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Reformulating partially hydrogenated vegetable oils to maximise health gains in India: is it feasible and will it meet consumer demand?

Abstract

Background

The consumption of partially hydrogenated vegetable oils (PHVOs) high in trans fat is associated with an increased risk of cardiovascular disease and other non-communicable diseases. In response to high intakes of PHVOs, the Indian government has proposed regulation to set limits on the amount of trans fat permissible in PHVOs. Global recommendations are to replace PHVOs with polyunsaturated fatty acids (PUFAs) in order to optimise health benefits; however, little is known about the practicalities of implementation in low-income settings. The aim of this study was to examine the technical and economic feasibility of reducing trans fat in PHVOs and reformulating it using healthier fats.

Methods

Thirteen semi-structured interviews were conducted with manufacturers and technical experts of PHVOs in India. Data were open-coded and organised according to key themes.

Results

Interviewees indicated that reformulating PHVOs was both economically and technically feasible provided that trans fat regulation takes account of the food technology challenges associated with product reformulation. However, there will be challenges in maintaining the physical properties that consumers prefer while reducing the trans fat in PHVOs. The availability of input oils was not seen to be a problem because of the low cost and high availability of imported palm oil, which was the input oil of choice for industry. Most interviewees were not concerned about the potential increase in saturated fat associated with increased use of palm oil and were not planning to use PUFAs in product reformulation. Interviewees indicated that many smaller manufacturers would not have sufficient capacity to reformulate products to reduce trans fat.

Conclusions

Reformulating PHVOs to reduce trans fat in India is feasible; however, a collision course exists where the public health goal to replace PHVOs with PUFA are opposed to the goals of industry to produce a cheap alternative product that meets consumer preferences. Ensuring that product reformulation is done in a way that maximises health benefits will require shifts in knowledge and subsequent demand of products, decreased reliance on palm oil, investment in research and development and increased capacity for smaller manufacturers.

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Background

The consumption of industrially produced trans fatty acids (TFA) is associated with an increased risk of non-communicable diseases (NCDs), especially cardiovascular disease (CVD) [14]. As part of the Global Monitoring Framework for NCDs, the World Health Organization (WHO) has recommended TFA elimination from the diet [5] and has called for “national policies that virtually eliminate partially hydrogenated vegetable oils (PHVOs) in the food supply and replace [them] with polyunsaturated fatty acids (PUFA)” [6]. However, little is known about the practicalities of implementing these global recommendations and whether or not low and middle-income countries will have the capacity to reformulate their products in a way that maximises health gains.

In India, PHVOs are consumed principally through vanaspati, a vegetable ghee used as cooking oil and in fried snacks, baked goods and street vendor foods [7]. Vanaspati is popular because it is a cheap and stable energy source with a long shelf life that withstands repeated heating. These properties make it an attractive product for commercial baking and frying [7, 8]. In response to the high levels of TFA in Indian PHVOs (vanaspati and bakery shortening), the Food Safety and Standards Authority of India (FSSAI), under the Ministry of Health and Family Welfare, has proposed regulation that includes setting an upper limit of 10% (by weight) TFA in PHVOs reducing to 5% over three years [9]. The proposed limits will target PHVOs rather than the foods that contain them.

At the moment, there are four regulations that may limit industry’s ability to reformulate PHVOs to meet the aforementioned TFA limits: 1) the melting point cap of 41°C, 2) the classification of palm stearin as an inedible oil, 3) the permitted use of only two different oils in vanaspati and 4) the inability to use interesterification. The melting point cap and the inability to use palm stearin in food products was based on the belief that humans could not easily digest oils with melting points higher than body temperature; however, scientific evidence refutes this assertion [10]. Moreover, interesterification and the use of more than two oils were not permitted under the Prevention of Food Adulteration Act (now the Food Safety and Standard Act). Consultations with FSSAI, scientific experts and industry were held in 2010 at the National Institute of Nutrition to discuss the proposed TFA regulation in India. The recommendations from that committee were to remove the aforementioned regulatory barriers to facilitate product reformulation.

Although previous regulation dictated that 25% of the input oil used in PHVOs be indigenous sources, in 2003 this was removed leading to a shift from domestically produced oils that were high in mono-unsaturated fatty acids (MUFA) and PUFA to palm oil [7]. Because of the high saturated fatty acid (SFA) content of palm oil it is semi-solid at room temperature thereby requiring less hydrogenation to ensure the product texture preferred by consumers [10]. As part of the FSSAI consultation process, the vanaspati industry commissioned a study by Frost & Sullivan showing the relationship between melting point and TFA concentration – as the hydrogenation process proceeds TFA content first increases and then decreases as the melting point is increased [10]. In this report they show that with an increase in the melting point to 47-48°C, the TFA content of PHVOs with palm oil as the main ingredient will decrease to 15% whereas for soybean oil the TFA content would decrease to 36% - suggesting that the higher the content of SFA in the input oil, the lower the degree of hydrogenation required and the lower the TFA levels to get the desired texture [11].

