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Medicine

WHO Warns Against Using Artificial Sweeteners 296

The World Health Organization (WHO) on Monday released guidance on non-sugar sweeteners (NSS), recommending against using them to control body weight. From the report: The recommendation is based on the findings of a systematic review of the available evidence which suggests that use of NSS does not confer any long-term benefit in reducing body fat in adults or children. Results of the review also suggest that there may be potential undesirable effects from long-term use of NSS, such as an increased risk of type 2 diabetes, cardiovascular diseases, and mortality in adults. The recommendation applies to all people except individuals with pre-existing diabetes and includes all synthetic and naturally occurring or modified non-nutritive sweeteners that are not classified as sugars found in manufactured foods and beverages, or sold on their own to be added to foods and beverages by consumers. Common NSS include acesulfame K, aspartame, advantame, cyclamates, neotame, saccharin, sucralose, stevia and stevia derivatives.

The recommendation does not apply to personal care and hygiene products containing NSS, such as toothpaste, skin cream, and medications, or to low-calorie sugars and sugar alcohols (polyols), which are sugars or sugar derivatives containing calories and are therefore not considered NSS.
"Replacing free sugars with NSS does not help with weight control in the long term. People need to consider other ways to reduce free sugars intake, such as consuming food with naturally occurring sugars, like fruit, or unsweetened food and beverages," says Francesco Branca, WHO Director for Nutrition and Food Safety. "NSS are not essential dietary factors and have no nutritional value. People should reduce the sweetness of the diet altogether, starting early in life, to improve their health."
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WHO Warns Against Using Artificial Sweeteners

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  • Conditional Advice (Score:2, Interesting)

    by TwistedGreen ( 80055 )

    This is interesting advice. I once knew someone who would drink a couple 2L bottles of Pepsi per day. In order to lose weight, he decided to replace it with a couple 2L bottles of fruit juice instead. Not sure where he got that idea from, and he got fired a few weeks later because he kept falling asleep in the bathroom so I don't know how it worked out for him. However, surely replacing it with Diet Pepsi would've been a better move, as long as he didn't compensate for that loss of calories with additional

    • by gweihir ( 88907 )

      Interpret it as "sweet - dangerous". Already well established for sugar and all other non-artificially sweet stuff. Was well-established for artificial sweeteners as well and has been for a long time, just not nearly as widely known, probably due to manipulations by the industry behind it.

    • by olau ( 314197 )

      You're assuming he wouldn't have eaten some kind of sweet snack instead. To lose weight, you perhaps need to train yourself to like other kinds of less-sweet food.

  • by physicsphairy ( 720718 ) on Tuesday May 16, 2023 @01:04AM (#63525003)

    Here is the study [who.int] rather than the press release. Page 1 tabulates the results.

    The authors (subjectively) rate all the negative health correlations as 'low' or 'very low' on the GRADE scale. For reference "very low" on that scale means "The true effect is probably markedly different from the estimated effect" and "low" means "The true effect might be markedly different from the estimated effect."

    My take is the WHO is perfectly justified based on the evidence in recommending doctors not suggest artificial sweeteners as a remedy to their obese patients, because on average and in the long term it is not proving an effective treatment for them.

    But the same is stupid as a general population level edict (which is the press release, not the study). There's absolutely nothing there to give a good reason why you can't enjoy a zero-calorie drink to sate your thirst without adding sugar and calories to your diet. You're only going to be in trouble if you think of that as a justification to skip going to the gym and eat more junk food.

    • by znrt ( 2424692 )

      well, more than an "edict", the recommendation to not use sweeteners at all is a good one. if nss have no benefit besides taste and "might be" dangerous, then the rational behavior is to avoid them or minimize consumption.

      as i see it the problem is the indiscriminate addition of sugar to everything, and the solution is to just stop doing that, not substitute sugar with substances that "might be" harmful. just get rid of it.

      and that's just a matter of habits. all food is perfectly fine without sweeteners unl

    • > as a remedy to their obese patients

      Sugar is the primary contributor to cardiovascular disease and cancers.

      And 40% of Americans are pre-diabetic or diabetic.

      And WHO is wildly and provably corrupt.

      So not a surprised face on the planet.

  • by Tablizer ( 95088 ) on Tuesday May 16, 2023 @01:17AM (#63525017) Journal

    The sugar lobby may be greasing the system to exaggerate the down-sides of artificial sweeteners. Perhaps artificial sweeteners do indeed have minor side effects or risk, but "real" sugar can really fuck the body up, especially in middle age and up.

    I agree that ideally you use NO sweeteners of any kind, but many foods suck without it. Artificial sweeteners are probably the least evil between the two.

    And the sugar lobby has played games before.

    • by qeveren ( 318805 )
      Yeah, my first (and probably entirely unfair) reaction to reading this was "how much did the sugar cartel pay for this?" XD
  • I guess the sweetener mafia did forget some payments to WHO officials recently...

  • To me, this sounds like a carefully worded & indirect rebuff to the food industry which has been leading the public to believe that NSS' are an effective way to control weight. The food industry is interested in two things only:

    #1 Maximising profits, which means increasing sales & cutting costs which means selling the cheapest possible products at the highest possible volumes thereby causing ongoing, persistent obesity epidemics.

    #2 Avoiding public scrutiny & regulation, which means adoptin
  • Don't use artificial sweeteners for your coffee, you should have get used to black coffee 50 years ago, now you must die.

    Not very helpful.

  • *All* artificial sweeteners? Even those that work by different mechanisms?

    Doesn't sound like the basis for sweeping recommendations. But that's probably the news story vs. the actual study.

  • FTFA:

    Because the link observed in the evidence between NSS and disease outcomes might be confounded by baseline characteristics of study participants and complicated patterns of NSS use, the recommendation has been assessed as conditional

    READ: This is bullshit jumping-to-conclusions stuff which is based in surmise, not science. Equally, lumping all NSSes together is grade-A bullshit. Notably, there is scientific evidence that stevia helps regulate blood sugar levels [nih.gov]. Even if it does not assist with weight loss, it still may have significant positive health effects regarding hypoglycemia and diabetes.

    There are ample reasons to be suspicious of artificial sweeteners. But there are absolutely no valid bases upon which to lump them all tog

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