Added sugar

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White sugar being weighed for a cake Abwaage der Zutaten.JPG
White sugar being weighed for a cake

Added sugars or free sugars are sugar carbohydrates (caloric sweeteners) added to food and beverages at some point before their consumption. [1] These include added carbohydrates (monosaccharides and disaccharides), and more broadly, sugars naturally present in honey, syrup, fruit juices and fruit juice concentrates. [2] [3] They can take multiple chemical forms, including sucrose (table sugar), glucose (dextrose), and fructose.

Contents

Medical consensus holds that added sugars contribute little nutritional value to food, [1] leading to a colloquial description as "empty calories". Overconsumption of sugar is correlated with excessive calorie intake and increased risk of weight gain and various diseases. [1] [4] [5] Individuals who consume a 17%-21% of their daily calories from added sugar are reported to have a 38% higher risk of dying from cardiovascular disease compared to those who consume 8% of their daily calories from added sugar. [6]

Uses

United States

In the United States, added sugars may include sucrose or high-fructose corn syrup, both primarily composed of about half glucose and half fructose. [7] Other types of added sugar ingredients include beet and cane sugars, malt syrup, maple syrup, pancake syrup, fructose sweetener, liquid fructose, fruit juice concentrate, honey, and molasses. [7] [8] The most common types of foods containing added sugars are sweetened beverages, including most soft drinks, and also desserts and sweet snacks, [4] which represent 20% of daily calorie consumption, [1] twice the recommendation of the World Health Organization (WHO). [1] Based on a 2012 study on the use of caloric and noncaloric sweeteners in some 85,000 food and beverage products, 74% of the products contained added sugar. [7] [9]

Sweetened beverages

Sweetened beverages contain a syrup mixture of the monosaccharides glucose and fructose formed by hydrolytic saccharification of the disaccharide sucrose. The bioavailability of liquid carbohydrates is higher than in solid sugars, as characterized by sugar type and by the estimated rate of digestion. [10] There is evidence for a positive and causal relationship between excessive intake of fruit juices and increased risk of some chronic metabolic diseases. [3]

Guidelines

World Health Organization

In 2003, the WHO defined free sugars principally by defining the term "carbohydrate" into elements that relate more directly to the impact on health rather than a chemical definition, and followed on from meta-studies relating to chronic disease, obesity, and dental decay related to the overconsumption of high quantities of added sugar in processed foods. [11] In tandem with the Food and Agriculture Organization, the WHO published a revised food pyramid that splits up the diet into more health-directed groups, recommending that a maximum of 10% of an individual's diet should come from free sugars. [12] Sugar companies disputed the WHO report for suggesting that consumption of free sugars within the food pyramid should only amount to a daily maximum of 10%, and that there should be no minimum sugar intake. [2] [12] [13] [14]

In 2015, the WHO published a new guideline on sugar intake for adults and children as a result of an extensive review of the available scientific evidence by a multidisciplinary group of experts. The guideline recommends that both adults and children reduce the intake of free sugars to less than 10% of total energy intake. [15]

In 2016, added sugar was added to the revised version of the nutrition facts label and was a given a daily value of 50 grams or 200 calories per day for a 2,000 calorie diet. [16] [17]

European Food Safety Authority

In February 2022, scientists of the European Food Safety Authority (EFSA) concluded that sugar consumption is a known cause of dental caries, and that evidence also links to consumption of sugar-sweetened beverages, juices and nectars with various chronic metabolic diseases including obesity, non-alcoholic fatty liver disease, and type 2 diabetes. EFSA stated: "We underlined there are uncertainties about chronic disease risk for people whose consumption of added and free sugars is below 10% of their total energy intake". [18]

American Heart Association

In 2018, the American Heart Association recommended daily intake of sugar for men is 9 teaspoons or 36 grams (1.3 oz) per day, and for women, six teaspoons or 25 grams (0.88 oz) per day. [5] Overconsumption of sugars in foods and beverages may increase the risk of several diseases. [5]

See also

Related Research Articles

<span class="mw-page-title-main">Aspartame</span> Artificial non-saccharide sweetener

Aspartame is an artificial non-saccharide sweetener 200 times sweeter than sucrose and is commonly used as a sugar substitute in foods and beverages. It is a methyl ester of the aspartic acid/phenylalanine dipeptide with brand names NutraSweet, Equal, and Canderel. Aspartame was approved by the US Food and Drug Administration (FDA) in 1974, and then again in 1981, after approval was revoked in 1980.

