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David Katz, M.D.

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HFCS Name Change: Good, Bad or In Between?

Posted: 10/01/10 08:54 AM ET

In 2008, following an FDA decision that high fructose corn syrup could be called "natural," the Corn Refiners Association launched a controversial ad campaign built around the message that its product was fundamentally the same as sugar and thus "fine in moderation." The effort did not successfully un-sully HFCS's declining reputation among consumers, so now comes word that the Association has petitioned the FDA to permit a name change to "corn sugar."

To sort out whether this is good, bad, or in between, we will need to invoke Shakespeare, sheep and three hands. On the one hand, I would have liked HFCS to be called sugar all along.

One of my major concerns about the ingredient -- first devised in the 1950s, refined for commercial use in the 1960s, and appearing in soft drinks as of the 1970s -- was that even consumers watching their sugar intake wouldn't recognize it as sugar. My worries ran deeper: I thought that perhaps the name was willfully chosen as an alias so the product would confound the consumer on guard against sugar. A wolf in sheep's clothing, in other words. To address this concern, my colleagues and I built precautions about HFCS into our nutrition education program for school children.

High fructose corn syrup indeed has natural origins, but it gets a bit of help from chemists to wind up in its common form. But then again, sugar cubes don't grow pearly white on trees either, and need a bit of coaxing out of their natural sources.

When corn is milled, corn starch is produced. Corn starch can be converted into corn syrup using enzymes. Corn syrup is naturally rich in glucose. Additional enzymatic steps increase fructose levels. Corn syrup enriched with fructose is then mixed with corn syrup high in glucose to produce the desired ratio of one to the other; some "high" fructose corn syrup preparations are higher in fructose than others.

Why all the bother? Money, primarily. Tariffs in the U.S. raise the price of imported sugar, produced from sugar cane or beets. Subsidies lower the cost of corn, and products derived from corn. HFCS is a cheaper source of sugar than sugar.

But is it just like sugar? The sugar we all know is called sucrose, molecules of glucose and fructose joined together. So there is fructose in table sugar, too, in a one-to-one ratio with glucose. Our bodies have enzymes that break sucrose down into its component parts as we digest it.

Over recent decades, we have witnessed both worsening epidemics of obesity and diabetes, and the introduction of high-fructose corn syrup into more and more processed foods. The temptation to link the two has been strong, and some nutrition experts have done so.

One of the arguments has been that HFCS has different metabolic effects than sugar. In particular, fructose does not trigger an insulin release the way glucose does, and it has also been associated with a lower release of leptin, a hormone that triggers fullness. Thus, the argument goes, HFCS will tend to fill us up less than table sugar, encouraging us to overconsume.

But the most relevant research belies that contention. There are some subtle differences in the metabolism of HFCS and sucrose, but they don't seem to matter all that much. The net effects on appetite, satiety (fullness), hormones, blood sugar levels, blood insulin levels and blood lipid levels are very similar in most studies. Gram for gram, differences between HFCS and sugar are just not worth talking about. I suppose water at 215Ëš burns more than water at 212Ëš if either splashes on you, but who really cares? How much of either splashes on you would matter far more, and that's how I see the parade of sugars as well.

On the other hand ... why the name change now? The answer seems clear enough. Not only have consumers seen past the disguise to find the wolf in sheep's clothing, they have decided in the process that HFCS is the worst of all wolves. Under the circumstance, being recognized as a wolf like any other would be trading up.

On that third hand, the percolating perception that HFCS is uniquely bad is allowing manufacturers to gain the glow of a halo simply by abandoning it for the sake of sugar. This gives inappropriate credit to what is really a lateral move, and the requested name change might defend against it.

In addition, when asking us all to ponder "what's in a name," Shakespeare's inexperience with modern food packages was on display. Because on that particular real estate, names matter more than he could have known.

For example, jams are generally made from fruit and sugar. But more accurately, they are made from sugar and fruit; ingredients are listed on food packages in order of abundance by law, and sugar routinely comes first. So, a fairly typical apricot preserve will have an ingredient list that begins with sugar, to be followed by apricots, and then whatever else.

