem
- preventsclotting thus helping topreventcardiovascular
events
- preventssome heartarrhythmias
Health Benefits of Omega 3 Fatty acids
⚫ Reduces the risk of coronary heartdisease:
- Stimulates blood circulation
- Increases the breakdown of fibrin-thus lowering theclot
formation
- Lower triglycerides
- Acts asan anti-inf lammatoryagent
- Lowers blood pressures (a little)
⚫ Promotes nervoussystem’s healthand development
2.Triglycerides
⚫Structure
⚫Glycerol + 3 fattyacids
⚫Functions
⚫Energy source
⚫ 9 kcals pergram
⚫ Formof stored energy in adipose tissue
⚫Insulation and protection
⚫Carrierof fat-solublevitamins
⚫Sensory properties in food
3.Phospholipids
⚫Structure
⚫Glycerol + 2 fattyacids + phosphategroup
⚫Functions
⚫Componentof cell membranes
⚫Provides lipid transport, as partof lipoproteins
⚫Emulsifiers
⚫Food Sources: Mostabundant in egg yolks, liver,
soybeans, and peanuts
4.Sterols: Cholesterol
⚫Functions
⚫Component of cell membranes
⚫Precursor to othersubstances
⚫ Sterol hormones
⚫ Vitamin D
⚫ Bileacids
⚫Synthesis
⚫Made mainly in the liver
⚫Food Sources: Highest in organ meats like beef
kidney, beef liver, and beef brain, egg yolks, and
breast milk
Total Cholesterol
⚫Direct, positive association between TC and CHD
risk
⚫Diets high in saturated fats raise total cholesterol
and CHD incidenceand mortality
⚫ATP-III Guidelines: lowering total cholesterol and
LDL-C reduces CHD risk
⚫10% reduction in TC decreases CHD risk byabout
30%
5.Eicosanoids
Thesecompoundsare derived from long chain poly
unsaturated fattyacids
⚫Prostaglandins.
⚫Prostacyclines,
⚫Thromboxanes
⚫Leukotrienes
They have roles in:
Inflammation
Fever
Regulation of blood pressure
Blood viscosity
Blood clotting
Tissue growth
Bronchocostriction
Asthma.
6.Lipoproteins
⚫Lipoproteins serveas a transportvehicle for lipids in
the blood and lymph
⚫Majorclasses
⚫Chylomicrons
⚫VLDL
⚫LDL
⚫HDL
Chylomicrons:- TG rich.
Synthesized in
intestine.
Transports
exogenous TGs.
Hydrophobic Core
Triglyceride (93%)
Cholesteryl Esters
(1%)
Chylomicrons
⚫Largest particles
⚫Transport dietary fatand cholesterol from thesmall
intestine to the liver
⚫In the bloodstream, triglycerides are hydrolyzed by
lipoprotein lipase (LPL) in muscleand adipose tissue
⚫When 90% of triglyceride is hydrolyzed, released into
blood as a remnant
⚫Liver metabolizes remnants, but some delivercholesterol
to thearterial wall
VLDL:- rich in CE and TGs-
Surface
Monolayer
Phospholipids
(12%)
Free Cholesterol
(14%)
Protein (4%)
Transport
endogenous
cholesterol
Hydrophobic Core
Triglyceride (65%)
Cholesterol Esters
(8%)
Very-Low-Density-Lipoproteins
⚫Manufactured in the liver to transport
endogenous triglycerideand cholesterol
⚫60% is triglyceride
⚫LargeVLDL may be non atherogenic
⚫VLDL remnantsor IDL appearto be atherogenic
⚫Notroutinely measured, butTG in them is
measured in total triglyceride
LDL:- cholesterol rich.
Surface Monolayer
Phospholipids
(25%)
Free Cholesterol
(15%)
Protein (22%)
Synthesized
from VLDLin
blood
circulation.
Transports
cholesterol from
liver and delivers
to other tissues.
Intermediate-Density Lipoprotein
⚫Formed with catabolismof VLDL, a precursorof LDL
⚫Rich in cholesterol and apo E
⚫High concentrations of IDL and VLDL remnants
directly related to lesion progression and coronary
events
⚫Notroutinely measured, thoughcomponentscan be
Low-Density Lipoprotein
⚫Primary cholesterol carrier in blood
⚫Total cholesterol and LDL-cholesterol are strongly correlat
⚫LDL is formed in VLDL catabolism, 60% is taken up by LDL
receptors in liver, adrenals, other tissues; rest is metabolized
viaalternative pathways
⚫Numberand activityof receptors determines LDL
cholesterol levels in the blood
LDL-Cholesterol
⚫Particles heterogeneous in size, density, lipid
components
⚫PhenotypeA: large particles, notassociated with
disease risk
⚫Phenotype B typified by small, dense LDL particles;
triglyceriderich, cholesterol depleted; predictiveof
CHD risk in men and women
High density lipoprotein-
Surface Monolayer
Phospholipids (25%)
Free Cholesterol (7%)
Protein (45%)
Promotes re-
esterification process
of cholesterol.
