Tolerable upper intake levels for trans fat, saturated fat, and cholesterol. 2011

Paula R Trumbo, and Tomoko Shimakawa
Office of Nutrition, Labeling and Dietary Supplements, U.S. Food and Drug Administration, College Park, Maryland, USA. paula.trumbo@fda.hhs.gov

Tolerable upper intake levels (ULs) set by the Institute of Medicine (IOM) are important, in part because they are used for estimating the percentage of the population at potential risk of adverse effects from excessive nutrient intake. The IOM did not set ULs for trans fat, saturated fat, and cholesterol because any intake level above 0% of energy increased LDL cholesterol concentration and these three food components are unavoidable in ordinary diets. The purpose of the analysis presented in this review was to evaluate clinical trial and prospective observational data that were not previously considered for setting a UL with the aim of determining whether the current UL model could be used for saturated fat, trans fat, and cholesterol. The results of this analysis confirm the limitations of the risk assessment model for setting ULs because of its inability to identify a UL for food components, such as cholesterol, that lack an intake threshold associated with increased chronic disease risk.

UI MeSH Term Description Entries
D002791 Cholesterol, Dietary Cholesterol present in food, especially in animal products. Dietary Cholesterol
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D004041 Dietary Fats Fats present in food, especially in animal products such as meat, meat products, butter, ghee. They are present in lower amounts in nuts, seeds, and avocados. Fats, Dietary,Dietary Fat,Fat, Dietary
D005227 Fatty Acids Organic, monobasic acids derived from hydrocarbons by the equivalent of oxidation of a methyl group to an alcohol, aldehyde, and then acid. Fatty acids are saturated and unsaturated (FATTY ACIDS, UNSATURATED). (Grant & Hackh's Chemical Dictionary, 5th ed) Aliphatic Acid,Esterified Fatty Acid,Fatty Acid,Fatty Acids, Esterified,Fatty Acids, Saturated,Saturated Fatty Acid,Aliphatic Acids,Acid, Aliphatic,Acid, Esterified Fatty,Acid, Saturated Fatty,Esterified Fatty Acids,Fatty Acid, Esterified,Fatty Acid, Saturated,Saturated Fatty Acids
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D044242 Trans Fatty Acids UNSATURATED FATTY ACIDS that contain at least one double bond in the trans configuration, which results in a greater bond angle than the cis configuration. This results in a more extended fatty acid chain similar to SATURATED FATTY ACIDS, with closer packing and reduced fluidity. HYDROGENATION of unsaturated fatty acids increases the trans content. Trans Fatty Acid,Trans-Fatty Acids,Acid, Trans Fatty,Acids, Trans Fatty,Acids, Trans-Fatty,Fatty Acid, Trans,Fatty Acids, Trans
D018673 Nutrition Policy Guidelines and objectives pertaining to food supply and nutrition including recommendations for healthy diet. Food Policy,Dietary Guidelines,Nutrition Guidelines,Dietary Guideline,Food Policies,Guideline, Dietary,Guideline, Nutrition,Guidelines, Dietary,Guidelines, Nutrition,Nutrition Guideline,Nutrition Policies,Policies, Food,Policies, Nutrition,Policy, Food,Policy, Nutrition
D020714 Maximum Tolerated Dose The highest dose of a biologically active agent given during a chronic study that will not reduce longevity from effects other than carcinogenicity. (from Lewis Dictionary of Toxicology, 1st ed) Maximal Tolerated Dose,Maximally Tolerated Dose,Dose, Maximal Tolerated,Dose, Maximally Tolerated,Dose, Maximum Tolerated,Doses, Maximal Tolerated,Doses, Maximally Tolerated,Doses, Maximum Tolerated,Maximal Tolerated Doses,Maximally Tolerated Doses,Maximum Tolerated Doses,Tolerated Dose, Maximal,Tolerated Dose, Maximally,Tolerated Dose, Maximum,Tolerated Doses, Maximal,Tolerated Doses, Maximally,Tolerated Doses, Maximum

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