Boots WebMD Partners in Health
Return To Boots

Diet health centre

Artificial sweeteners linked to weight gain

By
WebMD UK Health News
Medically Reviewed by Dr Sheena Meredith
sugar being poured into tea

17th July 2017 – Artificial sweeteners are frequently found in a wide range of products from soft drinks to yoghurts and even children's pain-relieving medication.

Now, a review of some of the evidence suggests they could be linked to weight gain, contrary to one of the main reasons behind their introduction.

Non-nutritive sweeteners - meaning they have no nutritional value - are compounds that offer the sweetness of sugar without the same calories. They can be anywhere between 30 to 8,000 times sweeter than sugar.

Because they pack a huge punch in the sweetness department, they are often chosen as an alternative to sugar because they are believed to be less fattening.

Little wonder then that consumption of aspartame, saccharin, stevia and similar ingredients is increasing.

Weight loss or weight gain?

However, some previous studies have suggested that artificial sweeteners may interfere with the body's ability to metabolise sugar, and with gut microbes and appetite control. Some animal studies have reported that long-term exposure can increase food consumption, weight gain and body fat.

To try to explain the paradox, a team from the University of Manitoba in the US analysed results from 7 high quality trials involving 1,003 people who were followed up for an average of 6 months.

They found that evidence from these randomised control trials does not demonstrate clear evidence that non-nutritive artificial sweeteners are beneficial for weight management.

Heart disease, diabetes and high blood pressure

Longer, although less rigorous, 'observational' trials suggested a link between routine consumption of non-nutritive sweeteners and a long-term increase in body mass index (BMI) and a higher risk of diabetes, heart disease and high blood pressure.

However, the study in the Canadian Medical Association Journal says that "these associations have not been confirmed in experimental studies and may be influenced by publication bias".

The authors call for further studies to examine the composition of different types of artificial sweeteners and to compare their effect with sugar.

Industry reaction

Commenting on the findings in an emailed statement, Gavin Partington, director general of the British Soft Drinks Association, says: "Low and no-calorie sweeteners have been deemed safe by all leading health authorities in the world, including the European Food Safety Authority.

He says this latest research contradicts most other evidence on alternative sweeteners.

Reviewed on July 17, 2017

Diet and weight loss newsletter

Weight loss help delivered to your inbox.
Sign Up

Popular slideshows & tools on BootsWebMD

woman_holding_head_in_pain
How to help headache pain
man in mirror
How smoking affects your looks & life
man holding sore neck
16 tips when you have a lot of weight to lose
man holding sore neck
Could you have a hormone imbalance?
woman looking at pregnancy test
Is your body ready for pregnancy?
man holding sore neck
8 signs you're headed for menopause
couple makigh salad
Nutrition for over 50s
bain illustration
Best foods for your brain
adult man contemplating
When illness makes it hard to eat
Allergies
Allergy myths and facts
egg in cup
Surprising things that can harm your liver