<span class="mw-page-title-main">Sugar</span> Sweet-tasting, water-soluble carbohydrates

Sugar is the generic name for sweet-tasting, soluble carbohydrates, many of which are used in food. Simple sugars, also called monosaccharides, include glucose, fructose, and galactose. Compound sugars, also called disaccharides or double sugars, are molecules made of two bonded monosaccharides; common examples are sucrose, lactose, and maltose. White sugar is a refined form of sucrose. In the body, compound sugars are hydrolysed into simple sugars.

<span class="mw-page-title-main">Sucralose</span> Non-nutritive sweetener

Sucralose is an artificial sweetener and sugar substitute. As the majority of ingested sucralose is not metabolized by the body, it adds no calories. In the European Union, it is also known under the E number E955. It is produced by chlorination of sucrose, selectively replacing three of the hydroxy groups—in the C1 and C6 positions of the fructose portion and the C4 position of the glucose portion—to give a 1,6-dichloro-1,6-dideoxyfructose–4-chloro-4-deoxygalactose disaccharide. Sucralose is about 600 times sweeter than sucrose, three times as sweet as both aspartame and acesulfame potassium, and twice as sweet as sodium saccharin.

<span class="mw-page-title-main">Fructose</span> Simple ketonic monosaccharide found in many plants

Fructose, or fruit sugar, is a ketonic simple sugar found in many plants, where it is often bonded to glucose to form the disaccharide sucrose. It is one of the three dietary monosaccharides, along with glucose and galactose, that are absorbed by the gut directly into the blood of the portal vein during digestion. The liver then converts both fructose and galactose into glucose, so that dissolved glucose, known as blood sugar, is the only monosaccharide present in circulating blood.

<span class="mw-page-title-main">Sucrose</span> Disaccharide made of glucose and fructose

Sucrose, a disaccharide, is a sugar composed of glucose and fructose subunits. It is produced naturally in plants and is the main constituent of white sugar. It has the molecular formula C
12
H
22
O
11
.

<span class="mw-page-title-main">Sugar substitute</span> Sugarless food additive intended to provide a sweet taste

A sugar substitute is a food additive that provides a sweetness like that of sugar while containing significantly less food energy than sugar-based sweeteners, making it a zero-calorie or low-calorie sweetener. Artificial sweeteners may be derived through manufacturing of plant extracts or processed by chemical synthesis. Sugar substitute products are commercially available in various forms, such as small pills, powders, and packets.

<span class="mw-page-title-main">Diet soda</span> Type of sugar-free or artificially sweetened soda

Diet or light beverages are generally sugar-free, artificially sweetened beverages with few or no calories. They are marketed for diabetics and other people who want to reduce their sugar and/or caloric intake.

<span class="mw-page-title-main">Healthy diet</span> Type of diet

A healthy diet is a diet that maintains or improves overall health. A healthy diet provides the body with essential nutrition: fluid, macronutrients such as protein, micronutrients such as vitamins, and adequate fibre and food energy.

<span class="mw-page-title-main">Empty calories</span> Calories with no nutritional value

In human nutrition, empty calories are those calories found in foods and beverages composed primarily or solely of calorie-rich macronutrients such as sugars and fats, but little or no micronutrients, fibre, or protein. Foods composed mostly of empty calories have low nutrient density, meaning few other nutrients relative to their energy content. Empty calories are more difficult to fit into a diet that is both balanced and within TDEE, and so readily create an unhealthy diet.

<span class="mw-page-title-main">High-fructose corn syrup</span> Processed corn syrup

High-fructose corn syrup (HFCS), also known as glucose–fructose, isoglucose and glucose–fructose syrup, is a sweetener made from corn starch. As in the production of conventional corn syrup, the starch is broken down into glucose by enzymes. To make HFCS, the corn syrup is further processed by D-xylose isomerase to convert some of its glucose into fructose. HFCS was first marketed in the early 1970s by the Clinton Corn Processing Company, together with the Japanese Agency of Industrial Science and Technology, where the enzyme was discovered in 1965.

