Free sugars

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Free sugars are defined by the World Health Organization and the UN Food and Agriculture Organization in multiple reports as "all monosaccharides and disaccharides added to foods by the manufacturer, cook, or consumer, plus sugars naturally present in honey, syrups, and fruit juices". [1] [2]

Contents

The term is used to distinguish between the sugars that are naturally present in fully unrefined carbohydrates such as brown rice, wholewheat pasta, fruit, etc. and those sugars (or carbohydrates) that have been, to some extent, refined (normally by humans but sometimes by animals, such as the sugars in honey). They are referred to as "sugars" since they cover multiple chemical forms, including sucrose, glucose, fructose, dextrose, etc.

Guidelines

European Food Safety Authority

In February 2022, scientists of the European Food Safety Authority concluded that sugar consumption is a known cause of dental caries, and that evidence also links―to varying degrees of certainty―consumption of sugar-sweetened beverages, juices and nectars with various chronic metabolic diseases including obesity, non-alcoholic fatty liver disease, and type 2 diabetes. Prof. Turck said: "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". [3]

There is evidence for a positive and causal relationship between the intake of fruit juices and risk of some chronic metabolic diseases. [4]

World Health Organization

In 2015, the World Health Organization (WHO) published a new guideline on sugars 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. A reduction to below 5% of total energy intake brings additional health benefits, especially with regards to dental caries. [5]

Usage

The principal definition of free sugars was to split 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. It also led to the WHO and FAO to publish a revised food pyramid that splits up the classic food groups into more health-directed groups, which appears, as yet, to have had little impact on the food pyramids in use around the world.[ citation needed ]

The inclusion of such a definition caused issues for the WHO with sugar companies, who attempted to get the US government to remove funding from the WHO for suggesting that consumption of free sugars within the food pyramid should only amount to a maximum of 10% of the total energy intake, and that there should be no minimum (i.e. there is no requirement for any free sugars in the human diet) [6] [7] [8] [9] on the basis that the report did not take into account the evidence supplied by the sugar industry. The report in question specifically includes references to the evidence, but was unable to use it for a health basis, as the studies did not offer effective evidence of an impact on health, and referred to such studies as "limited". [1]

Sweetened beverage

Sweetened beverage contains a syrup mixture of the monosaccharides glucose, and fructose, that is formed by hydrolytic saccharification of the disaccharide sucrose.

The bioavailability of liquid carbohydrates are higher than in solid sugars.

Related Research Articles

Carbohydrate Organic compound that consists only of carbon, hydrogen, and oxygen

A carbohydrate is a biomolecule consisting of carbon (C), hydrogen (H) and oxygen (O) atoms, usually with a hydrogen–oxygen atom ratio of 2:1 (as in water) and thus with the empirical formula Cm(H2O)n (where m may or may not be different from n). However, not all carbohydrates conform to this precise stoichiometric definition (e.g., uronic acids, deoxy-sugars such as fucose), nor are all chemicals that do conform to this definition automatically classified as carbohydrates (e.g. formaldehyde and acetic acid).

Sugar Sweet-tasting, 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 monosaccharides joined by a glycosidic bond. Common examples are sucrose, lactose, and maltose. Table sugar, granulated sugar, and regular sugar refer to sucrose, a disaccharide composed of glucose and fructose. In the body, compound sugars are hydrolysed into simple sugars.

Fructose 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 directly into blood during digestion. Fructose was discovered by French chemist Augustin-Pierre Dubrunfaut in 1847. The name "fructose" was coined in 1857 by the English chemist William Allen Miller. Pure, dry fructose is a sweet, white, odorless, crystalline solid, and is the most water-soluble of all the sugars. Fructose is found in honey, tree and vine fruits, flowers, berries, and most root vegetables.

Sucrose Disaccharide made of glucose and fructose

Sucrose is a type of sugar made up of one molecule of glucose and one molecule of fructose joined together. It is a disaccharide, a molecule composed of two monosaccharides: glucose and fructose. Sucrose is produced naturally in plants, from which white sugar is refined and crystalized. It has the molecular formula C
12
H
22
O
11
.

