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Original Paper |
Department of Paediatrics, University of British Columbia, Vancouver, British Columbia, CANADA
Address reprint requests to: Sheila M. Innis, PhD, B.C. Research Institute for Childrens and Womens Health, 950 West 28th Avenue, Vancouver, B.C. V5Z 4H4, CANADA.
| ABSTRACT |
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Methods: The analysis of food fatty acids used gas-liquid chromatography with 100 m capillary columns and standardized methodologies for food sampling, fat extraction, separation and quantification of trans fatty acid isomers. For the purposes of this report, trans refers to all non-naturally occurring isomers including trans, cis-trans, geometric and positional isomers.
Results: The results show that the amount of trans fatty acids varies considerably among foods within a category, reflecting differences in the fats and oils used in the manufacturing or preparation process. For example, the range of trans fatty acids in 17 brands of crackers was 23 to 51% total fatty acids, representing differences of from 1 to 13 g trans fatty acids per 100 g cracker. The large errors that may arise in estimates of the trans fatty acid intake of an individual are illustrated by analyses of the potential trans fatty acid intake in a sample diet, for each food as calculated using the minimum and maximum values for trans fatty acids within a given category. The results of these analyses show estimates of trans fatty acid intake from a low of 1.4 to 25.4 g a day for the same diet.
Conclusion: This study shows that the wide variability in trans fatty acid content of different foods may result in large errors in the estimation of trans fatty acid intake of individuals and, potentially, groups.
Key words: trans fatty acids, diet methodology, food composition, Canadian
| INTRODUCTION |
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In addition to influencing lipid risk factors for cardiovascular disease, trans fatty acids have also been implicated in breast cancer [2] and poor fetal and early infant growth [3]. Furthermore, trans fatty acids may compete with linoleic acid for desaturation, thereby reducing the production of the 2-series eicosanoids [4]. Interest in trans fatty acids has centered largely on their effect on lipid risk factors in cardiovascular disease [5]. It has been known for some 30 years that replacing unhydrogenated unsaturated fat with hydrogenated fat increases plasma cholesterol concentration [5]. More recently it has been shown that replacing a cis fatty acid with a trans unsaturated fatty acid in the diet increases the concentration of low density lipoprotein (LDL) cholesterol, increases Lp(a) and lowers high density lipoprotein (HDL) cholesterol in healthy subjects [6, 7].
Despite experimental evidence of metabolic changes due to trans fatty acids, epidemiological studies have not found conclusive evidence that high trans fatty acid intakes have an adverse effect on coronary heart disease. Studies using adipose tissue fatty acids as a biomarker of trans fatty acid intake have similarly not detected an association between trans fatty acids and coronary heart disease [8, 9]. Epidemiological studies exploring the relationship between dietary trans fatty acids and coronary heart disease have relied on estimates of trans fatty acid intake derived from analyses of intake data gathered in food frequency questionnaires (FFQ) [1012]. Two prospective studies in the United States found that women in the highest quintile of trans fatty acid intake were at greatest risk for coronary heart disease when compared to women in the lowest quintile of intake [10, 12]. Similar results were found in a case-control study of men in the United States [11]. A case-control trial of men and women in Scotland found no relationship between trans fatty acid intake and the subsequent development of coronary heart disease [13].
One of the difficulties encountered by investigators examining the association of trans fatty acid intakes with coronary heart, or other diseases, relates to the difficulties of estimating trans fatty acid intakes using a food frequency questionnaire (FFQ) with subsequent analysis using presently available nutrient databases. In addition to the problems inherent in dietary intake methodology (for example, recall and portion size estimation) [14], the database for the trans fatty acid composition of foods is incomplete and of questionable accuracy. An additional problem arises when an average value is used to describe the trans fatty acid content of a food product category in which there is wide variation in the trans fatty acid content of individual foods within that category. For example, an analysis of 43 bread samples in the United States found levels of trans fatty acids ranging from 0% to 32% of total fatty acids [15]. This suggests that intakes of trans fatty acids could vary widely among individuals, based on both personal food preferences and regional variations in food supplies and producers. The purpose of this study was to undertake detailed fatty acid analysis of over 200 locally and nationally available foods for the purposes of detailing the variability in trans fatty acid content within a product category and determining the significance of this variability to the analysis of dietary data.
| METHODS |
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In order to explore the influence of the variability in the trans fatty acid content among similar foods on estimates of trans fatty acid intakes, a sample days diet (1 MJ energy) was created using a food record and the trans fatty acid intake then calculated. The intake of fatty acids from the diet was calculated using the highest value for trans fatty acids and using the lowest value for trans fatty acids for each food or food group in the diet record. In addition, and for comparative purposes, the diet was also analyzed using The Food Processor nutrition and fitness software (Esha Research, Salem, OR) [18]. The database for The Food Processor software is compiled from the U.S. Department of Agriculture, as well as other sources.
| RESULTS |
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| DISCUSSION |
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The wide variability among the trans fatty acid values in the USDA database may, in part, have resulted from the compilation of data gathered using older gas liquid chromatography methods, as well as data collected by several different laboratories, employing different methodologies and located in different geographic areas. Ratnayake et al. [19] recently commented on the considerable overlap of some trans and cis isomers of unsaturated fatty acids. This problem is likely to be even more significant with older gas-liquid chromatography methodologies employing 30 m capillary columns. The present study developed a large database on the fatty acid composition of foods from analysis done in our laboratory using standardized methodologies for food sampling, fat extraction and quantification of fatty acid isomers using a 100 m column with mass spectrometer identification of fatty acid isomers.
