9 Myths About Dietary Fat and Cholesterol, Written by Juliet Kabila, MS, MD, on, 30th March 2020
For decades, people have avoided fat- and cholesterol-rich items, such as butter, nuts, egg yolks, and full fat dairy, instead opting for low fat substitutes like margarine, egg whites, and fat-free dairy in hopes of bettering their health and losing weight.
This is due to the misconception that eating foods rich in cholesterol and fat may increase your risk of various diseases.
While recent research has disproven this notion, myths surrounding dietary cholesterol and fat continue to dominate headlines, and many healthcare providers continue to recommend very low fat diets to the general public.
Here are 9 common myths about dietary fat and cholesterol that should be put to rest.
Many people assume that cholesterol-rich foods, including whole eggs, shellfish, organ meats, and full-fat dairy, are unhealthy. Yet, that’s not the case.
Though it’s true that some cholesterol-rich foods, such as ice cream, fried foods, and processed meat, should be limited in any healthy dietary pattern, most people don’t need to avoid nutritious, high cholesterol foods.
For example, egg yolks are high in cholesterol and also happen to be loaded with important vitamins and minerals, including B12, choline, and selenium, while high cholesterol full fat yogurt is packed with protein and calcium.
Additionally, just 1 ounce of cholesterol-rich raw liver (19 grams cooked) provides over 50% of the Reference Daily Intake for copper and vitamins A and B12..
What’s more, research has shown that consuming healthy, cholesterol-rich foods like eggs, fatty seafood, and full fat dairy may improve many aspects of health, which will be discussed later in this article.
Many cholesterol-rich foods are packed with nutrition. Foods rich in cholesterol, such as eggs and full fat dairy, can be included in well-rounded diets.
While the topic is still hotly debated among healthcare professionals, recent research has shown no consistent link between saturated fat intake and heart disease.
It’s true that saturated fat increases well-known heart disease risk factors, such as LDL (bad) cholesterol and apolipoprotein B.
However, saturated fat intake tends to increase the amount of large, fluffy LDL particles, but decrease the amount of smaller, denser LDL particles that are linked to heart disease.
Plus, research has demonstrated that certain types of saturated fat may increase heart-protective HDL cholesterol.
In fact, numerous large studies have found no consistent association between saturated fat intake and heart disease, heart attack, or heart-disease-related death.
Still, not all studies agree, and more well-designed studies are needed.
Remember that there are many types of saturated fats, all with different effects on health. Your diet as a whole — rather than the breakdown of your macronutrient intake — is most important when it comes to your overall health and disease risk.
Nutritious foods high in saturated fat like full fat yogurt, unsweetened coconut, cheese, and dark cuts of poultry can certainly be included in a healthy, well-rounded diet.
Although saturated fat intake increases the risk of certain heart disease risk factors, current research shows that it’s not significantly linked to heart disease development.
Pregnant women are often told that they should avoid high fat and cholesterol-rich foods during pregnancy. While many women think that following a low fat diet is best for their and their baby’s health, eating fat is essential during pregnancy.
In fact, the need for fat-soluble nutrients, including vitamin A and choline, as well as omega-3 fats, increases during pregnancy.
Additionally, the fetal brain, which is predominantly composed of fat, needs dietary fat to develop properly.
Docosahexaenoic acid (DHA), a type of fatty acid concentrated in fatty fish, plays critical roles in fetal brain and vision development, and low maternal blood levels of DHA may lead to impaired neurodevelopment in the fetus.
Certain fat-rich foods are also incredibly nutritious and provide nutrients vital to maternal and fetal health that are hard to find in other foods.
For example, egg yolks are particularly rich in choline, a vital nutrient for fetal brain and vision development. Moreover, full fat dairy products provide an excellent source of calcium and vitamin K2, both of which are essential for skeletal development.
Fat-rich foods are important for both fetal and maternal health. Healthy, fat-rich foods should be included in meals and snacks to promote a healthy pregnancy.
Many dietary patterns recommended for the treatment of type 2 and gestational diabetes are low in fat. This is due to the misconception that consuming dietary fat may increase diabetes risk.
Although consuming certain fat-rich foods, such as trans fat, fatty baked goods, and fast food, can indeed increase your risk of diabetes, research has shown that other high fat foods may offer protection against its development.
For example, fatty fish, full fat dairy, avocados, olive oil, and nuts are high fat foods that have all been shown to improve blood sugar and insulin levels and potentially protect against diabetes development.
While some evidence suggests that a greater intake of saturated fat may increase diabetes risk, more recent studies have found no significant association.
