Chemistry:Added sugar

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Short description: Caloric sweeteners added to food and beverages

White sugar being weighed for a cake

Added sugars, also known as free sugars, are sugars added to foods and drinks during processing or preparation, as opposed to natural sugars which are present before processing and preparation.[1] Medical consensus holds that added sugars contribute little nutritional value to food,[1] leading to a colloquial description as "empty calories". Overconsumption of sugar is correlated with excessive calorie intake and increased risk of weight gain and various diseases.[1][2][3] Individuals who consume 17–21% of their daily calories from added sugar are reported to have a 38% higher risk of dying from cardiovascular disease compared to those who consume 8% of their daily calories from added sugar.[4]

Uses

United States

In the United States, added sugars may include sucrose or high-fructose corn syrup, both primarily composed of about half glucose and half fructose.[5] Other types of added sugar ingredients include beet and cane sugars, malt syrup, maple syrup, pancake syrup, fructose sweetener, liquid fructose, fruit juice concentrate, honey, and molasses.[5][6] The most common types of foods containing added sugars are sweetened beverages, including most soft drinks, and also desserts and sweet snacks,[2] which represent 20% of daily calorie consumption,[1] twice the maximum limit recommended by the World Health Organization (WHO).[1] Based on a 2012 study on the use of caloric and noncaloric sweeteners in some 85,000 food and beverage products, 74% of the products contained added sugar.[5][7]

Sweetened beverages

Sweetened beverages contain a syrup mixture of the monosaccharides glucose and fructose formed by hydrolytic saccharification of the disaccharide sucrose. The bioavailability of liquid carbohydrates is higher than in solid sugars, as characterized by sugar type and by the estimated rate of digestion.[8] There is evidence for a positive and causal relationship between excessive intake of fruit juices and increased risk of some chronic metabolic diseases.[9]

Guidelines

World Health Organization

In 2003, the WHO defined free sugars principally by defining the term "carbohydrate" into elements that relate more directly to the impact on health rather than a chemical definition, and followed on from meta-studies relating to chronic disease, obesity, and dental decay related to the overconsumption of high quantities of added sugar in processed foods.[10] In tandem with the Food and Agriculture Organization, the WHO published a revised food pyramid that splits up the diet into more health-directed groups, recommending that a maximum of 10% of an individual's diet should come from free sugars.[11] Sugar companies disputed the WHO report for suggesting that consumption of free sugars within the food pyramid should only amount to a daily maximum of 10%, and that there should be no minimum sugar intake.[12][11][13][14]

In 2015, the WHO published a new guideline on sugar intake for adults and children as a result of an extensive review of the available scientific evidence by a multidisciplinary group of experts. The guideline recommends that both adults and children reduce the intake of free sugars to less than 10% of total energy intake.[15]

Food and Drug Administration

In 2016, the US Food and Drug Administration revised its regulations for nutrition facts labelling, with the changes becoming mandatory by July 2018 in most cases.[16] Among other changes, the revision requires labelling of "added sugars", using a daily value of 50 grams or 200 calories per day for a 2,000 calorie diet.[17][16]

European Food Safety Authority

In February 2022, scientists of the European Food Safety Authority (EFSA) concluded that sugar consumption is a known cause of dental caries, and that evidence also links to consumption of sugar-sweetened beverages, juices and nectars with various chronic metabolic diseases including obesity, non-alcoholic fatty liver disease, and type 2 diabetes. EFSA stated: "We underlined there are uncertainties about chronic disease risk for people whose consumption of added and free sugars is below 10% of their total energy intake".[18]

American Heart Association

In 2018, the American Heart Association recommended daily intake of sugar for men is 9 teaspoons or 36 grams (1.3 oz) per day, and for women, six teaspoons or 25 grams (0.88 oz) per day.[3] Overconsumption of sugars in foods and beverages may increase the risk of several diseases.[3]

