期刊论文详细信息
BMC Public Health
Reformulating partially hydrogenated vegetable oils to maximise health gains in India: is it feasible and will it meet consumer demand?
Archna Singh1  Anne Marie Thow3  Karen Lock2  Suparna Ghosh-Jerath4  Vidhu Gupta4  Shauna M Downs3 
[1]All India Institute of Medical Sciences, Ansari Nagar, New Delhi-29, India
[2]London School of Hygiene and Tropical Medicine and Leverhulme Centre for Integrative Research on Agriculture and Health, London, UK
[3]Menzies Centre for Health Policy, University of Sydney, Victor Coppleson Building (D02), Sydney, NSW 2006, Australia
[4]Indian Institute for Public Health (Delhi), Public Health Foundation of India, Plot No. 34, Sector - 44, Institutional Area, Gurgaon 122002, Haryana, India
关键词: Public health nutrition;    Dietary fat;    Food industry;    Nutrition policy;    Trans fat;   
Others  :  1161493
DOI  :  10.1186/1471-2458-13-1139
 received in 2013-01-25, accepted in 2013-11-27,  发布年份 2013
PDF
【 摘 要 】

Background

The consumption of partially hydrogenated vegetable oils (PHVOs) high in trans fat is associated with an increased risk of cardiovascular disease and other non-communicable diseases. In response to high intakes of PHVOs, the Indian government has proposed regulation to set limits on the amount of trans fat permissible in PHVOs. Global recommendations are to replace PHVOs with polyunsaturated fatty acids (PUFAs) in order to optimise health benefits; however, little is known about the practicalities of implementation in low-income settings. The aim of this study was to examine the technical and economic feasibility of reducing trans fat in PHVOs and reformulating it using healthier fats.

Methods

Thirteen semi-structured interviews were conducted with manufacturers and technical experts of PHVOs in India. Data were open-coded and organised according to key themes.

Results

Interviewees indicated that reformulating PHVOs was both economically and technically feasible provided that trans fat regulation takes account of the food technology challenges associated with product reformulation. However, there will be challenges in maintaining the physical properties that consumers prefer while reducing the trans fat in PHVOs. The availability of input oils was not seen to be a problem because of the low cost and high availability of imported palm oil, which was the input oil of choice for industry. Most interviewees were not concerned about the potential increase in saturated fat associated with increased use of palm oil and were not planning to use PUFAs in product reformulation. Interviewees indicated that many smaller manufacturers would not have sufficient capacity to reformulate products to reduce trans fat.

Conclusions

Reformulating PHVOs to reduce trans fat in India is feasible; however, a collision course exists where the public health goal to replace PHVOs with PUFA are opposed to the goals of industry to produce a cheap alternative product that meets consumer preferences. Ensuring that product reformulation is done in a way that maximises health benefits will require shifts in knowledge and subsequent demand of products, decreased reliance on palm oil, investment in research and development and increased capacity for smaller manufacturers.