Trans fat regulation has been effective in high-income countries and many products have been reformulated without substantially increasing saturated fatty acids (SFA) [1215] – through use of trait-enhanced oils, interesterification, fractionation and blending [1618] – it is not known whether industry in low and middle-income countries, such as India, will be able to use the same approaches. Industry might simply shift from PHVOs to high SFA fats such as palm oil or increase the degree of hydrogenation of native oils – partial hydrogenation of oils turns the cis-unsaturated fatty acids (MUFA and PUFA) into trans-unsaturated fatty acids, but full hydrogenation turns all unsaturated fatty acids (the original cis and the intermediate trans fatty acids) into SFA. This would decrease the TFA but increase the SFA content of vanaspati. Other methods might be used to reduce TFA while limiting the increase in SFA. Trait-enhanced oils (i.e., high-oleic sunflower oil) are fats modified via selective breeding or biotechnology to increase the oxidative stability required in frying and baking [19]. Interesterification modifies the melting point and crystallisation of the fat by rearranging the fatty acids, producing TFA free fats with desirable physical properties [19]. Fractionation involves splitting fats into their solid components (i.e., palm stearin). The fractions can then either be used alone or in combination with other fats [19]. Blending interesterified oils with liquid oils high in PUFA can result in TFA free products with relatively low SFA levels [17]. Research has been conducted to determine the most appropriate technologies for specific product requirements [7, 18, 20].

A collision course exists in India where the public health goal to replace PHVOs with PUFA are opposed to the goals of industry to produce a cheap alternative product that meets consumer demands. The aim of this study was to examine the technical and economic feasibility of reducing TFA (to be consistent) in PHVOs and reformulating it using healthier fats.

Methods

This study reports on qualitative interviews of Indian manufacturers of vanaspati and technical experts working in an NGO and government. It is part of a larger project that aims to examine awareness and use of TFA, and the feasibility of its removal from the Indian food supply from the perspectives of manufacturers, retailers and consumers. Ethics approval for the study was obtained from the University of Sydney and the Public Health Foundation of India’s Institutional Ethics Committees. All interviewees provided written informed consent.

Semi-structured interviews were conducted with respondents who had technical expertise on the use of PHVO in the Indian food industry. Industry interviewees were either the Technical or Research and Development Directors of the companies. Study participants were recruited using purposive sampling. To provide a variety of perspectives, representatives of manufacturing companies of varying sizes (including multinationals and smaller companies) were included. All potential interviewees were first contacted via telephone. Initial interviewees were identified by one of the researchers, and subsequent interviewees were recruited using chain of referral snowball sampling [21]. In addition, to identify interviewees from smaller regional companies, potential participants were contacted from a list of all the Indian vanaspati manufacturers; the list was obtained from the Indian Vanaspati Producers’ Association. Of the 79 manufacturers contacted, we were unable to make contact with 30 (mainly due to incorrect contact information) and 15 did not manufacture vanaspati. Of the remaining 34 companies, ten participated in the study; the remaining companies either refused to participate or did not return our phone calls. Many potential participants from smaller companies seemed suspicious of the intent of the study and declined to participate, resulting in a smaller than planned sample size.

Overall, ten interviews with Indian manufacturers of PHVOs were conducted. In addition, we recruited one person who was an oil technologist who presided over an oil technologist non-government organisation (NGO), and two government technocrats who work on this food policy area at the national level. Two additional manufacturers were interviewed but later decided to rescind consent from the study resulting in a total of 13 interviews. Given that the aim was to get perspectives from both smaller and larger companies, the market share of the participating players varied. However, two of the manufacturers with the highest market share participated in the study.

Interviews were conducted between May and August 2012 in Delhi, Mumbai, Jaipur, Rudapur and Rajpura, India. The majority of interviews were conducted face-to-face, although four were completed via telephone due to travel constraints around India. Two researchers (SMD and AS) conducted all of the study interviews; face-to-face interviews were usually conducted with both of the interviewers present. Telephone interviews were conducted by one of the two interviewers. The interviewers had been previously trained in qualitative methods and had experience conducting interviews. Interviews averaged 40 minutes and were conducted in English, with the exception of one that was completed in Hindi and subsequently translated to English.

