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What Are Sugar Alcohols in Meals? Doable 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 weight loss program — however it’s possible you’ll be introducing completely different well being dangers within the course of. Credit score: Unsplash Joanna Kosinska

Decreasing sugar in your weight loss program or quitting sugar for good is a well being purpose for many people. One easy approach to do that is to switch the sugar in our weight loss program with sugar alcohols. However as nice as it’s to attenuate sugar in our weight loss program, 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 know 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 reveals sugar alcohols is probably not as harmless of a sugar alternative as we predict. 

What Are Sugar Alcohols?

Sugar alcohols are a low-calorie group of sweeteners made out of 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 attainable you have already got sugar alcohols in your system. Nonetheless, the sugar alcohols utilized in meals are greater than seemingly synthetically produced and manufactured. 

Are Sugar and Sugar Alcohols the Similar Factor?

As a result of they each comprise the phrase “sugar,” it may be straightforward 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 scale back sugar of their weight loss program, sugar alcohols and synthetic sweeteners are each attainable 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 (usually 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

In terms of sweetening your meals, sugar alcohols generally is a cheap different to desk sugar. That is very true for these with diabetes who must restrict added sugar to regulate and stability blood sugar ranges.

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

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

What Meals Include Sugar Alcohols?

Sugar alcohols are sometimes present in diabetes-friendly meals like baked items and weight loss program 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 weight loss program 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 beneath “Complete Carbohydrates.” Search for a subheading labeled “Sugar Alcohol” to seek 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 learn how to determine the quantity of sugar alcohols in your meals will help you change into extra conscious of what you’re consuming day-to-day. – Credit score: Natural Authority Studio

Are Sugar Alcohols Dangerous for You?

Earlier this yr, a gaggle of Cleveland Clinic researchers printed 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.

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 might be promoted as wholesome options. However extra not too long ago, sure sugar alcohols have come beneath hearth for some fairly terrifying associations that would rapidly counteract these “wholesome” labels. Let’s dig into the analysis.

Sugar Alcohols and Cardiovascular Occasions

Earlier this yr, a gaggle of Cleveland Clinic researchers printed 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 staff 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 precipitated 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, individuals 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 advisable and marketed to people who find themselves already battling circumstances like weight problems and diabetes, seemingly placing them at a fair larger danger. 

Is Xylitol Dangerous 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 writer Dr. Hazen. “It is vital that additional security research are carried out to look at the long-term results of synthetic sweeteners basically, notably in individuals at larger danger for heart problems.5” 

Primarily based on the examine, individuals 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

Apart from the potential longer-term dangers of sugar alcohol consumption, there are additionally some attainable short-term results of consuming too many sugar-free gummy bears. When you devour sugar alcohols in extra, you might expertise unwanted effects like stomach cramping, fuel, and diarrhea6. Nonetheless, this will likely 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 finished on attainable long-term results. – Credit score: Pexels Towfiqu Barbhuiya

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

What Are Thought-about Excessive Ranges of Sugar Alcohols?

Specialists recommend {that a} average consumption of sugar alcohols between 10 and 15 grams every day is secure9. Nonetheless, many processed meals with sugar alcohols have a lot larger portions of those substances. Make sure to take a look at the dietary label of the meals you devour to keep away from consuming greater than this quantity of sugar alcohols every day.

Is Xylitol Secure?

Keep in mind once we stated that research have proven an affiliation between sugar alcohols like xylitol and cardiovascular dangers, however not essentially a causation? Effectively, it’s comprehensible that you just would possibly learn that and nonetheless really feel confused about whether or not or not sugar alcohols are secure to devour. 

Primarily, what this implies is that extra research should be finished to higher decide if there are well being dangers of consuming xylitol. Nonetheless, it’s secure to say it’s nonetheless greatest to devour sparsely. Whereas we look ahead to 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 contemplate reaching for a fruit to fulfill your candy tooth as an alternative.

Are There Any Well being Advantages of Sugar Alcohols?

Analysis continues to be early in figuring out if sugar alcohols maintain any well being advantages. One of the widespread arguments round the advantages of sugar alcohols is that they don’t affect glucose or insulin ranges10. Subsequently, it may very well be an excellent sugar different for these with diabetes or these vulnerable 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 immediately 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 prone to trigger any unwanted 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 sparsely. If you’re making an attempt to reduce out sugar out of your weight loss program, 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 average your consumption of each sugar and sugar alcohols. 

Do your greatest to keep away from any consumption of over 15 grams of sugar alcohols. Goal to make use of them as a stepping stone to eliminating sugar as a lot as attainable, quite than a free corridor go to gorge on candy treats with out consequence. When you are likely to overdo it with sugar, sugar alcohols may very well be 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

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