Reversecholesterol
transport
High Density Lipoproteins (HDL)
⚫Contain more protein than theother
lipoproteins
⚫Apo A-1 is involved in tissue
cholesterol removal
⚫High HDL isassociated with low
levelsof Chylomicrons, VLDL
remnants, and small, dense LDL
Lipoprotein Summary
Lipids and Health
⚫Obesity
⚫Cardiovasculardiseases
1.Cardiovascular disease
⚫The Prevalenceof Coronary Heart Disease (CHD)
“ HEART ATTACK” is rapidly increasing in India
⚫It has becomean “ EPIDEMIC”.
⚫It is a majorcontributor for mortality and
morbidity.
Cardiovascular disease cont…
⚫ Cardiovascular disease will account for 33.5% of
total deaths by the year 2015, would replace
infectiousdiseases, as the numberone killer in the
Indian Population.
⚫It is expected that deaths due to HEART ATTACK
will double in the next 10 years
⚫Thedeath ratedue to heart attack will be 295 per
1,00,000 population in theyear 2015.
Unchangeable Risk Factors
⚫Age- theolderyou get, thegreater thechance.
⚫Sex- males havea greater rateeven afterwomen pass
menopause.
⚫Family history- if family members have had CHD,
there is a greaterchance.
⚫Personal Medical History- otherdiseasessuch as
Diabetes Mellituscan increase chances.
Changeable Risk Factors
⚫Hypertension
⚫Serumcholesterol
⚫Obesity
⚫Diabetes Mellitus
⚫Physical Inactivity
⚫Cigarette Smoking
⚫Alcohol Intake
Primary Prevention of CHD
⚫Knowyourrisk factors
⚫Makedietarychanges
⚫Start/continueexercise
⚫Stop smoking
⚫Stress reduction
⚫Use medication if necessary
Risk Factors for CHD cont..
⚫High Total Blood Cholesterol
⚫>200 mg/dl: borderline high risk
⚫>240 mg/dl: high risk
⚫High LDL-C
⚫>130 mg/dl: borderline high
⚫>160 mg/dl: high risk
Lowering your LDL-C
⚫Decreasedietary saturated fat
⚫< 10% calories (Step 1)
⚫< 7% calories (Step 2)
⚫Decreasedietary cholesterol
⚫< 300 mg/day (Step 1)
⚫< 200 mg/day (Step 2)
Lowering your LDL-C
⚫Replacing dietary SFAwith MUFA
⚫Canolaoil, olive oil
⚫Increasedietary fiber
⚫Wholegrains, oats, fruits, vegetables
⚫Decreasedietary Trans-FA
⚫Medication
⚫ “Statin” drugs
Risk Factors for CHD cont..
⚫Low HDL-C
⚫< 40mg/dl : high risk
⚫> 60mg/dl : protective
Increasing your HDL-C
⚫Aerobicexercise for 30 min aday
⚫Loosing weight
⚫Restrict trans fats in thediet
⚫By taking diet rich in wholegrains, Nuts,
legumes, fruits, vegetablesand fish
2.Obesity
It is defined as abnormal increase in the bodyweight
due toexcessive fatdeposition
Obesity is a stateof excess adipose tissue mass
Man & Women are considerobese if theirweightdue
to fat (in adipose tissue) respectively, exceeds more
than 20% and 25% of bodyweight.
Nutritional basis for Obesity
Obesity is basicallya disorderof excess calorie intake, in
simple language –overeating.
Every 7 calorieof excess consumption leads to 1 gm fat
depositand increase in bodyweight.
Overeating coupled with lack of physical exercise
furthercontributetoobesity.
Indices for Obesity measurement clinicaly
A) Body Mass Index-BMI
Clinicalyobesity is represented by BMI
BMI is calculated as theweight in kg divided by the
Height in metersquare
Body mass index cont……
Classification of weight status and risk of disease
Category BMI (Kg/M sq.) Obesity Class Risk of disease
Under weight < 18.5 Nil ---------
Healthy weight 18.5 to 24.9 Nil ---------
Over weight 25 to 29.9 Nil Increased
Obesity 30 to 34.9 Class I obesity High
Obesity 35 to 39.9 Class II obesity Very high
Extreme Obesity 40 or >40 Class III obesity Extremely high
Indices for Obesity measurement clinicaly cont…
B) Ratio between waistand hip size:-
The distribution of adipose tissue in different anatomic
depots has substandard implication for morbidity.
Intra abdominal and abdominal subcutaneous fat have
more significance than subcutaneous fat present in the
buttocksand lowerextremities
Indices for Obesity measurement clinicaly cont…
This distribution is measured clinically bydetermining
thewaist to hip ratio.
With a ratio More than 0.9 in womenand more than
1.0 in Men is considered abnormal.
Manyof the most importantcomplicationof obesity ,
such as insulin resistance, diabetes, hypertension and
hyperlipidemia are linked more strongly to intra
abdominal and/or upper body fat than over all
adiposity.
Genetical aspect of obesity
Onegene namely Obgene, expressed in adipocytes (of
white adipose tissues) producing a protein called
leptin is closelyassociated with obesity.
Leptin is regarded as bodyweightregulatory
hormone.
It binds toa specific receptor in brain and functionas
a lipostat.
Genetical aspect of obesity cont…
When the fat store in theadipose tissueareadequate,
leptin levelsare high.
This signals torestrict the feeding behaviourand limit
fatdeposition.