The interview was based on the technical and economic feasibility of reducing TFA in PHVOs and replacing it with healthier oils (i.e., PUFAs). The interview guide topics were based on a feasibility assessment tool used to assess policy options to improve diets in the Pacific Islands [22] and was adapted for the context based on discussion with food technology experts in India. The interview guide is reported in Table 1. Five experts in the study area reviewed the interview guide prior to finalising its content; however, it had not been previously validated. Interviews were audio-recorded or detailed notes were taken, depending on whether the interviewee consented to being recorded. Interviews that were audio-recorded were transcribed verbatim. Interview transcripts and detailed notes were analysed using NVivo software (version 9; QSR International, Doncaster, Victoria, Australia). An inductive qualitative analysis was conducted by SMD. Data were first open-coded and these codes were subsequently organised based on key themes, which were later agreed upon by the research team.

Table 1 Interview topics based on technical and economic feasibility of reformulating partially hydrogenated vegetable oils in India

Results

Surprisingly all interviewees indicated that TFA was unhealthy and its consumption should be limited. However, several interviewees stated that consumption of TFA and total fat is low and that fat consumption is not as problematic in India as compared to other countries. Key themes that arose in the interviews about the feasibility of reducing TFA in India related to consumer preferences, regulatory issues, the availability of oils and both the technical and economic feasibility. Although interviewees from government, a NGO and industry were interviewed there were no major differences in their views regarding the feasibility of production reformulation.

Consumer preferences

Interviewees suggested that consumers prefer vanaspati products that are hard, white and granular (bakery shortening has the “grains” removed) although there are regional variations in preference. These perceived preferences were stated as one of the reasons for the challenges in terms of product reformulation of PHVOs, as industry would need to make a product that has a hard texture, which remains semi-solid even in the hot temperatures of the summer months.

Many interviewees mentioned that it is difficult to maintain the “hardness” that consumers demand while reducing the TFA in PHVOs. Some interviewees suggested that people “need to be educated” not only about the potential negative health effects of ‘hard’ vanaspati products (and TFA) but also the effects of replacement with palm stearin and its effect on SFA.

The potential for SFA to increase when TFA is reduced was not seen as a widespread concern by manufacturers. One interviewee did note that increasing use of palm stearin would make “the saturated fat acid go up and that is not a healthy oil”, whereas others said palm was a “healthy oil” and an “agreeable choice” for product reformulation.

Interviewees indicated that consumers were beginning to demand healthier products. Some interviewees noted the potential to market healthier products to these health conscious consumers in order to differentiate themselves from other companies. Although some households use vanaspati as a cooking fat, it is predominantly sold, as several participants noted, from “business to business” to be used as an input ingredient in processed foods. It was suggested that since the main market for PHVOs is other businesses, large companies could drive demand for lower TFA products, given their “global linkages”, thereby facilitating TFA reduction.

Regulatory issues

Overall, industry respondents were accepting of the proposed national TFA regulation (particularly a 10% (by weight) TFA limit in PHVOs), and some were even critical of the lengthy policy process. Interviewees from multinational companies indicated that the regulation would lead to a more level playing field, which could potentially benefit them. All interviewees mentioned the need to align Indian regulation with international standards (i.e., CODEX). Specifically they were concerned about the current cap on the melting point, the classification of palm stearin as inedible oil, and the inability to use enzymatic and chemical interesterification. However, interviewees from both industry and government noted that it was likely that these “archaic laws” would be removed when the government enacts the proposed TFA regulation, as suggested during consultations, given that the melting point cap results in a reliance on use of TFA in order to ensure product acceptability. Although palm stearin is currently not permitted as input oil for PHVOs, it was suggested that many companies were using it to make a very hard product that was described as being “like stone” or a “brick”.

There was a concern that there would be challenges with the implementation, monitoring and compliance of the proposed new regulation. Several interviewees stated that companies were already “violating the norms” for the melting point cap and palm stearin so compliance may remain a problem in the future: “today people violate and tomorrow they will violate”.

One interviewee noted the need for greater transparency and suggested publishing the results of food inspector monitoring of vanaspati quality in order to empower consumers to make informed decisions. Interviewees noted that although by law, their product should be tested once per month by food inspectors, their products are often not tested regularly. Moreover, one interviewee indicated that there had been no reported violations of the melting point regulation in the past few years even though, with the exception of a few companies, the interviewee suggested they were all exceeding the melting point cap regulation. One multinational company who had been abiding by the regulation said that they were producing a product that was not acceptable to consumers because they could not make it hard enough without violating the regulation, something that they would not do given their own company’s “ethics” leading them “to comply with every law in the land”. Table 2 provides supporting quotes regarding the aforementioned regulatory issues.

