Sunday 24 February 2013

Good fats and bad fats

High fat food is likely to make us put on weight since it is also high in calories and thus can make us weight gain.  Being overweight increases our risk of type 2 diabetes, high blood pressure, strokes and heart attacks.  However not all fat is bad, nor does all fat raise our cholesterol. 

We need some fat in our diet since it helps us transport some vitamins around the body and provides essential nutrients such as essential fatty acids (EFA’s) which are thought to have a positive effect on the heart and immune system as well as having a key role in membrane structure. 

The easy way to remember which fat is good and which is bad is to remember that bad fats are generally solid at room temperature, whereas good fats are liquid at room temperature.

Saturated fats
These are the fats to avoid.  Saturated fats are generally found in products such as meat, cheese, butter, ice-cream, processed sweet food such as cakes and biscuits and coconut milk or cream.  These are known to raise bad cholesterol – LDL cholesterol which is linked to increased risks of development heart disease, strokes and type 2 diabetes.

Trans fats
Although these occur naturally in low levels in some meat and dairy products, they are mostly found in processed foods.  The food industry creates trans fats by turning a liquid oil into a solid in order to give products a longer shelf life and improve their texture and ‘mouth feel’.  Look out for ‘hydrogenated vegetable oil/fat’, ‘shortening’ or ‘partially hydrogenated vegetable oil/fat’ on food labels. 
Fried food is also a potential problem.  Try to avoid fried food you eat when you eat out since the oils they can be cooked in may also be hydrogenated (to make it more stable and hence reusable more times) and thus contain high levels of trans fats.  Similarly, don’t re-use oil at home since the repeated heating can create trans fats in it.

It is generally recommended that adults eat less than 5g per day.  However as a population we eat about half this amount since most food manufacturers have removed the hydrogenated vegetable oil from their products.  However, any food which is not in labelled packaging (like take away), or imported (and so not subject to UK food labelling regulations) may contain hidden trans fats.
So why are trans fats so bad for you? Not only do they raise levels of LDL ‘bad cholesterol’ but they also lower the levels of HDL ‘good cholesterol’ and so may cause even more damage than saturated fats.

Unsaturated fats
These are divided into 2 groups – polyunsaturated and monounsaturated fats which have potentially different effects on blood cholesterol.

Polyunsaturated fats tend to be liquid at room temperature and may help lower your total and LDL (bad) cholesterol, but may also lower your HDL (good) cholesterol.  They can be divided into omega-3 and omega 6 – both of which are important for heart health.  However, omega-3 helps to reduce inflammation (and so is important in helping all inflammatory conditions) and for good cognitive function.  Our bodies are able to make limited amounts of omega-3 from plant sources such as nuts and seeds, but the best source is oily fish such as salmon and mackerel. 
Monunsaturated fats also tend to be liquid at room temperature but are the healthiest fats of all since they too help lower total and LDL cholesterol, but unlike polyunsaturated fats they maintain levels of HDL (good cholesterol).  These have also been shown in research to help with control of blood sugar & insulin levels and so may be helpful in diabetes.

Find these in olives, olive oil and olive spreads, rapeseed oil and spread, avocado, peanuts, peanut oil and peanut butter.

References
Mayo Clinic Nutrition and healthy eating. Available at: http://www.mayoclinic.com/health/fat/NU00262 

NHS choices. High Cholesterol.  Available at: http://www.nhs.uk/conditions/Cholesterol/Pages/Introduction.aspx 
 

Monday 18 February 2013

Omega-3 and omega-6 - what's it all about?

Omega-3 and 6 – what do they do?

These are known as Essential Fatty Acids (EFA) as they are necessary for health, but our bodies don’t directly make them.  They are essential as the building blocks for hormones which control immune function, blood clotting, as well as being embedded in cell membranes and allowing the cells to be flexible and thus function at their best.  EFA also support the healthy functioning of your immune system, as well forming the membranes of nerve cells in the brain to allow them to grow and function normally.
There are 3 types of EFA known as ALA, EPA and DHA; ALA is converted to EPA in the body, and then onto DHA.   Although ALA can be converted it does require adequate levels of vitamins and minerals in the body, oestrogen (in women) and good liver function (since the liver converts it), but broadly speaking we are not very efficient at this conversion particularly as Western diets are higher in animal fats which impacts the conversion of ALA.