Anygeneticdefect in leptin or its receptorwill lead to
extremeovereating and massive Obesity.
Pathologic consequences of obesity
Obesity is associated with an increase in mortality ,
with a 50-100% increased risk of death from all causes
compared to normal weight individuals, mostlydue to
cardiovascularcauses.
Life expectancyof a moderatelyobese individual
could be shorted by 2 to 5 years.
A 20 to 30 yearold malewith a BMI >45 may lose 13
yearsof life.
Pathologic consequences of obesity cont..
Obesitycauses insulin resistancewhich leads to type 2
DM
Obesitycausescardiovasculardiseases:-
“ The Framingham study revealed thatobesitywas an
independent risk factor for the 26 year incidence of
cardiovasculardiseases in man and women.”
Diet therapy for obesity
The primary focusof diet therapy is to reduceoverall
calorieconsumption
The NHLBI recommended initiating treatmentwith a
calorie deficit of 500-1000 Kcal/day compared to
patients habitual diet.
This reduction is consistwith agoal of loosing
approximately 1-2 Ib perweek.
Diet therapy for obesity cont..
This caloriedeficit can beaccomplished bysuggesting
substitutionsoralternatives todiet.
Example:-
Choosing small portion sizesof meal
Eating more fruit and vegetables
Consuming morewhole grain cereals
Selecting skimmed dairy products
Reducing fried foods and otheradded fats and oils
Drinking water instead of calorie beverages
Recommendations for dietary Fats
(FAO/WHO expert consultation on fats in human nutrition, Geneva,2008)
Recommendations fordietary fatsaredirected
towards:-
⚫Meeting the requirementof optimal foetal and infant
growthand development
⚫Maternal health
⚫Forcombating chronic energy deficiency in children
and adults
⚫Diet related non-communicablediseases in adults
Recommendations for dietary Fat intake for Indians (ICMR-2010)
25 10 15
Age/Gender/Ph
ysiological
groups
Physical
activity
Minimum level
of Total fat
(%E)
Fats from foods
other than visible
fats (%E)
Visible
(%E)
Fat
gm/day
Adult Man Sedentary 25
Moderate 20 10 10 30
Heavy 40
Adult Women Sedentary 25
Moderate 20 10 10 30
Heavy 40
Pregnant 20 10 10 30
Lactating 20 10 10 30
Infants 0-6 months 40-60 Fat present in Human M ilk
07-24 months 35 10 25 25
Children 3-6 years 25
7-9 years 30
Boys 10-12 years
13-15 years
16-17 years
35
45
50
Girls 10-12 years
13-15 years
35
40
Recommendations for visible fats
⚫Thequantityand fattyacid composition of both visible fat
and fat from all other foods (invisible fats) contribute to
the intakeof various fattyacids in the total diet.
⚫The data on fatty acid intake in Indian adults determined
by taking into account the contribution of various fatty
acids from all foods (invisible fat) & visible fats ( in dietsof
eitherrural or urban population respectively) shows thata
complete dependence on just one vegetable oil does not
ensure the recommended intake of fatty acids for optimal
health and prevention of DR-NCD
Recommendations for visible fats cont..
A long term(in home) study with oil combinations
(which increase ALA) showed improvement of LC n-3
PUFA nutritional status in adults
Therefore, to ensure optimal fat quality, the use of
correct combination of vegetable oils is recommended
Recommendations for visible fats cont..
1) Usecorrectcombination / blend of 2 or morevegetable
oils (1:1)
(a) Oil containing LA + oil containing both LA and ALA
Example:
Groundnut / Sesame / Rice bran / Cottonseed + Mustard/ Rapeseed
Groundnut /Sesame / Rice bran / Cottonseed + Canola
Groundnut / Sesame / Rice bran/ Cottonseed + Soyabean
Palmolein+ Soyabean
Safflower / Sunflower + Palm oil/ Palmolein + Mustard/ Rapeseed
Recommendations for visible fats cont..
(b) Oil containing high LA + oil containing moderateor low LA
Example:
Sunf lower / Saff lower + Palmolein / Palm oil / Oliveoil
Safflower / Sunflower + Groundnut / Sesame / Rice bran /
cottonseed
Recommendations for visible fats cont..
2) Re Limit useof butter/ghee
3) Avoid useof PHVO as medium forcooking / frying
4) Replacements for PHVO
Frying : Use oils which have higher thermal stability
Ex:- palm, sesame, rice bran, cottonseed oil
(single / blends) ( home /commercial)
Food applications which requiresolid fats:
(Bakery food/ Indian sweets)
Usecoconut oil/ palm oil / Palmolein
Thank you

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4.fats-.pptx

  • 1.
  • 2. Introduction ⚫Fatsare best known membersof a chemical group called the lipids. ⚫The term lipid is applied to a group of naturally occurring substancescharacterized by their insolubility in water, greasy feel and solubility in organic solvents likeether, chloroform, benzeneor other fatsolvents. ⚫The term lipid was first used by the German biochemist Bloor in 1943
  • 3. Introduction ⚫In normal human subjects, fatsconstitutes between 10-15 % of bodyweight. ⚫Mostof the body fat(99%) is stored in the adipose tissues. ⚫Fat present in the diet or in human body are in the formof fattyacids, triglycerides, phospholipidsand cholesterol. ⚫Each fat molecule is made upof fourcompounds, one alcohol and three fattyacids.