Table 2 Supporting quotes related to regulatory issues for vanaspati manufacturing

Replacement oils

There was consensus among interviewees that the production of vanaspati “is primarily being driven by the cost and the functional application of the product”. Some interviewees described the input oils as the costliest component of the production process, resulting in its selection being based on cost and availability. Palm oil is cheaper and more widely available than the domestically produced crops leading to industry’s increased reliance on it. In fact, there are now special ports used by larger companies to import palm oil. Some interviewees noted that the companies importing crude palm oil could then separate it into its fractions at their processing plants. Palm stearin, a hard fraction of palm oil that is the least costly, could then be used to improve the texture of PHVOs – even though the government currently does not permit its use.

One interviewee stated that the palm oil lobby pushed TFA onto the Indian agenda. Because palm oil is semi-solid it could replace PHVOs in some products. As industry moved towards use of palm oil as the main input oil in vanaspati and bakery shortening, interviewees noted that the total TFA in vanaspati decreased. When industry was using “soft oils” as the input oils into vanaspati they had to hydrogenate the products more to ensure that it became the desired texture (i.e., semi-solid). Given that palm oil is already semi-solid it does not require the same degree of hydrogenation as more liquid vegetable oils, interviewees indicated that it has led to changes in consumption patterns; palm oil and SFA consumption are increasing and TFA consumption from vanaspati is stabilising or even decreasing.

Most interviewees did not see the availability of alternative oils as being problematic, since they planned to continue to use palm oil as the input oil in their reformulated products. However, one interviewee did suggest the need to establish a supply of cheap oil for the masses that was healthier, such as canola, and another interviewee proposed the restructuring of agriculture policies to enable a shift to oils other than palm. Supporting quotes regarding the availability of oils are reported in Table 3.

Table 3 Supporting quotes relating to the replacement oils for product reformulation

Technological feasibility

Interviewees all agreed that the proposed TFA regulation was both technologically and economically feasible if the melting point regulation was removed; however, there will be challenges in terms of creating a product that meets consumer preferences. “I mean, this requires no rocket science and you don’t have to reinvent the wheel, the world has done it we can do it too, as simple as that”. Manufacturers indicated that they could reduce TFA in their products to 10%, given an increase in the melting point, without having to adopt new technology. This would entail increasing the hydrogenation of the product, which leads to a decrease in TFA and an increase in SFA. However, the larger companies mentioned a need to invest in new equipment and research and development to bring down the TFA to 5%, while keeping the organoleptic properties (i.e., a product that is hard) that consumers demand. One company indicated that they had previously produced a vanaspati product that was low in TFA but the product failed because the texture was not acceptable to the consumer.

The use of full hydrogenation, interesterification, fractionation and blending of soft oils with harder fractionations were the main ways that manufacturers planned to decrease TFA in their products. Interviewees often noted that they would use these different technological approaches in combination and based the appropriateness of the different technologies on cost and perceived consumer acceptability. More specifically, there were various pros and cons to using the different technologies attributed to the product cost, hardness, stability and shelf life, and potential health effects. The use of interesterification was identified as a way to increase the use of “soft oils” (i.e., PUFA); however, it was noted that this would still result in increased costs from both the use of the technology itself and the input oils. There was disagreement about whether interesterification would result in hard enough products – some interviewees deemed this to be problematic while others did not. In terms of fractionation and blending, there was a concern by a few interviewees that this would lead to overuse of palm stearin, which would increase SFA content of food products and negatively affect heart disease rates in the future. However, other interviewees did not see any problem with the use of palm oil or its fractions. Enzymatic interesterification was seen as being more appropriate than chemical interesterification since it was believed to be more economically feasible and used a better catalyst as compared to chemical interesterification, which one interviewee described as being potentially hazardous to human health.

Economic feasibility

One of the key points made by all interviewees was the need to “minimise costs”. Interviewees consistently stated that reducing the TFA in their products would not significantly increase their costs and would not result in lower profit margins. However, there were also industry players, particularly the multinational companies, who indicated there would be additional capital costs if they planned to use interesterification to bring down the TFA in their products without increasing SFA content.

Several interviewees noted a lack of capacity for smaller sized manufacturers, leading to “hanky panky business” by some. This lack of capacity has led multinational companies to buy-out some of the successful smaller brands, consolidating the industry, and to the closure of some vanaspati plants. Given the lack of capacity of smaller manufacturers, a few interviewees postulated that they would not abide by the TFA regulation once it is implemented. However, noting this should not lead to delays in the enactment of the regulation: “Even if they [smaller companies] don’t abide by the law it will not make much difference”, since the big players have the majority of the market. Despite the lack of capacity for smaller manufacturers, most of the interviewees did not think that the government should provide additional support to them to help facilitate product reformulation, except for a few interviews that suggested that the government could provide subsidies, tax rebates and/or machinery. Table 4 provides supporting quotes regarding the economic feasibility.