Most ALA comes from plant sources such as flax seed, walnuts, pecans, hazelnuts, kiwifruit and some meats and fish.  The richest sources of EPA and DHA are in the flesh of oily fish such as salmon, tuna and mackerel. 
EPA and DHA are both omega-3 fatty acids and are preformed and ready to be used in the body and therefore are the preferred form for us to eat.  As humans we have always been depend on the sea historically; indeed the Romans are recorded as using dolphins to coral fish.  It is suggested that since the beginnings of life when the first living system converted sun into electricity (sparking the evolution of the brain and nervous system), DHA was involved.  No molecule has ever replaced this in over 600 million years.

Pregnancy
In pregnancy and lactation, the baby uses a quarter of the mother’s stored omega-3 to make the brain.  From puberty as girls bodies change and fat stores are laid down, omega-3 is stored in the fat cells in readiness for eventual pregnancy.  This omega-3 is liberated and used during pregnancy and lactation, as well as having an increased dietary need.  This must be considered in subsequent pregnancies and if possible stored supplies should be replenished before pregnancy.
70% of the brain cells divide before the baby is born, therefore although we can supplement after birth there is a limit on how much change we can effect on the brain structure.  Having a good diet and supplementation during pregnancy is crucial.

Supplements
Supplements can only maintain the brain and cell function we already have.  There has been some research into increasing omega-3 in ADHD, but the research trials have been small with mixed results so there is no clear evidence at present.  There is no published guidance for the amount of omega-3 which should be consumed, so the best advice is to eat 1-2 servings of oily fish a week.

What’s the difference between omega-3 and omega-6?
Both are important for health, yet the most important thing we must be aware of is the ratio we consume them in our diets.  Historically it is believed that the ratio of omega-3 to omega-6 was 1:1 but it is now more likely to be 1:10 or even higher.

Why is this important?  This is really important since the enzymes which convert the omega-3 and 6 will use either EFA, but the results of the conversion of omega-3 are anti-inflammatory and anti-thrombotic (prevent the formation of clots), whereas the results of omega-6 conversion are pro-inflammatory and pro-thrombotic.    It is the ratio of these EFA’s which is crucial – we need to lower our intake of omega-6 to bring about balance.  Don’t think you should avoid omega-6 as it is necessary for health, just aim to alter the ratio of omega-3 to 6.  Be aware that too much omega-3 (3 servings a day) is also detrimental to health as it may raise risk of haemorrhagic stroke.
Omega-6 is plentiful in our diets in seed-based oils such as sunflower and corn oil, as well as in nuts, seeds, meat and dairy products.  Due to the use of oils in processed foods, we often eat a lot of hidden omega-6.  Try to cut down on vegetable oils, fried food, chips, crisps, snacks and seed oils and increase using extra virgin olive oil, eating oily fish twice a week, as well as eating walnuts and flax seeds.

It is suggested that this imbalance may explain the rise in inflammatory conditions such as asthma, coronary heart disease, many forms of cancer, autoimmune diseases and neurodegenerative diseases since these are believed to stem from inflammation in the body.  Additionally it is known that chronic tissue inflammation is indicated in the development of insulin resistance, therefore the anti-inflammatory action of omega-3 is important to uphold insulin sensitivity.  Furthermore there is also evidence which suggests that this imbalance could be a factor in violent behaviour, obesity, depression, hyperactivity and dyslexia. 

Correcting this imbalance could be a step in taking back control over your health – a step which is easy to take and can only improve our health and that of our families.

 

References
The Medical Biochemist.  Available at: http://themedicalbiochemistrypage.org/omegafats.php

University of Maryland Medical Centre.  Available at: http://www.umm.edu/altmed/articles/omega-3-000316.htm