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The reliability and validity of a Dutch questionnaire on fat consumption as a means to rank subjects according to individual fat intake.

In this paper a short, 25-item, telephone-administered questionnaire, designed to rank individuals according to their dietary intake of fat, is presented. Based on two studies of 52 and 639 men and women, respectively, its relative validity regarding a 7-day diet record and its reproducibility are discussed. A Pearson correlation of 0.59 was observed between fat intake estimated by 7-day diet records and fat score derived from the short questionnaire. Gross misclassification, defined as disagreement between the two fat consumption assessments beyond an adjacent tertile, was 15.4%. A Pearson correlation of 0.71 was calculated by a test-retest procedure. It is concluded that the Dutch short questionnaire on fat consumption is a rapid, simple and inexpensive method that can very well be used in nutrition education research to rank individuals according to their dietary fat intake.

Adolescent↗

Resting energy expenditure and body composition of Labrador Retrievers fed high fat and low fat diets.

A high dietary fat intake may be an important environmental factor leading to obesity in some animals. The mechanism could be either an increase in caloric intake and/or a decrease in energy expenditure. To test the hypothesis that high fat diets result in decreased resting energy expenditure (REE), we measured REE using indirect calorimetry in 10-adult intact male Labrador Retrievers, eating weight-maintenance high-fat (HF, 41% energy, average daily intake: 8018 +/- 1247 kJ/day, mean +/- SD) and low-fat (LF, 14% energy, average daily intake: 7331 +/- 771 kJ/day) diets for a 30-day period. At the end of each dietary treatment, body composition measurements were performed using dual-energy X-ray absorptiometry. The mean +/- SD REE was not different between diets (4940 +/- 361 vs. 4861 +/- 413 kJ/day on HF and LF diets respectively). Measurements of fat-free mass (FFM) and fat mass (FM) also did not differ between diets (FFM: 26.8 +/- 2.3 kg vs. 26.3 +/- 2.5 kg; FM: 3.0 +/- 2.3 vs. 3.1 +/- 1.5 kg on HF and LF diets respectively). In summary, using a whole body calorimeter, we found no evidence of a decrease in REE or a change in body composition on a HF diet compared with LF diet.

Absorptiometry, Photon↗

Short fat questionnaire: a self-administered measure of fat-intake behaviour.

A brief questionnaire has been developed to measure behaviour related to dietary fat intake. It is self-administered and self-coded. Mean completion time is about three minutes. Criterion validity was assessed by comparison with a well-established food frequency questionnaire using 124 adults from Newcastle and Sydney. The correlations with the questionnaire scores were: r = 0.55 for total fat as a percentage of total energy, r = 0.67 for saturated fat as a percentage of total energy, and r = 0.44 for polyunsaturated to saturated fat ratio. Reproducibility was assessed by re-use by 25 subjects after seven to nine months (r = 0.85). When used in a community survey of other 300 randomly chosen people in the Hunter Region, the mean scores for men and for women and among different age groups were significantly different. The questionnaire was strongly associated with other scales measuring attitudes, behaviour and knowledge related to low-fat diets. The questionnaire appears suitable for rapid self-assessment by subjects, and as it directs their attention to aspects of their diet which might need improvement, it could be used for health education. It might also be used for epidemiological studies to rank subjects broadly according to their fat-intake behaviour.

Adolescent↗

Fat embolism in infancy after intravenous fat infusions.

Four cases of fat embolism are described in infants receiving prolonged intravenous infusion of fat (Intralipid 20%). This therapeutic complication has been termed 'fat overloading syndrome' but bears a clinical similarity to post-traumatic fat embolism. These 4 cases are the first to be recorded in infancy, and with histopathological proof of fat embolism. These 4 cases are the first to be recorded in infancy, and with histopathological proof of fat embolism. Transient high rates of infusion of Intralipid appears to be a factor in the aetiology of the condition.

Capillaries↗

Ischaemic heart disease and the proportions of hydrogenated fat and ruminant-animal fat in adipose tissue at post-mortem examination: a case-control study.