There are several explanations for the variability of trans fatty acid content of foods within a food category. First, the production of hydrogenated oils can result in variable content of trans fatty acids. Temperature, hydrogenation pressure, type and amount of catalyst and agitation affect the resulting trans fatty acid content of the starting oil [1]. Second, food producers may use single hydrogenated or non-hydrogenated fats or oils or many possible combinations of both hydrogenated and non-hydrogenated fats and oils to achieve the desired final product characteristics. For example, some of the oils indicated on the labels of cookies analyzed in our laboratory had blends of hydrogenated and non-hydrogenated vegetable oil shortenings which included cocoa butter, palm kernel oil shortening, soybean oil and Canola oil. Finally, the use of hydrogenated and non-hydrogenated oil fats and oils in food products can also be expected to vary with national and regional domestic availability and with costs of various edible oils.
The analysis of the diet record described in this report illustrates the large errors that may arise in the estimation of trans fatty acid intake of an individual due to the large variability in trans fatty acid content of foods within a food category and use of average food group trans fatty acid values rather than specific product analysis. This wide variability in the trans fatty acid content and composition among foods has important implications for estimates of trans fatty acid intakes of individuals using dietary recalls, records and FFQ. The identification of exact brand names of food products consumed, coupled with data from analysis which resolves all cis and trans isomers of fatty acids in foods is essential to allow reliable estimation of trans fatty acid intakes. Thus, food composition tables using the trans fatty acid values of individual food products by brand must be available. Because of possible wide geographical variability in the trans fatty acid content of foods, including locally produced foods such as bakery goods, regional food composition tables or, at least, tables which also detail the fat and oil ingredients in the product may be required. It further needs to be recognized that, even for a specific brand within a geographical area, trans fatty acid content may vary over time because food producers may change the type of oil used, depending on current supplier, availability and cost.
The errors which can arise in estimating trans fatty acid intake because of the high variability in trans fatty acid content among foodstuffs are most pronounced with estimates derived from FFQ. Food frequency questionnaires often collapse foods with very different trans fatty acid contents into a single food group category. For example, on a FFQ for the food category french fries, including all frozen and restaurant products, the average trans fatty acid value from the present analysis was 2.1 g per 100 g portion, with an actual range among the individual products analyzed at 0.2 to 3.7 g per 100 g portion. The repeated collapsing of foods into food categories on a FFQ can lead to multiple errors in the estimates of the trans fatty acid intake of individuals and, thus, mask the true variability of trans fatty intakes within a group or population of interest.
Three studies in the United States have reported that individuals in the highest quintile of trans fatty acid intake were at higher risk for coronary heart disease than individuals in the lowest quintile of intake. Individuals [1012] in the second through fourth quintiles of trans fatty acid, however, showed no significant increased risk relative to those in the first quintile. This lack of association across the quintiles of estimated trans fatty acid intake may be the result from the inability of the FFQ and current food composition data bases to give precise estimates of trans fatty acid intake for foods consumed, thus masking differences in intakes among individuals within these quintiles. It seems reasonable to expect that the FFQ will be able to distinguish between individuals with the lowest and the highest intakes of trans fatty acids, as these are associated respectively with low and high intakes of fat from snack and convenience foods. Variability due to actual choices of margarines, for example stick or tub, hydrogenated or unesterified, actual brands of baked goods or home preparation, however, would not be apparent from the FFQ methodology. The results of the study reported here show that processed foods within a food category contain varying amounts of trans fatty acid and suggest that the true variability of trans fatty acid intake that exists among individuals with moderate intakes of trans fatty acids may disappear when foods are collapsed into categories on a FFQ.
When categorical variables are used to estimate relative risk, the inability of the FFQ to distinguish between individuals consuming moderate intakes of trans fatty acids may lead to considerable misclassification [14]. Misclassification may weaken relative risk estimates to the point that the risk is statistically undetectable [14]. Moreover, misclassification may result in relative risk estimates of moderate magnitude that are underestimates of the true association between cardiovascular risk and trans fatty acid intake, which may be higher than previously shown.
In summary, the study reported here demonstrates considerable variation in the trans fatty acid composition and content of food items within a food category. Further, this study has demonstrated that because of the wide variation in trans fatty acids within a food category, the use of average values for the trans fatty acid content of a food category are of limited value. Accurate estimates of trans fatty acid intakes of individuals are likely to be obtained only after food composition tables are updated with values for specific foods, by brand or by the fats and oils in a product. This information is essential to allow important epidemiological studies to explore fully the potential negative effects of trans fatty acid intake on heart disease [5], breast cancer [2], essential fatty acid metabolism [3, 4] or fetal and early infant development [3].
| ACKNOWLEDGMENTS |
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Received August 1, 1998. Accepted December 1, 1998.
| REFERENCES |
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