  • 4.
  • 5.
  • 6. Functions of Fats 1) Insulationand Padding: ⚫ Fatsaredeposited in adipose tissue, subcutaneous tissue and abdominal cavity ⚫ Fats surrounds theorgans and laced throughout muscle tissue ⚫ Fats functions like insulating material againstcold ⚫ Fats protects vital organs against physical injuries by forming a padding around them
  • 7. Functions of Fats cont… 2. Energy: ⚫ The primary function of fat is to supplyenergy. ⚫ It isaveryconcentrated source of energy. ⚫ Each gram of fat when oxidized yields approximately 9 kcal, twice as much energyas one gram of carbohydrate or protein. ⚫ Fat specially supplyenergy in between the meals and during starvation.
  • 8. Functions of Fats cont… 3. Carriersof fat solublevitamins: ⚫ Dietary fat isacarrierof the fat solublevitamins-A,D,E and Vitamin K ⚫ Fat is also necessary fortheabsorption of Vitamin A and its precursor, carotene.
  • 9. Functions of Fats cont… 4. Satiety function: ⚫ Fats improves the palatabilityof thediet. ⚫It slows digestion--resulting in satiety (a sense of fullness and satisfaction aftereating). ⚫In theabsence of fats the food become non palatable.
  • 10. Functions of Fats cont… 5. Fats provide essential fattyacidswhich the bodycan’t manufacture. 6. Fatsare theconstituentsof cell membrane and regulates the membrane permeability. 7. Fatsarealso function as cellular metabolic regulators in the form of prostaglandins and steroid hormones.
  • 11. Sources of dietary FATS Fatsof animal origin : Ghee, butter, milk, cheese, eggs and fatof meatand fish Fatsof plantsorigin: Groundnutoil, Coconutoil, Palm oil, Mustard oil, Canola oil, Sesameoil, Corn oil Other Sources: Cereals, Pulses, Oil seeds (Sunflower, Safflower, Soyabean, Cottonseeds), rice bran and Leafy green vegetables
  • 12. Classification of Fats Mainlyclassified into twoways: A) Based on biochemical composition B) Based on nutritional significance
  • 13. Bio chemical classification of fats A. Simple Lipids: Simple lipids are defined as those which yield only oneor more fattyacids and an alcohol on hydrolysis. Example: 1) Fatsand Oils, also known as triglycerides 2) Waxes
  • 14. Bio chemical classification of fats cont…. B. Compound Lipids: Compounds lipids are those lipids which contain in addition to fattyacids and glycerol, someotherorganic compoundssuch as phosphoricacid, nitrogenous base, sugars and Proteins. Example: Phospholipids, Sphingolipids, Glycolipids, Sulpholipidsand lipoproteins
  • 15. Bio chemical classification of fats cont…. C. Derived Lipids: Theseare thederivativesobtained on the hydrolysis of simple and compound lipids which possess the characteristics of lipids. Example: Fattyacids, monoand diacylglycerols, lipid soluble vitamins, steroid hormonesand ketone bodies
  • 17. Digestion of Fats Fivedifferent phases: ⚫ Hydrolysis of triglycerides (TG) to free fattyacids (FFA) and monoacylglycerols ⚫Solubilization of FFA and monoacylglycerols by detergents (bileacids) and transportation from the intestinal lumen toward thecell surface ⚫Uptakeof FFA and monoacylglycerols into thecell and resynthesis to triglyceride ⚫Packaging of TG’s intochylomicrons ⚫Exocytosis of chylomicrons into lymph
  • 18. Enzymes Involved in Digestion of Lipids ⚫lingual lipase: Hydrolyze short and medium chain fattyacids. ⚫Gastric Lipase: Hydrolyze Long, medium and short chain fatty acids. ⚫Pancreatic lipase: majorenzymeaffecting triglyceride hydrolysis ⚫Colipase: protein anchoring lipase to the lipid ⚫lipid esterase: secreted by pancreas, acts on cholestrol esters, activated by bile ⚫phospholipases: cleavephospholipids, activated by trypsin
  • 19. Digestion of Fats cont….
  • 20.
  • 22. Products of Fats Metabolism 1. FattyAcids 2. Triglycerides 3. Phospholipids 4. Sterols 5. Lipoproteins
  • 23. 1.Fatty Acids ⚫ Saturated FattyAcids ⚫ Unsaturated FattyAcids – Monounsaturated Fatty Acids - Polyunsaturated Fatty Acids
  • 24. Saturated fatty acids • Saturated fatty contains no double bonds (having no points of Unsaturation).
  • 25. Saturated fattyacids continues.. Saturated fats are considered as harmful fats because they increases total cholesterol level and TGs level. Sources : Animal foods such as meat, poultry and full-fat dairy products Tropical oils such as palm and coconut RDA: Less than 10% of total energy intake perday.
  • 26. Unsaturated fatty acids Fattyacid with one or more points of Unsaturation. Unsaturated fats are found in foods from both plantand animal sources.