But to borrow from the Bard, here's the rub: some preserves list apricot first, followed by sugar. They have an identical nutritional profile to those that list sugar first, yet aren't breaking the law! Knowing this is a byproduct of my involvement with the NuVal system, which has now assigned a 1-100 score for overall nutritional quality to over 75,000 foods; we have seen identical scores come up for sugar-first and apricot-first jams.

NuVal is seeing past an industry deception, albeit a permissible one. Since sugar can appear on a food label under a number of aliases listed separately, the apricot-first preserve does, indeed, have more apricot than any one of the five sugar aliases on its ingredient list. However, if all of those sugars were simply called sugar and added up, then just like the competing products, this one, too, would be made more from sugar than from apricot. If we called all sugar "sugar," this particular brand of deception would be decommissioned, as well it should be.

Shakespeare doubtless knew his roses, but let's face it, in a world without HFCS, invert sugar, dextrose, maltose or agave nectar, he was a novice regarding sweet stuff. We, however, live in a world awash in it, so here's the takeaway message: whatever it's called, look out for it.

Dr. David L. Katz; www.davidkatzmd.com
www.turnthetidefoundation.org/


 

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In 2008, following an FDA decision that high fructose corn syrup could be called "natural," the Corn Refiners Association launched a controversial ad campaign built around the message that its product...
In 2008, following an FDA decision that high fructose corn syrup could be called "natural," the Corn Refiners Association launched a controversial ad campaign built around the message that its product...
 
 
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07:17 PM on 11/03/2010
Dr. David... I would in some parts agree... HOWEVER, my daughter who has a medical condition that does not break down HFCS's and many other sugars, including Fructose can become very ill with ingestion.
We MUST look at labeling ingredients as a must for those individuals who do have problems with certain ingredients. Look at Hereditary Fructose Intolerance and Dietary Fructose Intolerance/Malabsorbtion! Can be bad if these things are mislabled. You would not want a peanut allergy person to ingest peanuts because they decided to label the name different! I really do not want my child liver or kindeys to fail because a company wants a better image.
12:44 PM on 10/11/2010
Regarding the third hand - I realize that sugar is no better a move than HFCS from a nutrition standpoint, assuming the differences really are that marginal. But what about taste? Have you tried the Pepsi Throwback, or Coca-Cola made in other countries (with cane sugar)? It tastes loads better than soda made with HFCS. So if nothing else, manufacturers should switch to sugar for the sake of pride in their work and the benefit of their consumers. I'd also like to see the corn lobby quiver in their boots a little more.
02:44 PM on 10/03/2010
I was delighted to see a knowledgeable article by Dr. Katz. Too often foods are given a negative label without any of the real science being out there. When it comes to items like sweeteners – honey, sugar, and high fructose corn syrup - all have the same 4 calories per gram. They have a similar makeup, and they are metabolized in the same way. Moderation is key!
As a registered dietitian, consultant to the food industry (like the Corn Refiners Association), and a college professor I use science to carry messages. Facts like those above are one illustration.
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04:17 PM on 10/04/2010
Between those sweeteners, the difference in fructose vs sucrose content is small. But fructose and glucose are metabolized differently. Not at the level of biochemical pathways: fructose is metabolized by fructose 6-phosphate being converted to glucose 6-phosphate, the same form that intracellular glucose is normally in. But at the level of physiology, they're treated differently. Uptake of fructose by the liver is not regulated by insulin, for example.
06:35 PM on 10/02/2010
Finally a common sense look at an issue that has confused many consumers and health professionals alike. The bottom line is that HFCS and sucrose have the same metabolic effects and the same caloric content. Consumers need to be aware that sugar, honey, fruit juices, and HFCS all contribute to our "sugar" intake. "Corn sugar" would more accurately identify the parity between beet or cane sugar and HFCS - same calories, same level of sweetness. It's also about time that we remove this "halo effect" that Dr Katz speaks of: manufacturers are inappropriately marketing HFCS-free products as healthier, further muddying the nutrition waters for consumers. As a registered dietitian, I strive to educate clients on identifying added sugars and enjoying them in moderation.
Lisa Cimperman MS, RD, LD
Clinical Dietitian
Consultant for the CRA
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04:27 PM on 10/04/2010
They don't have the same level of sweetness. It's widely known that when you substitute honey for sugar in a recipe, you don't need as much honey.

"Sugar" is normally understood to mean sucrose: if you want to apply the word to other sugars without being deceptive, you need to include the S on the end.

