You should lay off the sauce--it\'s not good for your liver. [Author's Note:] This post, reacting to the findings of a University of California,
Davis, study on fructose, quoted and relied heavily on an error-laden
Times of London story. That said, the post generated a lot of valuable discussion
in the comments section below, including a critique of the Times piece
by Dr. Kimber Stanhope, one of the authors of the Davis study.
In response to another comment, Dr. Stanhope agreed that the question remains how much fructose is safe to consume and she indicated that a current project of hers involves testing that question with HFCS itself.
As I said at the end of the piece, the fundamental issue is that we consume too much sugar in any form. However, total fructose consumption has also increased dramatically thanks to juices and, yes, HFCS. While the simple answer going forward is to consume less sugar period, looking backward, it seems to me that we will indeed discover that changes in consumption patterns in different type of sugar over the last thirty or so years played a significant role in the current obesity/diabetes epidemic.
Oh, and in case anyone from the Times of London is reading this, if you think I will ever link to or quote from one of your articles again, then you've been drinking too much of the Kool-Aid that your boss Rupert Murdoch hands out.
Last year, a set of studies came out suggesting that the problem with high-fructose corn syrup was simply that people consumed too much of it. There was, according to these studies, nothing unique to the chemistry of HFCS that suggested it played an oversized role in the current obesity epidemic (aside from HFCS's little mercury problem, of course). Even at the time, however, there was a tantalizing suggestion in the media coverage that maybe, just maybe there was still some special risk to consuming HFCS due its higher fructose concentration:
[T]he research appears to show that sucrose and high-fructose corn syrup are not that different, [Professor of clinical nutrition Elizabeth] Parks says. She believes there's some evidence that the way they are metabolized in the liver is different, but not in a way that makes the calories from high-fructose corn syrup more likely to be stored as fat.
Well, wouldn't you know it, some resourceful scientists in UC Davis recently decided to look into that. And here's what they found:
Scientists have proved for the first time that a cheap form of sugar used in thousands of food products and soft drinks can damage human metabolism and is fuelling the obesity crisis.
Fructose , a sweetener derived from corn, can cause dangerous growths of fat cells around vital organs and is able to trigger the early stages of diabetes and heart disease.
...Over 10 weeks, 16 volunteers on a strictly controlled diet, including high levels of fructose, produced new fat cells around their heart, liver and other digestive organs. They also showed signs of food-processing abnormalities linked to diabetes and heart disease. Another group of volunteers on the same diet, but with glucose sugar replacing fructose, did not have these problems.
Okay then. This could be big. The issue, by the way, isn't so much the difference in the amount of fat fructose consumption produces. It's what it does to our metabolism the way it's metabolized and where it puts the fat it creates goes that matters. And I don't use the word "our" lightly. Significantly, this is one of the first studies not to use what scientists refer to as an "animal model," aka rats -- this study was performed in humans.
And here's where the liver comes in [UPDATED: this section adjusted and erroneous information, along with the quote from the source article, removed based on the study author's comment below]-- unlike glucose, some of which passes through the liver and is then excreted, 100% of fructose that's consumed is taken up by the liver. This is turn leads to increased fat deposition in the abdominal cavity and increased blood levels of triglycerides -- both of which are risk factors for heart disease and diabetes.
To be clear, this is something other sugars don't do. It's a special feature of fructose. And once scientists started looking more closely at the metabolic changes process and the way the fat was distributed, they saw the damage fructose can do to the human body. Now, as Fooducate observes the study used 100% fructose to test this effect, not HFCS itself, which is 55% fructose. A common observation is that white sugar is 50% fructose and thus will cause some of this as well, so what's the difference? Well, that extra bit of fructose in HFCS [not to mention the other sources of fructose in our diets] may be all the difference we need over a lifetime of consumption to create serious health problems.
It's both tempting and misguided to search for a silver bullet for obesity epidemic and there's no question that reducing or removing added sugar from our diet is a necessary step. But a lingering coincidence remains that the obesity epidemic exploded around 1980 -- the same time that HFCS was introduced into our food system on a mass scale. And it's not hard to come up with a scenario where the introduction of HFCS changed not only the total amount of sugar that we consumed but also the percentage of that sugar that was fructose in a way that meaningfully affected our metabolisms. And that effect may have been large enough to push rates of diabetes and obesity to unsustainable levels. As a result, I do believe it's fair to say that the causal arrow for that marginal increase in serous health effects from obesity is starting to point in the direction of HFCS.
