Indeed, butter and beef drippings have less saturated fat that raise
levels of low-density lipoprotein (LDL), the bad kind of cholesterol
that can build up in blood vessels and lead to clots and heart
attacks, according to new AHA dietary recommendations. Coconut oil
is 82 percent saturated fat, compared with 63 percent for butter and
50 percent for beef fat.
Instead of coconut oil, people should cook with so-called
polyunsaturated fats like corn, soybean and peanut oils, the AHA
advises.
“Replacing saturated with polyunsaturated has a two-fold effect
because a fat that causes heart disease is lowered and a fat that
prevents heart disease is increased,” lead author of the advisory
Dr. Frank Sacks, a researcher at the Harvard T.H. Chan School of
Public Health in Boston, said by email.
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Coconut oil raised LDL about as much as other oils high in fat like
butter, beef and palm oil in seven out of seven studies reviewed by
the AHA for its advisory published in the journal Circulation.
Replacing saturated fats with polyunsaturated vegetable oil reduces
the risk of cardiovascular disease by about 30 percent, the AHA
concludes from its review of trials that used the scientific gold
standard for research - randomly assigning some participants to get
the intervention being tested and others to receive an alternative
or no treatment.
Cardiovascular disease is the leading cause of death worldwide,
accounting for 17.3 million fatalities a year, researchers note in
the advisory.
Studies in many populations showed that lower intake of saturated
fat coupled with higher intake of polyunsaturated and
monounsaturated fat is associated with lower rates of cardiovascular
disease.
For optimal heart health, the AHA recommends the Dietary Approaches
To Stop Hypertension (DASH) diet or a Mediterranean-style diet. Both
diets emphasize unsaturated vegetable oils, nuts, fruits,
vegetables, low-fat dairy products, whole grains, fish and poultry
and both limit red meat, as well as foods and drinks high in added
sugars and salt.
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Even eating like this some of the time may help, said Dr. John
Potter of the Fred Hutchinson Cancer Research Center in Seattle.
“Small changes may be relevant,” Potter, who wasn’t involved in the
study, said by email.
These might include cutting saturated fat with one meatless dinner a
week, reducing sugar by eating one less cookie or drinking one less
can of soda, having one less glass of alcohol or getting a few extra
minutes of exercise every day, Potter suggested.
Portions also matter, said Dr. Lennert Veerman of the Cancer Council
NSW in Sydney, Australia.
“Baking with coconut oil may not raise heart disease risks as much
as, for example, a generous amount of butter on a 12-ounce steak,
not to speak of the steak itself,” Veerman, who wasn’t involved in
the study, said by email. “But then again, a small reduction of risk
every day adds up, so replacing coconut oil with olive oil may be an
easy way to reduce risk a bit.”
SOURCE: http://bit.ly/2s9il2Z Circulation, online June 15, 2017.
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