Adverse effects of the consumption of artificial sweeteners - systematic review

Bernardo, Wanderlei M.; Simões, RS; Buzzini, RF; Nunes, VM; Glina, Felipe Placco Araújo

doi:10.1590/1806-9282.62.02.120

Cited by 14 publications

(8 citation statements)

References 16 publications

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“…The higher consumption of artificially sweetened beverages among women with active and past BN and BED [24] might be a reflection of their ED pattern in reducing added sugars. Summarized data from three very large prospective cohort studies showed several risks which were associated with the consumption of artificially sweetened beverages by pregnant women, including prematurity and the diagnosis of asthma in their children up to the age of seven years [43].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Dörsam¹,

Preißl

Micali

et al. 2019

Nutrients

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Maternal nutrition in pregnancy has a key influence on optimum fetal health. Eating disorders (EDs) during pregnancy may have detrimental effects on fetal growth and the child’s early development. There is limited knowledge concerning the eating behavior, dietary intake and derived nutritional biomarkers as well as the nutrient supplementation in women with EDs during pregnancy. We performed a systematic review according to the PRISMA statement to synthesize current evidence in this field. Of N = 1203 hits, 13 full-texts were included in the qualitative synthesis. While women with current Binge Eating Disorder (BED) showed higher energy and fat intakes during pregnancy, women with a lifetime Anorexia Nervosa (AN), Bulimia Nervosa (BN) or both (AN + BN) had similar patterns of nutrient intake and dietary supplement use as healthy women. There is evidence, that women with a history of EDs have a sufficient diet quality and are more likely to be vegetarian. Dieting and bingeing improved substantially with pregnancy. The highlighted differences in the consumption of coffee/caffeine and artificially sweetened beverages as well as the elevated prevalence of iron deficiency anemia in women with a past or active ED during pregnancy might have an important impact on fetal development.

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Section: Discussionmentioning

confidence: 99%

The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Dörsam¹,

Preißl

Micali

et al. 2019

Nutrients

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“…In the EU, the use of LNCS in infant formula, follow-up formula, baby food or/in dietetic foods intended for uses in young children is not permitted except where expressly indicated [ 133 ]. It has been suggested that consumption of LNCS in pregnancy could be associated with increased risk of preterm delivery, asthma, metabolic syndrome and diabetes in the offspring [ 134 , 135 ], although the evidence is also limited. According to regulatory authorities such as FDA and EFSA, the consumption of approved LNCS within the ADI is safe during pregnancy.…”

Section: Dietary Guidelines For Lncsmentioning

confidence: 99%

Ibero–American Consensus on Low- and No-Calorie Sweeteners: Safety, Nutritional Aspects and Benefits in Food and Beverages

et al. 2018

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International scientific experts in food, nutrition, dietetics, endocrinology, physical activity, paediatrics, nursing, toxicology and public health met in Lisbon on 2–4 July 2017 to develop a Consensus on the use of low- and no-calorie sweeteners (LNCS) as substitutes for sugars and other caloric sweeteners. LNCS are food additives that are broadly used as sugar substitutes to sweeten foods and beverages with the addition of fewer or no calories. They are also used in medicines, health-care products, such as toothpaste, and food supplements. The goal of this Consensus was to provide a useful, evidence-based, point of reference to assist in efforts to reduce free sugars consumption in line with current international public health recommendations. Participating experts in the Lisbon Consensus analysed and evaluated the evidence in relation to the role of LNCS in food safety, their regulation and the nutritional and dietary aspects of their use in foods and beverages. The conclusions of this Consensus were: (1) LNCS are some of the most extensively evaluated dietary constituents, and their safety has been reviewed and confirmed by regulatory bodies globally including the World Health Organisation, the US Food and Drug Administration and the European Food Safety Authority; (2) Consumer education, which is based on the most robust scientific evidence and regulatory processes, on the use of products containing LNCS should be strengthened in a comprehensive and objective way; (3) The use of LNCS in weight reduction programmes that involve replacing caloric sweeteners with LNCS in the context of structured diet plans may favour sustainable weight reduction. Furthermore, their use in diabetes management programmes may contribute to a better glycaemic control in patients, albeit with modest results. LNCS also provide dental health benefits when used in place of free sugars; (4) It is proposed that foods and beverages with LNCS could be included in dietary guidelines as alternative options to products sweetened with free sugars; (5) Continued education of health professionals is required, since they are a key source of information on issues related to food and health for both the general population and patients. With this in mind, the publication of position statements and consensus documents in the academic literature are extremely desirable.

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“…Systematic reviews on cancer risk associated with artificial sweeteners suggest that there is no definitive evidence that LCS increase the risk of cancer incidence. [29][30][31] However, certain studies have produced contradictory results wherein daily large doses of LCS consumption have been associated with bladder cancer. 32 Other significant correlations observed were those between LCS and laryngeal cancer and hematopoietic cancers such as leukemia or lymphoma.…”

Section: Discussionmentioning

confidence: 99%

“…33 Daily consumption of soft drinks with added LCS by pregnant women has been reported to increase likelihood of prematurity and development of asthma in children. 31 The adverse effects of LCS may not only be limited to those on the consumer's health but also extend to involve the environment. Regular wastewater treatment procedures are unable to remove these non-nutritive sweeteners effectively from the discharged water.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the use of low-calorie sweeteners amongst Indian population and their awareness about their adverse effects

Sachdev¹,

Jaiswal²,

Kalra³

et al. 2021

IJNMHS

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Introduction: Obesity is one of the leading causes for morbidity and mortality worldwide and various countermeasures to tackle this global malice have been implemented, one of these being low-calorie sweeteners (LCS). However, unbeknownst to many, habitual use of such sweeteners could potentially have several detrimental effects on health of the consumer. The present research was undertaken to assess the awareness about these adverse effects in Indian population. Materials and Methods: An online questionnaire-based survey was carried out on a sample size comprising of 607 individuals of Indian nationality. The questionnaire comprised of 18 closed-ended questions pertaining to use of LCS and awareness about their adverse effects. Results: While majority of respondents declared that they added sugar in their food/beverages regularly, 51.65% of respondents preferred 'Diet/Low calorie' products containing LCS in the market over sugaradded products. Sucralose was found to be most popular amongst various commercially available artificial sweeteners. There was a statistically significant difference seen for the responses pertaining to awareness about artificial sweeteners and their uses or benefits between various educational groups (p<0.01, 0.05) wherein respondents that were graduates or above had greater cognizance about the subject as compared to respondents with lower educational qualification. Conclusion: Although artificial sweeteners are presently being marketed widely as health substitutes, data regarding the possible adverse effects associated with their frequent use is still limited. Case-control studies are required to establish causal relationship between various artificial sweeteners and elicited adverse effects. The general population needs to be cautioned against unwarranted and injudicious use of LCS.

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Adverse effects of the consumption of artificial sweeteners - systematic review

Cited by 14 publications

References 16 publications

The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Ibero–American Consensus on Low- and No-Calorie Sweeteners: Safety, Nutritional Aspects and Benefits in Food and Beverages

Assessment of the use of low-calorie sweeteners amongst Indian population and their awareness about their adverse effects

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