1999
DOI: 10.1017/s0029665199000555
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Optimal macronutrient balance

Abstract: There is at present a justifiable debate as to the optimum level of total dietary fat which will reduce the risk of obesity without an elevation of plasma triacylglycerol or a depression of plasma HDL-cholesterol. Total plasma cholesterol and LDL-cholesterol levels are lowered and risk of fatal myocardial infarction is lowered when either saturated or trans-unsaturated fatty acids are replaced isoenergetically by either monounsaturated or polyunsaturated fatty acids. The triacylglycerol-raising and HDL-lowerin… Show more

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Cited by 4 publications
(3 citation statements)
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“…Obesity develops when energy intake is greater than energy expenditure; therefore, an LF diet has been promoted as a means to reduce overall energy intake in humans. 27,28 Controversy exists as to the influence of dietary fat on the prevalence of obesity and the efficacy of an LF diet in reducing obesity 29,30 ; however, this may be an issue that is specific to humans. Other species are not influenced by the same social or lifestyle-bound factors, and it may be argued that when an LF diet is the only available food, this dietary approach is likely to be successful in controlling body weight.…”
Section: Discussionmentioning
confidence: 99%
“…Obesity develops when energy intake is greater than energy expenditure; therefore, an LF diet has been promoted as a means to reduce overall energy intake in humans. 27,28 Controversy exists as to the influence of dietary fat on the prevalence of obesity and the efficacy of an LF diet in reducing obesity 29,30 ; however, this may be an issue that is specific to humans. Other species are not influenced by the same social or lifestyle-bound factors, and it may be argued that when an LF diet is the only available food, this dietary approach is likely to be successful in controlling body weight.…”
Section: Discussionmentioning
confidence: 99%
“…The literature has reported for years that low‐fat, high‐carbohydrate diets are associated with unfavorable decreases in HDL levels (for a representative review, see Ref. 60). In general, however, this risk factor is not well‐understood.…”
Section: The Controversymentioning
confidence: 99%
“…However, low-fat diets are often accompanied by a simultaneously increased carbohydrate intake, and subsequently by a reduction of the high-density lipoprotein (HDL)-cholesterol and an increase of serum triglycerides (Mensink & Katan, 1992). An optimum combination of macronutrients should be guaranteed to avoid this effect (Gibney, 1999). However, according to the American Dietary Guidelines, a reduction of total fat intake is generally recommended as a primary preventive measurement in order to meet nutritional adequacy to reduce the risk of chronic diseases (Johnson & Kennedy, 2000).…”
Section: Introductionmentioning
confidence: 99%