Interesterified Fats: The Trans-Fat Replacement

When partially hydrogenated oils were pushed out of the food supply, manufacturers still needed a fat that stays firm in a biscuit, a spread or a pastry. Interesterified fat became one of the main answers. It contains no newly made trans fat, and in several countries no rule requires the package to say it is there. Human trials so far are short and their results differ, mouse studies report harm to the liver and to blood sugar control, and no study read for this page measured what decades of eating it does. This page sets out those findings. For the wider story of industrial oils, see Processed Seed Oils; for the fat it replaced, see Trans Fats.

Table of Contents

  1. What Interesterification Does to a Fat
  2. Why It Spread After the Trans-Fat Rules
  3. Foods That Carry It and What Labels Show
  4. Palm and Other Starting Fats
  5. Cholesterol and Blood Fats in Human Trials
  6. Blood Sugar and Insulin in Human Trials
  7. Liver, Inflammation and Clotting in Human Trials
  8. What Animal Studies Report
  9. Regulation Country by Country
  10. What Is Not Known
  11. Key Research Papers
  12. Connections
  13. Featured Videos

What Interesterification Does to a Fat

Almost every fat in food is built the same way: three fatty acids attached to a small backbone called glycerol. The result is a triglyceride. Picture a coat hanger with three hooks, two on the outside and one in the middle. Interesterification takes the fatty acids off their hooks and puts them back in a different arrangement, either on the same molecule or on a neighbouring one. A 2016 expert workshop paper describes the process as rearranging fatty acids within and between triglyceride molecules, using either a chemical catalyst or an enzyme.[1]

Why the Middle Position Draws Attention

Plant fats usually carry their saturated fatty acids on the outer hooks. Animal fats carry more of them on the middle hook. Industrial interesterification of a plant fat often moves saturated fatty acids into the middle position, so the fat ends up with an arrangement that is new for a plant fat.[3] Digestive enzymes cut mainly at the outer positions, and the fatty acid in the middle tends to stay attached and be absorbed in a different form. A 2009 review reports that animal and human infant studies found fats with palmitic or stearic acid in the middle position were better digested and were considered more likely to promote artery disease, while longer studies in human adults suggested no effect on digestibility or fasting blood fats.[2]

Why It Spread After the Trans-Fat Rules

For most of the twentieth century, partial hydrogenation was the standard way to turn a liquid oil into a solid fat. It also created trans fatty acids. Research linked these to harmful changes in blood cholesterol and to heart disease. The United States Institute of Medicine and the 2010 Dietary Guidelines for Americans called for trans-fat intake to be as low as possible. The United States Food and Drug Administration made a tentative determination in 2013 that partially hydrogenated oils were not generally recognized as safe, and made it final in 2015.[1]

That left a technical problem. Without a hard fat, a biscuit or a spread has a different texture and a shorter shelf life. A 2017 review lists the alternatives as blending, fractionation (separating an oil into harder and softer parts), full hydrogenation, interesterification and genetic modification. It reports that none of these alone suits most food uses, and that interesterifying blends of fractionated or fully hydrogenated fats appeared to be the best option available to industry.[3]

Consumer behaviour played a part as well. The same review notes that labels in the United Kingdom did not separate fully hydrogenated fat, which holds no trans fat, from the partially hydrogenated kind. Shoppers turned away from both, which pushed manufacturers toward interesterified fractionated fats.[3]

A 2012 modelling study estimated what the swap would do in the United States, using national dietary recalls from 1999 to 2002. Replacing partially hydrogenated soybean oil with fully hydrogenated interesterified soybean oil in foods that need a firm fat cut trans-fat intake by 0.7% of energy, raised stearic acid intake by 1.0% of energy and lowered predicted cardiovascular risk by 1.2%. The authors state that this result rests solely on changes in blood fats and lipoproteins.[18] It is a calculation and did not follow any person eating these fats.

Foods That Carry It and What Labels Show

Where It Is Used

Several animal papers also place these fats in ultra-processed foods as a general category.[20][22] The papers read for this page give no product-by-product list, because no labelling data exist from which to draw one.

