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What Are Sugar Alcohols in Meals? Attainable Dangers and Advantages


What Are Sugar Alcohols in Meals? Attainable Dangers and Advantages
Sugar-free candies can appear interesting to these wanting to chop sugar from their eating regimen — however you might be introducing completely different well being dangers within the course of. Credit score: Unsplash Joanna Kosinska

Lowering sugar in your eating regimen or quitting sugar for good is a well being purpose for many people. One easy means to do that is to exchange the sugar in our eating regimen with sugar alcohols. However as nice as it’s to attenuate sugar in our eating regimen, what are sugar alcohols in meals actually? 

Earlier than you swap out all of the responsible pleasures in your pantry for sugar-free options, it’s essential to grasp what sugar alcohols are and what they could possibly be doing to our our bodies. As a Registered Dietician, learn on for my two cents on why the science reveals sugar alcohols is probably not as harmless of a sugar alternative as we expect. 

What Are Sugar Alcohols?

Sugar alcohols are a low-calorie group of sweeteners constructed from carbohydrate molecules resembling sugars and alcohols. These molecules are primarily sugar molecules with hydroxyl (OH) teams as a substitute of hydrogen.

Sugar alcohols happen naturally in some fruits, greens, algae, and merchandise of fermentation. It’s additionally produced within the human physique at very low ranges, so it’s doable you have already got sugar alcohols in your system. Nonetheless, the sugar alcohols utilized in meals are greater than probably synthetically produced and manufactured. 

Are Sugar and Sugar Alcohols the Identical Factor?

As a result of they each comprise the phrase “sugar,” it may be simple to imagine that sugar and sugar alcohols are one and the identical. However sugar alcohols are completely different from the desk sugar we’re acquainted with, each in construction and dietary worth.

Image of a bowl of white table sugar on a green background, with mint and winter decorations.
For anybody hoping to cut back sugar of their eating regimen, sugar alcohols and synthetic sweeteners are each doable options. Nevertheless it’s value studying up on what these options are and the way they might have an effect on our well being. – Credit score: Unsplash Olivie Strauss

And let’s not confuse sugar alcohols with synthetic sweeteners like aspartame and sucralose. Synthetic sweeteners are a lot sweeter than sugar alcohols (typically greater than 200 occasions sweeter, actually1). And in contrast to no-calorie synthetic sweeteners like Candy‘N Low, sugar alcohols sometimes comprise a number of energy per serving.

Illustration of a scale featuring what looks like sugar cubes on each side. One side reads "Sugar Alcohols" and the other reads "Artificial Sweeteners," with the artificial sweeteners side weighed down much further.
Whereas synthetic sweeteners and sugar alcohols are each options to sugar, synthetic sweeteners are a lot sweeter. – Credit score: Natural Authority Studio

With regards to sweetening your meals, sugar alcohols is usually a affordable various to desk sugar. That is very true for these with diabetes who have to restrict added sugar to regulate and stability blood sugar ranges.

Examples of fashionable sugar alcohols present in sweetened meals merchandise embrace:

  • Erythritol
  • Xylitol
  • Mannitol
  • Sorbitol
  • Isomalt
  • Lactitol

What Meals Comprise Sugar Alcohols?

Sugar alcohols are sometimes present in diabetes-friendly meals like baked items and eating regimen drinks, in addition to low-sugar ice lotions, chewing gum, and exhausting candies. Sugar alcohols are additionally in lots of low-calorie condiments like sauces and dressings.

Image of a pile of colorful sugar-free gummy candies made with sugar alcohols.
Sugar alcohols are mostly present in diabetes-friendly, sugar-free meals, like candies, ice lotions, and eating regimen drinks. – Credit score: Pexels Elizabeth Iris

How Do I Know How Many Sugar Alcohols Are in My Meals?

On the dietary label, the quantity of sugar alcohols is listed underneath “Complete Carbohydrates.” Search for a subheading labeled “Sugar Alcohol” to search out the quantity you’re coping with per serving.

Image of a Nutrition Facts food label, with the "Sugar Alcohols" line circled in red to showcase how to find it.
Understanding methods to establish the quantity of sugar alcohols in your meals can assist you change into extra conscious of what you’re consuming day-to-day. – Credit score: Natural Authority Studio

Are Sugar Alcohols Unhealthy for You?

Earlier this yr, a bunch of Cleveland Clinic researchers revealed a brand new examine linking excessive ranges of the sugar alcohol xylitol with an elevated danger of cardiovascular occasions like clotting, coronary heart assault, and stroke2.

Over the past ten years or so, we’ve witnessed the rise of sugar substitutes like sugar alcohols within the mainstream. Sugar alcohols are mostly utilized in processed meals which might be promoted as wholesome options. However extra just lately, sure sugar alcohols have come underneath hearth for some fairly terrifying associations that would shortly counteract these “wholesome” labels. Let’s dig into the analysis.

Sugar Alcohols and Cardiovascular Occasions

Earlier this yr, a bunch of Cleveland Clinic researchers revealed a brand new examine linking excessive ranges of the sugar alcohol xylitol with an elevated danger of cardiovascular occasions like clotting, coronary heart assault, and stroke2. Led by Stanley Hazen, M.D., Ph.D., the workforce confirmed this affiliation through an evaluation of over 3,000 sufferers within the US and Europe, in addition to pre-clinical analysis fashions that discovered xylitol triggered platelets to clot. 

This analysis goes hand-in-hand with a examine carried out by the identical group of researchers final yr, which discovered the same affiliation between erythritol and cardiovascular occasions3. Whereas these research don’t essentially show causation, they’re positively sufficient to warrant a better look (and cautious consumption). 