【 授权许可】

   
2013 Downs et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413030910894.pdf 214KB PDF download
【 参考文献 】
  • [1]Mozaffarian D, Clarke R: Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr 2009, 63:S22-S33.
  • [2]Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC: Trans fatty acids and cardiovascular disease. N Engl J Med 2006, 354:1601-1613.
  • [3]Teegala SM, Willett WC, Mozaffarian D: Consumption and health effects of trans fatty acids: a review. Journal of Aoac International 2009, 92:1250-1257.
  • [4]Micha R, Mozaffarian D: Trans fatty acids: Effects on cardiometabolic health and implications for policy. Prostaglandins Leukot Essent Fatty Acids 2008, 79:147-152.
  • [5]World Health Organization: Global strategy on diet, physical activity and health. Geneva; 2004. http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf webcite
  • [6]World Health Organization: A comprehensive global monitoring framework including indicators and a set of voluntary global targets for the prevention and control of noncommunicable diseases. Geneva; 2012. http://www.who.int/nmh/events/2012/discussion_paper3.pdf webcite
  • [7]L’Abbe MR, Stender S, Skeaff M, Ghafoorunissa , Tavella M: Approaches to removing trans fats from the food supply in industrialized and developing countries. Eur J Clin Nutr 2009, 63:S50-S67.
  • [8]Downs S, Thow AM, Ghosh-Jerath S, McNab J, Reddy KS, Leeder SR: From Denmark to Delhi: the multisectoral challenge of regulating trans fat in India. Public Health Nutr 2012. 10.1017/S1368980012004995
  • [9]Food Safety and Standards Authority of India: Regulation of trans fatty acids in partially hydrogenated vegetable oils. Delhi: Ministry of Health and Family Welfare, Food Safety and Standards Authority of India; 2010.
  • [10]Food Safety and Standards Authority of India: Draft trans fatty acid regulation. Delhi; 2010. http://www.fssai.gov.in/Portals/0/Regulation_of_TFA_.pdf webcite
  • [11]The Vanaspati IndustryViewpoint: Trans Fat Consumption in India. India: Delhi; 2009.
  • [12]Downs SM, Thow AM, Leeder SR: The impact of policies for reducing trans fat: a systematic review of the existing evidence. WHO Bulletinin press
  • [13]Ratnayake WMN, L’Abbe MR, Mozaffarian D: Nationwide product reformulations to reduce trans fatty acids in Canada: when trans fat goes out, what goes in? Eur J Clin Nutr 2009, 63:808-811.
  • [14]Mozaffarian D, Jacobson MF, Greenstein JS: Food reformulations to reduce trans fatty acids. New England Journal of Medicine 2010, 362:2037-2039.
  • [15]Leth T, Jensen HG, Mikkelsen AÆ, Bysted A: The effect of the regulation on trans fatty acid content in Danish food. Atherosclerosis supplements 2006, 7:53-56.
  • [16]Flickinger BD, Huth PJ: Dietary fats and oils: technologies for improving cardiovascular health. Current atherosclerosis reports 2004, 6:468-476.
  • [17]Asif M: Process advantages and product benefits of interesterification in oils and fats. International Journal of Nutrition, Pharmacology, Neurological Diseases 2011, 1:134-138.
  • [18]Eckel RH, Borra S, Lichtenstein AH, Yin-Piazza SY: Understanding the complexity of trans fatty acid reduction in the American diet - American heart association trans fat conference 2006 - Report of the trans fat conference planning group. Circulation 2007, 115:2231-2246.
  • [19]Dhaka V, Gulia N, Ahlawat KS, Khatkar BS: Trans fats-sources, health risks and alternative approach - a review. Journal of Food Science and Technology-Mysore 2011, 48:534-541.
  • [20]Skeaff CM: Feasibility of recommending certain replacement or alternative fats. Eur J Clin Nutr 2009, 63:S34-S49.
  • [21]Bell E: Research For Health Policy United States: Oxford University Press. 2010.
  • [22]Snowdon W, Potter JL, Swinburn B, Schultz J, Lawrence M: Prioritizing policy interventions to improve diets? Will it work, can it happen, will it do harm? Health promotion international 2010, 25:123-133.
  • [23]Mozaffarian D, Micha R, Wallace S: Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS medicine 2010, 7:e1000252.
  • [24]Uusitalo U, Feskens EJ, Tuomilehto J, Dowse G, Haw U, Fareed D, Hemraj F, Gareeboo H, Alberti KG, Zimmet P: Fall in total cholesterol concentration over five years in association with changes in fatty acid composition of cooking oil in Mauritius: cross sectional survey. BMJ 1996, 313:1044-1046.
  • [25]Chen BK, Seligman B, Farquhar JW, Goldhaber-Fiebert JD: Multi-Country analysis of palm oil consumption and cardiovascular disease mortality for countries at different stages of economic development: 1980–1997. Global Health 2011, 7:45. BioMed Central Full Text
  • [26]Mensink RP, Zock PL, Kester AD, Katan MB: Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr 2003, 77:1146-1155.
  • [27]Kabagambe EK, Baylin A, Ascherio A, Campos H: The type of oil used for cooking is associated with the risk of nonfatal acute myocardial infarction in Costa Rica. Journal of Nutrition 2005, 135:2674-2679.
  • [28]Clarke R, Frost C, Collins R, Appleby P, Peto R: Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ 1997, 314:112-117.
  • [29]Scott-Thomas C: French palm oil tax could increase trans fat consumption, says MPOC. In FoodNavigatorcom. France: Montpellier; 2012.
  • [30]Addy R: Palm oil-free may be an emerging trend. In FoodNavigatorcom. France: Montpellier; 2012.
  • [31]Centre for Science in the Public Interest: Cruel oil: how palm oil harms health, rainforest & wildlife. Washington DC: Centre for Science in the Public Interest; 2005.
  • [32]Monge-Rojas R, Colón-Ramos U, Jacoby E, Mozaffarian D: Voluntary reduction of trans-fatty acids in Latin America and the Caribbean: current situation. Rev Panam Salud Publica 2011, 2011(29):126-129.
  • [33]Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, Prabhakaran D, Reddy KS: Dietary intake and rural–urban migration in India: a cross-sectional study. PLoS One 2011, 6:e14822.
  • [34]Petrauskaitea V, Greyta WD, Kellensb M, Huyghebaerta A: Physical and chemical properties of trans-free fats produced by chemical interesterification of vegetable Oil blends. JAOCS 1998, 75:489-493.
  • [35]Upritchard JE, Zeelenberg MJ, Huizinga H, Verschuren PM, Trautwein EA: Modern fat technology: what is the potential for heart health? Proc Nutr Soc 2005, 64:379-386.
  • [36]Heller L: Cargill expands high oleic canola line. In FoodNavigatorcom. France: Montpellier; 2007.
  • [37]Farmani J, Safari M, Hamedi M: Application of palm olein in the production of zero-trans Iranian vanaspati through enzymatic interesterification. Eur J Lipid Sci Technol 2006, 108:636-643.
  • [38]Mello M: New York City’s War on Fat. NEJM 2009, 360:2015-2020.
  • [39]Camp DV, Hooker NH, Li C-TJ: Changes in fat content of US snack foods in response to mandatory trans fat labelling. Public Health Nutr 2012, 15:1130-1137.
  • [40]ActNowBC: Measuring up: an evaluation of the BC Trans Fat Initiative June 2010. British Columbia: Heart and Stroke Foundation and ActNowBC; 2010.
  文献评价指标  
  下载次数:4次 浏览次数:31次