What a Label Does and Does Not Reveal

Palm and Other Starting Fats

What goes into the process matters, because the process does not change which fatty acids are present. Two families dominate the research, one rich in palmitic acid and one rich in stearic acid.

Palm-based and soy-based fats differ in the research. A 2020 systematic review reports that swapping palmitic acid for stearic acid lowers low-density lipoprotein (LDL) cholesterol, while interesterifying either type does not seem to change fasting blood fats.[5] The 2010 review adds that it is not clear whether interesterified palmitic fats are as problematic as interesterified stearic fats, because the palmitic kind had been studied less at that time.[6]

Cholesterol and Blood Fats in Human Trials

Trials differ in what they compare. Some set an interesterified fat against the same fat before processing, which tests the process itself. Others set it against a different fat, which tests the fatty acids as well.

Weeks of Eating It

One Meal

Blood fats rise for hours after a fatty meal, and these meal studies give mixed answers.

A 2020 systematic review concluded that interesterifying palmitic or stearic fats does not seem to affect fasting blood fats, and that the rise after a meal is smaller when a blend has more solid fat at body temperature.[5] A laboratory stomach model points the same way: in muffins, the hard fats stayed bound to the crumb and delayed stomach emptying, and interesterification itself did not alter digestibility.[17]

Blood Sugar and Insulin in Human Trials

Blood sugar results drew attention after one 2007 trial. Later trials did not find the same result, though their fats, doses and ways of giving the fat differed.

The trials used different fats and different doses. The 2007 trial used a stearic-rich fat at a high intake. A 2010 review argues that intake levels of 8% to 12% of energy as interesterified stearic acid show the most effect, against about 2% to 4% of energy from stearic acid in a typical diet. It also argues that trials delivering the fat in a single snack or meal are less likely to reveal an effect than diets using it at every meal.[6] The 2018 trial delivered its fats as daily snacks.[8]

Liver, Inflammation and Clotting in Human Trials

What Animal Studies Report

Every result in this section comes from mice or rats. Animal feeding studies use diets built around the test fat, and rodents handle fat differently from people. Their findings raise questions and do not show what happens in humans.

Blood Sugar and Insulin in Mice

Liver, Arteries and Gut in Mice

Offspring of Mice and Rats

Several studies fed the mother during pregnancy and nursing and then examined the young. All of these compare fats within normal-fat diets or against soybean oil.

Many of these rodent studies come from a small number of research groups, and several also found harm from unprocessed palm oil. That makes it hard to separate the effect of the process from the effect of the saturated fat.

Regulation Country by Country

The rules found for this page target trans fat. None of the sources read sets a limit on interesterified fat itself.

What Is Not Known

Decisions about diet and health conditions belong with a clinician, who can weigh these findings for an individual person.

