What Are Sugar Alcohols in Meals? Potential Dangers and Advantages


What are sugar alcohols in food? An image of sugar-free candies in a clear bowl on a marble table.
Sugar-free candies can appear interesting to these wanting to chop sugar from their eating regimen — however you could be introducing totally 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 objective for many people. One easy approach 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 necessary to grasp what sugar alcohols are and what they may very well be doing to our our bodies. As a Registered Dietician, learn on for my two cents on why the science exhibits sugar alcohols is probably not as harmless of a sugar substitute as we expect. 

What Are Sugar Alcohols?

Sugar alcohols are a low-calorie group of sweeteners produced from carbohydrate molecules resembling sugars and alcohols. These molecules are basically sugar molecules with hydroxyl (OH) teams as an alternative 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. Nevertheless, the sugar alcohols utilized in meals are greater than doubtless synthetically produced and manufactured. 

Are Sugar and Sugar Alcohols the Similar Factor?

As a result of they each include the phrase “sugar,” it may be straightforward to imagine that sugar and sugar alcohols are one and the identical. However sugar alcohols are totally different from the desk sugar we’re conversant in, 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. But it surely’s price studying up on what these options are and the way they could 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 (usually greater than 200 instances sweeter, actually1). And in contrast to no-calorie synthetic sweeteners like Candy‘N Low, sugar alcohols usually include just a few 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

In the case of sweetening your meals, sugar alcohols could be a cheap different to desk sugar. That is very true for these with diabetes who must restrict added sugar to manage and steadiness 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 usually present in diabetes-friendly meals like baked items and eating regimen drinks, in addition to low-sugar ice lotions, chewing gum, and onerous 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 below “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 how you can determine the quantity of sugar alcohols in your meals may help you turn out to be extra conscious of what you’re consuming day-to-day. – Credit score: Natural Authority Studio

Are Sugar Alcohols Dangerous for You?

Earlier this 12 months, a gaggle of Cleveland Clinic researchers printed a brand new research linking excessive ranges of the sugar alcohol xylitol with an elevated danger of cardiovascular occasions like clotting, coronary heart assault, and stroke2.

During the last 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 can be promoted as wholesome options. However extra lately, sure sugar alcohols have come below fireplace for some fairly terrifying associations that might rapidly counteract these “wholesome” labels. Let’s dig into the analysis.

Sugar Alcohols and Cardiovascular Occasions

Earlier this 12 months, a gaggle of Cleveland Clinic researchers printed a brand new research 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 group confirmed this affiliation by way of an evaluation of over 3,000 sufferers within the US and Europe, in addition to pre-clinical analysis fashions that discovered xylitol induced platelets to clot. 

This analysis goes hand-in-hand with a research carried out by the identical group of researchers final 12 months, which discovered an identical affiliation between erythritol and cardiovascular occasions3. Whereas these research don’t essentially show causation, they’re positively sufficient to warrant a more in-depth look (and cautious consumption). 

Based mostly on the research, individuals with the very best ranges of erythritol of their blood have been twice as more likely to expertise a coronary heart assault or stroke4. To make issues worse, merchandise with sugar alcohols are mostly really useful and marketed to people who find themselves already battling situations like weight problems and diabetes, doubtless placing them at a good increased danger. 

Is Xylitol Dangerous for You?

So, the query stays: are sugar alcohols like erythritol and xylitol dangerous for you? “The diploma of danger was not modest,” mentioned lead research writer Dr. Hazen. “It is vital that additional security research are carried out to look at the long-term results of synthetic sweeteners generally, significantly in individuals at increased danger for heart problems.5” 

Based mostly on the research, individuals with the very best ranges of erythritol of their blood have been twice as more likely to expertise a coronary heart assault or stroke4.

Different Aspect 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. In case you eat sugar alcohols in extra, you would expertise unintended effects like belly cramping, fuel, and diarrhea6. Nevertheless, this may occasionally 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 performed on doable long-term results. – Credit score: Pexels Towfiqu Barbhuiya

Some specialists additionally say that sugar alcohol consumption might result in weight achieve. Nevertheless, a 2021 animal research on the sugar alcohol erythritol exhibits no important impact of erythritol consumption on weight achieve or glucose tolerance in mice7. Human research are wanted to verify these findings and discover the doable impression of sugar alcohols on intestine well being8.

What Are Thought-about Excessive Ranges of Sugar Alcohols?

Specialists counsel {that a} reasonable consumption of sugar alcohols between 10 and 15 grams day by day is secure9. Nevertheless, many processed meals with sugar alcohols have a lot increased portions of those substances. Make sure to take a look at the dietary label of the meals you eat to keep away from consuming greater than this quantity of sugar alcohols day by day.

Is Xylitol Protected?

Keep in mind once we mentioned 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 would possibly learn that and nonetheless really feel confused about whether or not or not sugar alcohols are secure to eat. 

Primarily, what this implies is that extra research should be performed to higher decide if there are well being dangers of consuming xylitol. Nevertheless, it’s secure to say it’s nonetheless finest to eat carefully. Whereas we anticipate extra conclusive analysis, it’s not a foul concept to restrict your reliance on sugar substitutes. Strive incorporating pure sweeteners like honey or agave, or think about reaching for a fruit to fulfill your candy tooth as an alternative.

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. One of the vital widespread arguments round the advantages of sugar alcohols is that they don’t impression glucose or insulin ranges10. Due to this fact, it may very well be a really perfect sugar different for these with diabetes or these susceptible to diabetes.

Sugar alcohols additionally present the potential to profit dental well being. Not like 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 target of future analysis on dental caries prevention11. So, in case your toothpaste accommodates any sugar alcohols, you need to preserve 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 may also be present in non-food gadgets like toothpaste, the place they’re much less more likely to trigger any unintended effects. – Credit score: Unsplash Josue Michel

The Backside Line

After reviewing the analysis, there may be nonetheless not sufficient to show that sugar alcohols aren’t secure carefully. If you’re attempting to reduce out sugar out of your eating regimen, whether or not you might have diabetes or not, sugar alcohols could also be a wholesome different to attempt. A very powerful factor is to reasonable your consumption of each sugar and sugar alcohols. 

Do your finest 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, quite than a free corridor move to gorge on candy treats with out consequence. In case you are likely to overdo it with sugar, sugar alcohols may very well be a superb different. 

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 tons of of sufferers for nutrition-related points ranging from … Extra about Staci Gulbin, Registered Dietitian

Tags: synthetic sweeteners cardiovascular well being cardiovascular dangers erythritol risks sugar alcohols sugar options sugar free what’s erythritol xylitol





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