The industry, of course, will continue to obfuscate, as this UK group did in its immediate response to the new data:
Rejecting the California research, a spokesman for the Food and Drink Federation, a UK industry trade group, said: “It makes no sense to highlight one single ingredient as a cause of obesity.”
On the other hand, sometimes the shoe simply fits. I have no doubt that now that scientists know where to look, HFCS is in for some serious science-based trouble. Not that our government will bother to help us on this front, no matter how dangerous to our health HFCS may prove to be.
But how does it make you feel to know that not only is that bisphenol A-lined can of soda altering your hormones, it's changing the way your digestive and metabolic systems function, too! My advice: next time you're tempted to grab an HFCS-sweetened soda (which is to say pretty much any soda), just watch this.
Does a renewable energy standard stand a chance?
How many species do you eat in a day?
How Chicago took the LEED in green building 


Comments
Post a Comment +
I have to say, I'm disappointed that the researchers compared pure fructose to pure glucose, neither of which is in use by the food industry. As Tom points out above, HFCS is 55 percent fructose and 45 percent glucose, while table sugar is 50 percent/50 percent. There is a 10 percent difference there, so the the extra fructose in HFCS could be causing a worse effect. But it would be a difference in degree, not kind. The real message here is, I think, that eating lots of highly refined sweet stuff is really, really bad for you. The explosion of cheap HFCS after 1980 inspired manufacturers to dramatically increase sweetener use--no doubt contributing massively to rising diabetes and overweight rates.
--------
CORRECTED: I previously wrote "sucrose" when I meant "glucose."
I agree both that total sugar is a problem AND that HFCS is a problem. All of this to say that NYC got it 100% right with their new "Don't Drink Yourself Fat" campaign -- it offers milk, water and mineral water as the only good options for meeting, as they used to say, "your daily hydration needs." Not juice, not performance drinks, not flavored milk. All that stuff is just a "treat." But I really do think it's important to learn that fructose has a particularly nefarious effect on our metabolisms since we've totally amped up the amount of the stuff we consume...
I think it is overall fructose and HFCS is just the biggest contributor. Check out Robert Lustig's Sugar: The Bitter Truth. His comment re fructose is that pre-HFCS "the poison was packaged with the antidote" (e.g., fiber in fruit). Now we get it in refined foods with no fiber or other nutrients (some think the C in fruit is also protective.
Other problem is the increase in added sugars compared to pre-WWII, so our fructose consumption is way up. Plus, it's not necessarily that the % of fructose in HFCS is the problem; it's that HFCS is cheap compared to other sugars and is added to EVERYTHING to make it more palatable.
Would it kill you -- and everyone else writing about science -- to actually LINK TO THE PAPER? At least Fooducate does it, but that is one of the most annoying things about science writing right now, that it's all interpretation (and sometimes poor interpretation) without links to primary source materials. I mean, some of us aren't stupid. We can actually read the big words in journal articles without shutting down.
Does baffle me that this is suddenly a big deal when this paper has been in print since May.
Wilbanks has it right. I too would like to see the data. Although, I do beleive we are a society that consumes way to much refined and processed food. Funny, in Europe, where most people don't eat as much processed food, there aren't nearly as many obese people. France, Italy, and Spain especially come to mind.
One of the reasons I don't tend to link to the underlying research more often is because most papers are behind academic journal paywalls -- at best you can get the abstract unless are able to go through a subscribing institution's proxy server. However, I agree that putting up a link is useful. I'll get it in there.
Also, sometimes publication date doesn't always link up to when it becomes available to media. And other times, researchers and their institutions are terrible about getting the word out on new work -- it doesn't come to the attention of the media or the general public until it's been presented somewhere. There is an archaeological aspect to all this...
A couple of points on the difference between cane or beet sugar and fructose sweeteners. In cane or beet sugar the fructose is linked to the glucose molecules. With fructose sweeteners they are not; they are separate. So you get worse effects with HFCS and comparable sweetners than with table sugar.
Another point though: it is not just HFCS. It is all fructose. So this would apply to honey (which is very chemically similar to HFCF). It would apply to the fashionable agave syrups. It would apply to drinking large amounts of fruit juice and to using fruit juice concentrates as sugar substitutes. Bottom line: too much sugar of any kind is bad, but huge amounts of fructose is even worse than huge amounts of glucose.
