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CONTROLLING WEIGHT AND CHOLESTEROL: FAT INTAKE
In countries such as the U.K., where heart attack is common, two fifths of the body’s food energy is derived from fat. In the Far East, where the disease is rare, the figure is nearer one tenth. The prudent diet lies between these extremes. We should get about one third of our energy (28-30 per cent) from fats. And we should eat more vegetables, fruit, and whole-grain foods such as cereals and whole-meal bread, more fish and more of the leaner kinds of meat. This maintains our intake of protein and increases the amount of carbohydrate and of fibre. This is very much a ‘natural’ diet; in the U.K. this used to be the food pattern after the Second World War and in the earlier part of the twentieth century. In the U.S.A., too, fat only provided about one third of the energy intake until about 1920. More important, this is still the diet of millions of people in many Mediterranean countries. In the West many of us would find a diet unpalatable if it provided less than 20 per cent of its energy as fat.
The main feature of the prudent diet is that it is low in saturated fat. In countries where heart attack is common we get around one fifth of our food energy from saturated fat. The prudent intake is about half as much. These amounts to saying that we should get used to more of the kinds of food eaten in those Mediterranean countries where people get 8 to 9 per cent of their energy from saturated fat. This is no hardship! Think of a cuisine including such dishes as bouillabaisse, soupe au pistou, cottage cheese cannelloni, seafood pilafs, dolmades, kebabs, tuna nicoise, sorbet, halva and baklava.
So the key to the prudent diet is restriction of saturated fats, with a modest reduction in total fat intake. This means that we will also get less cholesterol in our food. A higher proportion of food fats will be the mono- and polyunsaturated kinds. We need these to make food palatable to western tastes; the ‘mono’ fats do not raise blood-cholesterol levels while ‘poly’ fats have a cholesterol-lowering effect.
‘Mono’ fats are present in many foods, and in many westernized countries we eat roughly equal amounts of ‘mono’ fats and saturated fats. Where olives and olive oil are important foods, the proportion of ‘mono’ fats is much higher.
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