Table 4 Supporting quotes describing the economic feasibility of product reformulation

Discussion

This study suggests that Indian food manufacturers and technical experts are positive about replacing TFA in vanaspati. They believe that it is technically and economically feasible; nevertheless, there will be challenges in meeting consumer preferences given that industry continuously strives to meet consumer demands. Although there are currently four government regulations relating to the melting point cap, permitted use of oils and interesterification that will make reformulating PHVOs difficult, it is likely that the government will take these into account when finalising the proposed regulation in order to reduce the product reformulation challenges that industry will face. However, replacing PHVOs with PUFA, as suggested by the WHO, will remain a challenge for Indian industry due to the increased costs associated with using PUFAs. As yet there is not widespread consumer knowledge in India leading to greater demand for healthy oil products by both consumers and businesses. It is likely that reformulation of PHVOs will replace TFA with SFA.

Replacement oils

The removal of PHVOs from the food supply is likely to lead to a shift in palm oil consumption [20]; this is promoted by a strong palm oil lobby. Although the surge in palm oil use has likely resulted in a decrease in TFA levels in PHVOs such as vanaspati, SFA levels may have increased concomitantly. As Indian industry moves to further reduce TFA in PHVOs, it is likely that they will continue to rely on palm oil. Although this will result in modest improvements in heart disease risk, greater effects would be observed with replacement using PUFA [1, 23]. In 1987, the Mauritian government intervened to switch cooking oil from palm to soybean oil, resulting in a significant decrease in SFA and increase in PUFA, corresponding to improvements in serum total cholesterol levels [24]. Moreover, a recent study found a link between palm oil consumption in low and middle-income countries and increased risk of mortality due to heart disease [25]. Other studies, including two meta-analyses, have also found adverse effects of consuming SFA such as palmitic acid [2628]. Nonetheless, there continues to be support for its use in product reformulation by industry.

Interestingly, the French government recently proposed setting a 300% tax on palm oil import which led to considerable opposition from the Malaysian Palm Oil Council [29]. There is an emerging trend for companies to resist using palm oil in some high-income countries due to the environmental and health impact of its consumption [30]. In fact, front-of-package logos indicating palm oil-free products are now available in Europe [30]. This growing trend may be the impetus for greater investment in alternatives to both PHVOs and palm oil; however, it is likely that palm oil will continue to be used in low and middle-income countries until consumers increase demand for products that are both low in TFA and SFA. Because there has been considerable interest in the environmental impact of palm oil production [31], highlighting the environmental as well as health concerns related to palm oil production and consumption may get more consumer buy-in.

Although there is limited information about product reformulation to reduce trans fat in low and middle-income countries, a study examining industry’s response in Latin American countries found similar challenges to those reported in this study. For example, challenges in the availability and cost of PUFA and concern about consumers sensory preference for some products [32]. Ensuring that TFA reduction does not lead to an increase in SFA will require active engagement and collaboration among the government, the agriculture sector and Indian industry. Previous research has suggested that leadership and commitment from senior management of industry, collaboration across the supply chain and adequate supply of alternative oils, increased demand for healthy products, increased media coverage and regulation are needed to enable healthier product reformulation [18]. Currently there is insufficient demand for low TFA and SFA products in India, which gives industry little incentive to reformulate in a more healthful way, especially considering the increased costs associated with use of PUFA. Nevertheless, it is important to note that energy intakes remain low for a significant portion of the Indian population and food security remains a problem for many, making the need for low priced fats essential [33].

Technical feasibility

Although industry and technical experts indicated that it was technologically feasible to reformulate PHVOs in India to reduce TFA, they will need to invest in research and development to reduce TFA levels to 5%. In high-income countries, industry replaced PHVOs with different types of oils and fats based on the product functionality required [7, 18, 20]. For example, PHVOs for frying were often replaced with high MUFA or PUFA liquid oils, whereas interesterification of hard fractions with unsaturated oils has been used for solid fats such as bakery shortening [18, 20, 34]. We suggest adopting a similar approach in India; however, this will require educating the consumers, and perhaps industry members, about the healthiness of “soft” unsaturated oils and strengthening supply chains to increase availability and decrease costs of these oils. In the past, Indian industry was required to use a proportion of domestic oil in vanaspati production. We recommend that the government consider re-enacting similar regulation to incentivise the use of PUFA in product reformulation, given that most domestically produced oils are high in these fats. There is currently a limited supply of suitable alternative oils to PHVOs that are low in SFA [20]; however, if the Indian government required industry to use domestic oils, it is likely that supply chains would be strengthened.