  • 27. Monounsaturated fatty acids ⚫Fattyacid containing one pointof Unsaturation. ⚫Theyareconsidered as beneficial for human health. ⚫Replacing SFA with MUFA reduces LDL cholesterol concentrationand total cholesterol / HDL cholesterol ratio. ⚫Replacing carbohydratewith MUFAs increases HDL cholesterol concentration. ⚫Sources: vegetableoils such as olive, canola, and peanut. ⚫RDA: Bydifference
  • 28. Classification of MUFAs Monounsaturated Fattyacids are of two type: 1) Cis- unsaturated fatty acids 2) Trans- unsaturated fatty acids
  • 29. Cis- unsaturated fatty acids Natural unsaturated fatty acids have Cis- double bonds. The unsaturated fatty acids can’t bunch tightly together. The bend helps the fat stay liquid rather than solid. Significance – ⚫Decreases total cholesterol and TGs level. ⚫Increases HDL level.
  • 30. Trans unsaturated fatty acids Unsaturated fatty acids (MUFAs and PUFAs) containing one or moredouble bonds in trans configuration arecalled trans fattyacids (TFAs). Hydrogen atoms areon theoppositesides of the molecule.
  • 31. Trans fatty acids cont…. Produced during partial hydrogenation of vegetableoils. Partially hydrogenation of vegetable oil results in longer shelf lifeof a product. less rancidity and oxidationwhen exposed to heatand light. Alsodeveloped in vegetableoils during frying and heating. Sources: “Formationof trans fattyacids in edible oils during the frying and heating process” (Vol.123, No.4, 15Dec.2010, pp 976-982, doi: 10.1016/j.foodchem.2010.05.048)
  • 32. Why trans fatty acids are harmful … Trans fatty acids are much more linear than cis fatty acids, so their melting points are higher and studies have shown that trans fats mayact similarly to saturated fats. Increases the ratio of total cholesterol to HDL cholesterol, a powerful predictorof the risk of CHD A recent study suggests trans fats harm the cardiovascular system by triggering inflammation in blood vessels. In addition, trans fat may increase risk forcancers of the breast and prostate.
  • 33. Trans fatty acids cont…. Sources: 1. Spreads: Butter, margarine 2. Package foods: Cake mixes, Biscuits 3. Soups: Plain soups, Noodlesoups 4. Fast foods: Deep fried Fish and Chicken, Pancakes 5. Frozen foods: Frozen pies, pot pies, wafers 6. Backed foods: Cakes, doughnuts 7. Chipsand Crackers: Potatochips 8. Cookiesand Candy: Choc0late bars, Cream filled cookies
  • 34. RDA for Trans fatty acid The American Heart Association recommends limiting total trans fat intake to less than 1 percentof our total daily calories, which means less than 2 grams per day for many people. Since mostof us get that much from naturallyoccurring trans fat in red meat and dairy, we need to cut trans fat from other foods to zero. That meanschecking every ingredient listand bypassing foods that declare any hydrogenated oils or partially hydrogenated oils, even if it states "trans fat 0 g" on the nutrition panel.
  • 35. Polyunsaturated fatty acids Polyunsaturated fatty acids are those fatty acids where Unsaturation occur more than two points. They possess protective role on human health. considered as beneficial for consumption.
  • 36. ⚫Increase esterification process of cholesterol & prevents its absorption. ⚫By increasing the synthesis of eicosanoids, acts as an anti platelet aggregating factor, so decreases the chances of clot formation. ⚫Decreases the synthesis of the precursor of VLDLAND TGs. ⚫Increases clearance of LDL cholesterol. Polyunsaturated fatty acids cont…
  • 37. Polyunsaturated fatty acids cont… Sources: Found in nuts and vegetableoils such as safflower, sunflower, and soybean, and in fatty fish. RDA: 6-10% of total energy intake per day.
  • 38. Essential Fatty Acids: There are two PUFAs which cannot be synthesized in the body and required in the preformed state in diet forgrowth and maintenanceof normal skin. Thesearecalled Essential fattyacids and include linoleicacid and linolenicacid. The term essential fattyacid was introduced by Burr and Burr.
