The nutritional properties of palm oil - Soci

23
The nutritional properties of palm oil Professor Tom Sanders Nutritional Sciences Division King’s College London

Transcript of The nutritional properties of palm oil - Soci

Page 1: The nutritional properties of palm oil - Soci

The nutritional properties of palm oilProfessor Tom SandersNutritional Sciences Division

King’s College London

Page 2: The nutritional properties of palm oil - Soci

Palm Tree and Fruit

Page 3: The nutritional properties of palm oil - Soci
Page 4: The nutritional properties of palm oil - Soci

Palm oil

• Palm (mesocarp) oil – Crude palm oil – high beta-carotene

• Refined palm oil – low in beta-carotene– Palmolein – Super palmolein

– Palm kernel oil • High in medium chain fatty acids

Page 5: The nutritional properties of palm oil - Soci

Palm oil and fractions

Page 6: The nutritional properties of palm oil - Soci

6

Systematic Reviews(Meta-analysis)

Systematic Reviews(Meta-analysis)

Randomized Controlled TrialsRandomized Controlled Trials

Other Controlled TrialsOther Controlled Trials

Prospective Cohort studiesProspective Cohort studies

Case – Control studiesCase – Control studies

HighHigh

LowLow

Leve

l of E

v id e

n ce

L eve

l of E

v id e

n ce

Hierarchy in Scientific EvidenceHierarchy in Scientific Evidence

Prevalence studiesPrevalence studies

Ecological studiesEcological studies

Animal studiesAnimal studies

Page 7: The nutritional properties of palm oil - Soci

7

Page 8: The nutritional properties of palm oil - Soci

Blood lipid metrics of risk of CHD

8

Prospective Studies Collaboration. Lancet 2007;9602:1829-1839

Page 9: The nutritional properties of palm oil - Soci

Copyright ©2003 The American Society for Nutrition

Mensink, R. P et al. Am J Clin Nutr 2003;77:1146-1155

Predicted changes (∆) in the ratio of serum total to HDL cholesterol and in LDL- and HDL-cholesterol concentrations when carbohydrates constituting 1% of energy are replaced

isoenergetically with saturated, cis monounsaturated, cis polyunsaturated, or trans monounsaturated fatty acids

Page 10: The nutritional properties of palm oil - Soci

10Copyright ©2003 The American Society for Nutrition

Mensink, R. P et al. Am J Clin Nutr 2003;77:1146-1155

Predicted changes in the ratio of serum total to HDL cholesterol and in LDL- and HDL-cholesterol concentrations when carbohydrates constituting 1% of energy are replaced isoenergetically with lauric acid

(12:0), myristic acid (14:0), palmitic acid (16:0), or stearic acid (18:0)

Page 11: The nutritional properties of palm oil - Soci

Copyright ©2003 The American Society for Nutrition

Mensink, R. P et al. Am J Clin Nutr 2003;77:1146-1155

Predicted changes (∆) in the ratio of serum total to HDL cholesterol when mixed fat constituting 10% of energy in the "average" US diet is replaced isoenergetically with a particular fat or with

carbohydrates

Page 12: The nutritional properties of palm oil - Soci

12

Effect on risk of CHD events of replacing 5% energy saturated fatty acids from pooled

analysis of 11 cohort studies

Jakobsen M et al. Am J Clin Nutr 2009;89:1-8.

Page 13: The nutritional properties of palm oil - Soci

13

Page 14: The nutritional properties of palm oil - Soci

14

Meta-analysis of trans fatty acids on risk of CHD events

Page 15: The nutritional properties of palm oil - Soci

15

Replacing 2% trans fatty acids with saturated or unsaturated fatty acids reduces risk of CHD

WHO/FAO 2009

Page 16: The nutritional properties of palm oil - Soci

The technical need for high melting point fats

• Bakery products

• Spreads

16

Page 17: The nutritional properties of palm oil - Soci

Sources of high melting point fats

• Animal fats – lard/butter/ suet (cholesterol, trans in ruminant fats)

• Partially hydrogenated vegetable oils (trans 15-50% fatty acids)

• Fully hydrogenated and inter-esterified vegetable oils (low trans, high stearic acid rich, but not clean label)

• Palm oil fractions

17

Page 18: The nutritional properties of palm oil - Soci

Copyright ©1997 American Society for Nutrition

Zhang, J. et al. J. Nutr. 1997;127:509S

Comparison of palm oil (PA), soybean oil (SO)peanut oil (PE) and lard (LA) on plasma lipids

Palm

Lard

Page 19: The nutritional properties of palm oil - Soci

19

Palm oil vs Lard

0%10%20%30%40%50%60%70%80%90%

100%

Palm oil Lard

PUFAMUFASaturated

The fats differ mainly by the position of saturated fatty acids.

In palm oil they are in the sn-1 and sn-3 position whereas in lard they are in the sn-2 position

Page 20: The nutritional properties of palm oil - Soci

20

Palmitic

G

L

Y

C

E

R

O

L

Palm oil

Oleic/Linoleic

Palmitoleic

Page 21: The nutritional properties of palm oil - Soci

21

The sn-2 hypothesis

• “The adverse health effects of animal sources of saturated fatty acids are a consequence of the high proportion of saturated fatty acids in the sn-2 position”

Page 22: The nutritional properties of palm oil - Soci

Comparisons of palm olein with partial hydrogenated soybean oil and fully hardened (PHSO and interesterified

soybean oil (IE) on plasma total cholesterol (TC), HDL cholesterol (HDL-C) and the TC/HDL ratio

22

P=0.001

Sundram et al. Nutrition & Metabolism 2007, 4:3doi:10.1186/1743-7075-4-3

Page 23: The nutritional properties of palm oil - Soci

Summary of effects of palm oil on blood lipids and risk of CHD

• The blood cholesterol raising effects of palm oil fractions are lower than predicted from their fatty acid composition

• Palm oil fractions increase HDL cholesterol compared with carbohydrate or trans fatty acids

• The effects of replacing 5% energy as palm oil in the diet is unlikely to influence risk of CHD

23