Fatty acids characteristic of ruminant-animal fat have been found to be present in significantly lower proportions in samples from the depot fat of persons dying of ischaemic heart disease (cases) than in specimens from persons dying of unrelated causes (controls). Although such acids are also present, in lesser amounts, in hydrogenated marine oils, this case-versus-control difference is difficult to explain other than on the basis that controls consumed a higher proportion of ruminant-animal fat in their total dietary fat than did the cases. The proportions of polyunsaturated acids and of certain higher (C20 and C22 mostly mono-enoic) acids in the depot fat of cases and controls are virtually identical. There is also no indication of any difference in degrees of saturation of fats between the case and control specimens.

Adipose Tissue↗

Effects of neonatal sympathectomy on brown fat development and susceptibility to high fat diet induced obesity in mice.

Injections of 6-hydroxydopamine in mouse neonates caused extensive and long lasting damage to the sympathetic nervous system and impaired brown fat development. Brown adipose tissue (BAT) thermogenic capacity of sympathectomized mice (up to 120 days old) was reduced because of marked reductions in the tissue mitochondrial protein content and the mitochondrial concentration of uncoupling protein, as assessed by [3H]GDP binding and immunoassay. Neonatal sympathectomy did not affect BAT DNA content. Sympathectomized mice also had reduced epinephrine-stimulated rates of oxygen consumption. BAT of sympathectomized mice failed to respond by increases in [3H]GDP binding to isolated mitochondria and uncoupling protein concentration when animals were offered a palatable high-fat dietary supplement that increased calorie intake of both normal and sympathectomized mice. The high-fat diet caused increases in body weight, carcass fat, and gonadal white fat pad weights in sympathectomized animals that were similar to those of control mice. These results show that inactivation of BAT metabolism did not accentuate the development of obesity caused by a dietary supplement rich in fat and suggest that stimulation of BAT metabolism was not very effective in counteracting the obesity-inducing effect of this diet.

Adipose Tissue, Brown↗

Gastric emptying of ingested fat emulsion in rats: implications for studies of fat-induced satiety.

Evidence that ingested fat acts in the intestine to produce satiety stems from studies showing that intraintestinal infusion of fat emulsion inhibits eating behavior of rats. In this study, we determined the appropriateness of infusion parameters used in these behavioral studies by measuring gastric emptying rates of both the aqueous and lipid components of Intralipid ingested normally by rats. Stomach contents were collected at different times 0-40 min after rats ingested Intralipid containing [14C]polyethylene glycol (PEG) and phenol red (PR) and were assayed for PEG, PR, and fat. The proportion of ingested fat remaining in the stomach was significantly greater than the proportion of ingested PEG or PR at all time points examined. Despite initial gastric emptying of fat during ingestion, consumption of Intralipid (0.5 or 1.1 kcal/ml) did not suppress subsequent solid food intake. The results indicate that 1) ingested fat emulsion rapidly partitions in the rat stomach into an aqueous phase, which empties rapidly, and a lipid phase, which empties slowly, and 2) normal ingestion of Intralipid is not immediately satiating. These observations raise questions about the physiological significance of the rapid and marked suppression of feeding behavior produced by intraintestinal infusion of Intralipid.

Animals↗

Influence of diets high and low in animal fat on bowel habit, gastrointestinal transit time, fecal microflora, bile acid, and fat excretion.

Epidemiological observations and animal experiments suggest that large bowel cancer is related to serveral factors. Among them, high dietary intakes of animal fat, the presence in the colon of relatively high levels of bile acids, specific patterns of intestinal microflora, slow transit through the gut, and low stool weights. Under metabolic conditions we have observed the effect on these variables of dietes containing 62 or 152 g/day of fat mainly of animal origin in six healthy young men over 4-wk periods. No change attributable to the diet was observed in the subjects' bowel habit, fecal weight, mean transit time through the gut, or in the excretion of dry matter. Total fecal bile acid excretion was significantly higher on the high fat diet (320 +/- 120 mg/day) than on the low fat diet (139.7) +/- 63 mg/day) t test = 7.78 P less than 0.001 as also was the total fecal fatty acid excretion, 3.1+/-0.71 and 1.14+/-0.35 g/day, respectively t test = 11.4 P less than 0.001). The fecal microflora including the nuclear dehydrogenating clostridia were unaltered by the dietary changes as was fecal beta-glucuronidase activity. Dietary changes which increase animal fat intake clearly influence fecal bile acid excretion in a way that would favor the development of large bowel cancer if current theories prove to be true. Dietary fat however has no effect on overall colonic function so other components of the diet must be responsible for the observed associations of bowel cancer with slow transit and reduced fecal bulk.

