Addiction Commonality
Alcohol, Opiates, Fat and Sugar are all Addictive Substances: this blog is about that "addiction sameness".
Butter Pig Family
* A butter sculpture of a sow and her piglets
Thursday, January 17, 2019
Wednesday, January 9, 2019
Reversing Type 2 diabetes - Dr. Sarah Hallberg
Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU
Can a person be "cured" of Type 2 Diabetes? Dr. Sarah Hallberg provides
compelling evidence that it can, and the solution is simpler than you
might think.
Dr. Sarah Hallberg is the Medical Director of the Medically Supervised
Weight Loss Program at IU Health Arnett, a program she created.
Weight Loss Program at IU Health Arnett, a program she created.
She is
board certified in both obesity medicine and internal medicine and has a
Master’s Degree in Exercise Physiology.
board certified in both obesity medicine and internal medicine and has a
Master’s Degree in Exercise Physiology.
She has recently created what
is only the second non-surgical weight loss rotation in the country for
medical students.
is only the second non-surgical weight loss rotation in the country for
medical students.
Her program has consistently exceeded national
benchmarks for weight loss, and has been highly successful in reversing
diabetes and other metabolic diseases.
benchmarks for weight loss, and has been highly successful in reversing
diabetes and other metabolic diseases.
Dr. Hallberg is also the
co-author of www.fitteru.us, a blog about health and wellness.
B.S., Kinesiology and Exercise Science, Illinois State University,
1994
M.S., Kinesiology and Exercise Science, Illinois State University,
1996
M.D., Des Moines University, 2002
co-author of www.fitteru.us, a blog about health and wellness.
B.S., Kinesiology and Exercise Science, Illinois State University,
1994
M.S., Kinesiology and Exercise Science, Illinois State University,
1996
M.D., Des Moines University, 2002
This talk was given at a TEDx event using the TED conference format but
independently organized by a local community. Learn more at http://ted.com/tedx
independently organized by a local community. Learn more at http://ted.com/tedx
A Guide to the Different Types of Fat
A Guide to the Different Types of Fat
Fat is an important nutrient in our
diets, but there’s a lot of talk of different types of fats, and whether
these types are beneficial or harmful to our health. These different
fat classifications have their roots in chemistry – and chemistry can
also help explain their effects. This graphic takes a look at the
different classifications, their sources, and briefly about how they act
in our body.
Firstly, it’s worth emphasising that fat
has an important role to play in a balanced diet. The fat in our diets
is a source of some ‘fatty acids’ that are termed ‘essential’: that is,
the body is unable to make them itself, and relies on our diets as their
source. They’re required because they help the body absorb vitamins
that are fat-soluble. We’ve looked at vitamins before in a previous post
– the vitamins that fats help to absorb are vitamins A, D, E and K.
Additionally, fats help provide us with energy, and they are also
important for a variety of functions in the body.
Fats also play an important role in the
body with respect to cholesterol. Cholesterol is a substance we produce
in our livers, and it is also present in some foods. Animal cells
require cholesterol to maintain their cell membranes, and it’s
transported in the blood by lipoproteins. There are a number of types of
these proteins, but the carriers we’re mainly interested in when
discussing fats are low density lipoproteins (LDL) and high density
lipoproteins (HDL).
Discussion of LDL and HDL is often
simplified to referring to them as ‘bad’ and ‘good’ cholesterol
respectively. However, despite this perhaps over-simplified
nomenclature, both are required; it’s the levels of each that are
important. Cholesterol is still the same molecule in both cases, it’s
merely the carrier that differs. LDL are the main cholesterol carriers
in the bloodstream, but if their levels become too high, they can
collect in the walls of blood vessels. As such, it’s generally thought
that higher LDL levels are associated with detrimental health effects.
HDL, on the other hand, helps transport cholesterol back to the liver,
and as such higher HDL levels (as a percentage of total blood
cholesterol) have been correlated with better health. Different fats can
affect LDL and HDL in different ways.
So how do we distinguish between the
different types of fat? Dietary fat comes primarily in the form of
triglycerides. These are large molecules, consisting of a backbone based
on the molecule glycerol, to which three different fatty acid chains
are attached. Those with some chemistry knowledge will know that, in
chemistry, we also refer to fatty acids as carboxylic acids. The
chemical identities of these fatty acids is variable – in a particular
triglyceride, it’s common for the three fatty acids to all be different.
It’s the chemical identities of the fatty
acids that make up a triglyceride that we’re discussing when we talk
about types of fat. There are four types we’ll discuss here: saturated
fat, monounsaturated fat, polyunsaturated fat, and trans fat. Though the
focus of this graphic is primarily on the differences in chemical
structure and sources, I’ll also briefly discuss what we know about how
they act in the body.