Key Research Papers

  1. Mensink RP, Sanders TA, Baer DJ, Hayes KC, Howles PN, Marangoni A. The Increasing Use of Interesterified Lipids in the Food Supply and Their Effects on Health Parameters. Adv Nutr. 2016;7(4):719-29. PubMed PMID: 27422506
  2. Berry SE. Triacylglycerol structure and interesterification of palmitic and stearic acid-rich fats: an overview and implications for cardiovascular disease. Nutr Res Rev. 2009;22(1):3-17. PubMed PMID: 19442321
  3. Mills CE, Hall WL, Berry SEE. What are interesterified fats and should we be worried about them in our diet? Nutr Bull. 2017;42(2):153-158. PubMed PMID: 28729812
  4. Alfieri A, Imperlini E, Nigro E, Vitucci D, Orrù S, Daniele A, Buono P, Mancini A. Effects of Plant Oil Interesterified Triacylglycerols on Lipemia and Human Health. Int J Mol Sci. 2017;19(1):104. PubMed PMID: 29301208
  5. van Rooijen MA, Mensink RP. Palmitic Acid Versus Stearic Acid: Effects of Interesterification and Intakes on Cardiometabolic Risk Markers - A Systematic Review. Nutrients. 2020;12(3):615. PubMed PMID: 32111040
  6. Hayes KC, Pronczuk A. Replacing trans fat: the argument for palm oil with a cautionary note on interesterification. J Am Coll Nutr. 2010;29(3 Suppl):253S-284S. PubMed PMID: 20823487
  7. Sundram K, Karupaiah T, Hayes KC. Stearic acid-rich interesterified fat and trans-rich fat raise the LDL/HDL ratio and plasma glucose relative to palm olein in humans. Nutr Metab (Lond). 2007;4:3. PubMed PMID: 17224066
  8. Ng YT, Voon PT, Ng TKW, Lee VKM, Mat Sahri M, Mohd Esa N, Ong SH, Ong ASH. Interesterified Palm Olein (IEPalm) and Interesterified Stearic Acid-Rich Fat Blend (IEStear) Have No Adverse Effects on Insulin Resistance: A Randomized Control Trial. Nutrients. 2018;10(8):1112. PubMed PMID: 30126103
  9. Hall WL, Wood E, Joris PJ, Smith HA, Creedon A, Maher T, Bruce JH, Mensink RP, Berry SE. The effects of consumption of interesterified fats rich in palmitic acid compared with stearic acid on intermediary markers of cardiometabolic disease risk: a randomized controlled trial in healthy adults. Am J Clin Nutr. 2025;122(5):1361-1373. PubMed PMID: 40975239
  10. Filippou A, Teng KT, Berry SE, Sanders TA. Palmitic acid in the sn-2 position of dietary triacylglycerols does not affect insulin secretion or glucose homeostasis in healthy men and women. Eur J Clin Nutr. 2014;68(9):1036-41. PubMed PMID: 25052227
  11. Meijer GW, Weststrate JA. Interesterification of fats in margarine: effect on blood lipids, blood enzymes, and hemostasis parameters. Eur J Clin Nutr. 1997;51(8):527-34. PubMed PMID: 11248878
  12. Hall WL, Brito MF, Huang J, Wood LV, Filippou A, Sanders TA, Berry SE. An interesterified palm olein test meal decreases early-phase postprandial lipemia compared to palm olein: a randomized controlled trial. Lipids. 2014;49(9):895-904. PubMed PMID: 25103522
  13. Hall WL, Iqbal S, Li H, Gray R, Berry SEE. Modulation of postprandial lipaemia by a single meal containing a commonly consumed interesterified palmitic acid-rich fat blend compared to a non-interesterified equivalent. Eur J Nutr. 2017;56(8):2487-2495. PubMed PMID: 27511058
  14. Mills CE, Harding SV, Bapir M, Mandalari G, Salt LJ, Gray R, Fielding BA, Wilde PJ, Hall WL, Berry SE. Palmitic acid-rich oils with and without interesterification lower postprandial lipemia and increase atherogenic lipoproteins compared with a MUFA-rich oil: A randomized controlled trial. Am J Clin Nutr. 2021;113(5):1221-1231. PubMed PMID: 33675343
  15. Berry SE, Woodward R, Yeoh C, Miller GJ, Sanders TA. Effect of interesterification of palmitic acid-rich triacylglycerol on postprandial lipid and factor VII response. Lipids. 2007;42(4):315-23. PubMed PMID: 17406926
