Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Reformulating partially hydrogenated vegetable oils to maximise health gains in India: is it feasible and will it meet consumer demand?

Authors: Shauna M Downs, Vidhu Gupta, Suparna Ghosh-Jerath, Karen Lock, Anne Marie Thow, Archna Singh

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

The consumption of partially hydrogenated vegetable oils (PHVOs) high in trans fat is associated with an increased risk of cardiovascular disease and other non-communicable diseases. In response to high intakes of PHVOs, the Indian government has proposed regulation to set limits on the amount of trans fat permissible in PHVOs. Global recommendations are to replace PHVOs with polyunsaturated fatty acids (PUFAs) in order to optimise health benefits; however, little is known about the practicalities of implementation in low-income settings. The aim of this study was to examine the technical and economic feasibility of reducing trans fat in PHVOs and reformulating it using healthier fats.

Methods

Thirteen semi-structured interviews were conducted with manufacturers and technical experts of PHVOs in India. Data were open-coded and organised according to key themes.

Results

Interviewees indicated that reformulating PHVOs was both economically and technically feasible provided that trans fat regulation takes account of the food technology challenges associated with product reformulation. However, there will be challenges in maintaining the physical properties that consumers prefer while reducing the trans fat in PHVOs. The availability of input oils was not seen to be a problem because of the low cost and high availability of imported palm oil, which was the input oil of choice for industry. Most interviewees were not concerned about the potential increase in saturated fat associated with increased use of palm oil and were not planning to use PUFAs in product reformulation. Interviewees indicated that many smaller manufacturers would not have sufficient capacity to reformulate products to reduce trans fat.