While concentrated sugars make it easy to get too much you don't have to get it in concentrated form to overdo and hurt yourself. People on extreme fruit diets where they get most of their calories from fruit have been documented to hurt their livers from all the fructose they absorb. (Not putting down fruit, 3-6 servings of fruit a day -great. We re talk about people who had 20 servings of fruit a day. Of course you could easily do this without being on some crazy diet if you drink a lot of fruit juice. Some of the Jamba juice thingies probably have 7 or 8 servings of fruit.)
Many confuse pure “fructose” with “high fructose corn syrup,” a sweetener that never contains fructose alone, but always in combination with an essentially equivalent amount of a second sugar (glucose). Recent studies that have examined pure fructose — often at abnormally high levels — have been inappropriately applied to high fructose corn syrup and have caused significant consumer confusion.
See “Straight talk about high-fructose corn syrup: what it is and what it ain't,” by John S. White, Ph.D. in the American Journal of Clinical Nutrition (Am J Clin Nutr 88(6):1716S-1721S. http://www.ajcn.org/cgi/content/full/88/6/1716S?ijkey=QWxerxxoSOP4o&keytype=ref&siteid=ajcn).
According to the American Dietetic Association, “high fructose corn syrup…is nutritionally equivalent to sucrose. Once absorbed into the blood stream, the two sweeteners are indistinguishable.”
U.S. Department of Agriculture (USDA) data show that per capita consumption of sugar has always exceeded the per capita consumption of high fructose corn syrup. In fact, consumption of this corn sweetener has declined since its peak in 1999. According to USDA estimates, annual per capita consumption of high fructose corn syrup for 2008 was 37.8 pounds. The 2008 sugar consumption estimate was over 9 pounds greater at 47.2 pounds per person. (USDA Sugar and Sweeteners Yearbook, Tables 51 & 52 http://www.ers.usda.gov/Briefing/Sugar/data.htm)
Consumers can see the latest research and learn more about high fructose corn syrup at http://www.SweetSurprise.com.
Audrae Erickson
Corn Refiners Association
Hi Tom,
Great article, but it is interesting to read of some of the other perspectives on HFCS, particularly the last post by Cornrefiner which does seem to point to some reasonable doubt about the effectiveness of the research you've covered in your article.
Because of this I'm still on the fence as to the actual dangers of consuming HFCS. However, after saying that, whilst waiting for more information i'll probably try to avoid it personally.
I thought I would add to the discussion by providing some relevant info from our database:
- From a limited database of 45,000 products, 5682 products contain HFCS. Which is really quite a significant percentage of products if you think about it.
- HFCS can be found in many food categories and product types some of these include: Sodas, chewing gums, meal bars, relishes, yogurt, pickles, ice cream, mayonnaise, canned tomatoes, drink mixers, flavored juices, bottled tea and coffee, ketchup and sauces, stuffed peppers, meatloaf, turkey, meatballs, pizza, ready meals, hot dog and sandwich buns, corn bread, stuffing mixes, cookies, tarts, fruit sauces, fruit concentrates... and many others (this is only looking at the first 500 of the 5682 products)
(source: http://foodessentials.com)
Anton
(disclosure: I am from FoodEssentials.com)
The information about the UC Davis study came from a Sunday Times article in which almost every sentence in the article contained at least one inaccurate statement. I have copied the sentences that came from this article in quotations below and follow each sentence with the correct information.
"Scientists have proved for the first time that a cheap form of sugar used in thousands of food products and soft drinks can damage human metabolism and is fueling the obesity crisis."
Stanhope and Havel, the scientists who conducted the UC Davis study, investigated the effects fructose and glucose. Neither fructose or glucose are used to sweeten food or soft drink. The sugars that are most commonly used to sweeten foods and soft drinks are sucrose, which is composed of 50% glucose and 50% fructose, and high fructose corn syrup (HFCS), which is usually 45% glucose and 55% fructose.
Also, scientists never use the word “provedâ€. The results of the study do not provide evidence that food products or soft drinks are “fueling the obesity crisisâ€. Only that, fructose, and not glucose, consumption can increase risk factors associated with the future development of diabetes and cardiovascular disease.
"Fructose, a sweetener derived from corn, can cause dangerous growths of fat cells around vital organs and is able to trigger the early stages of diabetes and heart disease."
High fructose corn syrup is a sweetener derived from corn. HFCS and ...read more