See also

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 Lindsay H Allen; Andrew Prentice (28 December 2012). Encyclopedia of Human Nutrition 3E. Academic Press. pp. 231–233. ISBN 978-0-12-384885-7. https://books.google.com/books?id=OqcL6JgTUf8C&pg=PA231. Retrieved 4 April 2013. 
  2. ↑ 2.0 2.1 "Get the facts: Added sugars" (in en-us). US Centers for Disease Control and Prevention. 2021-11-28. https://www.cdc.gov/nutrition/data-statistics/added-sugars.html. 
  3. ↑ 3.0 3.1 3.2 "Sugar 101". American Heart Association. 17 April 2018. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sugar/sugar-101. 
  4. ↑ Mackey, Christian; Plegue, Melissa A; Deames, Marian; Kittle, Matthew; Sonneville, Kendrin R; Chang, Tammy (January 2018). "Family physicians' knowledge, attitudes, and behaviors regarding the weight effects of added sugar" (in en). SAGE Open Medicine 6: 205031211880124. doi:10.1177/2050312118801245. ISSN 2050-3121. PMID 30245821. 
  5. ↑ 5.0 5.1 5.2 "Hidden in Plain Sight". SugarScience, University of California at San Francisco. 2019. https://sugarscience.ucsf.edu/hidden-in-plain-sight/. 
  6. ↑ Committee on Examination of Front-of-Package Nutrition Ratings Systems and Symbols; Institute of Medicine (21 December 2010). Examination of Front-of-Package Nutrition Rating Systems and Symbols: Phase I Report. National Academies Press. p. 6. ISBN 978-0-309-18652-0. https://books.google.com/books?id=_P44d7O_6j4C&pg=SA6-PA12. Retrieved 4 April 2013. 
  7. ↑ Ng, Shu Wen; Slining, Meghan M.; Popkin, Barry M. (2012). "Use of Caloric and Noncaloric Sweeteners in US Consumer Packaged Foods, 2005-2009". Journal of the Academy of Nutrition and Dietetics 112 (11): 1828–1834.e6. doi:10.1016/j.jand.2012.07.009. ISSN 2212-2672. PMID 23102182. 
  8. ↑ Englyst, Klaus and Hans (2005). "Carbohydrate bioavailability". British Journal of Nutrition 94 (1): 1–11. doi:10.1079/BJN20051457. PMID 16115326. 
  9. ↑ Turck, Dominique; Bohn, Torsten; Castenmiller, Jacqueline; de Henauw, Stefaan et al. (February 2022). "Tolerable upper intake level for dietary sugars". EFSA Journal 20 (2): e07074. doi:10.2903/j.efsa.2022.7074. PMID 35251356. 
  10. ↑ Baltz, Courtney (2020). "TaxRx: Ultra-Processed Foods, Added Sugar, and the Social Cost of Obesity". Food and Drug Law Journal 75: 38. https://heinonline.org/HOL/Page?handle=hein.journals/foodlj75&div=33. 
  11. ↑ 11.0 11.1 Barbara Sibbald (2003-06-10). "Sugar industry sour on WHO report". CMAJ 168 (12): 1585. PMID 12796354. 
  12. ↑ "WHO Guideline, 2015, "Guideline: Sugars intake for adults and children, 2015", Geneva". 2015. https://www.who.int/publications-detail-redirect/9789241549028. 
  13. ↑ John Ydstie (April 24, 2003). "Sugar Industry Takes on the World Health Organization". NPR. https://www.npr.org/templates/story/story.php?storyId=1242283. 
  14. ↑ Boseley S. (2003). "Political context of the World Health Organization: sugar industry threatens to scupper the WHO". Int J Health Serv 33 (4): 831–3. doi:10.2190/u0mw-wm82-n5bh-e20c. PMID 14758862. 
  15. ↑ See Guideline: Sugars intake for adults and children. Geneva: World Health Organization; 2015
  16. ↑ 16.0 16.1 Charles, Dan (2016-05-20). "An 'Added Sugar' Label Is On The Way For Packaged Food" (in en). NPR. https://www.npr.org/sections/thesalt/2016/05/20/478837157/the-added-sugar-label-is-coming-to-a-packaged-food-near-you. 
  17. ↑ "Added Sugars on the New Nutrition Facts Label" (in en). 2021-01-08. https://www.fda.gov/food/new-nutrition-facts-label/added-sugars-new-nutrition-facts-label. 
  18. ↑ "Added and free sugars should be as low as possible | EFSA" (in en). www.efsa.europa.eu. https://www.efsa.europa.eu/en/news/added-and-free-sugars-should-be-low-possible. 



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