Conclusions

Reformulating PHVOs to reduce trans fat in India is feasible; however, a collision course exists where the public health goal to replace PHVOs with PUFA are opposed to the goals of industry to produce a cheap alternative product that meets consumer preferences. Ensuring that product reformulation is done in a way that maximises health benefits will require shifts in knowledge and subsequent demand of products, decreased reliance on palm oil, investment in research and development and increased capacity for smaller manufacturers.
Literature
1.
go back to reference Mozaffarian D, Clarke R: Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr. 2009, 63: S22-S33.CrossRefPubMed Mozaffarian D, Clarke R: Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr. 2009, 63: S22-S33.CrossRefPubMed
2.
go back to reference Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC: Trans fatty acids and cardiovascular disease. N Engl J Med. 2006, 354: 1601-1613. 10.1056/NEJMra054035.CrossRefPubMed Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC: Trans fatty acids and cardiovascular disease. N Engl J Med. 2006, 354: 1601-1613. 10.1056/NEJMra054035.CrossRefPubMed
3.
go back to reference Teegala SM, Willett WC, Mozaffarian D: Consumption and health effects of trans fatty acids: a review. Journal of Aoac International. 2009, 92: 1250-1257.PubMed Teegala SM, Willett WC, Mozaffarian D: Consumption and health effects of trans fatty acids: a review. Journal of Aoac International. 2009, 92: 1250-1257.PubMed
4.
go back to reference Micha R, Mozaffarian D: Trans fatty acids: Effects on cardiometabolic health and implications for policy. Prostaglandins Leukot Essent Fatty Acids. 2008, 79: 147-152. 10.1016/j.plefa.2008.09.008.CrossRefPubMedPubMedCentral Micha R, Mozaffarian D: Trans fatty acids: Effects on cardiometabolic health and implications for policy. Prostaglandins Leukot Essent Fatty Acids. 2008, 79: 147-152. 10.1016/j.plefa.2008.09.008.CrossRefPubMedPubMedCentral
7.
go back to reference L’Abbe MR, Stender S, Skeaff M, Ghafoorunissa , Tavella M: Approaches to removing trans fats from the food supply in industrialized and developing countries. Eur J Clin Nutr. 2009, 63: S50-S67.CrossRef L’Abbe MR, Stender S, Skeaff M, Ghafoorunissa , Tavella M: Approaches to removing trans fats from the food supply in industrialized and developing countries. Eur J Clin Nutr. 2009, 63: S50-S67.CrossRef
8.
go back to reference Downs S, Thow AM, Ghosh-Jerath S, McNab J, Reddy KS, Leeder SR: From Denmark to Delhi: the multisectoral challenge of regulating trans fat in India. Public Health Nutr. 2012, 10.1017/S1368980012004995 Downs S, Thow AM, Ghosh-Jerath S, McNab J, Reddy KS, Leeder SR: From Denmark to Delhi: the multisectoral challenge of regulating trans fat in India. Public Health Nutr. 2012, 10.1017/S1368980012004995
9.
go back to reference Food Safety and Standards Authority of India: Regulation of trans fatty acids in partially hydrogenated vegetable oils. 2010, Delhi: Ministry of Health and Family Welfare, Food Safety and Standards Authority of India Food Safety and Standards Authority of India: Regulation of trans fatty acids in partially hydrogenated vegetable oils. 2010, Delhi: Ministry of Health and Family Welfare, Food Safety and Standards Authority of India
11.
go back to reference The Vanaspati IndustryViewpoint: Trans Fat Consumption in India. 2009, India: Delhi The Vanaspati IndustryViewpoint: Trans Fat Consumption in India. 2009, India: Delhi
12.
go back to reference Downs SM, Thow AM, Leeder SR: The impact of policies for reducing trans fat: a systematic review of the existing evidence. WHO Bulletin. in press Downs SM, Thow AM, Leeder SR: The impact of policies for reducing trans fat: a systematic review of the existing evidence. WHO Bulletin. in press
13.
go back to reference Ratnayake WMN, L’Abbe MR, Mozaffarian D: Nationwide product reformulations to reduce trans fatty acids in Canada: when trans fat goes out, what goes in?. Eur J Clin Nutr. 2009, 63: 808-811. 10.1038/ejcn.2008.39.CrossRefPubMed Ratnayake WMN, L’Abbe MR, Mozaffarian D: Nationwide product reformulations to reduce trans fatty acids in Canada: when trans fat goes out, what goes in?. Eur J Clin Nutr. 2009, 63: 808-811. 10.1038/ejcn.2008.39.CrossRefPubMed
14.
go back to reference Mozaffarian D, Jacobson MF, Greenstein JS: Food reformulations to reduce trans fatty acids. New England Journal of Medicine. 2010, 362: 2037-2039. 10.1056/NEJMc1001841.CrossRefPubMed Mozaffarian D, Jacobson MF, Greenstein JS: Food reformulations to reduce trans fatty acids. New England Journal of Medicine. 2010, 362: 2037-2039. 10.1056/NEJMc1001841.CrossRefPubMed
15.
go back to reference Leth T, Jensen HG, Mikkelsen AÆ, Bysted A: The effect of the regulation on trans fatty acid content in Danish food. Atherosclerosis supplements. 2006, 7: 53-56.CrossRefPubMed Leth T, Jensen HG, Mikkelsen AÆ, Bysted A: The effect of the regulation on trans fatty acid content in Danish food. Atherosclerosis supplements. 2006, 7: 53-56.CrossRefPubMed
16.
