[Trans fatty acids: consumption effect on human health and regulation challenges]. / Ácidos grasos trans: un análisis del efecto de su consumo en la salud humana, regulación del contenido en alimentos y alternativas para disminuirlos.

Trans fatty acids (TFA) are stable to oxidative rancidity which allows them to have a long shelf-life: also they have an intermediate melting point between saturated and unsaturated fats. For these reasons they have been widely used by the food industry. However, in recent years a large number of epidemiological and clinical evidence has indicated that trans fats are a significant risk factor to suffer a cardiovascular event and appear to be involved in the process of inflammation, diabetes and cancer. The increase of 2% of the daily energy by TFA is associated with a 23% increase cardiovascular risk. Therefore, international organizations like WHO and PAHO recommend virtually eliminate them or make their consumption as low as possible, less than 1%. Considering this recommendation and the risk involved in its consumption, some countries in Europe and America have legislated to achieve a gradual reduction of these fats. Denmark is a country that has shown a reduced prevalence of cardiovascular disease by reducing sources of trans fats in the diet. Despite the evidence of their impact on health in many countries still do not take any action and significant amounts of TFA remain in their foods and therefore in the diet of its population.

[Effect of supplementation with a massive dose of vitamin A in children 6 to 36 months of age]. / Efecto de la suplementación con una dosis masiva de vitamina A en niños de 6 a 36 meses de edad.

OBJECTIVE: To evaluate the impact of a single massive dose of vitamin A on the vitamin and iron status in children of margined urban areas in Hermosillo, Sonora, Mexico. MATERIAL AND METHODS: A total of 60 children received one dose of 100,000 IU (children from 6 to 12 months) and of 200,000 IU (children from 12 to 36 months) of retinol palmitate distributed by the Health Ministry in June, 1994. Serum levels of retinol, carotenoids, iron, transferrin and ferritin were measured at three periods: basal, after two weeks and after three months. RESULTS: The mean for retinol basal values was 0.7 mumol/l, after two weeks it was 0.97 mumol/l (p < 0.001) and after three months it was 0.83 mumol/l (p > 0.05). When basal values were measured, 6.3% of the children showed severe vitamin A deficiency, which disappeared in the periods following the supplement; additionally, 42% showed moderate deficiency which had decreased to less than 7% after three months. No differences were found for serum iron and transferrin levels (p > 0.05), however, ferritin levels increased (p < 0.001) after three months indicating an improvement in iron reserves. CONCLUSIONS: Massive dose distribution may have an important impact on vitamin A and iron status in children.