Economic feasibility and capacity

Multinational companies tend to have better capacity to adopt new technology as compared to smaller manufacturers. Many large companies have research and development facilities in North America or Europe, and have already begun adopting technology such as interesterification in those countries. In fact, multinational companies have developed zero TFA low SFA bakery shortenings catering to their American and European markets [35, 36], suggesting that it is possible to bring similar products to India. Moreover, a food technology study conducted in Iran (where no current trans fat regulation exists) demonstrated that low TFA vanaspati could be produced using a combination of blending and interesterification creating a product with reasonable SFA levels and the same organoleptic properties demanded by Indian consumers [37]. However, smaller companies may not have the resources to invest in the necessary technology to create a product that is both low in TFA and SFA. Surprisingly, this study found little support for government initiatives to help smaller businesses with this process. New York City and the province of British Columbia, Canada provided support to small businesses to help enable the shift towards TFA free cooking oils and fats in response to regulation in those jurisdictions [3840]. Moreover, in the United States, smaller companies were given extra time to comply with labelling regulation given the added difficulty they would face as compared to larger companies [39]. For Indian companies who do not have the financial means to adopt new technology, they may be forced to sell consumers a product that is less acceptable, fail to comply with the regulation, or sell or close their businesses. Interestingly, there was a trend towards multinational companies purchasing the more successful smaller PHVO businesses. One of the potentially positive aspects of this trend is that multinational companies may be less likely to stray from regulation. Therefore as more and more smaller PHVO businesses are purchased by the larger companies, this may help facilitate compliance with regulation and ease the potential enforcement strains that the country may face when the TFA regulation is enacted [8]. On the other hand, it is important to support smaller manufacturers and we suggest providing incentives to help them to better comply with regulation.

One of the main limitations of this study was the small sample size; however, our respondents included the companies with the highest market share for PHVOs in India, which strengthens the transferability of the study findings. Another limitation of this study was our use of a non-validated interview guide. Nevertheless, we ensured that the interview guide was reviewed by experts in the field prior to using it in this study.

Conclusions

Reformulating PHVOs in India is technically and economically feasible; however, there will be challenges in terms of producing a product that meets consumer demand. Ensuring that product reformulation is done in a way that maximises health benefits will require shifts in knowledge and subsequent demand of products, decreased reliance on palm oil, investment in research and development and increased capacity for smaller manufacturers. In order to address these issues, we recommend that industry use different input oils depending on the given product’s functionality requirements. We also recommend that the government should require PHVO manufacturers to use domestic oils, as has been previously done in India, to increase uptake of PUFA use and provide support to smaller companies through use of incentives given that without support they will struggle to comply with regulation. Lastly, it will be important for India to ensure that the TFA limit in PHVOs is decreased from 10% to 5% (by weight) after three years, as proposed in the regulation, since industry will likely not adopt innovative technology (i.e., interesterification and blending) that would allow the use of PUFA with the limit of 10%, thereby decreasing the potential health impact of the proposed regulation. Continued monitoring of industry’s progress will be essential.

Abbreviations

NCD:

Non-communicable disease

PUFA:

Polyunsaturated fatty acids

PHVO:

Partially hydrogenated vegetable oils

TFA:

Trans fatty acids

FSSAI:

Food Safety and Standards Authority of India

SFA:

Saturated fatty acids.

References

  1. Mozaffarian D, Clarke R: Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr. 2009, 63: S22-S33.

    Article  CAS  PubMed  Google Scholar 

  2. Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC: Trans fatty acids and cardiovascular disease. N Engl J Med. 2006, 354: 1601-1613. 10.1056/NEJMra054035.

    Article  CAS  PubMed  Google Scholar 

  3. Teegala SM, Willett WC, Mozaffarian D: Consumption and health effects of trans fatty acids: a review. Journal of Aoac International. 2009, 92: 1250-1257.

