The Latest on Artificial Sweeteners: #Sucralose Good for the Lean, Bad for the Obese? #Acesulfame-K, the Healthier Alternative? As If! Plus: There's All Wrong w/ the Research
- Building a case against #sucralose - Is it especially bad for the obese and beneficial for the normal-weight? based on Nichol 2019 -- A new study seems to suggest that the dreaded artificial sweetener sucralose may differently affect the insulin sensitivity of lean and healthy versus obese individuals.
Figure 1: Insulin sensitivity in 10−5 dl/kg/min/(pmol/L); calculated based on data from OGTT (Nichol 2019)
"Sucralose ingested (but not sham-fed) increased SI in normal-weight participants by 52 ± 20% but did not affect SI in participants with obesity. Sucralose did not affect glucose rates of appearance or β-cell function in either weight group" Nichol 2019.Even more so, an albeit non-significant decline in insulin sensitivity of -14% was observed in the N=11 subjects with obesity compared to the water condition - pretty much the opposite of what we see in the N=10 normal-weight subjects of this randomized crossover study.
It shouldn't go unmentioned, by the way, that the study also shows that the benefits (and detriments) are at best partially mediated by sweet taste (sensed in the mouth), as the sham-administration where the subjects were not allowed to actually ingest the sucralose had much less pronounced beneficial or detrimental effects.
#Sweeteners - How much can you use supposedly consume safely? The FDA's ADIs and how to get to those for several artificial sweeteners (MayoClinic.com)
...ah, and no the study was funded by the National Institutes of Health, not by CocaCola, dear sweetener conspiracy theorists 😗
- Brain = explode!? #InRodents, Acesulfame can boost the release of neurotransmitters - What's the implication? based on Yin 2020. If you've been following the SuppVersity sweetener coverage for some time, you will be aware that Acesulfame-K is by no means harmless... if you check out the limited research, this is not the first but certainly one of the more concerning studies suggesting detrimental effect of this sweetener that has a comparably good reputation compared to sucralose, let alone aspartame (outside of people with phenylalanine issue the latter is largely unwarranted, btw).
Figure 2: None of the sweeteners made the rodents overeat (from Yin 2020)
- only(!) the consumption of the 10 mM Acesulfame (treatments were standardized for equal sweetness) solution triggered a significant difference in the release of neurotransmitters
- none of the other bad artificial sweeteners had an effect on brain chemistry; more specifically, the release of neurotransmitters was significantly greater (p < 0.05) than that of the control group (water group), but there was no significant difference in feed intake.
- no effect on neurotransmitters was observed for any other of the artificial sweeteners - including the dreaded aspartame and sucralose
- appetite and food intake were not affected by any of the artificial sweeteners, the same goes for the normal body weight gain in all groups
What makes the neurotransmitter-messing effects of Acesulfam particularly 'interesting' is that they are pretty much identical with devil's excrement: simple table sugar (sucrose).
dopamine & serotonin.
Why exactly is that bad news? Well, if there is such a thing as sugar-addiction, it will probably be upheld or even triggered with the artificial sweetener Acesul-fame-K that you will find predominantly in products marketed as "aspartame free" and "sucralose free"
... what a mess. If there's anything you take away from the study at hand (which doesn't disqualify itself by being done in rodents, PubMed warriors), it should be that talking about "artificial sweeteners" as a category is about as accurate as talking about dietary fat as category as if all fats were created equal.
- #BadScience without practical relevance: "Approaches in animal studies, such as very excessive dose loading, may be appropriate for some safety and toxicological research but can have distorting consequences for nutrition-related outcomes." - (Mela 2020) It's a problem I've mentioned in almost every 'sweeteners-are-the-devil' studies discussed on the SuppVersity. In order to confirm their preformed conviction that artificial sweeteners must be inherently dangerous, scientists actively choose to poison their lab animals with amounts of artificial sweeteners - amounts, even the greatest Diet Coke junkie is never going to achieve.
These and a good dozen of other methodological (and reporting) problems all contribute to said "distortion" of the research the authors of a recent paper seek to rectify. In their paper "Perspective: Standards for Research and Reporting on Low-Energy (“Artificial”) Sweeteners" researchers from the Netherlands published a comprehensive list of requirements for future low-calorie-sweetener (#LCS) research (I quote directly from Mela et al. 2020):
To talk about "sweeteners" as a category - even if you restrict it to 'artificial' - is absolutely inappropriate if your studies rely on studies w/ only one of them. Saccharin, for example, may well be the black sheep of the family.
- Primary research studies and their representation in reviews should reflect the stated hypotheses, with particular regard to caloric vs. noncaloric comparators, and potential for extrapolation to LES in general vs. specific LES.
- Where outcomes are not attributable to energy reduction or perceived sweetness, interpretation relies on the chemical and ADME (absorption, distribution, metabolism, and excretion) properties of specific LES.
- The selection and citation of existing research should fairly represent (#noCherryPicking) the balance and weight of different types of evidence, particularly where there are data from RCTs with relevant exposures and populations.
- Animal research and other studies generating evidence related to safety and toxicology should specifically refer to that literature.
- Reporting of evidence on health associations with LES from observational studies, including prospective cohort studies, should be clear that these are subject to residual confounding, including reverse causality, and may have been designed to answer a different research question.
- Hypotheses generated by observational and animal data must be interpreted in relation to the specific exposures, plausible causal pathways, and results of any related human intervention trials.
- If all future research adheres to these principles, the next #sweetener-science-update may well deliver better answers to a question that must, as the authors emphasize, not be answered applying the "precautionary principle" as there's not doubt that there may also be value gained from the use of LES—for example, as a tool for maintaining the acceptability of foods, beverages, and diets reduced in sugar, facilitating progress towards widely advised goals to reduce sugar intakes." (Mela 2020)... and you know that? The SuppVersity is where you'll see this (improved) research being discussed 🤩
- Mela, David J., John McLaughlin, and Peter J. Rogers. "Perspective: Standards for Research and Reporting on Low-Energy (“Artificial”) Sweeteners." Advances in Nutrition (2020).
- Nichol, Alexander D., et al. "Effects of Sucralose Ingestion versus Sucralose Taste on Metabolic Responses to an Oral Glucose Tolerance Test in Participants with Normal Weight and Obesity: A Randomized Crossover Trial." Nutrients 12.1 (2020): 29.
- Yin, Kai-Jing, et al. "Effects of different sweeteners on behavior and neurotransmitters release in mice." Journal of Food Science and Technology 57.1 (2020): 113-121.