particularly liquid oils,
have largely replaced them in cooking. Most vegetable oils
are naturally high in polyunsaturated fats, having 50 to 90
percent polyunsaturates. Chocolate ("cocoa butter"),
coconut, coconut oil, and palm oils are high in saturated
fats. These are sometimes referred to in food labels as
"tropical oils". For comparison purposes, butterfat is 60
percent saturated fat.
Of
the commercially available cooking and salad oils, safflower
and sunflower oils have the most polyunsaturates; about 86
percent. Soy and corn oils have somewhat less; about 82
percent. Peanut oil has 78 percent polyunsaturates.
Cottonseed oil is relatively low in polyunsaturates at 70
percent. Some commercial cooking oils are blended oils; the
label must be consulted to determine the relative amounts of
saturated and polyunsaturated oils present. Even a single
brand may vary from time to time in the proportion of oils
present, depending on market conditions. "Hydrogenating", or
"saturating" an oil which is normally unsaturated is done to
harden the oil, producing the solid shortening used in
baking. Hydrogenating also helps retard spoilage. Olive and
canola oils are in a class called "monounsaturated". Olive
oil has only 12 percent polyunsaturated component, and is
about 15 percent saturated oils. The monounsaturated
fraction of olive oil, about 73 percent, is not thought to
be associated with increased cholesterol.
Decreasing
total fat intake, for weight control, and limiting saturated
fats, for cholesterol control, has been shown to decrease
the risk of coronary artery disease. Increasing numbers of
people are making the necessary changes in their diet and
life style to protect themselves from arteriosclerotic
diseases. The essentials of a low saturated fat diet
are:
1) Limiting sources of saturated fat, including fats
in beef, pork, butter, lard, hydrogenated oils, whole milk,
cream, ice cream, whole milk cheese, palm oil, coconut oil,
avocados. This means decreasing the amount of beef and pork
in the diet and increasing poultry, fish, and shellfish. It
means cutting off and discarding all visible fat from meat
servings, and discarding the skin of poultry, in which fat
is concentrated.
2) Increasing the proportion of unsaturated oil
sources, which are safflower oil, sunflower seed oil,
soybean oil, corn oil, fish and shell fish. Soft margarines
are to be substituted for butter, liquid vegetable oils used
for baking and frying instead of solid shortenings or lard.
Low fat salad dressings are available which use emulsifiers
and thickeners to reproduce the viscous consistency usually
associated with oil.
Cholesterol
and Lipoproteins
Cholesterol
is a much misunderstood substance. It has been characterized
as the villain responsible for heart attack, but it is also
essential to life. Chemically, cholesterol is an alcohol,
with a pearly, waxy appearance, often described as "fat .
Cholesterol is available in foods, but is also synthesized
by the human body. About 93 percent of the total cholesterol
in the body is found within cell membranes; only 7 percent
actually circulates in the blood plasma. This relatively
small amount of circulating cholesterol, however, is
causally associated with atherosclerosis and coronary heart
disease.
Understandably,
there has been a great deal of research into the role of
cholesterol in the body, and the understanding of how it is
produced and what factors regulate the level of cholesterol
in the blood. Dietary cholesterol is not an essential
nutrient for humans &endash;&endash; the body is able to
manufacture all it needs for itself. About 40 percent of the
cholesterol that is ingested with food is absorbed into the
blood stream; the rest is eliminated in bowel movements.
Cholesterol in the diet is added to that already
manufactured by the body. A high cholesterol diet,
especially in a person whose hereditary tendency is to
manufacture too much cholesterol, may lead to an excess of
cholesterol in the body, which must be deposited, stored or
excreted by the body. Most cholesterol is used by the liver
to form bile salts, which then aid in the digestion and
absorption of dietary fats. Some is removed by other body
cells, which use cholesterol in membranous structures. The
adrenal glands, ovaries, and testicles use cholesterol as a
"building block" in the formation of cortisone, sex
hormones, and other steroid compounds.
Cholesterol
is transported in the blood by substances called
lipoproteins. Lipoproteins are large molecules composed of
varying amounts of specific proteins or peptides, combined
with fat or fat like substances including cholesterol,
cholesteryl esters, triglycerides, and phospholipids.
Lipoproteins are classified according to their weight, or
density. There are five major lipoprotein groups. These are:
1) Chylomicrons, 2) Very Low Density Lipoproteins (VLDL), 3)
Intermediate Density Lipoproteins (IDL), 4) Low Density
Lipoproteins (LDL), and 5) High Density Lipoproteins
(HDL).
Chylomicrons
are the primary transport system for triglycerides, and have
relatively little to do with cholesterol. The IDL represents
a mid way product in the conversion of VLDL to LDL. The
lipoproteins are usually measured by the cholesterol
attached to the lipoprotein molecule, and therefore the
units of measurement most used in medicine are "HDL
cholesterol", or "LDL cholesterol". The
cholesterol
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