Grundy S M
University of Texas Southwestern Medical Center, Dallas, USA.
Am J Clin Nutr. 1997 Oct;66(4 Suppl):988S-990S. doi: 10.1093/ajcn/66.4.988S.
By reducing intakes of animal fats and gradually reducing intakes of trans fatty acids, a one-third reduction in cholesterol-raising fatty acids seems practical, from 12% to 7-8% of total energy intake. The intake of polyunsaturated fatty acids should not exceed current intakes, approximately 7% of total energy. Although further research is needed to determine a recommended ratio of oleic acid to carbohydrates, on the basis of the relatively low rates of coronary artery disease and cancer in both the Mediterranean region (where oleic acid intake is high at the expense of carbohydrates) and in populations consuming low-fat, high-carbohydrate diets, a reasonable compromise is a diet in which total fat is approximately 30% of energy, allowing for an intake of oleic acid of 15-16% of total energy.
通过减少动物脂肪的摄入量并逐步降低反式脂肪酸的摄入量,将升高胆固醇的脂肪酸摄入量降低三分之一似乎是可行的,即从总能量摄入的12%降至7-8%。多不饱和脂肪酸的摄入量不应超过目前的摄入量,约占总能量的7%。尽管需要进一步研究来确定油酸与碳水化合物的推荐比例,但基于地中海地区(以牺牲碳水化合物为代价,油酸摄入量较高)和食用低脂、高碳水化合物饮食的人群中相对较低的冠状动脉疾病和癌症发病率,一个合理的折衷方案是总脂肪约占能量的30%的饮食,这样油酸的摄入量可占总能量的15-16%。