期刊论文详细信息
Archives of Public Health
Review of the nutritional benefits and risks related to intense sweeteners
Margaritis Irène1  Slama Gérard7  Rajas Fabienne2  Nadaud Perrine1  Kalonji Esther1  Houdart Sabine1  Girardet Jean-Philippe4  Charrière Sybil5  Canivenc-Lavier Marie-Chantal6  Bortolotti Murielle1,11  Belegaud Jacques8  Atlan Catherine1,10  Ahmed H. Serge3  Bruyère Olivier9 
[1]French Agency for Food, Environmental and Occupational Health & Safety (Anses), Maisons-Alfort, France
[2]INSERM 855/Université Claude Bernard Lyon 1, Lyon, France
[3]CNRS UMR 5293/Université de Bordeaux, Bordeaux, France
[4]Sorbonne Universités, UPMC Univ Paris 06, Paris, France
[5]Université Claude Bernard Lyon 1, Hospices Civils de Lyon, Inserm U1060, Lyon, France
[6]Centre des Sciences du Goût et de l’Alimentation - INRA Dijon, Dijon, France
[7]Hôtel-Dieu Hospital, René Descartes University-Paris V, Paris, France
[8]Université de Picardie, Amiens, France
[9]Department of Public Health, Epidemiology and Health Economics, University of Liege, CHU Sart Tilman, Bât B23, 4000, Liège, Belgium
[10]Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
[11]Centre Hospitalier Universitaire Vaudois, Lausanne, Suisse, Switzerland
关键词: Weight;    Compensation;    Eating behaviour;    Satiety;    Energy intakes;    Obesity;    Diabetes;    Sucralose;    Stevia;    Acesulfame K;    Aspartame;    Intense sweetener;   
Others  :  1230573
DOI  :  10.1186/s13690-015-0092-x
 received in 2015-03-23, accepted in 2015-08-26,  发布年份 2015
PDF
【 摘 要 】

Background

The intense sweeteners currently authorised in Europe comprise ten compounds of various chemical natures. Their overall use has sharply risen in the last 20 years. These compounds are mainly used to formulate reduced-calorie products while maintaining sweetness.

Methods

This extensive analysis of the literature reviews the data currently available on the potential nutritional benefits and risks related to the consumption of products containing intense sweeteners.

Results and Conclusions

Regarding nutritional benefits, the available studies, while numerous, do not provide proof that the consumption of artificial sweeteners as sugar substitutes is beneficial in terms of weight management, blood glucose regulation in diabetic subjects or the incidence of type 2 diabetes. Regarding nutritional risks (incidence of type 2 diabetes, habituation to sweetness in adults, cancers, etc.), it is not possible based on the available data to establish a link between the occurrence of these risks and the consumption of artificial sweeteners. However, some studies underline the need to improve knowledge of the links between intense sweeteners consumption and certain risks.