Sugars also differ metabolically. Although in the case of sucrose and HFCS the difference is probably negligible, it appears that glucose (such as in regular corn syrup) is more nearly equivalent to high-glycemic-index starch than to sucrose/HFCS. The difference is relatively insignificant, and it's understandable that a dietitian would focus on bigger issues. But there's no need to go beyond ignoring minor differences and actively assert that they don't exist at all.
05:10 PM on 10/01/2010
It is brave of Dr. Katz to take the unpopular path and point out that high fructose corn syrup and white sugar are essentially the same and one is neither better nor worse than the other. As a registered dietitian I have been saying this all along, even before I became a consultant for the Corn Refiners Association over two years ago. While it would be simple to take the alternate route and demonize HFCS as the popular media does, as a science and research-based practitioner I must stand on the side of science, which clearly shows that the body cannot distinguish the glucose and fructose from sugar from that in HFCS. Nor does research show that either causes health problems when eaten are part of a nutrient-rich diet. As Dr. Katz alludes, more important than debating whether one is superior to the other, the key is to consume all calorie-containing sweeteners in moderation as part of a balanced diet with plenty of whole grains, fruits and vegetables and moderate amounts of lean meat, poultry and fish, low-fat dairy and healthy fats. And by eating foods in appropriate portion sizes and balancing calorie intake with adequate physical activity, we can stem the tide of rising obesity and the health risks associated with it. Neva Cochran, MS, RD, LD
03:42 PM on 10/01/2010
Dr; Katz has sorted through the issue clearly and accurately. Keep your eye on the total sugar in your diet..........one isn't better or worse. They are all empty calories and don't provide nutrients and phytonutrients you need. As a dietitian who consults to the food and beverage industry including the Corn Refiners Association, I hate to see consumers confused by misinformation instead of focusing on the dietary " big picture". Healthy eating should be easy. Concentrate on whole foods.....whole grains, fruits, vegetables, nuts, lean proteins and dajry. Small amounts of sugar aren't harmful...........the 20 teaspoons in a super sized soft drink or large piece of pie with ice cream can be.
03:09 PM on 10/01/2010
"There are some subtle differences in the metabolism of HFCS and sucrose, but they don't seem to matter all that much. "

If that's the message you want you and your readers to believe - good luck with that. I hope that works out for you. I think your post confuses two separate obesity issues -

1. Overall consumption of sugar or sugar-like products.

2. The dangers of HFCS.

Me - I'd rather have the term HFCS remain as is so I can do my best to avoid it. It's hard enough already when you can find it in things you wouldn't expect like a can of kidney beans, and non-food items like toothpaste, cough syrup, etc.

I believe changing HFCS to 'corn sugar' largely serves the interests of the food manufacturers tied to the Corn Industry - by duping customers into thinking HFCS isn't in the food products sold. I think it should be made easier not harder for customers to distinquish it. HFCS should be listed separately on food products and customers can decide for themselves whether to buy it.

I'm of the opinion that HFCS will ultimately be shown to be responsible for a number of health issues including obesity, diabetes, liver disease, heart disease, metabolic syndrome, osteoporosis, and certain cancers. I have a suspicion this is why many parts of the rest of the world don't use it in their food. Your laissez-faire attitude will only serve confuse rather than help people.
02:29 PM on 10/01/2010
I'm sure this is a retorical question, as the answer is an astounding BAD. Sugar is sugar and it's all bad. Some, like the fake HFCS, worse.
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Mr Bobo
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02:14 PM on 10/01/2010
I vote for "FrankenSugar".
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01:44 PM on 10/01/2010
"so now comes word that the Association has petitioned the FDA"

Or rather, two weeks ago. We don't really have that much to say this week that we didn't say last week and the week before.

"Gram for gram, differences between HFCS and sugar are just not worth talking about."

True, between those two they aren't. But between them and dextrose/glucose/maltose, there's a real difference. Regular corn syrup (i.e. not high-fructose) is almost equivalent to starch.

"some preserves list apricot first, followed by sugar. They have an identical nutritional profile to those that list sugar first"

Some, yes. But please don't let that obscure the fact that there also are real differences. The jam I have says, "This reduced sugar jam contains 7 g of sugar per serving, while US FDA regular jams contain 13 g of sugar per serving." It doesn't have any artificial sweeteners, just more fruit and less sugar.

