Reduce Sugar Consumption
As national recommendations on reducing total and saturated fats were increasingly embraced by the food industry, use of sugar, fructose, and high fructose corn syrup were increasingly substituted instead.1 Potential consequences of this shift appear to be increased levels of serum triglycerides and reduced levels of high density lipoprotein (HDL), especially in those who consume large quantities of added sugar (see Sugar Consumption).2-4
1. Johnson RK, Appel LJ, Brands M, et al. Dietary Sugars Intake and Cardiovascular Health. A Scientific Statement From the American Heart Association. Circulation. Aug 24 2009.
2. Hellerstein M K. Carbohydrate-induced hypertriglyceridemia: modifying factors and implications for cardiovascular risk. Current opinion in lipidology. Feb 2002;13(1):33-40.
3. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. May 2003;77(5):1146-1155.
4. Ma Y, Li Y, Chiriboga DE, et al. Association between carbohydrate intake and serum lipids. J Am Coll Nutr. Apr 2006;25(2):155-163.