For example, a 2019 study in 2,139 people found no association between the consumption of animal- and plant-based fat or total fat and the risk of type 2 diabetes.
The most important factor in reducing your diabetes risk is the overall quality of your diet, not the breakdown of your macronutrient intake.
Fat-rich foods do not increase diabetes risk. In fact, certain fat-rich foods may help protect against the disease’s development.6. Margarine and omega-6-rich oils are healthier It’s often thought that consuming vegetable-oil-based products like margarine and canola oil in place of animal fats is better for health. However, based on the results of recent research, this is likely not the case.Margarine and certain vegetable oils, including canola and soybean oil, are high in omega-6 fats. Though both omega-6 and omega-3 fats are needed for health, modern-day diets tend to be much too high in omega-6 fats and too low in omega-3s.This imbalance between omega-6 and omega-3 fat intake has been linked to increased inflammation and the development of adverse health conditions.In fact, a higher omega-6 to omega-3 ratio has been associated with health conditions like mood disorders, obesity, insulin resistance, increased heart disease risk factors, and mental decline.Canola oil is used in many vegetable oil blends, butter substitutes, and low fat dressings. Although it’s marketed as a healthy oil, studies show that its intake may have harmful effects on many aspects of health.For example, studies in humans indicate that canola oil intake may be associated with increased inflammatory response and metabolic syndrome, which is a cluster of conditions that increases heart disease risk.Additionally, research observes that replacing saturated fat with omega-6 rich fats is unlikely to reduce heart disease and may even increase the risk of heart-disease-related mortality.
An imbalance between omega-6 and omega-3 fat intake has been linked to increased inflammation and the development of various health conditions. Thus, choosing fats high in omega-6 fats like canola oil and margarine may be detrimental to health.
High fat foods get a bad rap, and even highly nutritious fatty foods get lumped into the “bad foods” category.
This is unfortunate because many high fat foods are packed with vitamins, minerals, and antioxidants and can help you stay satisfied between meals, supporting a healthy body weight.
For example, full fat dairy, egg yolks, skin-on poultry, and coconut are high fat foods that are commonly shunned by people trying to lose weight or simply maintain health even though these foods contain nutrients the body needs to function optimally.
Of course, eating too much of any food, including the foods above, can derail weight loss. However, when they’re added to the diet in healthful ways, these high fat foods may help you reach and maintain a healthy weight while providing an important source of nutrients.
In fact, eating fat-rich foods like eggs, avocados, nuts, and full fat dairy may help boost weight loss by decreasing hunger-promoting hormones and increasing feelings of fullness.
Nutritious, high fat foods can be included as part of a healthy diet. High fat foods contain important nutrients that your body needs, and eating higher fat foods can promote feelings of fullness, keeping you satisfied.
If you walk around your local supermarket, chances are you’ll spot an abundance of fat-free products, including salad dressings, ice cream, milk, cookies, cheese, and potato chips.
These items are typically marketed to those looking to slash calories from their diet by choosing lower calorie foods.
While low fat foods might seem like a smart choice, these foods aren’t good for overall health. Unlike naturally fat-free foods, such as most fruits and veggies, processed fat-free foods contain ingredients that can negatively affect your body weight, metabolic health, and more.
Despite having fewer calories than their regular-fat counterparts, fat-free foods are typically much higher in added sugar. Consuming high amounts of added sugar has been associated with the progression of chronic conditions like heart disease, obesity, and diabetes.
Additionally, eating foods rich in added sugar may negatively affect certain hormones in your body, including leptin and insulin, causing you to consume more calories in general, which can ultimately lead to weight gain.
What’s more, many fat-free products contain preservatives, artificial food dyes, and other additives that many people prefer to avoid for health reasons. Plus, they’re not as satisfying as foods that contain fat.
Instead of trying to cut calories by choosing highly processed fat-free products, enjoy small amounts of whole, nutritious sources of fats at meals and snacks to promote overall health.
Processed fat-free foods are not a good choice for overall health. These foods are commonly high in added sugar and other unhealthy additives.
Dietary fat and cholesterol are often vilified by many health professionals, which has led many people to avoid high fat foods.
However, focusing on singular macronutrients rather than your overall diet is problematic and unrealistic.
While it’s true that certain high fat and high cholesterol foods, such as fast food and fried foods, should be restricted in any healthy diet, many nutritious fat-rich foods can and should be included in healthy, well-rounded dietary patterns.
It’s important to note that humans do not consume macronutrients like fats in isolation — they eat foods containing different types and ratios of macronutrients.
For this reason, your diet as a whole rather than your consumption of individual macronutrients is the most important factor in disease prevention and health promotion.