Adult↗

[Fat-embolic vascular occlusions in avian lungs. Research of histologically determinable neutral fats in parrotlike birds (Psittaciformes)].

In 50 flying birds (49 parrot-like, one peacock), the content of fat-embolic vascular occlusions was determined. In 22 cases, fat-embolic occlusions of low intensity were found in pulmonary capillaries. There were no occlusions in renal vessels. The fat embolies had no influence on a lethal outcome. There was no statistically significant correlation between the fatty infiltration of the liver, the fat content of the bone marrow, and the frequency of fat-embolic occlusion of blood vessels. In 18 cases, mycoses were the cause of death. These infections did not influence the number of fat-embolic vascular occlusions.

Animals↗

Chronic high-fat diet affects intestinal fat absorption and postprandial triglyceride levels in the mouse.

The effects of chronic fat overconsumption on intestinal physiology and lipid metabolism remain elusive. It is unknown whether a fat-mediated adaptation to lipid absorption takes place. To address this issue, mice fed a high-fat diet (40%, w/w) were refed or not a control diet (3%, w/w) for 3 additive weeks. Despite daily lipid intake 7.7-fold higher than in controls, fecal lipid output remained unchanged in mice fed the triglyceride (TG)-rich diet. In situ isolated jejunal loops revealed greater [1-(14)C]linoleic acid uptake without TG accumulation in mucosa, suggesting an increase in lipid absorption capacity. Induction both in intestinal mitotic index and in the expression of genes involved in fatty acid uptake, trafficking, and lipoprotein synthesis was found in high-fat diet mice. These changes were lipid-mediated, in that they were fully abolished in mice refed the control diet. A lipid load test performed in the presence or absence of the LPL inhibitor tyloxapol showed a sustained blood TG clearance in fat-fed mice likely attributable to intestinal modulation of LPL regulators (apolipoproteins C-II and C-III). These data demonstrate that a chronic high-fat diet greatly affects intestinal physiology and body lipid use in the mouse.

Animals↗

Hydrolysis of bovine milk fat globules by lipoprotein lipase: inhibition by proteins extracted from milk fat globule membrane.

Extraction of membrane proteins from milk fat globules by GuHCl or by MgCl2 made the lipids more accessible to lipolysis by added lipoprotein lipase. The increase in lipolysis paralleled the loss of membrane proteins and was continuous up to 2.5 M GuHCl, which was the highest concentration used. About twice as much protein was extracted with 2.5 M GuHCl as with buffer only. The amount of protein lost was about 50% of total milk fat globule protein. Lipolysis of milk fat globules was inhibited by addition of the extracted protein. The extracted proteins also reduced lipolysis when added to whole milk. More protein was needed to inhibit lipolysis of milk fat globules treated with GuHCl compared with globules treated with buffer only. The inhibition by a given amount of protein decreased if more milk fat globules were used. Protein extracted with MgCl2 had similar effects as those extracted with GuHCl. The major components extracted with MgCl2 migrated in the 40 to 50-kdalton region on sodium dodecyl sulfate-polyacrylamide gel electrophoresis. By gel filtration chromatography, two protein fractions were obtained, which inhibited lipolysis more efficiently than the total extract. As has previously been found for inhibition of lipolysis by skim milk, the amount of extracted protein needed to inhibit lipolysis varied between preparations of milk fat globules. Milk with propensity to cold-induced ("spontaneous") lipolysis was normalized by addition of extracted proteins.

Animals↗

Growth and essential fatty acid levels of plasma and liver of suckling rats from mothers fed on fat-free or various fat diets.

The milk fatty acid compositions of mothers fed on a fat-free or various fat diets, and the effects on growth and fatty acid compositions of their pups were studied. Even the milk of essential fatty acid-deficient mothers fed on a fat-free or hydrogenated fat diet contained about 3 and 1.7%, n-6 and n-3 fatty acids, respectively. In the plasma of the suckling pups, however, the proportions of n-6 and n-3 fatty acids rapidly increased to about 20 and 3-5%, respectively, at 1 week after birth. In particular, the PUFAs markedly increased in the liver PC and PE, and the high levels were maintained until weaning. Although the PUFA compositions of suckling pups were influenced with those of maternal diet, small amounts of n-6 and n-3 fatty acids were usually maintained in the plasma and liver. After weaning to the same diets (without PUFAs) as the mothers, however, the n-3 and n-6 fatty acids rapidly decreased and endogenous n-9 eicosatrienoic acid appeared. On the other hand, the growth during suckling was not significantly different among the litters of mothers fed on diets with or without n-3 or n-6 fatty acids. After the weaning, however, the growth was improved in the following order: corn oil, perilla oil > fish oil > fat-free, hydrogenated fat diet group. n-3 fatty acids appeared to be used partially as substitutes for n-6. However, the essentiality was not clear, as the n-3 fatty acids always coexisted with the n-6. Thus, it appeared that small amounts of n-3 and n-6 fatty acids in milk were supplied to the suckling animals regardless of maternal diet and supported growth.

