Argentina’s journey from using industrially-produced trans fats to improving heart health began in 1990. Researchers turned their attention to the country’s high rate of heart disease, seeking causes and solutions.
As global awareness grew on trans fats’ role in cardiovascular diseases, health officials knew they had to take a stand. Partnerships formed between the agricultural and health ministries, the business and consumer sectors, and academia.The Government’s final decision to adopt a mandatory approach helped the country virtually rid its food of industrially-produced trans fats by 2014.
Cardiovascular diseases are Argentina’s main cause of death, and trans fat elimination is seen as having the biggest potential impact on the general population.
“Eliminating trans fat is a priority for the entire region,” says Dr. Fabio Gomes, Regional Nutrition Advisor at the Pan American Health Organization (PAHO), the Regional Office of the Americas for WHO. “Reducing trans fat consumption by just 2% to 4% of total calories could prevent an estimated 30 000 to 225 000 heart attacks in Latin America and the Caribbean.”
The work has paid off. A 2015 study published in the WHO Bulletin estimated that anywhere from 301 to 1517 cardiac deaths per year were averted by eliminating industrially-produced trans fats in Argentina (1). The study also found that replacing industrially-produced trans fat will save between US$17 million and $87 million in healthcare costs annually.
Several factors were in Argentina’s favor, including the availability of plant-based alternative fats enabled by increased production of sunflower oil high in oleic acid.
In 1990, La Plata National University, the Buenos Aires Scientific Investigations Commission, and the Buenos Aires Health Ministry began studying the high incidence of coronary death. Companies began investigating and using industrial trans fat alternatives, including interesterified vegetable oils (saturated and unsaturated vegetable oils blended to increase the melting point); semisolid fats comprised of milk-fat fractions and sunflower oil; and stearins of different melting points derived from modified sunflower oil.
While trans fat labeling became mandatory in 2006, limiting them in food was voluntary until 2008, with some companies already substituting other fats.
In 2008, the PAHO-backed Trans Fat Free Americas Declaration called for limiting industrially-produced trans fat to less than 2% of total fat in oils and margarines, and less than 5% of total fat in other foods. The declaration recommended mandatory labeling of trans fat content in foods, standardized across the Americas, and when possible, replacement with unsaturated fats.
The Argentine Commission for the Elimination of Trans Fats was formed soon after. The Ministry of Health brought together consumer groups, academia and the food industry, as well as:
the National Institute of Nutrition (part of the health ministry),
the National Institute of Industrial Technology (part of the Ministry of Economics),
the Ministry of Agribusiness, and
the Argentinian Association of Fats and Oils.
Three inter-agency subgroups were created, leading to changes in 2010 in the Argentinian food code, el Código Alimentario Argentino (CAA), and a new guide for small and medium businesses on how to replace industrially-produced trans fats. The CAA amendments established deadlines for industry to comply with the limits: two years to meet the 2% limit of industrially-produced trans fats in margarines and vegetable oils, and approximately five years for the 5% limit in other products. By 2014 the code was almost fully implemented.
The efforts met little resistance because the changes were easy and inexpensive. By 2014, most companies were complying. A study found 73% of the food products screened were in compliance by 2014, with overall compliance rising to 93% by 2015.
Dr. Fabio Gomes describes Argentina’s approach to eliminating trans fat as "innovative and pioneering". He notes the Government managed to “take the lead in enacting a mandatory approach towards the virtual elimination of trans fats from the food system." “This model is inspiring other countries," he adds.
(1) Rubinstein, Adolfo, et al. "Eliminating artificial trans fatty acids in Argentina: estimated effects on the burden of coronary heart disease and costs." Bulletin of the World Health Organization 93 (2015): 614-622.
Fuente: WHO – World Health Organization