Primarily based on the examine, folks with the best ranges of erythritol of their blood have been twice as prone to expertise a coronary heart assault or stroke4. To make issues worse, merchandise with sugar alcohols are mostly beneficial and marketed to people who find themselves already battling situations like weight problems and diabetes, probably placing them at an excellent increased danger. 

Is Xylitol Unhealthy for You?

So, the query stays: are sugar alcohols like erythritol and xylitol unhealthy for you? “The diploma of danger was not modest,” stated lead examine creator Dr. Hazen. “It is vital that additional security research are carried out to look at the long-term results of synthetic sweeteners on the whole, notably in folks at increased danger for heart problems.5” 

Primarily based on the examine, folks with the best ranges of erythritol of their blood have been twice as prone to expertise a coronary heart assault or stroke4.

Different Facet Results

Except for the potential longer-term dangers of sugar alcohol consumption, there are additionally some doable short-term results of consuming too many sugar-free gummy bears. Should you eat sugar alcohols in extra, you may expertise uncomfortable side effects like stomach cramping, fuel, and diarrhea6. Nonetheless, this may increasingly not happen in all people, particularly in those that are used to consuming sugar alcohols.

Image of a brown wrapper labeled "Sugar Free," set against a backdrop of chocolates.
Some have reported gastrointestinal signs of consuming sugar-free meals with sugar alcohols, and extra analysis is being executed on doable long-term results. – Credit score: Pexels Towfiqu Barbhuiya

Some specialists additionally say that sugar alcohol consumption may result in weight acquire. Nonetheless, a 2021 animal examine on the sugar alcohol erythritol reveals no vital impact of erythritol consumption on weight acquire or glucose tolerance in mice7. Human research are wanted to verify these findings and discover the doable affect of sugar alcohols on intestine well being8.

What Are Thought of Excessive Ranges of Sugar Alcohols?

Consultants recommend {that a} reasonable consumption of sugar alcohols between 10 and 15 grams each day is protected9. Nonetheless, many processed meals with sugar alcohols have a lot increased portions of those substances. Be sure you take a look at the dietary label of the meals you eat to keep away from consuming greater than this quantity of sugar alcohols each day.

Is Xylitol Secure?

Bear in mind after we stated that research have proven an affiliation between sugar alcohols like xylitol and cardiovascular dangers, however not essentially a causation? Nicely, it’s comprehensible that you simply may learn that and nonetheless really feel confused about whether or not or not sugar alcohols are protected to eat. 

Basically, what this implies is that extra research should be executed to raised decide if there are well being dangers of consuming xylitol. Nonetheless, it’s protected to say it’s nonetheless greatest to eat sparsely. Whereas we anticipate extra conclusive analysis, it’s not a foul concept to restrict your reliance on sugar substitutes. Attempt incorporating pure sweeteners like honey or agave, or contemplate reaching for a fruit to fulfill your candy tooth as a substitute.

Are There Any Well being Advantages of Sugar Alcohols?

Analysis remains to be early in figuring out if sugar alcohols maintain any well being advantages. Some of the frequent arguments round the advantages of sugar alcohols is that they don’t affect glucose or insulin ranges10. Due to this fact, it could possibly be a super sugar various for these with diabetes or these liable to diabetes.

Sugar alcohols additionally present the potential to profit dental well being. In contrast to sugar, which helps the dangerous micro organism in your mouth thrive (and may trigger cavities and tooth decay!), sure sugar alcohols instantly suppress the expansion of micro organism10. Xylitol and sorbitol are additionally the main focus of future analysis on dental caries prevention11. So, in case your toothpaste incorporates any sugar alcohols, you need to maintain it round.

An image of a woman holding a toothbrush and squeezing a generous amount of toothpaste onto its head.
Sure sugar alcohols like xylitol can be present in non-food objects like toothpaste, the place they’re much less prone to trigger any uncomfortable side effects. – Credit score: Unsplash Josue Michel

The Backside Line

After reviewing the analysis, there’s nonetheless not sufficient to show that sugar alcohols aren’t protected sparsely. If you’re attempting to minimize out sugar out of your eating regimen, whether or not you’ve diabetes or not, sugar alcohols could also be a wholesome various to strive. Crucial factor is to reasonable your consumption of each sugar and sugar alcohols. 

Do your greatest to keep away from any consumption of over 15 grams of sugar alcohols. Purpose to make use of them as a stepping stone to eliminating sugar as a lot as doable, reasonably than a free corridor move to gorge on candy treats with out consequence. Should you are likely to overdo it with sugar, sugar alcohols could possibly be a great various. 

Sources:

  1. https://www.fda.gov/meals/food-additives-petitions/aspartame-and-other-sweeteners-food
  2. https://newsroom.clevelandclinic.org/2024/06/06/cleveland-clinic-led-study-links-sugar-substitute-to-increased-risk-of-heart-attack-and-stroke
  3. https://newsroom.clevelandclinic.org/2023/02/27/cleveland-clinic-study-finds-common-artificial-sweetener-linked-to-higher-rates-of-heart-attack-and-stroke 
  4. https://www.nature.com/articles/s41591-023-02223-9 
  5. https://www.cnn.com/2023/02/27/well being/zero-calorie-sweetener-heart-attack-stroke-wellness/index.html 
  6. https://pubmed.ncbi.nlm.nih.gov/27840639/
  7. https://pubmed.ncbi.nlm.nih.gov/34091676/
  8. https://pmc.ncbi.nlm.nih.gov/articles/PMC7378387/
  9. https://well being.clevelandclinic.org/what-to-know-about-sugar-alcohols
Staci has been a registered dietitian since 2010 and has handled lots of of sufferers for nutrition-related points ranging from … Extra about Staci Gulbin, Registered Dietitian

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