The 3 most popular Sugar Alternatives of the year

A bowl of sachets containing sugar alternatives

Warning: Although sweet, this article may leave a bitter aftertaste. Here’s the lowdown on ‘low calorie’ sweeteners:

Broadly speaking, sugar alternatives are categorised into Nutritive – those that provide calories – and Non-Nutritive Sweeteners– those that are low in calories or contain no calories at all. The latter truly does sound like a dream – it’s all we’ve ever wanted: sweetness without the detrimental health side-effects! 

Let’s hone in on Non-Nutritive Sweeteners (NNS):  

NNS can be further subdivided according to ‘natural’ and ‘artificial’ types. 

Artificial NNS

Artificial NNS include those that contain chemicals such as aspartame, saccharin, sucralose, acesulfame-K, cyclamate and neotame.

Artificial NNS were designed to limit calorie intake, assist in keeping the cm’s off, and improve in blood sugar levels. Since then, artificial NNS have found their way into almost every diet soda, coffee sweetener and ‘sugar-free’ treat.  

Despite being considered safe by Food and Drug Administrative (FDA) in the US, recent findings have linked regular intake of artificial NNS to weight gain, raised ‘hunger’ hormone levels, and increased risk for chronic diseases such as heart disease risk and diabetes. Additionally, they’re able to ‘wreak havoc on your gut’ by potentially upsetting gut flora balance. 

Natural NNS

The most commonly consumed Natural NNS include sugar alcohols, Stevia and Monk Fruit Extract.

1) Sugar Alcohols

Sugar alcohols, the chemical name for Xylitol, Erythritol and Sorbitol, are popular low-calories stand-ins for refined sugar. They belong to a chemical group called ‘sugar alcohols’. They are low-digestible carbohydrates as our bodies are only able to absorb them partially. Currently, there is not much data to support concern over ‘sugar alcohol’ consumption in humans. However, incomplete absorption thereof may cause gut complications (i.e. diarrhea, flatulence and bloating) in some individuals – especially in those with IBS or SIBO (Small Intestine Bowel Overgrowth). 

A picture of natural nutritional sweeteners: xylitol, erythritol and sorbitol

2) Stevia

Stevia - zero-calorie shrub-derived sweetener – has been a contentious topic in the health arena: it has been questioned for its potential negative impact on fertility. However, this has only been noted in animal studies when using unpurified, crude extracts of stevia. Well-characterized, high-quality stevia approved for food and beverage use is deemed safe. Evidence-to-date shows that it does not: increase blood pressure, cause cancer, disrupt the gut flora, result in negative gut-related symptoms, or increase appetite. It provides a suitable alternative to carbohydrates and refined sugar in the diet, and as a result, may assist in weight management and blood sugar control. 

A picture of different brands of Stevia

3) Monk Fruit Extract

Recently, Monkfruit Extract has become the ‘talk of the town’. Monkfruit, or luo han guo, is a fruit from Southeast Asia. It contains compounds, named magrosides, which are 250 times sweeter than table sugar! Current evidence suggests magrosides have anti-inflammatory, antioxidant, anti-cancer and antibacterial effects; and – as shown in animal studies –  the potential to decrease blood sugar levels. 

A picture of different brands of Monkfruit Extract

Take-home messages: 

 Disclaimer: As with anything sweet, ALL sweeteners should be consumed in moderation. Chat to your dietitian for more recommendations.

A picture of different categories of sugar altertives

Disclaimer: The above information is not intended to provide or replace medical advice, nor should it be used to diagnose, treat, cure, or prevent disease. The information expressed in this article should not be interpreted as dietary recommendations specific to an individual of any kind. This information is not intended as a substitute for the advice provided by your physician or other healthcare professional. Please note the date of authorship, as newly published scientific literature may displace the findings referred to in the article.


References:

https://sweetlife.org.za/a-diabetics-guide-to-sweeteners/

Kroger M, Meister K, Kava R. Low‐calorie sweeteners and other sugar substitutes: a review of the safety issues. Comprehensive reviews in food science and food safety. 2006 Apr;5(2):35-47.

Wolever TM, Piekarz A, Hollands M, Younker K. Sugar alcohols and diabetes: a review. Can J Diabetes. 2002;26(4):356-62.

Mooradian AD, Smith M, Tokuda M. The role of artificial and natural sweeteners in reducing the consumption of table sugar: A narrative review. Clinical nutrition eSPen. 2017 Apr 1;18:1-8.

Azad MB, Abou-Setta AM, Chauhan BF, Rabbani R, Lys J, Copstein L, Mann A, Jeyaraman MM, Reid AE, Fiander M, MacKay DS. Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies. Cmaj. 2017 Jul 17;189(28):E929-39.

Yun L. Are There Healthy Sweeteners: The Effects of Sugar Substitutes on the Gut Microbiome. Nutrition Bytes. 2016;20(1).

Nettleton JE, Reimer RA, Shearer J. Reshaping the gut microbiota: Impact of low calorie sweeteners and the link to insulin resistance?. Physiology & behavior. 2016 Oct 1;164:488-93.

Mejia E, Pearlman M. Natural Alternative Sweeteners and Diabetes Management. Current diabetes reports. 2019 Dec 1;19(12):142.

Samuel P, Ayoob KT, Magnuson BA, Wölwer-Rieck U, Jeppesen PB, Rogers PJ, Rowland I, Mathews R. Stevia leaf to stevia sweetener: exploring its science, benefits, and future potential. The Journal of nutrition. 2018 Jul 1;148(7):1186S-205S.

Liu C, Dai L, Liu Y, Rong L, Dou D, Sun Y, Ma L. Antiproliferative activity of triterpene glycoside nutrient from monk fruit in colorectal cancer and throat cancer. Nutrients. 2016 Jun;8(6):360.

Di R, Huang MT, Ho CT. Anti-inflammatory activities of mogrosides from Momordica grosvenori in murine macrophages and a murine ear edema model. Journal of Agricultural and Food Chemistry. 2011 Jul 13;59(13):7474-81.

Liu C, Dai LH, Dou DQ, Ma LQ, Sun YX. A natural food sweetener with anti-pancreatic cancer properties. Oncogenesis. 2016 Apr;5(4):e217-.

Jin JS, Lee JH. Phytochemical and pharmacological aspects of Siraitia grosvenorii, luo han kuo. Oriental Pharmacy and Experimental Medicine. 2012 Dec 1;12(4):233-9.

Previous
Previous

What you need to know about ‘detoxing’

Next
Next

What you need to know about the gut microbiome