Monday, October 9, 2017

Calorie-Free Sweeteners: Short-term Benefits with Long-term Consequences?

Many people turn to diet beverages as a way to enjoy their favorite drink without the calories. However, while diet drinks may seem to be a way to “trick” the body, an increasing number of research studies are indicating that diet drinks may not be as innocuous as many of its consumers believe it to be.

Uebanso et al. (Nature, 2017) examined the impacts of two popular calorie-free sweeteners (sucralose and acesulfame-K) on the gut microbiome using a rodent model. They found that sucralose reduced the relative amount of Clostridium Cluster XIVa in the gut microbiome. Considering the evidence that indicates that Clostridium XIVa (in conjunction with Clostridium IV) plays a role in maintaining gut homeostasis (Lopetuso et al., 2013), the impacts of sucralose could be deleterious. Additionally, sucralose increased the amount of cholesterol in the livers of the mice who consumed it. While the liver is a natural location for cholesterol to be found (the liver both synthesizes and removes cholesterol), too much cholesterol can overtax the liver, preventing it from properly performing its function. What was perhaps most alarming regarding this study was the fact that all of these impacts were observed over the course of a two-month period.

Before definitive decisions can be made regarding diet beverages, more research is needed. The Uebanso et al. study involved feeding the mice up to the maximum acceptable daily intake (ADI) levels of the artificial sweeteners. To put this into perspective, the ADI for sucralose (more commonly known as Splenda) is 5 milligrams for each kilogram of body weight. This means that an individual weighing 150 pounds would be able to safely consume 340 milligrams of sucralose a day. One 12-ounce can of Diet Coke with Splenda contains 60 mg of sucralose. So perhaps the bigger message to take away from the research currently available is that, when it comes to artificial sweetener consumption, moderation is key.




References:

Lopetuso, L. R., Scaldaferri, F., Petito, V., & Gasbarrini, A. (2013). Commensal Clostridia: leading players in the maintenance of gut homeostasis. Gut Pathology, 5(12). doi:10.1186/1757-4749-5-23

Uebanso, T., Ohnishi, A., Kitayama, R., Yoshimoto, A., Nakahashi, M., Shimohata, T., Takahashi, A. (2017). Effects of Low-Dose Non-Caloric Sweetener Consumption on Gut Microbiota in Mice. Nutrients, 9(6). doi:10.3390/nu9060560

University of Alabama at Birmingham. (n.d.). Artificial Sweeteners. Retrieved October 09, 2017, from https://www.uab.edu/shp/nutritiontrends/recipes-food-facts/food-facts/artificial-sweeteners


3 comments:

  1. Interesting post! I work in the hospital and we get a lot of diabetic patients who would use artificial sweeteners in almost everything. I had this patient that drank up to ~7 cans of diet coke in one night. According to ADI, that's more than 340 milligrams of sucralose, exceeding the maximum acceptable daily intake considering that this patient is under 150 pounds. Artificial sweetener has always been a popular topic among researchers. I'm noticing that even though there are a lot of studies done on the negative effect of artificial sweeteners, we still don't have enough evidence to say artificial sweetener is bad or good for health. You pointed out that consumption in moderation is key, and I absolutely agree! However, many people don't know how much is enough. You usually see/hear about daily recommendations servings of salt, sugar or macromolecules, but you don't normally hear "here's how much artificial sweeteners you should have a day". Exceeding the recommended amount is actually easy, because the zero calories content is really attractive.

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  2. I have recently seen a few documentaries that mention how much worse for you “calorie-free” and “low-fat” products can be. In the documentaries they say that since you are essentially taking away all the flavor you have to add chemicals and excessive amounts of sugar to essentially make it taste better again. I am just curious to know if the negative effects of the calorie-free sweetners is because of the addition of these “added chemicals”?

    Also is it the calorie-free sweetners themselves that are causing an excessive amount of cholesterol in the liver or is it just the simple fact that the demographic consuming the sweetener is just ingesting too much sugar in general?

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  3. Very interesting article, especially since I drink a sugar free monster pretty much everyday. I have to wonder what other issues come up with intaking more artificial sugar than the recommended daily value. Is there any other risks beside increased cholesterol and reduced amount of Clostridium Cluster XIVa. Also in the article "Artificial Sweeteners: sugar-free but at what cost" indicates that the increased amount of artificial sugar in our diet, decreases our sensitivity to more complex tastes such as fruits and vegetables and will make them taste less sweet and less appealing to eat. I also have to wonder in the scheme of things, which would be better to default to, artificial sweeteners or regular sugar.
    The articles website that I found is: https://www.health.harvard.edu/blog/artificial-sweeteners-sugar-free-but-at-what-cost-201207165030

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