equivocal. The existing evidence from the relatively
few studies that have been published suggests that
SPE incorporation into foods may aid in reducing
the amount of fat consumed. The evidence is, how-
ever, less clear regarding SPE’s efficacy in reducing
total energy intake. Again, it is important to note
that all of these studies used covert manipulations:
participants were unaware of the fat manipulation.
This may or may not be representative of how such
products will be consumed in a free-choice, full-
knowledge setting. More studies are, therefore,
needed to clarify the effects of fat replacers on energy
intake.
0055 There has also been considerable focus on possible
negative health effects associated with SPE, especially
olestra, most notably gastrointestinal (GI) complaints
and decreased absorption of fat-soluble vitamins.
Since olestra is nonabsorbable and passes through
the gut unchanged, it has been anecdotally linked
with GI complaints such as diarrhea, bloating, and
cramps. However, one study found no difference in
prevalence of GI complaints following a single epi-
sode of snacking on chips made with triglyceride or
chips made with olestra. Unpublished data from the
Olestra Post-Marketing Surveillance Study (OPMSS)
found only a limited association with one symptom
(bloating) among the highest consumers of olestra. In
addition, OPMSS data indicate that GI complaints
are rarely attributed to fat replacers such as olestra,
while most food-related GI problems are attributed to
beans, and spicy and diary foods. Further, another
study, also using OPMSS data, found that olestra
consumption was not associated with changes in
serum carotenoids or serum concentrations of other
fat-soluble vitamins; however, serum vitamin K was
higher in the highest consumers of olestra. This may
be due to olestra being fortified with vitamins A, D, E,
and K. Thus, according to current measures, olestra
does not present a significant risk of GI upset or
reduced absorption of fat-soluble vitamins.
Conclusions
0056 In this article, we have examined the available data
regarding whether or not reduced-fat foods, espe-
cially those made using fat-replacer technology, are
useful in reducing the current trend to overconsume
dietary fat and energy in western societies. This ques-
tion is difficult to answer because it is only since the
1980s that dietary fat consumption has been a focus
of nutritional research, and many of the advances in
fat-replacer technology are of even more recent vin-
tage. What is clear is that foods that taste good are
consumed more readily than those that do not. Thus,
it is axiomatic that the availability of low- or no-fat
foods that are also highly palatable may aid in com-
pliance with low-fat diets that were previously bland
and unsatisfying. However, while fat-replaced foods
offer consumers new food choices, considering the
conflicting data, it should not be assumed that the
use of fat-replaced foods will, indeed, result in signifi-
cant reductions in fat and energy intake.
0057The research cited in this article supports the notion
that fat-replaced foods may aid in reducing dietary fat
intake, but perhaps not overall energy intake. Most
studies using traditional low-fat foods and currently
available fat-replaced foods have resulted in at least
partial compensation for energy reductions, but have
not resulted in macronutrient-specific (or fat-specific)
compensation. Results from SPE studies are equivocal
in respect to energy compensation, with some finding
energy compensation, while others do not. Better
controlled, laboratory-based human studies are
needed to estimate just how useful SPE replacement
will prove to be in reducing overall fat and energy
intake.
0058Also still unclear is how consumers will use new
and existing fat-replaced foods. Will they be used as a
one-to-one substitution for foods previously high in
dietary fat, or as a license to overeat other rich foods?
It may be that the most important predictors of the
successful use of fat-replaced products will be the
motivation of the consumer to bring about a reduc-
tion in his/her intake of dietary fat. More naturalistic
studies exploring the potential usage patterns of fat-
replaced products are needed to determine their use-
fulness in bringing about these desired dietary
changes, and additional nutrition education regarding
fat-replaced foods is necessary among those with diet-
modifiable diseases, such as type 2 diabetes, cardio-
vascular disease, and hypertension.
0059Because overall energy intake has been shown to be
a critical factor in weight loss and weight mainten-
ance, the use of fat-replaced foods alone should not be
expected to produce spontaneous improvements in
weight management or obesity. Lasting changes in
body weight will still be dependent upon long-term
behavioral change that includes not only modification
of fat intake, but also reductions of overall energy
intake, along with an increase in energy expenditure.
Because fat is the most energy-dense macronutrient,
substituting low-fat foods can substantially reduce
the energy density of the diet, provided these foods
are also low in energy. If the energy density of the diet
is reduced and the volume of intake remains constant,
reductions in total energy intake are likely.
0060These caveats aside, fat-replaced foods, like other
modified foods (e.g., with aspartame or saccharin)
could aid motivated individuals to reduce their intake
of dietary fat and energy. Thus, fat replacers may
FAT SUBSTITUTES/Use of Fat-replaced Foods in Reducing Fat and Energy Intake 2259