【 授权许可】

   
2015 Olivier et al.

【 预 览 】
附件列表
Files Size Format View
20151107010600569.pdf 468KB PDF download
【 参考文献 】
  • [1]Efsa: Scientific Opinion of the Panel on Food Additives and Nutrient Sources added to Food on the re-evaluation of aspartame (E 951) as a food additive EFSA J 2013, 11:12.
  • [2]SCF. Opinion of the Scientific Committee on Food Re-evaluation of acesulfame K with reference to the previous SCF opinion of 1991: European Commission 2000.
  • [3]SCF. Revised opinion of the Scientific Committee on Food on cyclamic acid and its sodium and calcium salts: European Commission2000.
  • [4]Efsa: EFSA Panel on Food Additives and Nutrient Sources (ANS); Scientific Opinion on safety of steviol glycosides for the proposed uses as a food additive EFSA J 2010, 8:4.
  • [5]SCF. Report of the Scientific Committee for Food on sweeteenrs: European Commission1988.
  • [6]Efsa: Scientific Opinion of the Panel on Food Additives, Flavourings, Processing Aids and Materials in Contact with Food on a request from European Commission on Neotame as a sweetener and flavour enhancer EFSA J 2007, 581:1-43.
  • [7]SCF. Opinion of the Scientific Committee for Food on saccharin and its sodium, potassium and calcium salts1995. doi:10.3402/fnr.v55i0.5961.
  • [8]SCF. Opinion of the Scientific Committee on Food on sucralose: European Commision 2000.
  • [9]De la Hunty A, Gibson S, Ashwell M: A review of the effectiveness of aspartame in helping with weight control. Nutrition Bulletin 2006, 31(2):115-128.
  • [10]Almiron-Roig E, Palla L, Guest K, Ricchiuti C, Vint N, Jebb SA, et al.: Factors that determine energy compensation: a systematic review of preload studies. Nutr Rev 2013, 71(7):458-473.
  • [11]Liem DG, Mennella JA: Sweet and sour preferences during childhood: role of early experiences. Dev Psychobiol 2002, 41(4):388-395.
  • [12]Wilson JF: Does type of milk beverage affect lunchtime eating patterns and food choice by preschool children? Appetite 1994, 23(1):90-92.
  • [13]Birch LL, Fisher JO: Development of eating behaviors among children and adolescents. Pediatrics 1998, 101(3 Pt 2):539-549.
  • [14]Johnson SL, McPhee L, Birch LL: Conditioned preferences: young children prefer flavors associated with high dietary fat. Physiol Behav 1991, 50(6):1245-1251.
  • [15]de Ruyter JC, Katan MB, Kuijper LD, Liem DG, Olthof MR: The effect of sugar-free versus sugar-sweetened beverages on satiety, liking and wanting: an 18 month randomized double-blind trial in children. PLoS One 2013., 8(10) Article ID e78039
  • [16]Miller PE, Perez V. Low-calorie sweeteners and body weight and composition: a meta-analysis of randomized controlled trials and prospective cohort studies. Am J Clin Nutr. 2014. doi:10.3945/ajcn.113.082826.
  • [17]Wiebe N, Padwal R, Field C, Marks S, Jacobs R, Tonelli M: A systematic review on the effect of sweeteners on glycemic response and clinically relevant outcomes. BMC Med 2011, 9:123. BioMed Central Full Text
  • [18]Colditz GAWW, Stampfer MJ, London SJ, Segal MR, Speizer FE: Patterns of weight change and their relation to diet in a cohort of healthy women. Am J Clin Nutr 1990, 51(6):1100-1105.
  • [19]Duffey KJ, Steffen LM, Van Horn L, Jacobs DR Jr, Popkin BM: Dietary patterns matter: diet beverages and cardiometabolic risks in the longitudinal Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Clin Nutr 2012, 95(4):909-915.
  • [20]Fowler SP, Williams K, Resendez RG, Hunt KJ, Hazuda HP, Stern MP: Fueling the obesity epidemic? Artificially sweetened beverage use and long-term weight gain. Obesity 2008, 16(8):1894-1900.
  • [21]Maersk M, Belza A, Stodkilde-Jorgensen H, Ringgaard S, Chabanova E, Thomsen H, et al.: Sucrose-sweetened beverages increase fat storage in the liver, muscle, and visceral fat depot: a 6-mo randomized intervention study. Am J Clin Nutr 2012, 95(2):283-289.
  • [22]Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB: Changes in diet and lifestyle and long-term weight gain in women and men. Eng J Med 2011, 364(25):2392-2404.
