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The Effect of Artificial Sweetener Use on Obesity

Archives of Obesity and Metabolism / Archives of Obesity and Metabolism, (P)2951-0333; (E)2951-0597
2023, v.2 no.2, pp.45-53
https://doi.org/10.23137/AOM23.02.RA0006
JuSam Hwang (Department of Family Medicine, Gil Medical Center)
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Abstract

Despite the emergence of obesity as a significant public health concern, artificial sweeteners have made their way into various food products due to the perception, that they serve as substitutes for sugar. Artificial sweeteners are used to supposedly achieveweight management and health improvement. However, their efficacy and safety remain debatable. Commonly used artificial sweeteners include aspartame, acesulfame potassium, saccharin, and sucralose. This article discusses the effects of artificialsweetener consumption on weight loss, appetite regulation, blood glucose control, andgut microbiota. Research findings, concerning the consumption of artificial sweetenersand their association with body weight, have shown inconsistencies between randomized controlled trials and cohort studies. Studies, comparing artificial sweeteners to sugar, have reported no significant differences in satiety. Although artificial sweetenershave no calories, they can affect blood sugar levels through the cephalic phase insulinresponse. A recent study suggested that artificial sweeteners influenced the occurrence of diabetes. Due to limitations in the study design, excluding diabetes-influencing factors was not feasible. The evidence showed that artificial sweeteners harbored potential health risks, necessitating further investigation. According to recent studies, the consumption of artificial sweeteners was associated with gut microbiota changes andindividual blood sugar responses. It is important to note that artificial sweeteners cannotbe considered safe alternatives to sugar, and further research is required.

keywords
Artificial sweeteners, Non-nutritive sweeteners, Sweet taste, Obesity, Body weight

Archives of Obesity and Metabolism