  • 39. Essential Fatty Acids cont….. ⚫Sourcesof linoleicacid: ⚫Leafyvegetables, nuts, vegetableoils (seasame, corn oil, sunflower, soybean), poultry fat ⚫Sourceso f linolenicacid: ⚫Nuts, seeds (soybean, walnuts, flaxseed) and oils (soybean, canola) ⚫ RDA: Minimum intake levels foressential fattyacids estimated to be 2.5% E LA and 0.5% EALA
  • 40. Omega 6 Fatty Acid- Linoleic acid RDA: 5-8% of total energy intake perday Sources: Saff loweroil Sunf loweroil Corn oil Soybeanoil Pros: - helps lower LDLcholesterol; thereby lowering ourrisk of heartdisease - helps makeour blood "sticky" so it isable toclot - supportskin health
  • 41. Omega 6 Fatty Acid (continued) Butwhenomega-6saren't balanced with sufficientamountsof omega-3s… Cons: - Excessiveamounts increase the inflammatory response in ourbodies - Can exacerbateconditions likearthritis, lupusand perhaps somecancers - When blood is too 'sticky,' itpromotes clot formation― increasing the risk of heartattack and stroke
  • 42. Omega 3 Family of Fatty Acids ALA (alpha linolenicacid) RDA: 1-2 % of total energy intake perday Sources: Flaxseed Walnuts Canolaoil Soybean oil Dark green vegetables (Mint,Watercress,Parsley)
  • 43. Omega 3 Family of Fatty Acids (continued) ALA can converttootheromega 3 fattyacids—DHA and EPA (atavery low percentage) DHA = Docosahexaenoicacid EPA = Eicosapentaenoic acid Sources: Fish Mother’s milk
  • 44. Specific Functions of Each ⚫ DHA: - importantfor maintaining neurotransmitterfunctionand a calming effecton the nervoussystem - anti-inflammatory effect in the joints, blood stream and tissues - support retinal and brain development in fetusand infants ⚫ EPA: - fights inflammation by bolstering the immunesystem - preventsclotting thus helping topreventcardiovascular events - preventssome heartarrhythmias
  • 45. Health Benefits of Omega 3 Fatty acids ⚫ Reduces the risk of coronary heartdisease: - Stimulates blood circulation - Increases the breakdown of fibrin-thus lowering theclot formation - Lower triglycerides - Acts asan anti-inf lammatoryagent - Lowers blood pressures (a little) ⚫ Promotes nervoussystem’s healthand development
  • 46. 2.Triglycerides ⚫Structure ⚫Glycerol + 3 fattyacids ⚫Functions ⚫Energy source ⚫ 9 kcals pergram ⚫ Formof stored energy in adipose tissue ⚫Insulation and protection ⚫Carrierof fat-solublevitamins ⚫Sensory properties in food
  • 47. 3.Phospholipids ⚫Structure ⚫Glycerol + 2 fattyacids + phosphategroup ⚫Functions ⚫Componentof cell membranes ⚫Provides lipid transport, as partof lipoproteins ⚫Emulsifiers ⚫Food Sources: Mostabundant in egg yolks, liver, soybeans, and peanuts
  • 48. 4.Sterols: Cholesterol ⚫Functions ⚫Component of cell membranes ⚫Precursor to othersubstances ⚫ Sterol hormones ⚫ Vitamin D ⚫ Bileacids ⚫Synthesis ⚫Made mainly in the liver ⚫Food Sources: Highest in organ meats like beef kidney, beef liver, and beef brain, egg yolks, and breast milk
  • 49. Total Cholesterol ⚫Direct, positive association between TC and CHD risk ⚫Diets high in saturated fats raise total cholesterol and CHD incidenceand mortality ⚫ATP-III Guidelines: lowering total cholesterol and LDL-C reduces CHD risk ⚫10% reduction in TC decreases CHD risk byabout 30%
  • 50. 5.Eicosanoids Thesecompoundsare derived from long chain poly unsaturated fattyacids ⚫Prostaglandins. ⚫Prostacyclines, ⚫Thromboxanes ⚫Leukotrienes They have roles in: Inflammation Fever Regulation of blood pressure Blood viscosity Blood clotting Tissue growth Bronchocostriction Asthma.
  • 51. 6.Lipoproteins ⚫Lipoproteins serveas a transportvehicle for lipids in the blood and lymph ⚫Majorclasses ⚫Chylomicrons ⚫VLDL ⚫LDL ⚫HDL
  • 52. Chylomicrons:- TG rich. Synthesized in intestine. Transports exogenous TGs. Hydrophobic Core Triglyceride (93%) Cholesteryl Esters (1%)
  • 53. Chylomicrons ⚫Largest particles ⚫Transport dietary fatand cholesterol from thesmall intestine to the liver ⚫In the bloodstream, triglycerides are hydrolyzed by lipoprotein lipase (LPL) in muscleand adipose tissue ⚫When 90% of triglyceride is hydrolyzed, released into blood as a remnant ⚫Liver metabolizes remnants, but some delivercholesterol to thearterial wall
  • 54. VLDL:- rich in CE and TGs- Surface Monolayer Phospholipids (12%) Free Cholesterol (14%) Protein (4%) Transport endogenous cholesterol Hydrophobic Core Triglyceride (65%) Cholesterol Esters (8%)
  • 55. Very-Low-Density-Lipoproteins ⚫Manufactured in the liver to transport endogenous triglycerideand cholesterol ⚫60% is triglyceride ⚫LargeVLDL may be non atherogenic ⚫VLDL remnantsor IDL appearto be atherogenic ⚫Notroutinely measured, butTG in them is measured in total triglyceride
  • 56. LDL:- cholesterol rich. Surface Monolayer Phospholipids (25%) Free Cholesterol (15%) Protein (22%) Synthesized from VLDLin blood circulation. Transports cholesterol from liver and delivers to other tissues.
