Harvard Medicine: Nutrition

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Fat

It’s an area of important differences as well as similarities. The fats on the “bad” list are the same for men and women, but the fats on the “good” list are not.

Both men and women should keep their total fat consumption below 30% to 35% of daily calories. Since fat is the most calorie-dense food (9 calories per gram), levels as low as 20% to 25% are appropriate when weight is an issue.

To achieve these goals, cut down on saturated fat from animal products (meat and the skin of poultry, whole-fat dairy products, and certain vegetable foods — palm oil, palm kernel oil, cocoa butter, and coconut). And it’s just as important to reduce your consumption of trans fatty acids, the partially hydrogenated vegetable oils found in stick margarine, fried foods, and many commercially baked goods and snack foods.

Make up the difference by including more unsaturated fats in your diet. Monounsaturated fats are healthful for both men and women; olive oil is a good source. The two omega-3 fatty acids found in fish are highly desirable for both sexes.

The vegetable omega-3 is a different matter. The problem omega-3 is alpha-linolenic acid (ALA). It is particularly abundant in canola oil and flaxseed oil. Like the marine omega-3s, ALA is good for the heart, but unlike fish oil, which may reduce the risk of prostate cancer, ALA may not be good for the prostate.

Although canola oil appears to be good for the cardiovascular system, two Harvard studies have raised concerns that ALA might be bad for the prostate. The Harvard research, from 1993 and 1994, prompted a number of similar investigations around the world. Four have supported a link between ALA and prostate cancer; three have not.

It’s still an open question, but there is no question that ALA represents a dietary difference between the sexes. For women, it’s a healthful fat. For men with heart disease or major cardiac risk factors, it may also be a good choice — but men with more reason to worry about prostate cancer should probably get their omega-3s from fish and their vegetable fats largely from olive oil.

You are what you eat

It’s true for both men and women. And it’s also true that a healthy, balanced diet is best for both genders. But there are differences; the fine print of nutrition is one more way that the sexes are opposite.

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Pyramid illustration courtesy Harvard Health Publications
Last updated June 2008