<span class="mw-page-title-main">Psicose</span> Chemical compound

D-Psicose (C6H12O6), also known as D-allulose, or simply allulose, is a low-calorie epimer of the monosaccharide sugar fructose, used by some major commercial food and beverage manufacturers as a low-calorie sweetener. First identified in wheat in the 1940s, allulose is naturally present in small quantities in certain foods.

<span class="mw-page-title-main">Isomaltulose</span> Chemical compound

Isomaltulose is a disaccharide carbohydrate composed of glucose and fructose. It is naturally present in honey and sugarcane extracts and is also produced industrially from table sugar (sucrose) and used as a sugar alternative.

<span class="mw-page-title-main">Agave syrup</span> Sweetener

Agave syrup, also known as maguey syrup or agave nectar, is a sweetener commercially produced from several species of agave, including Agave tequilana and Agave salmiana. Blue-agave syrup contains 56% fructose as a sugar providing sweetening properties.

A diabetic diet is a diet that is used by people with diabetes mellitus or high blood sugar to minimize symptoms and dangerous complications of long-term elevations in blood sugar.

<span class="mw-page-title-main">Western pattern diet</span> Modern dietary pattern

The Western pattern diet is a modern dietary pattern that is generally characterized by high intakes of pre-packaged foods, refined grains, red meat, processed meat, high-sugar drinks, candy and sweets, fried foods, industrially produced animal products, butter and other high-fat dairy products, eggs, potatoes, corn, and low intakes of fruits, vegetables, whole grains, pasture-raised animal products, fish, nuts, and seeds.

<span class="mw-page-title-main">Diet and obesity</span> Effect of diet on obesity


Diet plays an important role in the genesis of obesity. Personal choices, food advertising, social customs and cultural influences, as well as food availability and pricing all play a role in determining what and how much an individual eats.

<span class="mw-page-title-main">Robert Lustig</span> Endocrinologist, professor

Robert H. Lustig is an American pediatric endocrinologist. He is Professor emeritus of Pediatrics in the Division of Endocrinology at the University of California, San Francisco (UCSF), where he specialized in neuroendocrinology and childhood obesity. He is also director of UCSF's WATCH program, and president and co-founder of the non-profit Institute for Responsible Nutrition.

<span class="mw-page-title-main">Sweetened beverage</span> Type of beverage

Sugar-sweetened beverages (SSB) are any beverage with added sugar. They have been described as "liquid candy". Consumption of sugar-sweetened beverages have been linked to weight gain and an increased risk of cardiovascular disease mortality. According to the CDC, consumption of sweetened beverages is also associated with unhealthy behaviors like smoking, not getting enough sleep and exercise, and eating fast food often and not enough fruits regularly.

<span class="mw-page-title-main">Non-centrifugal cane sugar</span> Traditional raw sugar obtained by evaporating water from sugarcane juice

Non-centrifugal cane sugar (NCS) is the technical name given to traditional raw sugar obtained by evaporating water from sugarcane juice. NCS is internationally recognized as a discrete and unique product by the FAO since 1964 and by the World Customs Organization (WCO) since 2007. WCO defines NCS as "cane sugar obtained without centrifugation". It also states that "the product contains only natural anhedral micro-crystals, of irregular shape, not visible to the naked eye, which are surrounded by molasses' residues and other constituents of sugar cane". NCS is produced in most sugarcane-growing regions of the world, being known by many different names such as panela, jaggery, or gur. Some varieties of muscovado are non-centrifugal.

<i>Pure, White and Deadly</i> Book on health problems from sugar consumption

Pure, White and Deadly is a 1972 book by John Yudkin, a British nutritionist and former Chair of Nutrition at Queen Elizabeth College, London. Published in New York, it was the first publication by a scientist to anticipate the adverse health effects, especially in relation to obesity and heart disease, of the public's increased sugar consumption. At the time of publication, Yudkin sat on the advisory panel of the British Department of Health's Committee on the Medical Aspects of Food and Nutrition Policy (COMA). He stated his intention in writing the book in the last paragraph of the first chapter: "I hope that when you have read this book I shall have convinced you that sugar is really dangerous."

