The Safety and Obesity-Related Effects of Artificial Sweeteners
DOI:
https://doi.org/10.54097/zjf10x36Keywords:
Obesity, safety, artificial sweeteners.Abstract
Obesity is a growing global health challenge influenced by a complex combination of genetic, lifestyle and environmental factors, with high-calorie diets being one of the major contributing factors. Aspartame, sucralose, and acesulfame potassium are popular sugar alternatives for combating obesity. Although artificial sweeteners are generally considered safe by regulatory agencies, emerging research suggests that they may adversely affect metabolic health and obesity-related mechanisms. Despite their widespread use, the long-term metabolic effects of artificial sweeteners remain uncertain. This review examined the safety of common artificial sweeteners and their effects on obesity by analyzing the available evidence. According to the research, artificial sweeteners may lower calorie intake, but they may also interfere with insulin signaling pathways, change the gut microbiota's composition, and interfere with appetite management, all of which might result in weight gain and metabolic diseases. This study highlights the double-edged nature of artificial sweeteners, emphasizing their role as sugar substitutes along with their potential risks. This review provides a comprehensive reference for researchers and encourages them to further explore the long-term safety and metabolic effects of artificial sweeteners. Future research should focus on understanding the variability of individual responses to artificial sweeteners and their broader environmental and physiological impacts to guide safer dietary practices and innovative solutions to obesity.
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References
[1] Butchko HH, Stargel WW, and Comer CP, et al. Aspartame: review of safety. Regulatory Toxicology and Pharmacology. 2002; 35(2):S1-S93.
[2] Shaher SAA, Mihailescu DF, Amuzescu B. Aspartame safety as a food sweetener and related health hazards. Nutrients. 2023; 15(16):3627.
[3] Belton K, Schaefer E, Guiney PD. A review of the environmental fate and effects of acesulfame-potassium. Integrated Environmental Assessment and Management. 2020; 16(4):421-437.
[4] Grotz VL, Munro IC. An overview of the safety of sucralose. Regulatory Toxicology and Pharmacology. 2009; 55(1):1-5.
[5] Magnuson BA, Roberts A, Nestmann ER. Critical review of the current literature on the safety of sucralose. Food and Chemical Toxicology. 2017; 106:324-355.
[6] Nofre C, Tinti JM. Neotame: discovery, properties, utility. Food Chemistry. 2000; 69(3):245-257.
[7] Otabe A, Fujieda T, Masuyama T, et al. Advantame-an overview of the toxicity data. Food and Chemical Toxicology. 2011; 49:S2-S7.
[8] O'Donnell K. Aspartame, neotame and advantame. In: Sweeteners and Sugar Alternatives in Food Technology. 2012:117-136.
[9] Yang Q. Gain weight by "going diet?" Artificial sweeteners and the neurobiology of sugar cravings: Neuroscience 2010. The Yale Journal of Biology and Medicine. 2010; 83(2):101.
[10] Swithers SE, Davidson TL. A role for artificial sweeteners in the control of food intake and body weight. Journal of Nutrition. 2008; 138(6):1043S-1046S.
[11] Smeets PA, Weijzen PL, de Graaf C, Viergever MA. Consumption of caloric and non-caloric versions of a soft drink differentially affects brain activation during tasting. NeuroImage. 2011; 54(2):1367-1374.
[12] Palmnäs MS, Cowan TE, Bomhof MR, et al. Artificial sweeteners impair glucose homeostasis and insulin sensitivity in mice and humans. Nature. 2014; 514(7521):181-186.
[13] Ma J, Hine C. The effects of artificial sweeteners on insulin sensitivity and glucose metabolism. Metabolic Reviews. 2015; 31(3):153-160.
[14] Young RL, Isaacs NJ, Schober G, Roberts-Thomson SJ. Sweet taste receptor signaling in the gut mediates glucose absorption and insulin secretion. Diabetes. 2009; 58(2):268-274.
[15] Suez J, Korem T, Zeevi D, et al. Artificial sweeteners induce glucose intolerance by altering the gut microbiota. Nature. 2014; 514(7521):181-186.
[16] Bian X, Chi L, GAO B, et al. The artificial sweetener acesulfame potassium affects the gut microbiome and body weight gain in CD-1 mice. PLoS ONE. 2017; 12(6):e0178426.
[17] Chia SE, et al. Effects of artificial sweeteners on gut microbiota and obesity. International Journal of Obesity. 2016; 40(6):887-894.
[18] Harrington V, Lau L, Crits-Christoph A, Suez J. Interactions of non-nutritive artificial sweeteners with the microbiome in metabolic syndrome. Immunometabolism. 2022; 4(2):e220012.
[19] Feijó FM, Ballard CR, Foletto KC, et al. Saccharin and aspartame, compared with sucrose, induce greater weight gain in adult Wistar rats, at similar total caloric intake levels. Appetite. 2013; 60(1):203-207.
[20] Azad MB, Abou-Setta AM, Chauhan BF, et al. Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies. CMAJ. 2017; 189(28):E929-E939.
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