go back to reference Flickinger BD, Huth PJ: Dietary fats and oils: technologies for improving cardiovascular health. Current atherosclerosis reports. 2004, 6: 468-476. 10.1007/s11883-004-0088-4.CrossRefPubMed Flickinger BD, Huth PJ: Dietary fats and oils: technologies for improving cardiovascular health. Current atherosclerosis reports. 2004, 6: 468-476. 10.1007/s11883-004-0088-4.CrossRefPubMed
17.
go back to reference Asif M: Process advantages and product benefits of interesterification in oils and fats. International Journal of Nutrition, Pharmacology, Neurological Diseases. 2011, 1: 134-138. 10.4103/2231-0738.84203.CrossRef Asif M: Process advantages and product benefits of interesterification in oils and fats. International Journal of Nutrition, Pharmacology, Neurological Diseases. 2011, 1: 134-138. 10.4103/2231-0738.84203.CrossRef
18.
go back to reference Eckel RH, Borra S, Lichtenstein AH, Yin-Piazza SY: Understanding the complexity of trans fatty acid reduction in the American diet - American heart association trans fat conference 2006 - Report of the trans fat conference planning group. Circulation. 2007, 115: 2231-2246. 10.1161/CIRCULATIONAHA.106.181947.CrossRefPubMed Eckel RH, Borra S, Lichtenstein AH, Yin-Piazza SY: Understanding the complexity of trans fatty acid reduction in the American diet - American heart association trans fat conference 2006 - Report of the trans fat conference planning group. Circulation. 2007, 115: 2231-2246. 10.1161/CIRCULATIONAHA.106.181947.CrossRefPubMed
19.
go back to reference Dhaka V, Gulia N, Ahlawat KS, Khatkar BS: Trans fats-sources, health risks and alternative approach - a review. Journal of Food Science and Technology-Mysore. 2011, 48: 534-541. 10.1007/s13197-010-0225-8.CrossRef Dhaka V, Gulia N, Ahlawat KS, Khatkar BS: Trans fats-sources, health risks and alternative approach - a review. Journal of Food Science and Technology-Mysore. 2011, 48: 534-541. 10.1007/s13197-010-0225-8.CrossRef
20.
go back to reference Skeaff CM: Feasibility of recommending certain replacement or alternative fats. Eur J Clin Nutr. 2009, 63: S34-S49.CrossRefPubMed Skeaff CM: Feasibility of recommending certain replacement or alternative fats. Eur J Clin Nutr. 2009, 63: S34-S49.CrossRefPubMed
21.
go back to reference Bell E: Research For Health Policy United States: Oxford University Press. 2010 Bell E: Research For Health Policy United States: Oxford University Press. 2010
22.
go back to reference Snowdon W, Potter JL, Swinburn B, Schultz J, Lawrence M: Prioritizing policy interventions to improve diets? Will it work, can it happen, will it do harm?. Health promotion international. 2010, 25: 123-133. 10.1093/heapro/daq003.CrossRefPubMedPubMedCentral Snowdon W, Potter JL, Swinburn B, Schultz J, Lawrence M: Prioritizing policy interventions to improve diets? Will it work, can it happen, will it do harm?. Health promotion international. 2010, 25: 123-133. 10.1093/heapro/daq003.CrossRefPubMedPubMedCentral
23.
go back to reference Mozaffarian D, Micha R, Wallace S: Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS medicine. 2010, 7: e1000252-10.1371/journal.pmed.1000252.CrossRefPubMedPubMedCentral Mozaffarian D, Micha R, Wallace S: Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS medicine. 2010, 7: e1000252-10.1371/journal.pmed.1000252.CrossRefPubMedPubMedCentral
24.
go back to reference Uusitalo U, Feskens EJ, Tuomilehto J, Dowse G, Haw U, Fareed D, Hemraj F, Gareeboo H, Alberti KG, Zimmet P: Fall in total cholesterol concentration over five years in association with changes in fatty acid composition of cooking oil in Mauritius: cross sectional survey. BMJ. 1996, 313: 1044-1046. 10.1136/bmj.313.7064.1044.CrossRefPubMedPubMedCentral Uusitalo U, Feskens EJ, Tuomilehto J, Dowse G, Haw U, Fareed D, Hemraj F, Gareeboo H, Alberti KG, Zimmet P: Fall in total cholesterol concentration over five years in association with changes in fatty acid composition of cooking oil in Mauritius: cross sectional survey. BMJ. 1996, 313: 1044-1046. 10.1136/bmj.313.7064.1044.CrossRefPubMedPubMedCentral
25.
go back to reference Chen BK, Seligman B, Farquhar JW, Goldhaber-Fiebert JD: Multi-Country analysis of palm oil consumption and cardiovascular disease mortality for countries at different stages of economic development: 1980–1997. Global Health. 2011, 7: 45-10.1186/1744-8603-7-45.CrossRefPubMedPubMedCentral Chen BK, Seligman B, Farquhar JW, Goldhaber-Fiebert JD: Multi-Country analysis of palm oil consumption and cardiovascular disease mortality for countries at different stages of economic development: 1980–1997. Global Health. 2011, 7: 45-10.1186/1744-8603-7-45.CrossRefPubMedPubMedCentral
26.
go back to reference Mensink RP, Zock PL, Kester AD, Katan MB: Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003, 77: 1146-1155.PubMed Mensink RP, Zock PL, Kester AD, Katan MB: Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003, 77: 1146-1155.PubMed
27.