"If we called all sugar "sugar," this particular brand of deception would be decommissioned, as well it should be."

It should say "corn sugars (48% glucose 40% fructose)", with whatever the percentages are for the particular version used. When you call it "sugar" in the singular, you're saying it's sucrose. When you say "sugars", you're not making any claim about which it is.

Labeling total grams of sugar causes marketers to favor fructose (in all forms) over glucose. But glucose is somewhat less harmful for the same sweetening effect.
01:38 PM on 10/01/2010
As a registered dietitian who counsels patients and consults with the food and beverage industry including the Corn Refiners Association, I have made it a best practice not to focus on any one food or beverage as a cause for the increase in rates of many chronic illnesses. Why? It does not help in making life long changes of consequence. Consumers need to know how to make wise food choices and balance their daily intake with physical activity, not pick and choose certain ingredients or foods to avoid or eliminate from their diets. Sugar, in terms of nutrition and metabolism, is sugar, whether it’s from honey, corn, beet or cane sugar, or fruit juices and no one should eat too much of any of these items. I agree that most consumers need to decrease intake of low nutrient foods that are highly sweetened and replace them with fruits and vegetables, low or nonfat dairy and whole grain high fiber choices, but as mentioned above, we need to educate so people can make these informed choices that are based on sound science. Labeling sugars as such and utilizing nutrient grading systems such as NuVal will help health professionals assist consumers when choosing food products.
01:38 PM on 10/01/2010
"But then again, sugar cubes don't grow pearly white on trees either, and need a bit of coaxing out of their natural sources"

What a well-written article. As an RD and consultant to the Corn Refiner's Association, I agree completely with your conclusion: HFCS is a sugar, and all sugars should be limited and should represent a very small portion of our diets.

To completely avoid sugar of any kind is essentially unrealistic. Soda pop is one thing, but a teaspoon of jam on your whole grain toast, or the bit of sweetener found in a condiment or a cracker, is not significant.

It's not the HFCS in your baked goods or soda that's making anyone fat. It's the amount of baked goods or sodas you may consume. It's the calories. Individuals who decided to 'avoid HFCS and lost weight', did so because of the simple physiology - a reduction of calories leads to weight loss.

You'd also lose weight by removing sugar, honey, dextrose, maltose, invert sugar, glucose, sorbitol, turbinado, mannitol, and other "wolves in sheep's clothing", from your diet.

As Katz points out, HFCS is metabolized in an identical way to sugar. Studies have proven this (Nov 2007 American Journal of Clinical Nutrition).

The name change makes sense because consumers are clearly misinformed when it comes to the facts on HFCS. Corn sugar more clearly describes the purpose of this safe ingredient.
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12:10 PM on 10/01/2010
Poison is poison. HFCS is in so many foods now. Why it is still allowed...oh yes Corporate greed. It is banned in many countries....giving a clue as to its hazards.
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11:42 AM on 10/01/2010
HFCS or "corn sugar" it's all the same! And front labels are always lying saying "No HFCS" making the product seem better, when in fact, it's just substituted with more chemicals and fake sugars. I try to avoid HFCS and all the artificial sugars and other chemicals and preservatives. The best scoring system I have found to avoid the "junk" and chemicals is the scoring process foodfacts.com uses, they say they account for chemicals and the "bad" ingredients like HFCS and artificial colors etc. NuVal doesn't seem to account for ingredient quality, do they? This article says NuVal has over 75,000 products scored but I can't find where they are listed?? Is there a place to see the NuVal scores? Or an explanation of each score?

I'll stick with foodfacts.com because of my sons food allergies but after seeing this I was curious about NuVal.
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11:33 AM on 10/01/2010
How will Cron Syrup and HFCS be differentiated? After all, sometimes a product contains both. Seems to me that this will make the label more vague and difficult for the consumer. So, where I would enjoy Corn Syrup in moderation, I would completely avoid HFCS - it is so freaking sweet and make my stomach ill. If they call all corn derived sugar, Corn Sugar, I am afraid I will now completely avoid it.
11:49 AM on 10/01/2010
"Corn Syrup" would still be "Corn Syrup."

This is only about allowing food companies to use the term "Corn Sugar" instead of high fructose corn syrup.