  • [23]Parker DR, Gonzalez S, Derby CA, Gans KM, Lasater TM, Carleton RA: Dietary factors in relation to weight change among men and women from two southeastern New England communities. Int J Obesity Relat Metab Dis 1997, 21(2):103-109.
  • [24]Raben A MB, Flint A, Vasilaris TH, Christina Møller A, Juul Holst J, Astrup A. Increased postprandial glycaemia, insulinemia, and lipidemia after 10 weeks' sucrose-rich diet compared to an artificially sweetened diet: a randomised controlled trial. . Food Nutr Res. 2011;55.
  • [25]Reid M, Hammersley R, Duffy M: Effects of sucrose drinks on macronutrient intake, body weight, and mood state in overweight women over 4 weeks. Appetite 2010, 55(1):130-136.
  • [26]Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, et al.: Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 2004, 292(8):927-934.
  • [27]Sorensen LB, Raben A, Stender S, Astrup A: Effect of sucrose on inflammatory markers in overweight humans. Am J Clin Nutr 2005, 82(2):421-427.
  • [28]Stellman SD, Garfinkel L: Patterns of artificial sweetener use and weight change in an American Cancer Society prospective study. Appetite 1988, 11(Suppl 1):85-91.
  • [29]Tate DF, Turner-McGrievy G, Lyons E, Stevens J, Erickson K, Polzien K, et al.: Replacing caloric beverages with water or diet beverages for weight loss in adults: main results of the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial. Am J Clin Nutr 2012, 95(3):555-563.
  • [30]Miller PE, Perez V: Low-calorie sweeteners and body weight and composition: a meta-analysis of randomized controlled trials and prospective cohort studies. Am J Clin Nutr 2014, 100(3):765-777.
  • [31]Raben A, Vasilaras TH, Moller AC, Astrup A: Sucrose compared with artificial sweeteners: different effects on ad libitum food intake and body weight after 10 wk of supplementation in overweight subjects. Am J Clin Nutr 2002, 76(4):721-729.
  • [32]Reid M, Hammersley R, Hill AJ, Skidmore P: Long-term dietary compensation for added sugar: effects of supplementary sucrose drinks over a 4-week period. Br J Nutr 2007, 97(1):193-203.
  • [33]Ebbeling CB, Feldman HA, Osganian SK, Chomitz VR, Ellenbogen SJ, Ludwig DS: Effects of decreasing sugar-sweetened beverage consumption on body weight in adolescents: a randomized, controlled pilot study. Pediatrics 2006, 117(3):673-680.
  • [34]Knopp RH, Brandt K, Arky RA: Effects of aspartame in young persons during weight reduction. J Toxic Environ Health 1976, 2(2):417-428.
  • [35]Williams CL, Strobino BA, Brotanek J: Weight control among obese adolescents: a pilot study. Int J Food Sci Nutr 2007, 58(3):217-230.
  • [36]de Ruyter JC OM, et al. A trial of sugar-free or sugar-sweetened beverages and body weight in children. Eng J Med. 2012; doi:10.1056/NEJMoa1203034.
  • [37]Brown RJ, de Banate MA, Rother KI: Artificial sweeteners: a systematic review of metabolic effects in youth. Int J Pediatr Obes 2010, 5(4):305-312.
  • [38]Vanselow MS, Pereira MA, Neumark-Sztainer D, Raatz SK: Adolescent beverage habits and changes in weight over time: findings from Project EAT. Am J Clin Nutr 2009, 90(6):1489-1495.
  • [39]Burns TS, Stargel WW, Tschanz C, Kotsonis FN, Hurwitz A: Aspartame and sucrose produce a similar increase in the plasma phenylalanine to large neutral amino acid ratio in healthy subjects. Pharmacology 1991, 43(4):210-219.
  • [40]Horwitz DL, McLane M, Kobe P: Response to single dose of aspartame or saccharin by NIDDM patients. Diabetes Care 1988, 11(3):230-234.
  • [41]Moller SE: Effect of aspartame and protein, administered in phenylalanine-equivalent doses, on plasma neutral amino acids, aspartate, insulin and glucose in man. Pharmacol Toxicol 1991, 68(5):408-412.
  • [42]Rodin J: Comparative effects of fructose, aspartame, glucose, and water preloads on calorie and macronutrient intake. Am J Clin Nutr 1990, 51(3):428-435.