  • 57. Intermediate-Density Lipoprotein ⚫Formed with catabolismof VLDL, a precursorof LDL ⚫Rich in cholesterol and apo E ⚫High concentrations of IDL and VLDL remnants directly related to lesion progression and coronary events ⚫Notroutinely measured, thoughcomponentscan be
  • 58. Low-Density Lipoprotein ⚫Primary cholesterol carrier in blood ⚫Total cholesterol and LDL-cholesterol are strongly correlat ⚫LDL is formed in VLDL catabolism, 60% is taken up by LDL receptors in liver, adrenals, other tissues; rest is metabolized viaalternative pathways ⚫Numberand activityof receptors determines LDL cholesterol levels in the blood
  • 59. LDL-Cholesterol ⚫Particles heterogeneous in size, density, lipid components ⚫PhenotypeA: large particles, notassociated with disease risk ⚫Phenotype B typified by small, dense LDL particles; triglyceriderich, cholesterol depleted; predictiveof CHD risk in men and women
  • 60. High density lipoprotein- Surface Monolayer Phospholipids (25%) Free Cholesterol (7%) Protein (45%) Promotes re- esterification process of cholesterol. Reversecholesterol transport
  • 61. High Density Lipoproteins (HDL) ⚫Contain more protein than theother lipoproteins ⚫Apo A-1 is involved in tissue cholesterol removal ⚫High HDL isassociated with low levelsof Chylomicrons, VLDL remnants, and small, dense LDL
  • 64. 1.Cardiovascular disease ⚫The Prevalenceof Coronary Heart Disease (CHD) “ HEART ATTACK” is rapidly increasing in India ⚫It has becomean “ EPIDEMIC”. ⚫It is a majorcontributor for mortality and morbidity.
  • 65. Cardiovascular disease cont… ⚫ Cardiovascular disease will account for 33.5% of total deaths by the year 2015, would replace infectiousdiseases, as the numberone killer in the Indian Population. ⚫It is expected that deaths due to HEART ATTACK will double in the next 10 years ⚫Thedeath ratedue to heart attack will be 295 per 1,00,000 population in theyear 2015.
  • 66. Unchangeable Risk Factors ⚫Age- theolderyou get, thegreater thechance. ⚫Sex- males havea greater rateeven afterwomen pass menopause. ⚫Family history- if family members have had CHD, there is a greaterchance. ⚫Personal Medical History- otherdiseasessuch as Diabetes Mellituscan increase chances.
  • 67. Changeable Risk Factors ⚫Hypertension ⚫Serumcholesterol ⚫Obesity ⚫Diabetes Mellitus ⚫Physical Inactivity ⚫Cigarette Smoking ⚫Alcohol Intake
  • 68. Primary Prevention of CHD ⚫Knowyourrisk factors ⚫Makedietarychanges ⚫Start/continueexercise ⚫Stop smoking ⚫Stress reduction ⚫Use medication if necessary
  • 69. Risk Factors for CHD cont.. ⚫High Total Blood Cholesterol ⚫>200 mg/dl: borderline high risk ⚫>240 mg/dl: high risk ⚫High LDL-C ⚫>130 mg/dl: borderline high ⚫>160 mg/dl: high risk
  • 70. Lowering your LDL-C ⚫Decreasedietary saturated fat ⚫< 10% calories (Step 1) ⚫< 7% calories (Step 2) ⚫Decreasedietary cholesterol ⚫< 300 mg/day (Step 1) ⚫< 200 mg/day (Step 2)
  • 71. Lowering your LDL-C ⚫Replacing dietary SFAwith MUFA ⚫Canolaoil, olive oil ⚫Increasedietary fiber ⚫Wholegrains, oats, fruits, vegetables ⚫Decreasedietary Trans-FA ⚫Medication ⚫ “Statin” drugs
  • 72. Risk Factors for CHD cont.. ⚫Low HDL-C ⚫< 40mg/dl : high risk ⚫> 60mg/dl : protective
  • 73. Increasing your HDL-C ⚫Aerobicexercise for 30 min aday ⚫Loosing weight ⚫Restrict trans fats in thediet ⚫By taking diet rich in wholegrains, Nuts, legumes, fruits, vegetablesand fish
  • 74. 2.Obesity It is defined as abnormal increase in the bodyweight due toexcessive fatdeposition Obesity is a stateof excess adipose tissue mass Man & Women are considerobese if theirweightdue to fat (in adipose tissue) respectively, exceeds more than 20% and 25% of bodyweight.
  • 75. Nutritional basis for Obesity Obesity is basicallya disorderof excess calorie intake, in simple language –overeating. Every 7 calorieof excess consumption leads to 1 gm fat depositand increase in bodyweight. Overeating coupled with lack of physical exercise furthercontributetoobesity.
  • 76. Indices for Obesity measurement clinicaly A) Body Mass Index-BMI Clinicalyobesity is represented by BMI BMI is calculated as theweight in kg divided by the Height in metersquare
  • 77. Body mass index cont…… Classification of weight status and risk of disease Category BMI (Kg/M sq.) Obesity Class Risk of disease Under weight < 18.5 Nil --------- Healthy weight 18.5 to 24.9 Nil --------- Over weight 25 to 29.9 Nil Increased Obesity 30 to 34.9 Class I obesity High Obesity 35 to 39.9 Class II obesity Very high Extreme Obesity 40 or >40 Class III obesity Extremely high
  • 78. Indices for Obesity measurement clinicaly cont… B) Ratio between waistand hip size:- The distribution of adipose tissue in different anatomic depots has substandard implication for morbidity. Intra abdominal and abdominal subcutaneous fat have more significance than subcutaneous fat present in the buttocksand lowerextremities
  • 79. Indices for Obesity measurement clinicaly cont… This distribution is measured clinically bydetermining thewaist to hip ratio. With a ratio More than 0.9 in womenand more than 1.0 in Men is considered abnormal. Manyof the most importantcomplicationof obesity , such as insulin resistance, diabetes, hypertension and hyperlipidemia are linked more strongly to intra abdominal and/or upper body fat than over all adiposity.
