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Low Fat Diet

Basics

As the name states, a low fat diet aims to allow only a small amount of fat in your diet. Calories in the food we eat come from 3 main sources: fat, carbohydrates, and protein. A portion of fat has twice as many calories as a same sized portion of protein or carbohydrates. Also, when we eat fat in food, our bodies turn these excess calories into our own fat more easily than extra calories from protein or carbohydrates. It would make sense that cutting out fat would help with weight loss. fruit bowlThere is a database of people who have lost 30 pounds and kept it off for at least one year. It is called the National Weight Control Registry (NWCR). For most of these people, fat control was an important part of their weight loss programs.

Low fat diets help you decrease the amount of calories you eat every day. Be careful not to be tricked by foods that say they are “low-fat.” A lot of food makers lower the amount of fat in their foods but increase the amount of sugar in their products. This means that foods that are “low-fat” can have just as many calories as regular foods. When shopping for groceries, do a quick comparison of the different boxes’ food labels. Be careful not to replace a low fat diet with a high sugar diet.

How Much Fat Should I Eat?

Most dietary recommendations say that people should eat about 30% of their total calories as fat. A national guideline on lowering cholesterol recommends getting 25-35% of your total calories from fat. This is more flexible than just saying 30%. It is still hard to think about the percent of calories in fat that each food has. Most food labels will list how many grams of fat a serving has and what percentage of an average diet they contain. Everyone is different, and you may not fit the percentage listed on the food label. It is easier to count the number of grams of fat you should eat. Here is how to do the math to figure this out:

Step 1: Calculate the total amount of calories you should eat every day. You can do this on your own, or you can use an online calculator.

Step 2: Take your daily calories from step 1, and multiply it by 0.25 and by 0.35.

Step 3: Fat has 9.4 Calories per gram. Take the number of calories you got from step 2 and divide it by 9.4. This gives you the number of grams of fat you should eat each day.

Example:
A 35 year old 5 foot 10 inch tall man weighs 195 pounds. He works an easy job and does not exercise. (His BMI is 28)

Step 1:
His calculated daily caloric need is 2382 calories/day.

Step 2:
2382 x 0.25 = 595.5 calories from fat
2382 x 0.35 = 833.7 calories from fat

Step 3:
595.5 / 9.4 = 63.3 grams of fat
833.7 / 9.4 = 88.7 grams of fat

This person should try to eat somewhere between 63.3 to 88.7 grams of fat per day. It may be easier for this person to start eating this normal-fat diet and then change to a low fat diet later.

You do not have to completely cut out all foods with fat in them. That would make any diet virtually impossible to stick with. The key is to eat fat in moderation. Try your best to stay within the 25-35% range. When cutting out fat, replace the high fat foods with healthy foods like fruits, vegetables, legumes, and whole grain foods. This will help fill you up, and you will get the health benefits of these foods, which makes your low fat diet that much better for you.

Types of Fat

Our bodies actually do need some regular fat to be healthy. Specific types of fats will add to our overall health. Omega-3 fats (i.e. fish oil or flaxseed oil) have many benefits, such as lowering triglycerides, increasing the good cholesterol, helping the neck arteries in diabetics, and decreasing the risk of dying after having a heart attack. There are some risks and side effects to fish oil supplements, so discuss this with your doctor.

Trans fats (or partially hydrogenated fats) are definitely a bad type of fat. These can be found in regular food, especially animal products. However, most of the trans fats we eat come from commercial foods. This type of fat is put in foods because they make the food easier to cook with and last longer. Trans fats raise bad cholesterol levels and interfere with some of the chemical processes of the omega-3 fats. Try to avoid trans fats.

When talking about the fats in low fat diets, I am referring to the most common (i.e. regular) type that is simply listed as "Fat" on on food labels.

Low Fat Diet Plans

A couple of low fat plans are the Pritikin diet and the Ornish diet.


Return to Diets or Home Page.


It is important you discuss any weigh loss or exercise plan with your doctor. Only you and your physician can decide what is best for you. Some people have certain conditions that prevent them from doing all exercises, and goal body weights may be different for different people. You need to discuss all these things with your physician before starting any weight loss or exercise program.

This article was written by John Vickery, MD.

References

“Dietary therapy for obesity” Up To Date version 15.3
Prim Care Clin Office Pract 2003;30:301-316
“Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III): Executive Summary” NIH Publication No. 01-3670 at http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3xsum.pdf
The Medical Letter on Drugs and Therapeutics 2006;48:59-60
“Dietary fat” Up To Date version 15.30