Animals↗

[Correlation between hepatic fat, lipid peroxidation and hepatic fibrosis in rats chronically fed with ethanol and/or high fat diet].

UNLABELLED: To explore the correlation between hepatic fat and fibrosis and the possible causative mechanism. 40 Wistar rats were randomized into 4 groups i.e. low fat diet (group I), high fat diet (group II), low fat diet plus ethanol (group III), high fat diet plus ethanol (group IV). Rats were sacrificed at 3 and 6 months after experiment. Triglyceride (TG), malonaldehyde (MDA) and hydroproline (Hyp) content in the liver were measured with biochemical analysis. The degree of steatosis and fibrosis and the amount of alpha-smooth muscle actin (alpha-SMA) positive cells in the liver were determined by HE, van Giesson and immunohistochemical ABC stain, respectively. RESULTS: Steatosis was observed in most of the group II, III, IV animals including those sacrificed at 3 months after experiment, but increased amount of alpha-SMA positive cells and hepatic fibrosis was only shown in group III and IV. As compared with group I, hepatic TG content was increased significantly in the group II, III, IV animals, and hepatic MDA and Hyp content were increased significantly in the group III, IV animals. Moreover, changes of these biochemical and histological indexes in group IV were the most outstanding. There was no significant correlation between hepatic TG content and amount of alpha-SMA positive cells in group II, III, IV and no correlation between hepatic TG and Hyp content in group II, IV, and there was significant correlation between hepatic MDA content and Hyp content and the number of alpha-SMA positive cells in group III, IV. CONCLUSIONS: There is no direct relationship between steatosis and initiation of lipocyte activation and resulting fibrogenesis, but hepatic fat per se may promote the initiation and development of hepatic fibrosis induced by the injurious factors of increasing lipid peroxidation.

Animals↗

Greek adolescents, fitness, fatness, fat intake, activity, and coronary heart disease risk.

BACKGROUND: A dramatic increase in adult mortality rates from coronary heart disease (CHD) in Greece, accompanied by increased prevalence of CHD risk factors in children, has been documented. However, there is controversy about the independent effects of certain lifestyle parameters on primary CHD risk factors. AIMS AND METHODS: To examine the association between CHD risk factors (HDL-C, LDL-C, HDL-C/TC, triglycerides, systolic and diastolic blood pressure) and lifestyle parameters (fitness, fatness, fat intake, and physical activity) in 210 12-year old Greek pupils. RESULTS: Correcting for the fixed factors of gender and maturation, analyses of covariance (ANCOVA) with backward elimination of the lifestyle covariates revealed significant associations between three CHD risk factors (HDL-C, HDL-C/TC, systolic blood pressure) and physical activity levels. In contrast, the covariates aerobic fitness, fatness and fat intake failed to reach significance with any of the CHD risk factors. CONCLUSIONS: In Greek schoolchildren, primary CHD risk factors are mainly associated with physical activity levels, independently of fitness, fatness, and/or fat intake. Prevention strategies should concentrate on enhancing physical activity early in life, if the increased prevalence of Greek adult CHD mortality is to be diminished.

Adolescent↗

Role of dietary fat in obesity. Fat is fattening.

Total caloric intake has not increased significantly over the last century as obesity increased, but there has been an increase in consumption of dietary fat. Its role in obesity is reviewed. Fat is the most concentrated form of calories in the diet; being compact, it contributes to overeating. High fat foods can be eaten faster with less chewing. Dietary fat is the most efficiently stored foodstuff, thus contributing to obesity. A low fat diet is an important adjunct to advising decreasing caloric intake for a weight reduction plan. Physicians should advise patients to decrease fat, not just "count calories."

