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Food Lipids: Chemistry, Nutrition, and Biotechnology

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Table 10 FDA Determination Leading to the Approval of Olestra<br />

Item/property Effect as petitioned FDA ruling<br />

Stability Stable as triacylglycerols; less polymer<br />

formation; higher free fatty<br />

acid formed<br />

Absorption Small amounts of penta- <strong>and</strong> lower<br />

esters are absorbed <strong>and</strong> metabolized<br />

to fatty acids <strong>and</strong> sucrose<br />

Genetic toxicity No evidence of genetic toxicity or<br />

mutagenicity from heated olestra<br />

No difference in by-product formation<br />

during frying <strong>and</strong><br />

baking<br />

Essentially not absorbed<br />

Not genotoxic<br />

Teratogenicity Not teratogenic or embryotoxic Not teratogenic<br />

Carcinogenicity No adverse treatment-related effect No association to adenomas, pituitary,<br />

leukemia, basophilic foci<br />

Drug absorption No effect on lipophilic <strong>and</strong> nonlipophilic<br />

drug absorption<br />

with olestra treatment<br />

Magnitude of effect on drug absorption<br />

(including Coumadin,<br />

oral contraceptives) is not<br />

significant<br />

Water-soluble No adverse effect No significant effect; no supple-<br />

nutrients<br />

mentation required<br />

Fat-soluble No significant decrease in vitamin A; Not significant as analyzed<br />

vitamins dose-related significant decrease Vitamin E decrease<br />

in vitamin E; small decrease in Serum vitamin D decrease<br />

vitamin D; dose-response decrease Potential for vitamin K decrease<br />

in vitamin K1 on long-term olestra use<br />

60% decrease in �-carotene Carotenoids’ effect not conclusive;<br />

supplementation for vitamins<br />

A, D, E, K recommended<br />

Gastrointestinal GI symptoms not clinically<br />

Dose–response for diarrhea/loose<br />

tract<br />

significant<br />

stools <strong>and</strong> fecal urgency; recommend<br />

informing consumer<br />

through labeling<br />

Oil loss if large liquid olestra is Low stiffness leads to oil loss,<br />

consumed<br />

not a health hazard<br />

Increased bowel movement, soft Symptoms not the same as in<br />

stools<br />

high-fiber diets<br />

Inflammatory bowel disease affected Not highly exacerbated at 20<br />

little<br />

g/day<br />

No significant health effects on young Data from adults can be extrapo-<br />

children<br />

lated to children<br />

Intestinal Olestra is not metabolized by GI mi- No metabolism by microflora; no<br />

microflora croflora; microbial counts, short differences as observed with<br />

chain fatty acid, breath hydrogen<br />

not greatly affected<br />

dietary changes<br />

Bile acid No effect on bile acid synthesis or No major changes in bile acid<br />

metabolism excretion<br />

metabolism<br />

Copyright 2002 by Marcel Dekker, Inc. All Rights Reserved.

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