    CAS  PubMed  Google Scholar 

  4. Micha R, Mozaffarian D: Trans fatty acids: Effects on cardiometabolic health and implications for policy. Prostaglandins Leukot Essent Fatty Acids. 2008, 79: 147-152. 10.1016/j.plefa.2008.09.008.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. World Health Organization: Global strategy on diet, physical activity and health. 2004, Geneva, http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf,

    Google Scholar 

  6. World Health Organization: A comprehensive global monitoring framework including indicators and a set of voluntary global targets for the prevention and control of noncommunicable diseases. 2012, Geneva, http://www.who.int/nmh/events/2012/discussion_paper3.pdf,

    Google Scholar 

  7. L’Abbe MR, Stender S, Skeaff M, Ghafoorunissa , Tavella M: Approaches to removing trans fats from the food supply in industrialized and developing countries. Eur J Clin Nutr. 2009, 63: S50-S67.

    Article  Google Scholar 

  8. Downs S, Thow AM, Ghosh-Jerath S, McNab J, Reddy KS, Leeder SR: From Denmark to Delhi: the multisectoral challenge of regulating trans fat in India. Public Health Nutr. 2012, 10.1017/S1368980012004995

    Google Scholar 

  9. Food Safety and Standards Authority of India: Regulation of trans fatty acids in partially hydrogenated vegetable oils. 2010, Delhi: Ministry of Health and Family Welfare, Food Safety and Standards Authority of India

    Google Scholar 

  10. Food Safety and Standards Authority of India: Draft trans fatty acid regulation. 2010, Delhi, http://www.fssai.gov.in/Portals/0/Regulation_of_TFA_.pdf,

    Google Scholar 

  11. The Vanaspati IndustryViewpoint: Trans Fat Consumption in India. 2009, India: Delhi

    Google Scholar 

  12. Downs SM, Thow AM, Leeder SR: The impact of policies for reducing trans fat: a systematic review of the existing evidence. WHO Bulletin. in press

  13. Ratnayake WMN, L’Abbe MR, Mozaffarian D: Nationwide product reformulations to reduce trans fatty acids in Canada: when trans fat goes out, what goes in?. Eur J Clin Nutr. 2009, 63: 808-811. 10.1038/ejcn.2008.39.

    Article  CAS  PubMed  Google Scholar 

  14. Mozaffarian D, Jacobson MF, Greenstein JS: Food reformulations to reduce trans fatty acids. New England Journal of Medicine. 2010, 362: 2037-2039. 10.1056/NEJMc1001841.

    Article  PubMed  Google Scholar 

  15. Leth T, Jensen HG, Mikkelsen AÆ, Bysted A: The effect of the regulation on trans fatty acid content in Danish food. Atherosclerosis supplements. 2006, 7: 53-56.

    Article  CAS  PubMed  Google Scholar 

  16. Flickinger BD, Huth PJ: Dietary fats and oils: technologies for improving cardiovascular health. Current atherosclerosis reports. 2004, 6: 468-476. 10.1007/s11883-004-0088-4.

    Article  PubMed  Google Scholar 

  17. Asif M: Process advantages and product benefits of interesterification in oils and fats. International Journal of Nutrition, Pharmacology, Neurological Diseases. 2011, 1: 134-138. 10.4103/2231-0738.84203.

    Article  CAS  Google Scholar 

  18. Eckel RH, Borra S, Lichtenstein AH, Yin-Piazza SY: Understanding the complexity of trans fatty acid reduction in the American diet - American heart association trans fat conference 2006 - Report of the trans fat conference planning group. Circulation. 2007, 115: 2231-2246. 10.1161/CIRCULATIONAHA.106.181947.

    Article  CAS  PubMed  Google Scholar 

  19. Dhaka V, Gulia N, Ahlawat KS, Khatkar BS: Trans fats-sources, health risks and alternative approach - a review. Journal of Food Science and Technology-Mysore. 2011, 48: 534-541. 10.1007/s13197-010-0225-8.

    Article  CAS  Google Scholar 

  20. Skeaff CM: Feasibility of recommending certain replacement or alternative fats. Eur J Clin Nutr. 2009, 63: S34-S49.

    Article  CAS  PubMed  Google Scholar 

  21. Bell E: Research For Health Policy United States: Oxford University Press. 2010

    Google Scholar 

  22. Snowdon W, Potter JL, Swinburn B, Schultz J, Lawrence M: Prioritizing policy interventions to improve diets? Will it work, can it happen, will it do harm?. Health promotion international. 2010, 25: 123-133. 10.1093/heapro/daq003.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Mozaffarian D, Micha R, Wallace S: Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS medicine. 2010, 7: e1000252-10.1371/journal.pmed.1000252.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Uusitalo U, Feskens EJ, Tuomilehto J, Dowse G, Haw U, Fareed D, Hemraj F, Gareeboo H, Alberti KG, Zimmet P: Fall in total cholesterol concentration over five years in association with changes in fatty acid composition of cooking oil in Mauritius: cross sectional survey. BMJ. 1996, 313: 1044-1046. 10.1136/bmj.313.7064.1044.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Chen BK, Seligman B, Farquhar JW, Goldhaber-Fiebert JD: Multi-Country analysis of palm oil consumption and cardiovascular disease mortality for countries at different stages of economic development: 1980–1997. Global Health. 2011, 7: 45-10.1186/1744-8603-7-45.

