Good Fats, Bad Fats, and Heart Disease Bad fats Saturated fat Trans fat Good fats Monounsaturated fat Polyunsaturated fat Fat Facts When it comes to diet, fats get a bad rap. Some of this is justified, because certain types of fat — and the fat-like substance cholesterol — may play a role in cardiovascular disease, diabetes, cancer, and obesity. But not all fats are created equal. Some fats are better for you than others, and may even help to promote good health. Knowing the difference can help you determine which fats to avoid, and which to eat in moderation. Research is continuing to evolve on dietary fat, but some facts are clear. Dietary fat, also known as fatty acids, can be found in foods from both plants and animals. Certain fats have been linked to negative effects on heart health, but others have been found to offer significant health benefits. Fat is as essential to your diet as protein and carbohydrates are in fueling your body with energy. Certain bodily functions also rely on the presence of fat. For example, some vitamins require fat in order to dissolve into your bloodstream and provide nutrients. However, the excess calories from eating too much fat of any type can lead to weight gain, according to Stanford Hospital and Clinics. All foods and oils contain a mixture of fatty acids, but the predominant type of fat they contain is what makes them “good” or “bad.” What are bad fats? Two types of fats — saturated fat and trans fat — have been identified as potentially harmful to your health. Most of the foods that contain these types of fats are solid at room temperature, such as: butter margarine shortening beef or pork fat Trans fat should be avoided while saturated fats should be eaten very sparingly. Saturated fat: Use sparingly Most saturated fats are animal fats. They’re found in high-fat meats and dairy products. Saturated fat sources include: fatty cuts of beef, pork, and lamb dark chicken meat and poultry skin high-fat dairy foods (whole milk, butter, cheese, sour cream, ice cream) tropical oils (coconut oil, palm oil, cocoa butter) lard Eating too much saturated fat can increase blood cholesterol levels and low-density lipoprotein (LDL) levels. Traditionally, doctors have linked higher saturated fat intakes with increased heart disease risks. This idea has been called into question more recently. According to Harvard University, researchers now think saturated fat may not be as bad as once thought — but it still isn’t the best choice for fats. The Cochrane Review conducted a meta-analysis of 15 randomized controlled trials related to saturated fats and heart disease. The researchers concluded that replacing saturated fat in one’s diet with polyunsaturated fats can reduce a person’s heart disease risk. While the risk reduction is low, these differences could make a difference to a person’s health. A journal article published in the British Journal of Sports Medicine reported that the risks of LDL cholesterol had previously been overstated, particularly when it comes to a negative effect on heart health. The article recommends comparing a person’s total cholesterol level to their HDL cholesterol level instead. Doctors associate a higher ratio with increased insulin resistance and heart problems. Trans fat: Must avoid! Short for “trans fatty acids,” trans fat appears in foods that contain partially hydrogenated vegetable oils. These are the worst fats for you. You might find trans fat in: fried foods (French fries, doughnuts, deep-fried fast foods) margarine (stick and tub) vegetable shortening baked goods (cookies, cakes, pastries) processed snack foods (crackers, microwave popcorn) Like saturated fat, trans fat can raise LDL cholesterol, also known as “bad” cholesterol. Trans fat can also suppress high-density lipoprotein (HDL) levels, or “good” cholesterol. Doctors have also linked trans fats to an increased risk for inflammation in the body. This inflammation can cause harmful health effects that may include heart disease, diabetes, and stroke. Some margarines will contain trans fats if they are made with hydrogenated ingredients, so make sure to always choose non-hydrogenated versions. Labeling laws allow food companies to round down to zero and claim “no trans fats” or “zero grams of trans fats” despite still containing hydrogenated oils, so ignore the front-of-package marketing and always read the ingredient list. Foods with good fats Doctors consider monounsaturated fat and polyunsaturated fat more “heart-healthy” fats. These are fats that are better choices for your diet. Foods that primarily contain these healthier fats tend to be liquid when they’re at room temperature. An example is vegetable oil. Monounsaturated fat This type of helpful fat is present in a variety of foods and oils. Research has consistently shown that eating foods that contain monounsaturated fat can improve your blood cholesterol level and decrease your risk of cardiovascular disease. These foods include: nuts (almonds, cashews, peanuts, pecans) vegetable oils (olive oil, peanut oil) peanut butter and almond butter avocado powered by Rubicon Project Polyunsaturated fat Polyunsaturated fats are known as “essential fats” because the body cannot make them and needs them from foods. Plant-based foods and oils are the primary source of this fat. Like monounsaturated fat, polyunsaturated fat can decrease your risk of heart disease by lowering blood cholesterol levels. A certain type of this fat, called omega-3 fatty acids, have been shown to be particularly beneficial for your heart. Omega-3s appear to not only decrease the risk of coronary artery disease, but also help lower blood pressure levels and guard against irregular heartbeats. The following types of fatty fish contain omega-3 fatty acids: salmon herring sardines trout You can also find omega-3s in flaxseed, walnuts, and canola oil, although these contain a less active form of the fat than fish do. In addition to omega-3 fatty acids, you can find polyunsaturated fat in the following foods, which contain omega-6 fatty acids: tofu roasted soy beans and soy nut butter walnuts seeds (sunflower seeds, pumpkin seeds, sesame seeds) vegetable oils (corn oil, safflower oil, sesame oil, sunflower oil) soft margarine (liquid or tub) Conclusions | Takeaway New research has revealed that fats are more on a continuum of good to bad than previously thought. While trans fats are harmful to one’s health, saturated fats are not currently linked with increased heart disease risk. However, they likely aren’t as healthy as monounsaturated and polyunsaturated fats can be. Healthier fats are an important part of your diet, but it’s still crucial to moderate your consumption of them because all fats are high in calories. As a result, it’s a good idea to incorporate foods that contain monounsaturated and polyunsaturated fats. It’s a strategy that will help your heart and improve your quality of life. Task 1. Choose a restaurant in Toronto of your choice and list a meal that includes some type of fat from the choice above. a. Why did you choose this meal? What other types of nutrients are in the meal you selected? What elements of your meal are healthy for you and which ones are not? What lifestyle habits would you recommend ensuring your meal does not negatively impact your health. b. Please indicate the calorie count of your meal.