Biomarker approaches to assessing intakes and health impacts of sweeteners: challenges and opportunities

Research output: Contribution to journalReview article

Abstract

The term ‘sweeteners’ encompasses both nutritive and non-nutritive sweeteners, which when added to food/beverages, can enhance the flavour and other functional properties of food/beverage products. This review considers how dietary biomarker approaches may enhance current understanding of nutritive sweeteners (namely free sugars) and non-nutritive or low-calorie sweeteners (LCS) intakes and how these may impact health. Recent public health strategies to reduce free sugar consumption will help contribute to challenging sugar intake targets. Robust evaluation is needed to determine the effectiveness of these approaches to reducing free sugars consumption. LCS provide a sweet taste without the addition of appreciable energy and can help maintain the palatability of reformulated products. All LCS undergo rigorous safety evaluations prior to approval for use. Whilst intervention data suggest LCS can be beneficial for health (relating to weight status and glycaemic control), debate persists on their use and findings from population-based research are mixed, in part because potential contributing factors such as reverse causality. Additionally, assessments often consider only certain sources of LCS (e.g. LCS-beverages) and/or LCS as a homogenous group despite differing biological fates, thus not adequately capture intakes of individual LCS or allow reliable estimation of overall intakes. Urinary biomarker approaches developed/investigated for sweetener consumption have the potential to overcome existing limitations of dietary data by providing more objective intake data, thereby enhancing population-based research. In conclusion, such biomarker approaches to the concomitant study of free sugars and LCS intakes are timely and represent interesting developments in an area of significant public health interest.

Fingerprint

Sweetening Agents
Biomarkers
Health
Food and Beverages
Nutritive Sweeteners
Non-Nutritive Sweeteners
Public Health
Functional Food
Beverages
Research
Causality
Population

Keywords

  • Sugar intakes
  • low-calorie sweeteners
  • low-energy sweeteners
  • intense sweeteners
  • urinary biomarker

Cite this

@article{96a7c8c95e0d4893bf7e6a08848830dd,
title = "Biomarker approaches to assessing intakes and health impacts of sweeteners: challenges and opportunities",
abstract = "The term ‘sweeteners’ encompasses both nutritive and non-nutritive sweeteners, which when added to food/beverages, can enhance the flavour and other functional properties of food/beverage products. This review considers how dietary biomarker approaches may enhance current understanding of nutritive sweeteners (namely free sugars) and non-nutritive or low-calorie sweeteners (LCS) intakes and how these may impact health. Recent public health strategies to reduce free sugar consumption will help contribute to challenging sugar intake targets. Robust evaluation is needed to determine the effectiveness of these approaches to reducing free sugars consumption. LCS provide a sweet taste without the addition of appreciable energy and can help maintain the palatability of reformulated products. All LCS undergo rigorous safety evaluations prior to approval for use. Whilst intervention data suggest LCS can be beneficial for health (relating to weight status and glycaemic control), debate persists on their use and findings from population-based research are mixed, in part because potential contributing factors such as reverse causality. Additionally, assessments often consider only certain sources of LCS (e.g. LCS-beverages) and/or LCS as a homogenous group despite differing biological fates, thus not adequately capture intakes of individual LCS or allow reliable estimation of overall intakes. Urinary biomarker approaches developed/investigated for sweetener consumption have the potential to overcome existing limitations of dietary data by providing more objective intake data, thereby enhancing population-based research. In conclusion, such biomarker approaches to the concomitant study of free sugars and LCS intakes are timely and represent interesting developments in an area of significant public health interest.",
keywords = "Sugar intakes, low-calorie sweeteners, low-energy sweeteners, intense sweeteners, urinary biomarker",
author = "Gallagher, {Alison M} and Caomhan Logue",
year = "2019",
month = "3",
day = "16",
language = "English",
journal = "Proceedings of the Nutrition Society.",
issn = "0029-6651",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - Biomarker approaches to assessing intakes and health impacts of sweeteners: challenges and opportunities

AU - Gallagher, Alison M

AU - Logue, Caomhan

PY - 2019/3/16

Y1 - 2019/3/16

N2 - The term ‘sweeteners’ encompasses both nutritive and non-nutritive sweeteners, which when added to food/beverages, can enhance the flavour and other functional properties of food/beverage products. This review considers how dietary biomarker approaches may enhance current understanding of nutritive sweeteners (namely free sugars) and non-nutritive or low-calorie sweeteners (LCS) intakes and how these may impact health. Recent public health strategies to reduce free sugar consumption will help contribute to challenging sugar intake targets. Robust evaluation is needed to determine the effectiveness of these approaches to reducing free sugars consumption. LCS provide a sweet taste without the addition of appreciable energy and can help maintain the palatability of reformulated products. All LCS undergo rigorous safety evaluations prior to approval for use. Whilst intervention data suggest LCS can be beneficial for health (relating to weight status and glycaemic control), debate persists on their use and findings from population-based research are mixed, in part because potential contributing factors such as reverse causality. Additionally, assessments often consider only certain sources of LCS (e.g. LCS-beverages) and/or LCS as a homogenous group despite differing biological fates, thus not adequately capture intakes of individual LCS or allow reliable estimation of overall intakes. Urinary biomarker approaches developed/investigated for sweetener consumption have the potential to overcome existing limitations of dietary data by providing more objective intake data, thereby enhancing population-based research. In conclusion, such biomarker approaches to the concomitant study of free sugars and LCS intakes are timely and represent interesting developments in an area of significant public health interest.

AB - The term ‘sweeteners’ encompasses both nutritive and non-nutritive sweeteners, which when added to food/beverages, can enhance the flavour and other functional properties of food/beverage products. This review considers how dietary biomarker approaches may enhance current understanding of nutritive sweeteners (namely free sugars) and non-nutritive or low-calorie sweeteners (LCS) intakes and how these may impact health. Recent public health strategies to reduce free sugar consumption will help contribute to challenging sugar intake targets. Robust evaluation is needed to determine the effectiveness of these approaches to reducing free sugars consumption. LCS provide a sweet taste without the addition of appreciable energy and can help maintain the palatability of reformulated products. All LCS undergo rigorous safety evaluations prior to approval for use. Whilst intervention data suggest LCS can be beneficial for health (relating to weight status and glycaemic control), debate persists on their use and findings from population-based research are mixed, in part because potential contributing factors such as reverse causality. Additionally, assessments often consider only certain sources of LCS (e.g. LCS-beverages) and/or LCS as a homogenous group despite differing biological fates, thus not adequately capture intakes of individual LCS or allow reliable estimation of overall intakes. Urinary biomarker approaches developed/investigated for sweetener consumption have the potential to overcome existing limitations of dietary data by providing more objective intake data, thereby enhancing population-based research. In conclusion, such biomarker approaches to the concomitant study of free sugars and LCS intakes are timely and represent interesting developments in an area of significant public health interest.

KW - Sugar intakes

KW - low-calorie sweeteners

KW - low-energy sweeteners

KW - intense sweeteners

KW - urinary biomarker

M3 - Review article

JO - Proceedings of the Nutrition Society.

T2 - Proceedings of the Nutrition Society.

JF - Proceedings of the Nutrition Society.

SN - 0029-6651

ER -