Sugar substitute Sugarless food additive intended to provide a sweet taste

A sugar substitute is a food additive that provides a sweet taste like that of sugar while containing significantly less food energy than sugar-based sweeteners, making it a zero-calorie (non-nutritive) or low-calorie sweetener. Artificial sweeteners may be derived through manufacturing of plant extracts or processed by chemical synthesis. Sugar alcohols such as erythritol, xylitol, and sorbitol are derived from sugars. In 2017, sucralose was the most common sugar substitute used in the manufacture of foods and beverages; it had 30% of the global market, which was projected to be valued at $2.8 billion by 2021.

Human nutrition Provision of essential nutrients necessary to support human life and health

Human nutrition deals with the provision of essential nutrients in food that are necessary to support human life and good health. Poor nutrition is a chronic problem often linked to poverty, food security, or a poor understanding of nutritional requirements. Malnutrition and its consequences are large contributors to deaths, physical deformities, and disabilities worldwide. Good nutrition is necessary for children to grow physically and mentally, and for normal human biological development.

Food pyramid (nutrition) Visual representation of optimal servings from basic groups

A food pyramid is a representation of the optimal number of servings to be eaten each day from each of the basic food groups. The first pyramid was published in Sweden in 1974. The 1992 pyramid introduced by the United States Department of Agriculture (USDA) was called the "Food Guide Pyramid" or "Eating Right Pyramid". It was updated in 2005 to "MyPyramid", and then it was replaced by "MyPlate" in 2011.

Xylitol Synthetic sweetener

Xylitol is a chemical compound with the formula C
5
H
12
O
5
, or HO(CH2)(CHOH)3(CH2)OH; specifically, one particular stereoisomer with that structural formula. It is a colorless or white crystalline solid that is soluble in water. It can be classified as a polyalcohol and a sugar alcohol, specifically an alditol. The name derives from Ancient Greek: ξύλον, xyl[on], "wood", with the suffix -itol used to denote sugar alcohols.

Reducing sugar

A reducing sugar is any sugar that is capable of acting as a reducing agent. In an alkaline solution, a reducing sugar forms some aldehyde or ketone, which allows it to act as a reducing agent, for example in Benedict's reagent. In such a reaction, the sugar becomes a carboxylic acid.

Isomaltulose Chemical compound

Isomaltulose is a disaccharide carbohydrate composed of glucose and fructose. The glucose and fructose are linked by an alpha-1,6-glycosidic bond. Isomaltulose is present in honey and sugarcane extracts. It tastes similar to sucrose with half the sweetness. Isomaltulose, also known by the trade name Palatinose, is manufactured by enzymatic rearrangement (isomerization) of sucrose from beet sugar. The enzyme and its source were discovered in Germany in 1950, and since then its physiological role and physical properties have been studied extensively. Isomaltulose has been used as an alternative to sugar in foods in Japan since 1985, in the EU since 2005, in the US since 2006, and in Australia and New Zealand since 2007, besides other countries worldwide. Analytical methods for characterization and assay of commercial isomaltulose are laid down, for example, in the Food Chemicals Codex. Its physical properties closely resemble those of sucrose, making it easy to use in existing recipes and processes.

Sucrose intolerance Medical condition

Sucrose intolerance or genetic sucrase-isomaltase deficiency (GSID) is the condition in which sucrase-isomaltase, an enzyme needed for proper metabolism of sucrose (sugar) and starch, is not produced or the enzyme produced is either partially functional or non-functional in the small intestine. All GSID patients lack fully functional sucrase, while the isomaltase activity can vary from minimal functionality to almost normal activity. The presence of residual isomaltase activity may explain why some GSID patients are better able to tolerate starch in their diet than others with GSID.

John Yudkin British physiologist and nutritionist

John Yudkin FRSC was a British physiologist and nutritionist, and the founding Professor of the Department of Nutrition at Queen Elizabeth College, London.

