Health and nutrition update on trans fatty acids

Abstract

This article covers four topics related to current health and nutrition aspects of dietary trans fatty acids (TFA): (1) current dietary guidelines for TFA; (2) an updated exposure estimate to industrially‐produced TFA; (3) a consideration of effects of TFA from ruminant sources; and (4) a discussion of effects of substituting stearic acid (STA) for TFA. Health professional organizations recommend that intake of TFA from industrial sources be as low as possible. Doell and coworkers have reported a substantial reduction in exposure to industrially‐produced TFA in the US from 4.6 g/person/day in 2003 to 1.0 g/person/day currently. Brouwer et al. have concluded that all TFA, whether from animal or industrial sources, raise the ratio of plasma LDL‐ to HDL‐cholesterol. Studies involving one‐to‐one substitution of STA for TFAs have shown a decrease or no effect on LDL‐cholesterol concentration and an increase or no effect on HDL‐cholesterol concentration. Overall, during the last 10 or more years, there has been a major reduction in TFA levels in the U.S. food supply, and efforts continue to reduce these levels further.