    Article  PubMed  PubMed Central  Google Scholar 

  26. 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. 2003, 77: 1146-1155.

    CAS  PubMed  Google Scholar 

  27. Kabagambe EK, Baylin A, Ascherio A, Campos H: The type of oil used for cooking is associated with the risk of nonfatal acute myocardial infarction in Costa Rica. Journal of Nutrition. 2005, 135: 2674-2679.

    CAS  PubMed  Google Scholar 

  28. Clarke R, Frost C, Collins R, Appleby P, Peto R: Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ. 1997, 314: 112-117. 10.1136/bmj.314.7074.112.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Scott-Thomas C: French palm oil tax could increase trans fat consumption, says MPOC. FoodNavigatorcom. 2012, France: Montpellier

    Google Scholar 

  30. Addy R: Palm oil-free may be an emerging trend. FoodNavigatorcom. 2012, France: Montpellier

    Google Scholar 

  31. Centre for Science in the Public Interest: Cruel oil: how palm oil harms health, rainforest & wildlife. 2005, Washington DC: Centre for Science in the Public Interest

    Google Scholar 

  32. Monge-Rojas R, Colón-Ramos U, Jacoby E, Mozaffarian D: Voluntary reduction of trans-fatty acids in Latin America and the Caribbean: current situation. Rev Panam Salud Publica. 2011, 2011 (29): 126-129.

    Article  Google Scholar 

  33. Bowen L, Ebrahim S, De Stavola B, Ness A, Kinra S, Bharathi AV, Prabhakaran D, Reddy KS: Dietary intake and rural–urban migration in India: a cross-sectional study. PLoS One. 2011, 6: e14822-10.1371/journal.pone.0014822.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Petrauskaitea V, Greyta WD, Kellensb M, Huyghebaerta A: Physical and chemical properties of trans-free fats produced by chemical interesterification of vegetable Oil blends. JAOCS. 1998, 75: 489-493.

    Google Scholar 

  35. Upritchard JE, Zeelenberg MJ, Huizinga H, Verschuren PM, Trautwein EA: Modern fat technology: what is the potential for heart health?. Proc Nutr Soc. 2005, 64: 379-386. 10.1079/PNS2005446.

    Article  CAS  PubMed  Google Scholar 

  36. Heller L: Cargill expands high oleic canola line. FoodNavigatorcom. 2007, France: Montpellier

    Google Scholar 

  37. Farmani J, Safari M, Hamedi M: Application of palm olein in the production of zero-trans Iranian vanaspati through enzymatic interesterification. Eur J Lipid Sci Technol. 2006, 108: 636-643. 10.1002/ejlt.200600025.

    Article  CAS  Google Scholar 

  38. Mello M: New York City’s War on Fat. NEJM. 2009, 360: 2015-2020. 10.1056/NEJMhle0806121.

    Article  CAS  PubMed  Google Scholar 

  39. Camp DV, Hooker NH, Li C-TJ: Changes in fat content of US snack foods in response to mandatory trans fat labelling. Public Health Nutr. 2012, 15: 1130-1137. 10.1017/S1368980012000079.

    Article  PubMed  Google Scholar 

  40. ActNowBC: Measuring up: an evaluation of the BC Trans Fat Initiative June 2010. 2010, British Columbia: Heart and Stroke Foundation and ActNowBC

    Google Scholar 

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Acknowledgements

This work was supported by a Wellcome Trust Capacity Strengthening Strategic Award to the Public Health Foundation of India and a consortium of UK universities. SMD is funded by a Canadian Institutes of Health Research Doctoral Research Award and an International Postgraduate Award from the University of Sydney and Commonwealth Government.

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Correspondence to Archna Singh.

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SMD participated in all aspects of this study. VG assisted with data collection and preparation of the manuscript. SGJ, KL and AMT contributed to the study conception and preparation of the manuscript. AS participated in the study conception, data collection and preparation of the manuscript. All authors read and approved the final manuscript.

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Downs, S.M., Gupta, V., Ghosh-Jerath, S. et al. Reformulating partially hydrogenated vegetable oils to maximise health gains in India: is it feasible and will it meet consumer demand?. BMC Public Health 13, 1139 (2013). https://doi.org/10.1186/1471-2458-13-1139

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