  • [43]Smeets PAM, de Graaf C, Stafleu A, van Osch MJP, van der Grond J: Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories. Am J Clin Nutr 2005, 82(5):1011-1016.
  • [44]Stegink LD, Brummel MC, Persoon TJ, Filer LJ Jr, Bell EF, Ziegler EE: Effect of sucrose on the metabolic disposition of aspartame. Am J Clin Nutr 1990, 52(2):335-341.
  • [45]Goldfine IDRW, Schwartz TB: The effect of glucola, diet cola and water ingestion on blood glucose and plasma insulin. Proc Soc Exp Biol Med 1969, 131(2):329-330.
  • [46]Ma J, Bellon M, Wishart JM, Young R, Blackshaw LA, Jones KL, et al.: Effect of the artificial sweetener, sucralose, on gastric emptying and incretin hormone release in healthy subjects. Am J Physiol 2009, 296(4):G735-G739.
  • [47]Ma J, Chang J, Checklin HL, Young RL, Jones KL, Horowitz M, et al.: Effect of the artificial sweetener, sucralose, on small intestinal glucose absorption in healthy human subjects. Br J Nutr 2010, 104(6):803-806.
  • [48]Abdallah L, Chabert M, Louis-Sylvestre J: Cephalic phase responses to sweet taste. Am J Clin Nutr 1997, 65(3):737-743.
  • [49]Anton SD, Martin CK, Han H, Coulon S, Cefalu WT, Geiselman P, et al.: Effects of stevia, aspartame, and sucrose on food intake, satiety, and postprandial glucose and insulin levels. Appetite 2010, 55(1):37-43.
  • [50]Brown T, Avenell A, Edmunds LD, Moore H, Whittaker V, Avery L, et al.: Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults. Obes Rev 2009, 10(6):627-638.
  • [51]Ford HE, Peters V, Martin NM, Sleeth ML, Ghatei MA, Frost GS, et al.: Effects of oral ingestion of sucralose on gut hormone response and appetite in healthy normal-weight subjects. Eur J Clin Nutr 2011, 65(4):508-513.
  • [52]Gregersen S, Jeppesen PB, Holst JJ, Hermansen K: Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabolism 2004, 53(1):73-76.
  • [53]Brown RJ, Walter M, Rother KI: Effects of diet soda on gut hormones in youths with diabetes. Diabetes Care 2012, 35(5):959-964.
  • [54]Berthoud HR, Bereiter DA, Trimble ER, Siegel EG, Jeanrenaud B: Cephalic phase, reflex insulin secretion. Neuroanatomical and physiological characterization. Diabetologia 1981, 20(Suppl):393-401.
  • [55]Grotz VL, Henry RR, McGill JB, Prince MJ, Shamoon H, Trout JR, et al.: Lack of effect of sucralose on glucose homeostasis in subjects with type 2 diabetes. J Am Diet Assoc 2003, 103(12):1607-1612.
  • [56]Colagiuri S, Miller JJ, Edwards RA: Metabolic effects of adding sucrose and aspartame to the diet of subjects with noninsulin-dependent diabetes mellitus. Am J Clin Nutr 1989, 50(3):474-478.
  • [57]Nehrling JK, Kobe P, McLane MP, Olson RE, Kamath S, Horwitz DL: Aspartame use by persons with diabetes. Diabetes Care 1985, 8(5):415-417.
  • [58]Stern SB, Bleicher SJ, Flores A, Gombos G, Recitas D, Shu J: Administration of aspartame in non-insulin-dependent diabetics. J Toxic Environ Health 1976, 2(2):429-439.
  • [59]Curi R, Alvarez M, Bazotte RB, Botion LM, Godoy JL, Bracht A. Effect of Stevia rebaudiana on glucose tolerance in normal adult humans. Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas / Sociedade Brasileira de Biofisica [et al]. 1986;19(6):771-4.
  • [60]Ferri LAF, Alves-Do-Prado W, Yamada SS, Gazola S, Batista MR, Bazotte RB: Investigation of the antihypertensive effect of oral crude stevioside in patients with mild essential hypertension. Phytother Res 2006, 20(9):732-736.
  • [61]Consumption of sweet beverages and type 2 diabetes incidence in European adults: results from EPIC-InterAct. Diabetologia. 2013;56(7):1520-30. doi:10.1007/s00125-013-2899-8.
  • [62]Bhupathiraju SN, Pan A, Malik VS, Manson JE, Willett WC, van Dam RM, et al.: Caffeinated and caffeine-free beverages and risk of type 2 diabetes. Am J Clin Nutr 2013, 97(1):155-166.
  • [63]de Koning L, Malik VS, Rimm EB, Willett WC, Hu FB: Sugar-sweetened and artificially sweetened beverage consumption and risk of type 2 diabetes in men. Am J Clin Nutr 2011, 93(6):1321-1327.