Remineralisation of teeth

Tooth remineralization is the natural repair process for non-cavitated tooth lesions, in which calcium, phosphate and sometimes fluoride ions are deposited into crystal voids in demineralised enamel. Remineralization can contribute towards restoring strength and function within tooth structure.

Canadian health claims by Health Canada, the department of the Government of Canada responsible for national health, has allowed five scientifically verified disease risk reduction claims to be used on food labels and on food advertising. Other countries, including the United States and Great Britain, have approved similar health claims on food labels.

Isomaltooligosaccharide (IMO) is a mixture of short-chain carbohydrates which has a digestion-resistant property. IMO is found naturally in some foods, as well as being manufactured commercially. The raw material used for manufacturing IMO is starch, which is enzymatically converted into a mixture of isomaltooligosaccharides.

Added sugar Caloric sweeteners added to food and beverages during their production

Added sugars are sugar carbohydrates added to food and beverages during their production. This type of sugar is chemically indistinguishable from naturally occurring sugars, but the term "added sugar" is used to identify sweetened foods. Medical consensus holds that added sugars contribute little nutritional value to food. This is often expressed colloquially by saying added sugar is "empty calories".

Sweetened beverage Type of beverage

A sweetened beverage is any beverage with added sugar. It has been described as "liquid candy". Consumption of sweetened beverages has been linked to weight gain, obesity, and associated health risks. 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.

<i>Pure, White and Deadly</i>

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."

Sugar marketing

Sugar is heavily marketed both by sugar producers and the producers of sugary drinks and foods. Apart from direct marketing methods such as messaging on packaging, television ads, advergames, and product placement in setting like blogs, industry has worked to steer coverage of sugar-related health information in popular media, including news media and social media.

References

  1. 1 2 "Joint WHO/FAO Expert Consultation, 2003, "WHO Technical Report Series 916 Diet, Nutrition, and the Prevention of Chronic Diseases", Geneva". 2003. Archived from the original on July 7, 2004.
  2. Diet, nutrition and the prevention of dental diseases, Public Health Nutrition: 7(1A), 201–226
  3. "Added and free sugars should be as low as possible | EFSA". www.efsa.europa.eu.
  4. Turck, Dominique; Bohn, Torsten; Castenmiller, Jacqueline; de Henauw, Stefaan; Hirsch‐Ernst, Karen Ildico; Knutsen, Helle Katrine; Maciuk, Alexander; Mangelsdorf, Inge; McArdle, Harry J; Naska, Androniki; Peláez, Carmen; Pentieva, Kristina; Siani, Alfonso; Thies, Frank; Tsabouri, Sophia; Adan, Roger; Emmett, Pauline; Galli, Carlo; Kersting, Mathilde; Moynihan, Paula; Tappy, Luc; Ciccolallo, Laura; de Sesmaisons‐Lecarré, Agnès; Fabiani, Lucia; Horvath, Zsuzsanna; Martino, Laura; Muñoz Guajardo, Irene; Valtueña Martínez, Silvia; Vinceti, Marco (February 2022). "Tolerable upper intake level for dietary sugars". EFSA Journal. doi:10.2903/j.efsa.2022.7074.
  5. See Guideline: Sugars intake for adults and children. Geneva: World Health Organization; 2015 Archived 2015-08-17 at the Wayback Machine
  6. "Sugar industry threatens to scupper WHO", Sarah Boseley, health editor, The Guardian, Monday 21 April 2003
  7. "Sugar Industry Takes on the World Health Organization", John Ydstie and Marion Nestle (Chair of the Nutrition and Food Studies Department at New York University, Author of Food Politics: How the Food Industry Influences Nutrition and Health (University of California Press, 2002)), NPR, April 24, 2003
  8. 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.
  9. Barbara Sibbald (2003-06-10). "Sugar industry sour on WHO report". CMAJ. 168 (12): 1585. PMC   156706 . PMID   12796354.