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Definitive data are lacking on the impact of very low fat diets in young genetics children or other groups at potentially high risk, ie, pregnant women and the elderly, or after long-term adherence. The importance of the genetics issue is not clear in the absence of established requirements for essential fatty acid intakes at any age. genetics Estimated requirements range from 3% to 5% of caloric intake.75 76 This requirement translates to 7 to 11 g for a 2000-calorie diet and is usually met by the inclusion of polyunsaturated fats as a source of linolenic acid. Additional unresolved questions on the use of very low fat diets include the feasibility of long-term restriction of certain foods, uncertainty about compromised absorption of fat-soluble vitamins, impact of increased dietary fiber on the absorption of other micronutrients, and potential risk for iatrogenic malnutrition. At this time, no health benefits and possible harmful effects can be predicted from adherence to very low fat diets in certain subgroups.
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