‘Limit saturated fat’ is no longer evidence-based advice

Limiting saturated fat intake has been recommended for decades as a way of lowering the risk for coronary heart disease. However, this recommendation needs to be revised following recent findings that saturated fat and carbohydrate confer the same risk for heart disease. Now the best advice is to replace saturated fat with unsaturated fat.

In the beginning: the Seven Countries Study

The Seven Countries Study shaped the thinking of a generation of nutritionists. In this famous study the diets in fifteen cohorts of subjects in seven countries were examined and the risk for various diseases was estimated over time. The most compelling finding was the positive association between dietary saturated fat and the risk for coronary heart disease – the lower the intake of saturated fat, the lower the risk for heart disease.

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Seven problems with the Dietary Guidelines

The draft Australian Dietary Guidelines were recently put out for consultation and after a four-year gestation we might have expected a highly polished report, clearly communicating the latest evidence-based nutrition. The reality was very different. The draft Australian Dietary Guidelines report was a very strange document with nutrition science jostling awkwardly with motherhood and ideology. Some important areas of the nutrition literature were reviewed in great depth, but others were not reviewed at all and significant shifts in the science were missed. The translation of the findings of literature reviews into dietary advice appeared to be compromised in two ways – by a conservatism that didn’t want to see change to long-standing messages about diet and health and an activism for change driven by environmental concerns, not by nutrition science.

As a result the Guidelines fall short scientifically in seven areas. These are reviewed below and will be considered in more depth in the weeks ahead.

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