go back to reference Kabagambe EK, Baylin A, Ascherio A, Campos H: The type of oil used for cooking is associated with the risk of nonfatal acute myocardial infarction in Costa Rica. Journal of Nutrition. 2005, 135: 2674-2679.PubMed Kabagambe EK, Baylin A, Ascherio A, Campos H: The type of oil used for cooking is associated with the risk of nonfatal acute myocardial infarction in Costa Rica. Journal of Nutrition. 2005, 135: 2674-2679.PubMed
28.
go back to reference Clarke R, Frost C, Collins R, Appleby P, Peto R: Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ. 1997, 314: 112-117. 10.1136/bmj.314.7074.112.CrossRefPubMedPubMedCentral Clarke R, Frost C, Collins R, Appleby P, Peto R: Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ. 1997, 314: 112-117. 10.1136/bmj.314.7074.112.CrossRefPubMedPubMedCentral
29.
go back to reference Scott-Thomas C: French palm oil tax could increase trans fat consumption, says MPOC. FoodNavigatorcom. 2012, France: Montpellier Scott-Thomas C: French palm oil tax could increase trans fat consumption, says MPOC. FoodNavigatorcom. 2012, France: Montpellier
30.
go back to reference Addy R: Palm oil-free may be an emerging trend. FoodNavigatorcom. 2012, France: Montpellier Addy R: Palm oil-free may be an emerging trend. FoodNavigatorcom. 2012, France: Montpellier
31.
go back to reference Centre for Science in the Public Interest: Cruel oil: how palm oil harms health, rainforest & wildlife. 2005, Washington DC: Centre for Science in the Public Interest Centre for Science in the Public Interest: Cruel oil: how palm oil harms health, rainforest & wildlife. 2005, Washington DC: Centre for Science in the Public Interest
32.
go back to reference Monge-Rojas R, Colón-Ramos U, Jacoby E, Mozaffarian D: Voluntary reduction of trans-fatty acids in Latin America and the Caribbean: current situation. Rev Panam Salud Publica. 2011, 2011 (29): 126-129.CrossRef Monge-Rojas R, Colón-Ramos U, Jacoby E, Mozaffarian D: Voluntary reduction of trans-fatty acids in Latin America and the Caribbean: current situation. Rev Panam Salud Publica. 2011, 2011 (29): 126-129.CrossRef
33.
go back to reference Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, Prabhakaran D, Reddy KS: Dietary intake and rural–urban migration in India: a cross-sectional study. PLoS One. 2011, 6: e14822-10.1371/journal.pone.0014822.CrossRefPubMedPubMedCentral Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, Prabhakaran D, Reddy KS: Dietary intake and rural–urban migration in India: a cross-sectional study. PLoS One. 2011, 6: e14822-10.1371/journal.pone.0014822.CrossRefPubMedPubMedCentral
34.
go back to reference Petrauskaitea V, Greyta WD, Kellensb M, Huyghebaerta A: Physical and chemical properties of trans-free fats produced by chemical interesterification of vegetable Oil blends. JAOCS. 1998, 75: 489-493. Petrauskaitea V, Greyta WD, Kellensb M, Huyghebaerta A: Physical and chemical properties of trans-free fats produced by chemical interesterification of vegetable Oil blends. JAOCS. 1998, 75: 489-493.
35.
go back to reference Upritchard JE, Zeelenberg MJ, Huizinga H, Verschuren PM, Trautwein EA: Modern fat technology: what is the potential for heart health?. Proc Nutr Soc. 2005, 64: 379-386. 10.1079/PNS2005446.CrossRefPubMed Upritchard JE, Zeelenberg MJ, Huizinga H, Verschuren PM, Trautwein EA: Modern fat technology: what is the potential for heart health?. Proc Nutr Soc. 2005, 64: 379-386. 10.1079/PNS2005446.CrossRefPubMed
36.
go back to reference Heller L: Cargill expands high oleic canola line. FoodNavigatorcom. 2007, France: Montpellier Heller L: Cargill expands high oleic canola line. FoodNavigatorcom. 2007, France: Montpellier
37.
go back to reference Farmani J, Safari M, Hamedi M: Application of palm olein in the production of zero-trans Iranian vanaspati through enzymatic interesterification. Eur J Lipid Sci Technol. 2006, 108: 636-643. 10.1002/ejlt.200600025.CrossRef Farmani J, Safari M, Hamedi M: Application of palm olein in the production of zero-trans Iranian vanaspati through enzymatic interesterification. Eur J Lipid Sci Technol. 2006, 108: 636-643. 10.1002/ejlt.200600025.CrossRef
38.
39.
go back to reference Camp DV, Hooker NH, Li C-TJ: Changes in fat content of US snack foods in response to mandatory trans fat labelling. Public Health Nutr. 2012, 15: 1130-1137. 10.1017/S1368980012000079.CrossRefPubMed Camp DV, Hooker NH, Li C-TJ: Changes in fat content of US snack foods in response to mandatory trans fat labelling. Public Health Nutr. 2012, 15: 1130-1137. 10.1017/S1368980012000079.CrossRefPubMed
40.
go back to reference ActNowBC: Measuring up: an evaluation of the BC Trans Fat Initiative June 2010. 2010, British Columbia: Heart and Stroke Foundation and ActNowBC ActNowBC: Measuring up: an evaluation of the BC Trans Fat Initiative June 2010. 2010, British Columbia: Heart and Stroke Foundation and ActNowBC
Metadata
Title
Reformulating partially hydrogenated vegetable oils to maximise health gains in India: is it feasible and will it meet consumer demand?
Authors
Shauna M Downs
Vidhu Gupta
Suparna Ghosh-Jerath
Karen Lock
Anne Marie Thow
Archna Singh
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1139

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue