{"id":13673,"date":"2017-07-25T11:16:20","date_gmt":"2017-07-25T15:16:20","guid":{"rendered":"https:\/\/staging.observatoireprevention.org\/2017\/07\/25\/saturated-fats-coconut-oil-and-cardiovascular-disease\/"},"modified":"2023-07-24T13:55:09","modified_gmt":"2023-07-24T17:55:09","slug":"saturated-fats-coconut-oil-and-cardiovascular-disease","status":"publish","type":"post","link":"https:\/\/observatoireprevention.org\/en\/2017\/07\/25\/saturated-fats-coconut-oil-and-cardiovascular-disease\/","title":{"rendered":"Saturated fats, coconut oil and cardiovascular disease"},"content":{"rendered":"\n<p>The American Heart Association&nbsp;(AHA) recently published <a href=\"http:\/\/circ.ahajournals.org\/content\/early\/2017\/06\/15\/CIR.0000000000000510\" target=\"_blank\" rel=\"noopener noreferrer\">a review<\/a>&nbsp;of current knowledge on the association between dietary fats and cardiovascular disease. By taking into consideration the entirety of the available scientific evidence, the committee concluded that a lower intake in saturated fat and replacing it with unsaturated fat represents the optimal combination to reduce the incidence of heart disease in the population, especially if it is accompanied by a transition toward an overall healthy diet, such as the <a href=\"http:\/\/observatoireprevention.org\/2016\/12\/22\/les-benefices-du-regime-mediterraneen-pour-la-sante-cardiovasculaire\/\" target=\"_blank\" rel=\"noopener noreferrer\">Mediterranean diet<\/a>.<\/p>\n\n\n\n<p>The positive impact of substituting saturated fat with unsaturated fat can mainly by explained by the opposite effects of these two types of fat on the LDL cholesterol level, a well-established risk factor for cardiovascular disease. Whereas saturated fat is associated with an increase of this cholesterol, and thus an increase in the risk of cardiovascular events, unsaturated fat leads to a decrease in LDL cholesterol levels in the blood and is associated with a&nbsp;<a href=\"http:\/\/eutils.ncbi.nlm.nih.gov\/entrez\/eutils\/elink.fcgi?dbfrom=pubmed&amp;id=27379574&amp;retmode=ref&amp;cmd=prlinks\" target=\"_blank\" rel=\"noopener noreferrer\">significant decrease in mortality. <\/a>&nbsp;Since animal-based protein sources (meat, dairy products, eggs) are the main sources of saturated fat in diets, whereas plant-based fats are mainly unsaturated, the mere act of reducing consumption of animal products while simultaneously increasing the consumption of plant-based foods is a very easy way to improve the quality of dietary fats, and thus reduce the risk of heart disease. In fact, it is interesting to note that several regions of the world known for their low incidence of cardiovascular disease (Okinawa, Japan; Ikaria, Greece; Sardinia; and&nbsp;<a href=\"http:\/\/observatoireprevention.org\/2017\/03\/24\/chimane-nont-besoin-de-cardiologues\/\" target=\"_blank\" rel=\"noopener noreferrer\">the Tsiman\u00e9 people of the Amazon<\/a>) all share one commonality: a diet high in plant-based foods with a low intake of animal protein and saturated fat.<\/p>\n\n\n\n<p><strong>Plant-based saturated fat<br><\/strong>Whereas almost all plant-based fats mainly contain unsaturated fat, there is nevertheless one notable exception: tropical palm and coconut oils (see the Table). Indeed, palm oil (extracted from the fruit pulp) and palm kernel oil (derived from the kernels) contain very high levels of saturated fat (50% for palm oil and 82% for palm kernel oil), which gives them a semi-solid texture at room temperature. This property is used in the food industry to improve the texture of cookies, cakes and other products, and the high level of saturated fat also ensures that these oils are much more resistant to oxidation and considerably improves the shelf life of these foods. However, like all sources of saturated fat, these oils increase blood cholesterol levels and thus are not recommended for cardiovascular health. Not to mention&nbsp;<a href=\"https:\/\/www.nationalgeographic.com\/magazine\/2018\/12\/palm-oil-products-borneo-africa-environment-impact\/\" target=\"_blank\" rel=\"noopener noreferrer\">the devastating environmental impact<\/a>&nbsp;of the intensive cultivation of oil palm, in particular in Indonesia: almost two million hectares of tropical forest are destroyed every year for this crop, a deforestation that has disastrous environmental consequences and threatens animals such as tigers and orangutans from Sumatra and Borneo with extinction.<\/p>\n\n\n\n<p>Table. &nbsp;<strong>Proportion of saturated, monounsaturated and polyunsaturated fat in different animal and plant-based fats. <\/strong>\n<table id=\"tablepress-70\" class=\"tablepress tablepress-id-70\" aria-describedby=\"tablepress-70-description\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Source of fat<\/th><th class=\"column-2\">Saturated fat<br \/>\n(g\/100g)<br \/>\n<\/th><th class=\"column-3\">Monounsaturated fat<br \/>\n(g\/100g)<br \/>\n<\/th><th class=\"column-4\">Polyunsaturated fat<br \/>\n(g\/100g)<br \/>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Butter<\/td><td class=\"column-2\">63<\/td><td class=\"column-3\">26<\/td><td class=\"column-4\">4<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Canola oil<\/td><td class=\"column-2\">7<\/td><td class=\"column-3\">63<\/td><td class=\"column-4\">28<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Coconut oil<\/td><td class=\"column-2\">82<\/td><td class=\"column-3\">6<\/td><td class=\"column-4\">2<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Corn oil<\/td><td class=\"column-2\">13<\/td><td class=\"column-3\">28<\/td><td class=\"column-4\">55<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Olive oil<\/td><td class=\"column-2\">14<\/td><td class=\"column-3\">73<\/td><td class=\"column-4\">10<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Palm oil<\/td><td class=\"column-2\">49<\/td><td class=\"column-3\">37<\/td><td class=\"column-4\">9<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Palm kernel oil<\/td><td class=\"column-2\">82<\/td><td class=\"column-3\">11<\/td><td class=\"column-4\">2<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">Lard<\/td><td class=\"column-2\">39<\/td><td class=\"column-3\">45<\/td><td class=\"column-4\">11<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\">Soybean oil<\/td><td class=\"column-2\">16<\/td><td class=\"column-3\">23<\/td><td class=\"column-4\">58<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\">Sunflower oil<\/td><td class=\"column-2\">10<\/td><td class=\"column-3\">84<\/td><td class=\"column-4\">4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<span id=\"tablepress-70-description\" class=\"tablepress-table-description tablepress-table-description-id-70\"><\/span>\n<!-- #tablepress-70 from cache --><\/p>\n\n\n\n<p><strong>Coconut oil: saturated fat with positive effects?<br><\/strong>Coconut oil is another plant-based source that contains a very high proportion of saturated fat (82%), but that, curiously, has gained a good reputation over the years. In fact, a recent survey reported that <a href=\"https:\/\/www.nytimes.com\/interactive\/2016\/07\/05\/upshot\/is-sushi-healthy-what-about-granola-where-americans-and-nutritionists-disagree.html?_r=0%20Y\" target=\"_blank\" rel=\"noopener noreferrer\">72% of Americans<\/a>&nbsp;consider coconut oil a \u201chealthy\u201d food! Two main characteristics of coconut oil, frequently mentioned in mainstream press, explain this popularity:<\/p>\n\n\n\n<p>1)&nbsp;<em>Population studies.<\/em>&nbsp;Epidemiological studies conducted among populations that consume large quantities of coconut, such as the inhabitants of Polynesian islands like <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cholesterol%2C+coconuts%2C+and+diet+on+Polynesian+atolls%3A+a+natural+experiment%3A+the+Pukapuka+and+Tokelau+Island+studies\" target=\"_blank\" rel=\"noopener noreferrer\">Tokelau<\/a>&nbsp;or those of the Melanesian island <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8450295\" target=\"_blank\" rel=\"noopener noreferrer\">Kitava<\/a>,&nbsp;revealed a low incidence of heart disease, despite a high intake of saturated fat from this fruit. It should be noted, however, that it is the coconut meat, very high in fibre, that is consumed by these populations, so the lack of effect on cardiovascular disease cannot be extrapolated to that associated with adding purified coconut oil to Western diets, which contain <a href=\"http:\/\/dcjournal.ca\/doi\/abs\/10.3148\/75.1.2014.15\" target=\"_blank\" rel=\"noopener noreferrer\">a large proportion of processed foods.<\/a><\/p>\n\n\n\n<p>2)&nbsp;<em>Impact on cholesterol.<\/em>&nbsp;The saturated fat in coconut oil has shorter chains than that found in palm oil or in butter, and, in theory, has less harmful effects on cholesterol levels. About half of saturated fat contained in coconut oil is in the form of lauric acid (12 carbon atoms), and studies show that the effect of this fatty acid on LDL cholesterol&nbsp;<a href=\"http:\/\/circ.ahajournals.org\/content\/136\/3\/e1.long\" target=\"_blank\" rel=\"noopener noreferrer\">is half that<\/a>&nbsp;of palmitic acid (16 carbon atoms). In practice, however, a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4892314\/\" target=\"_blank\" rel=\"noopener noreferrer\">systematic review<\/a>&nbsp;of the studies conducted to date indicates that coconut oil increases LDL cholesterol levels in a similar way to other sources of saturated fat (butter, palm oil) and in a more significant way than unsaturated fat, such as olive oil for example.<\/p>\n\n\n\n<p>Overall, these observations suggest that coconut oil is a source of saturated fat like any other, and that it should be used sparingly to prevent an increase in the risk of heart disease. For everyday cooking, virgin olive oil is a much better choice because of its <a href=\"http:\/\/observatoireprevention.org\/2016\/12\/01\/lhuile-dolive-lame-du-regime-mediterraneen-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">very well documented positive effects<\/a>&nbsp;on cardiovascular health. Among other plant-based oils, the use of canola oil is recommended, as it contains the highest proportion of omega-3 polyunsaturated fats, known for their anti-inflammatory effects.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Even though it is of plant origin, coconut oil is a source of saturated fat and should only be used occasionally to avoid an increased risk of cardiovascular disease.<\/p>\n","protected":false},"author":3,"featured_media":12757,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1578,1561,1552,1550,1570],"tags":[],"coauthors":[],"class_list":["post-13673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiovascular-diseases","category-cholesterol-en-2","category-fat","category-nutrition-en","category-risk-factors"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - 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