Dietary Fats↗

Tumor promotion by dietary fat in azoxymethane-induced colon carcinogenesis in female F344 rats: influence of amount and source of dietary fat.

The promoting effect of dietary corn oil (CO), safflower oil (SO), olive oil (OO), coconut oil (CC), and medium-chain triglycerides (MCT) on azoxymethane (AOM)-induced colon tumors was studied in female F344 rats. The animals were fed low-fat diets containing 5% CO, 5% SO, or 5% OO 2 weeks before, during, and 1 week after sc injection of 20 mg AOM/kg body weight. One week after the AOM treatment, groups of animals were transferred to high-fat diets containing 23.52% CO, 23.52% SO, 23.52% OO, and 23.52% CC, or 5.88% CO + 17.64% MCT; the remaining animals were continued on 5% fat diets. All animals were fed these diets until the termination of the experiment. Body weights and intakes of calories, protein, and micronutrients were comparable among the various dietary groups. The incidence of colon tumors was increased in rats fed diets containing high-CO and high-SO compared to those fed low-CO and low-SO diets, whereas the diets containing high OO, CC, or MCT had no promoting effect on colon tumor incidence. There was a significant increase in the excretion of fecal deoxycholic acid, lithocholic acid, and 12-ketolithocholic acid in animals fed the high-CO and high-SO diets and no difference in these secondary bile acids excretion in animals fed the high-OO and high-CC diets compared to those animals fed their respective 5% fat diets. This study thus indicates that not only the amount of dietary fat but also the fatty acid composition (type) of fat are important factors in the determination of the promoting effect in colon carcinogenesis.

Adenocarcinoma↗

The effects of monounsaturated-fat enriched diet and polyunsaturated-fat enriched diet on lipid and glucose metabolism in subjects with impaired glucose tolerance.

OBJECTIVE AND SUBJECTS: The effects of a high-fat, monounsaturated-fat enriched (Mono) diet and a reduced-fat, polyunsaturated-fat enriched (Poly) diet on lipid and glucose metabolism were compared in 31 subjects with impaired glucose tolerance. DESIGN AND INTERVENTIONS: After 3 weeks on a Run-in diet (37; 18:11:5, indicating energy percentages from total fat; saturated:monounsaturated:polyunsaturated fatty acids in the actual diets) subjects were randomized into a Poly-diet (34; 11:10:10) or a Mono-diet (40; 11:19:8) for 8 weeks. RESULTS: In the Mono group fasting plasma glucose (mean +/- SD) was lower after the test diet than after the run-in period (6.4 +/- 1.3 vs 6.0 +/- 0.8 mmol/L, 0 vs 8 weeks, P = 0.008), but remained unchanged in the Poly group (6.2 +/- 0.6 vs 6.1 +/- 0.7 mmol/L). Glucose effectiveness (SG), insulin sensitivity index and the first phase insulin response in an intravenous glucose tolerance test did not change significantly during either of the diets, but at the end of the study SG was higher in the Mono group than in the Poly group (P = 0.013). Serum total cholesterol, LDL cholesterol, and apolipoprotein B decreased in the Mono group, while in the Poly group only serum total cholesterol decreased significantly. However, the mean changes in serum lipids and lipoproteins did not differ significantly between the groups. CONCLUSIONS: In free-living subjects with impaired glucose tolerance both the Mono-diet and the Poly-diet consumed after a saturated-fat enriched Run-in diet improved serum lipid profile and the Mono-diet seemed to improve glucose metabolism as well.

Body Mass Index↗

Induced fat embolism in rabbits by means of radioactively labelled fat. Evaluation of different treatments.

Fat embolism was induced in the rabbit by administering a suspension containing radioactively (triglyceride) labelled homologous fat. Different kinds of treatment were tested: Ringerdex, 2% dextran 70, 2.2% dextran 40 SoluMedrol, and EPL-a phospholipid mixture with detergent properties. It was sound that fat injection gave a macroscopically and histologically verifiable fat embolism with lung edema. 2% dextran 70 significantly increased edema, whereas 2.2% dextran 40 did not. SoluMedrol significantly decreased edema caused by fat injection. Of the triglyceride administered, 99.5% was recovered as such from the lungs. Practically no radioactivity was found in cerebrum and kidneys. Compared with Ringerdex, no other treatment increased elimination of fat from lungs.

Animals↗