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One important issue is co q whether to list trans fat as a separate constituent or to combine it co q with saturated fat. What are the arguments for listing co q trans fat separately from saturated fat? The combined results of metabolic and epidemiologic studies strongly support an adverse effect of trans fat on risk of CHD. Furthermore, two independent methods of estimation indicate that the adverse effect of trans fat is stronger than that of saturated fat. By our most conservative estimate, replacement of partially hydrogenated fat in the U.S. diet with natural unhydrogenated vegetable oils would prevent approximately 30,000 premature coronary deaths per year, and epidemiologic evidence suggests this number is closer to 100,0000 premature deaths annually. These reductions are higher than what could be achieved with realistic reductions in saturated fat intake. What alternatives exist to trans fats?
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