  16. Hall WL, Alkoblan A, Gibson PS, D'Annibale M, Coekaerts A, Bauer M, Bruce JH, Lecomte B, Penhoat A, Laugerette F, Michalski MC, Salt LJ, Wilde PJ, Berry SE. Postprandial lipid and vascular responses following consumption of a commercially-relevant interesterified palmitic acid-rich spread in comparison to functionally-equivalent non-interesterified spread and spreadable butter: a randomised controlled trial in healthy adults. Food Funct. 2024;15(5):2733-2750. PubMed PMID: 38380649
  17. Salt LJ, Mandalari G, Parker ML, Hussein M, Mills CE, Gray R, Berry SE, Hall W, Wilde PJ. Mechanisms of interesterified fat digestibility in a muffin matrix using a dynamic gastric model. Food Funct. 2023;14(22):10232-10239. PubMed PMID: 37916919
  18. Lefevre M, Mensink RP, Kris-Etherton PM, Petersen B, Smith K, Flickinger BD. Predicted changes in fatty acid intakes, plasma lipids, and cardiovascular disease risk following replacement of trans fatty acid-containing soybean oil with application-appropriate alternatives. Lipids. 2012;47(10):951-62. PubMed PMID: 22903557
  19. Miyamoto JÉ, Reginato A, Portovedo M, Dos Santos RM, Stahl MA, Le Stunff H, Latorraca MQ, de Barros Reis MA, Arantes VC, Doneda DL, Ignacio-Souza LM, Torsoni AS, Grimaldi R, Ribeiro APB, Torsoni MA, Milanski M. Interesterified palm oil impairs glucose homeostasis and induces deleterious effects in liver of Swiss mice. Metabolism. 2020;112:154350. PubMed PMID: 32910938
  20. Dos Santos RM, Miyamoto JÉ, Siqueira BP, Araujo TR, Vettorazzi JF, Menta PLR, Denom J, Latorraca MQ, Cruciani-Guglielmacci C, Carneiro EM, Torsoni A, Torsoni M, Badan AP, Magnan C, Le Stunff H, Ignácio-Souza L, Milanski M. Interesterified palm oil promotes insulin resistance and altered insulin secretion and signaling in Swiss mice. Food Res Int. 2024;177:113850. PubMed PMID: 38225125
  21. Martins BC, da Silva Ribeiro M, Teixeira AVS, Peixoto TC, Lisboa PC, Martins FF, Souza-Mello V, Daleprane JB. Consumption of interesterified palm oil leads inflammation of white adipose tissue and triggers metabolic disturbances in mice on a high-fat diet. Sci Rep. 2024;14(1):12530. PubMed PMID: 38822155
  22. Martins BC, Miranda CS, Ribeiro MDS, Teixeira AVS, Peixoto TC, Lisboa PC, Resende AC, Barros Mucci D, Martins FF, Souza-Mello V, Daleprane JB. Interesterified palm oil consumption drives brown adipose tissue whitening and functional impairment in high-fat diet mice. Br J Nutr. 2026;135(2):136-148. PubMed PMID: 41267503
  23. Peixoto TC, Quitete FT, Teixeira AVS, Martins BC, Soares RA, Atella GC, Bertasso IM, Lisboa PC, Resende AC, Mucci DB, Souza-Mello V, Martins FF, Daleprane JB. Palm and interesterified palm oil-enhanced brown fat whitening contributes to metabolic dysfunction in C57BL/6J mice. Nutr Res. 2025;133:94-107. PubMed PMID: 39705913
  24. Lavrador MSF, Afonso MS, Cintra DE, Koike M, Nunes VS, Demasi M, Lin CJ, Beda LMM, Gioielli LA, Bombo RPA, Machado RM, Catanozi S, Nakandakare ER, Lottenberg AM. Interesterified Fats Induce Deleterious Effects on Adipose Tissue and Liver in LDLr-KO Mice. Nutrients. 2019;11(2):466. PubMed PMID: 30813339
  25. Afonso MS, Lavrador MS, Koike MK, Cintra DE, Ferreira FD, Nunes VS, Castilho G, Gioielli LA, Paula Bombo R, Catanozi S, Caldini EG, Damaceno-Rodrigues NR, Passarelli M, Nakandakare ER, Lottenberg AM. Dietary interesterified fat enriched with palmitic acid induces atherosclerosis by impairing macrophage cholesterol efflux and eliciting inflammation. J Nutr Biochem. 2016;32:91-100. Erratum in J Nutr Biochem. 2016;36:89-90. PubMed PMID: 27142741
