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          NCDs Problem in the West and in Thailand—             product brands that still contained high trans fat intended to use the trans
          Different Books of the Same Story.                    fat-contaminated ingredients—while the other brands  of the same
          Thailand’s eating pattern has been influenced by the West in many   products have solved this problem by changing their ingredients for years.
          ways, especially bakery foods. Fortunately, the use of ingredients   This research, though done on only 162 samples, has been intentionally
          containing trans fats was still limited to the upper markets, not the   sampled the selected types of foods that known be potential source of
          lower ones. Therefore, the ban on trans fatty acids affects only the   trans fat. The selected food types are bakery products and western-style
          middle and upper markets, without so much impact on the lower   foods, as well as foods that contain natural trans fat.
          market.                                                  The result from the intentional sampling showed that only 13% of the
            “The problem on trans fatty acid in bakery products has very small   selected foods were found to be contaminated with trans fat at the
          impact in Thailand due to 3 main factors:             unhealthy level. Considering the wide variety and large quantity of food
             (1) Classy bakeries are favored in only small circles,  products sold in Thailand, fried doughnut, puff and pastry, together merely
             (2) Alternative natural saturated vegetable oils for PHOs are   add up to less than 1% of all the food. So, there is no need to be overly
          available such as palm oil and coconut oil,           alarmed  by  data  and  fault  factsheets  shared  by  those  without  true
             (3) Bakery products are not the main diet in the Thai’s daily lives.  knowledge on the subject, because in truth, 99% of food we consumed
            “In Thailand, Non-communicable Diseases or NCDs problems   are still safe from trans fat.
          are not caused by trans fatty acids but from saturated fatty acids or   Prof. Dr.Visith voiced his thought that Thailand is fortunate in this
          SFA,” said Prof. Dr.Visith.                           matter for 2 reasons.
            Trans fatty acid is a major problem in the West mainly because   1. Trans fat-containing ingredients are not commonly used by majority
          partially hydrogenated oils are used in almost every menu, which   of Thai population,only among the western food enthusiasts, and
          make it quite impossible to avoid. Or in some Asian countries   2. The Equatorial location of Thailand blesses us with many saturated-
          especially  South Asia  such  as  India,  ghee—or  clarified  butter   fat-containing plants, so we have several natural saturated oils to choose
          commonly used in local cuisine—is very expensive, and plant oils   from, e.g. coconut oil and palm oil.
          produced in these countries are mostly polyunsaturated. Food   Solving trans fat problem in Thailand, therefore, is not so complicated,
          producers,  then,  need  to  rely  on  the  alternative  choice,  partial   considering that western-styled food is an option not a must for Thai
          hydrogenation process to make the oils more saturated and usable,   people. In addition, alternative sources of saturated fat are usually cheaper
          which also makes the products becomes for affordable to the lower   and can be adapted to use as replacements for the original trans fat-
          class. In this case trans fat problem is instead found among the poor   contaminated ingredients. Moreover, due to the fact that there are only
          population—which is the majority of the country.      2 operators in Thailand that have the capacity and capability to produce
            Assoc. Prof. Dr.Wantanee Kriengsinyos, Head of the Nutrition   the PHOs, it is quite easy to control the production of such oils.
          and Dietetics Program, Institute of Nutrition, Mahidol University,   Both Prof. Dr.Visith and Assoc. Prof. Dr.Wantanee agreed that while
          commented that: Trans fatty acids are the food contaminant that many   danger of trans fat is such a big and alarming issue around the world,
          international organizations and developed countries try to minimize   and most countries are trying to bring down trans fat content in food
          its content in foods. Trans fat consumption not only increases the   products, Thailand, as it turned out, is the country that can solve this
          level of bad LDL-cholesterol in blood similarly to saturated fatty acids   problem most effectively. This is because we have alternative raw material
          but also reduce the level of good HDL-cholesterol, leading to highly   readily available, and the readiness of private sectors who for the pass
          increase risk factor of cardiovascular diseases, which is the top main   5-6 years have been researching and developing formulas away from
          causes of death for world population.                 the use of PHOs which is the main source of trans fat. Results from the
            Trans fatty acids can be found both in nature and from the industrial   analysis of trans fat content in food, carried out by four acknowledged
          production, but trans fatty acids in foods that have high negative   parties—the Department of Medical Science, Department of Science
          impacts to health, are mostly from industrially partial hydrogenation   Service, Institute of Nutrition-Mahidol University, and Foundation for
          of Polyunsaturated Fatty Acids.                       Consumers—are very similar. The results showed that only some well-
            “Obtaining trans fat instead of other fatty acids only 1% of total   known doughnut brands (trans fat is not found in low-end
          energy increases bad (LDL) cholesterol, but decreases good (HDL)   doughnut) and some imported croissant brands
          cholesterol, suggesting that high TFA intake is associated with   are found to have high content of trans fats
          negative health outcomes. Studies have shown that consuming trans   from the use of PHOs, all of which will
          fat replacing only 2% of carbohydrates has an increased risk of   be enforced by the law against trans
          cardiovascular disease, up to 23%.  Trans fat derived from the   fat --when it comes into force on
          industrial process increased the risk of cardiovascular disease by as   the 9 January 2019.
                                                                    th
          much as 42%, while no such risk was found in the consumption of   “A process of issuing a
          natural trans fat,” remarked Assoc. Prof. Dr.Wantanee.  Notification of the Ministry of
                                                                Public  Health to ban
          Analysis of Food showed that 99% of Food Products     productions and imports of
          in Thailand are Trans Fat Free.                       the PHOs has gone
          The Trans Fat Free Thailand project, which has been going on since   thoroughly and carefully
          2016, is a research and study conducted on food products sold in   through public hearings,
          Thailand, by Institute of Nutrition, Mahidol University, in cooperation   so it is practical and will
          with the Food and Drug Administration (FDA), Ministry of Public   have positive impact on all
          Health, under the research fund granted by the Agricultural Research   parties, especially on the
          Development Agency (Public Organization).             consumers,” concluded the
            Research results showed that, of all the potentially trans fat-  Head of the Trans Fat Free
          contaminated food products, only fried doughnuts, puffs and pastries,   Thailand project.
          and imported croissants were found to be contaminated with trans
          fat at an unhealthy level based on the WHO guideline. In the rest of
          food samples, trans fat is not found or found in very low level. The


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