  • 80. Genetical aspect of obesity Onegene namely Obgene, expressed in adipocytes (of white adipose tissues) producing a protein called leptin is closelyassociated with obesity. Leptin is regarded as bodyweightregulatory hormone. It binds toa specific receptor in brain and functionas a lipostat.
  • 81. Genetical aspect of obesity cont… When the fat store in theadipose tissueareadequate, leptin levelsare high. This signals torestrict the feeding behaviourand limit fatdeposition. Anygeneticdefect in leptin or its receptorwill lead to extremeovereating and massive Obesity.
  • 82. Pathologic consequences of obesity Obesity is associated with an increase in mortality , with a 50-100% increased risk of death from all causes compared to normal weight individuals, mostlydue to cardiovascularcauses. Life expectancyof a moderatelyobese individual could be shorted by 2 to 5 years. A 20 to 30 yearold malewith a BMI >45 may lose 13 yearsof life.
  • 83. Pathologic consequences of obesity cont.. Obesitycauses insulin resistancewhich leads to type 2 DM Obesitycausescardiovasculardiseases:- “ The Framingham study revealed thatobesitywas an independent risk factor for the 26 year incidence of cardiovasculardiseases in man and women.”
  • 84. Diet therapy for obesity The primary focusof diet therapy is to reduceoverall calorieconsumption The NHLBI recommended initiating treatmentwith a calorie deficit of 500-1000 Kcal/day compared to patients habitual diet. This reduction is consistwith agoal of loosing approximately 1-2 Ib perweek.
  • 85. Diet therapy for obesity cont.. This caloriedeficit can beaccomplished bysuggesting substitutionsoralternatives todiet. Example:- Choosing small portion sizesof meal Eating more fruit and vegetables Consuming morewhole grain cereals Selecting skimmed dairy products Reducing fried foods and otheradded fats and oils Drinking water instead of calorie beverages
  • 86. Recommendations for dietary Fats (FAO/WHO expert consultation on fats in human nutrition, Geneva,2008) Recommendations fordietary fatsaredirected towards:- ⚫Meeting the requirementof optimal foetal and infant growthand development ⚫Maternal health ⚫Forcombating chronic energy deficiency in children and adults ⚫Diet related non-communicablediseases in adults
  • 87. Recommendations for dietary Fat intake for Indians (ICMR-2010) 25 10 15 Age/Gender/Ph ysiological groups Physical activity Minimum level of Total fat (%E) Fats from foods other than visible fats (%E) Visible (%E) Fat gm/day Adult Man Sedentary 25 Moderate 20 10 10 30 Heavy 40 Adult Women Sedentary 25 Moderate 20 10 10 30 Heavy 40 Pregnant 20 10 10 30 Lactating 20 10 10 30 Infants 0-6 months 40-60 Fat present in Human M ilk 07-24 months 35 10 25 25 Children 3-6 years 25 7-9 years 30 Boys 10-12 years 13-15 years 16-17 years 35 45 50 Girls 10-12 years 13-15 years 35 40
  • 88. Recommendations for visible fats ⚫Thequantityand fattyacid composition of both visible fat and fat from all other foods (invisible fats) contribute to the intakeof various fattyacids in the total diet. ⚫The data on fatty acid intake in Indian adults determined by taking into account the contribution of various fatty acids from all foods (invisible fat) & visible fats ( in dietsof eitherrural or urban population respectively) shows thata complete dependence on just one vegetable oil does not ensure the recommended intake of fatty acids for optimal health and prevention of DR-NCD
  • 89. Recommendations for visible fats cont.. A long term(in home) study with oil combinations (which increase ALA) showed improvement of LC n-3 PUFA nutritional status in adults Therefore, to ensure optimal fat quality, the use of correct combination of vegetable oils is recommended
  • 90. Recommendations for visible fats cont.. 1) Usecorrectcombination / blend of 2 or morevegetable oils (1:1) (a) Oil containing LA + oil containing both LA and ALA Example: Groundnut / Sesame / Rice bran / Cottonseed + Mustard/ Rapeseed Groundnut /Sesame / Rice bran / Cottonseed + Canola Groundnut / Sesame / Rice bran/ Cottonseed + Soyabean Palmolein+ Soyabean Safflower / Sunflower + Palm oil/ Palmolein + Mustard/ Rapeseed
  • 91. Recommendations for visible fats cont.. (b) Oil containing high LA + oil containing moderateor low LA Example: Sunf lower / Saff lower + Palmolein / Palm oil / Oliveoil Safflower / Sunflower + Groundnut / Sesame / Rice bran / cottonseed
  • 92. Recommendations for visible fats cont.. 2) Re Limit useof butter/ghee 3) Avoid useof PHVO as medium forcooking / frying 4) Replacements for PHVO Frying : Use oils which have higher thermal stability Ex:- palm, sesame, rice bran, cottonseed oil (single / blends) ( home /commercial) Food applications which requiresolid fats: (Bakery food/ Indian sweets) Usecoconut oil/ palm oil / Palmolein