Saturated Fat
Fatty acids which contain no
carbon-carbon double bonds are referred to as saturated fats. This type
of fat is found in foods including meats, cheeses, dairy products,
cakes, and chocolate. For a long time, saturated fats were the bad guys
of the fat world – government guidelines recommended keeping their
intake to a minimum, and high dietary saturated fat intake was
associated with increased risk of coronary heart disease. Saturated fats
do increase the levels of LDL in the bloodstream, so this seemed like a
sensible suggestion.
However, in recent years, the assumption
that saturated fat is unquestionably bad for you has been challenged.
The original study that prompted the guidance of many of the world’s
governments has been criticised for scientific flaws. Today, it remains unclear how big a factor saturated fat is with respect to heart disease.
Monounsaturated Fat
Fatty acids which contain, at some point
in their chemical structure, one carbon-carbon double bond are known as
monounsaturated fats. They are found in high levels in red meat, nuts,
high fat fruits such as avocados, and olive oil. Unlike saturated fats,
they lower the levels of LDL in the blood, whilst maintaining HDL
levels. As such, they improve the HDL to total blood cholesterol ratio
in favour of HDL, and they’re thought to be beneficial to health.
Polyunsaturated Fat
Fatty acids which contain a number of
carbon-carbon double bonds within their chemical structure are known as
polyunsaturated fats. Two commonly mentioned subtypes are omega-6 and
omega-3 polyunsaturated
fats. The number in these subtype names refers to the position of the
final carbon-carbon double bond in the fatty acid’s structure. This
number is counted from the final carbon at the end of the hydrocarbon
chain.
Polyunsaturated fats are found in
significant levels in fish, walnuts, seeds including sunflower seeds and
sesame seeds, and are also present to a degree in some meats. Much like
monounsaturated fats, they lower blood levels of LDL, and as such are
similarly considered to be beneficial to health.
Trans Fat
The final category of fats, trans fat, is
one that’s primarily introduced artificially into foods. Though trans
fats are found at low levels in a small number of foods completely
naturally, more often they’re introduced to oils via a process known as
hydrogenation.
Hydrogenation involves the reaction of
oils with hydrogen. This removes double bonds from polyunsaturated fats,
converting them into single bonds. The process can convert liquid oils
into solid, saturated, ‘hydrogenated’ fats if the hydrogenation is run
to completion. However, trans fats can be produced when the
hydrogenation is only partial.
Trans fats are so called because they
still contain double bonds, but in a different orientation to that
usually seen in fats found in nature. Those usually have their double
bonds arranged in a cis configuration; in trans fats, they are in the trans configuration. This is a little difficult to explain in words, but there’s an old post on isomerism here which succinctly explains the difference.
Trans fats occur naturally in the milk
and body fat of cattle and sheep. However, the partially hydrogenated
oils used in the production of fast food, cakes, and shortenings have
increased our intake of trans fat. These trans fats tend to raise levels
of LDL in the blood, and have been associated with a cardiovascular
health risk, to the point where their introduction into foods has been
banned in a number of countries. Denmark has already eliminated
commercial sources of trans fat, and in the US the FDA has recently followed suit, giving manufacturers 3 years to remove added trans fats from their products.
So which fat is best?
This is really a question that’s tough
to answer. However, at the very least, we can say which type of fat is
worst. Trans fat is clearly a type of fat that should be avoided where
possible, due to its positive associations with the development of heart
disease. The evidence on saturated fats is currently still conflicted,
though it seems that they may not be as big a contributor to heart
disease as was previously thought. Monounsaturated and polyunsaturated
fats, on the other hand, have been associated with some health benefits
as part of a balanced diet. I suppose the big take-away is that the
different types of fat aren’t created equal; they all induce slightly
different responses in the body, in ways we still don’t completely
understand.
*********************************************************************************
The graphic in this article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Want to share it elsewhere? See the site’s content usage guidelines.
References and Further Reading
Reappraisal of SFA & cardiovascular risk – T A Sanders
Comparison of effects of dietary fatty acids on lipoproteins in man – F H Mattson & S M Grundy
Trans fats in America: use, consumption, health implications & regulation – V Remig & others
Fats & fatty acids – Chemistry Explained
Trans fats & effects on coronary heart disease in Iran – D Mozaffarian
The truth about fats: the good, the bad, and the inbetween – Harvard Health Publications
Cholesterol and lipoproteins – Heart UK
Lifting the ban on total dietary fat – D Mozaffarian & D S Ludwig
August 25th, 2015
Subscribe to:
Posts (Atom)