References

  1. 1 2 3 4 5 Lindsay H Allen; Andrew Prentice (December 28, 2012). Encyclopedia of Human Nutrition 3E. Academic Press. pp. 231–233. ISBN   978-0-12-384885-7 . Retrieved April 4, 2013.
  2. 1 2 "WHO Guideline, 2015, "Guideline: Sugars intake for adults and children, 2015", Geneva". 2015.
  3. 1 2 Turck, Dominique; Bohn, Torsten; Castenmiller, Jacqueline; de Henauw, Stefaan; et al. (February 2022). "Tolerable upper intake level for dietary sugars". EFSA Journal. 20 (2): e07074. doi:10.2903/j.efsa.2022.7074. hdl:11380/1280525. PMC   8884083 . PMID   35251356.
  4. 1 2 "Get the facts: Added sugars". US Centers for Disease Control and Prevention. November 28, 2021. Retrieved May 12, 2022.
  5. 1 2 3 "Sugar 101". American Heart Association. April 17, 2018. Retrieved July 9, 2019.
  6. Mackey, Christian; Plegue, Melissa A; Deames, Marian; Kittle, Matthew; Sonneville, Kendrin R; Chang, Tammy (January 2018). "Family physicians' knowledge, attitudes, and behaviors regarding the weight effects of added sugar". SAGE Open Medicine. 6: 205031211880124. doi:10.1177/2050312118801245. ISSN   2050-3121. PMC   6146324 . PMID   30245821.
  7. 1 2 3 "Hidden in Plain Sight". SugarScience, University of California at San Francisco. 2019. Retrieved August 2, 2019.
  8. Committee on Examination of Front-of-Package Nutrition Ratings Systems and Symbols; Institute of Medicine (December 21, 2010). Examination of Front-of-Package Nutrition Rating Systems and Symbols: Phase I Report. National Academies Press. p. 6. ISBN   978-0-309-18652-0 . Retrieved April 4, 2013.
  9. Ng, Shu Wen; Slining, Meghan M.; Popkin, Barry M. (2012). "Use of Caloric and Noncaloric Sweeteners in US Consumer Packaged Foods, 2005-2009". Journal of the Academy of Nutrition and Dietetics. 112 (11): 1828–1834.e6. doi:10.1016/j.jand.2012.07.009. ISSN   2212-2672. PMC   3490437 . PMID   23102182.
  10. Englyst, Klaus and Hans (2005). "Carbohydrate bioavailability". British Journal of Nutrition. 94 (1): 1–11. doi: 10.1079/BJN20051457 . PMID   16115326. S2CID   41400074.
  11. Baltz, Courtney (2020). "TaxRx: Ultra-Processed Foods, Added Sugar, and the Social Cost of Obesity". Food and Drug Law Journal. 75: 38.
  12. 1 2 Barbara Sibbald (June 10, 2003). "Sugar industry sour on WHO report". CMAJ. 168 (12): 1585. PMC   156706 . PMID   12796354.
  13. John Ydstie (April 24, 2003). "Sugar Industry Takes on the World Health Organization". NPR.
  14. Boseley S. (2003). "Political context of the World Health Organization: sugar industry threatens to scupper the WHO". Int J Health Serv. 33 (4): 831–3. doi:10.2190/u0mw-wm82-n5bh-e20c. PMID   14758862. S2CID   7287748.
  15. See Guideline: Sugars intake for adults and children. Geneva: World Health Organization; 2015 Archived 2015-08-17 at the Wayback Machine
  16. Nutrition, Center for Food Safety and Applied (January 8, 2021). "Added Sugars on the New Nutrition Facts Label". FDA.
  17. Charles, Dan (May 20, 2016). "An 'Added Sugar' Label Is On The Way For Packaged Food". NPR. Retrieved October 30, 2021.
  18. "Added and free sugars should be as low as possible | EFSA". www.efsa.europa.eu.