  26. Menta PLR, Andrade MER, de Castro LF, Trindade LM, Dias MTS, Miyamoto JÉ, Dos Santos RM, Cassali GD, Leal RF, Ribeiro APB, Grimaldi R, Ignacio-Souza LM, Torsoni MA, Torsoni AS, Cardoso VN, Milanski M. Interesterified palm oil increases intestinal permeability, promotes bacterial translocation, alters inflammatory parameters and tight-junction protein genic expression in Swiss mice. Food Res Int. 2022;151:110897. PubMed PMID: 34980418
  27. Teixeira AVS, Quitete FT, Martins BC, Peixoto TC, Ribeiro MDS, Velasco PC, Miranda C, Resende AC, Costa DC, Atella GC, Mucci DB, Souza-Mello V, Martins FF, Daleprane JB. Metabolic consequences of interesterified palm oil and PCB-126 co-exposure in C57BL/6 mice. Food Chem Toxicol. 2024;192:114965. PubMed PMID: 39197524
  28. Magri TP, Fernandes FS, Souza AS, Langhi LG, Barboza T, Misan V, Mucci DB, Santos RM, Nunes TF, Souza SA, de Mello Coelho V, Tavares do Carmo Md. Interesterified fat or palm oil as substitutes for partially hydrogenated fat in maternal diet can predispose obesity in adult male offspring. Clin Nutr. 2015;34(5):904-10. PubMed PMID: 25444555
  29. de Velasco PC, Chicaybam G, Ramos-Filho DM, Dos Santos RMAR, Mairink C, Sardinha FLC, El-Bacha T, Galina A, Tavares-do-Carmo MDG. Maternal intake of trans-unsaturated or interesterified fatty acids during pregnancy and lactation modifies mitochondrial bioenergetics in the liver of adult offspring in mice. Br J Nutr. 2017;118(1):41-52. PubMed PMID: 28797310
  30. Misan V, Estato V, de Velasco PC, Spreafico FB, Magri T, Dos Santos RM, Fragoso T, Souza AS, Boldarine VT, Bonomo IT, Sardinha FL, Oyama LM, Tibiriçá E, Tavares do Carmo Md. Interesterified fat or palm oil as substitutes for partially hydrogenated fat during the perinatal period produces changes in the brain fatty acids profile and increases leukocyte-endothelial interactions in the cerebral microcirculation from the male offspring in adult life. Brain Res. 2015;1616:123-33. PubMed PMID: 25982597
  31. Bispo KP, de Oliveira Rodrigues L, da Silva Soares de Souza É, Mucci D, Tavares do Carmo Md, de Albuquerque KT, de Carvalho Sardinha FL. Trans and interesterified fat and palm oil during the pregnancy and lactation period inhibit the central anorexigenic action of insulin in adult male rat offspring. J Physiol Sci. 2015;65(1):131-8. PubMed PMID: 25398547
  32. D'avila LF, Dias VT, Milanesi LH, Roversi K, Trevizol F, Maurer LH, Emanuelli T, Burger ME, Segat HJ. Interesterified fat consumption since gestation decreases striatal dopaminergic targets levels and gdnf impairing locomotion of adult offspring. Toxicol Lett. 2021;339:23-31. PubMed PMID: 33359558
  33. Li Y, Zhao J, Xie X, Zhang Z, Zhang N, Wang Y. A low trans margarine fat analog to beef tallow for healthier formulations: Optimization of enzymatic interesterification using soybean oil and fully hydrogenated palm oil. Food Chem. 2018;255:405-413. PubMed PMID: 29571493
  34. Imran M, Nadeem M. Triacylglycerol composition, physico-chemical characteristics and oxidative stability of interesterified canola oil and fully hydrogenated cottonseed oil blends. Lipids Health Dis. 2015;14:138. PubMed PMID: 26510410
  35. Dhiman A, Chopra R, Singh PK, Singh A, Homroy S. Enzymatic interesterification of perilla seed oil and palm stearin: A sustainable approach to develop a novel zero-trans-fat margarine rich in omega-3 fatty acids. J Food Sci. 2024;89(12):8504-8523. PubMed PMID: 39437227

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  1. Interesterified fat, randomized trials
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