  • [64]Fagherazzi G ea. Consumption of artificially and sugar-sweetend beverages and incident type 2 diabtes in the Etude Epidemiologique auprès des femmes de la mutuelle générale de l'Education Nationale-European Prospective Investigation into Cancer and Nutrition cohort. Am J Clin Nutr. 2012; doi:10.3945/ajcn.112.050997.
  • [65]Nettleton JALP, Wang Y, Lima JA, Michos ED, Jacobs DR Jr: Diet soda intake and risk of incident metabolic syndrome and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA). Diabetes Care 2009, 32(4):688-694.
  • [66]Sakurai M, Nakamura K, Miura K, Takamura T, Yoshita K, Nagasawa SY, et al.: Sugar-sweetened beverage and diet soda consumption and the 7-year risk for type 2 diabetes mellitus in middle-aged Japanese men. Eur J Nutr 2014, 53(1):251-258.
  • [67]Dhingra R, Sullivan L, Jacques PF, Wang TJ, Fox CS, Meigs JB, et al.: Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community.[Erratum appears in Circulation. 2007 Dec 4;116(23):e557]. Circulation 2007, 116(5):480-488.
  • [68]Halldorsson TI, Strom M, Petersen SB, Olsen SF: Intake of artificially sweetened soft drinks and risk of preterm delivery: a prospective cohort study in 59,334 Danish pregnant women. Am J Clin Nutr 2010, 92(3):626-633.
  • [69]Englund-Ögge LBA, et al.: Association between intake of artificially sweetend and sugar-sweetend beverages and pretemr delivery: a large prospective cohort study. Am J Clin Nutr 2012, 96:552-559.
  • [70]Arnold DL, Moodie CA, Stavric B, Stoltz DR, Grice HC, Munro IC: Canadian saccharin study. Science 1977, 197(4301):320.
  • [71]Schernhammer ESBK, et al.: Consumption of artificial sweetener and sugar containing soda and risk of lymphoma and leukemia in men and women. Am J Clin Nutr 2012, 96:1419-1428.
  • [72]Lapierre KA, Greenblatt DJ, Goddard JE, Harmatz JS, Shader RI: The neuropsychiatric effects of aspartame in normal volunteers. J Clin Pharmacol 1990, 30(5):454-460.
  • [73]Spiers PA, Sabounjian L, Reiner A, Myers DK, Wurtman J, Schomer DL: Aspartame: neuropsychologic and neurophysiologic evaluation of acute and chronic effects. Am J Clin Nutr 1998, 68(3):531-537.
  • [74]Rowan AJ, Shaywitz BA, Tuchman L, French JA, Luciano D, Sullivan CM: Aspartame and seizure susceptibility: results of a clinical study in reportedly sensitive individuals. Epilepsia 1995, 36(3):270-275.
  • [75]Koehler SM, Glaros A: The effect of aspartame on migraine headache. Headache 1988, 28(1):10-14.
  • [76]Lipton RB, Newman LC, Cohen JS, Solomon S: Aspartame as a dietary trigger of headache. Headache 1989, 29(2):90-92.
  • [77]Schiffman SS, Buckley CE 3rd, Sampson HA, Massey EW, Baraniuk JN, Follett JV, et al.: Aspartame and susceptibility to headache. Eng J Med 1987, 317(19):1181-1185.
  • [78]Van den Eeden SK, Koepsell TD, Longstreth WT Jr, van Belle G, Daling JR, McKnight B: Aspartame ingestion and headaches: a randomized crossover trial. Neurology 1994, 44(10):1787-1793.
  • [79]Shaywitz BA, Anderson GM, Novotny EJ, Ebersole JS, Sullivan CM, Gillespie SM: Aspartame has no effect on seizures or epileptiform discharges in epileptic children. Ann Neurol 1994, 35(1):98-103.
  • [80]Shaywitz BA, Sullivan CM, Anderson GM, Gillespie SM, Sullivan B, Shaywitz SE: Aspartame, behavior, and cognitive function in children with attention deficit disorder. Pediatrics 1994, 93(1):70-75.
  • [81]VKM. Risk assessments of cyclamate, saccharin, neohesperidine DC, steviol glycosides and neotame from soft drinks, "saft" and nectar. Opinion of the Panel on Food Additives, Flavourings, Processing Aids, Materials in Contact with Foods and Cosmetics of the Norvegian Scientific Committee for Food Safety. 2014;Doc.no. 13-406-2_endeling.
  • [82]ANSES: Evaluation des bénéfices et des risques nutritionnels des édulcorants intenses Avis de l'Anses et rapport d'expertise collective 2015.
  • [83]WIV-ISP: Studie van de tafelzoetstoffen en de schatting van de totale inname van geselecteerde zoetstoffen door de volwassen Belgische bevolking. Wetenschappelijk Instituut Volksgezondheid, Brussel, Belgium; 2010.
  文献评价指标  
  下载次数:1次 浏览次数:13次