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Processed Sugar: How Bad Is It?

Posted: 07/05/11 09:23 AM ET


Visualization is courtesy of TheVisualMD.com

Brought to you by Deepak Chopra, MD, Alexander Tsiaras, and TheVisualMD.com

Processed foods are one of the things people are often told to cut back on when they're trying to follow a healthy diet. In recent years, one particular processed food ingredient, known as high-fructose corn syrup, has been singled out as a possible health risk. Some researchers have suggested that it might be linked to a rise in obesity rates and related health problems like diabetes. What exactly is high-fructose corn syrup? Is it really bad for you?

Processing corn into a sweet liquid: Humans have been processing food for centuries, if you consider that "processing" means altering a raw food in order to make it safer, to make it last longer or to make it taste better. Some of the earliest food processing techniques included using salt to preserve meat and fish and using vinegar to pickle vegetables. Food processing has changed a lot since then, especially with advances in technology. High-fructose corn syrup (HFCS) is just one example of how sophisticated food processing has become. HFCS is made by using chemicals to transform the starch that occurs naturally in corn into a sweet liquid called corn syrup, made of glucose. The corn syrup is further processed in order to boost its sweetness. An enzyme is added that changes some of the glucose into much-sweeter fructose in a 42/55 proportion, to be exact. (The remaining 3 percent is other carbohydrates.) That's where the "high-fructose" in the name comes from.

High-fructose corn syrup was developed in the 1970s as a cheap, versatile replacement for sugar. During the next 30 years, its use skyrocketed. Today, it has replaced sugar as the most common added sweetener in sodas and many other beverages. It is also used in many packaged and processed foods, both as a sweetener and to keep food fresh and prevent browning. It can be found in everything from ketchup, salad dressing, bread and cereals, to lunchmeats, cookies and chips.

How is HFCS different from sugar? And is HFCS worse for you than other sugars? Two common sugars in our diet are fructose and sucrose. Fructose occurs naturally in fruits and honey and, as described above, it can be synthesized from corn to create HFCS. Sucrose, or table sugar, is structurally similar to HFCS -- its glucose/fructose ratio is 50/50. In many fruits, naturally occurring fructose is found in relatively small amounts. For example, a cup of blueberries contains about 30 calories' worth. In contrast, many processed foods containing sucrose or HFCS harbor dense concentrations of fructose. A single 12-ounce soda has approximately 80 calories' worth of fructose (1).

A 2004 study sparked controversy by suggesting that the obesity epidemic in the U.S. -- and related health problems like diabetes and high blood pressure -- might be linked to the rise of HFCS as the dominant sweetener in soft drinks and other foods. The study suggested that the body digests and metabolizes fructose in liquid form differently from the way it processes glucose. More recent research indicates that the liver processes fructose by converting much of it directly into fat and shipping it to fat tissue. Over time, excessive conversion of fructose to fat results in fatty deposits in the liver, leading to a condition known as "fatty liver disease." (1) In addition to fatty liver disease, the American Heart Association has recognized that excessive fructose consumption appears to be associated with an array of other health problems. They include increased triglyceride levels in the bloodstream, obesity, Type 2 diabete, and hypertension.

The question of whether HFCS is worse for our health than sucrose is still being studied, and there are differing opinions on the topic. Many researchers believe that HFCS and sucrose are essentially identical and have similar effects on the body. However, a recent study out of Princeton University suggests that HFCS may impact our bodies differently, leading to more significant weight gain, especially in the abdominal region, and a greater increase in triglyceride levels than what sucrose contributes.

How much is too much? How much added sugar is ok to eat? The American Heart Association recommends that women consume no more than 100 calories a day from added sugar and men take in no more than 150 calories per day, although less is better. That translates into about six teaspoons for women and nine teaspoons for men. Currently, the average American takes in about 12 teaspoons of high-fructose corn syrup alone per day. That doesn't include other sugars like sucrose, maltose and lactose. Some teens and other high-consuming groups take in as much as 80 percent more HFCS than the average person.

Tips for reducing sugar How do you bring your sugar intake down to a safe level? Moderate your consumption of foods and beverages that contain high levels of sugar. That means avoiding sugary sodas, moderating consumption of 100 percent fruit juices and drinking more water. Choose breakfast cereals that contain no added sugars or only small amounts of them. Add fresh fruit to your cereal if you crave a sweeter flavor. Check ingredient labels on packaged and processed foods for added sugars. Look not just for high-fructose corn syrup (sometimes called corn sugar), but also sugar, brown sugar, glucose, dextrose, fructose, fruit juice concentrates, molasses and syrup.

The Centers for Disease Control and Prevention recommends substituting foods with naturally occurring sugars in them, like fruits, vegetables and milk products for foods with sugars that are added during food processing. That way, you avoid eating empty calories, since foods with added sugars tend to have fewer nutrients than foods with naturally occurring sugars. Instead of snacking on cookies, candy or chips, try fruit, low-fat cheese or vegetables. Once you get used to the taste of foods that don't have added or processed sweeteners, you'll find that not only are they good for you, they taste good, too!

Learn more about maintaining your health and well being:
TheVisualMD.com: The 9 Visual Rules of Wellness


(1) Taube G. Why we get fat and what to do about it. New York, NY: Alfred A. Knopf; 2011.

 
 
 

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01:36 PM on 07/20/2011
The problem isn't whether HFCS is the same or different than sugar, it's that HFCS is in EVERYTHING! You can't eat processed foods and NOT eat HFCS. I tried the Sugar Busters diet and finding foods at the grocery NOT filled with HFCS is almost impossible. Because of it's lower cost to produce food manufacturers are able to add so much more fructose to foods than if they were having to add the higher priced sugar to their products. So stop debating whether you should eat HFCS or sugar and debate HOW MUCH HFCS should added. Or do what you should do and stop eating processed foods. We all know that fruits contain high amounts of natural sugar but they also contain fiber which causes the body to work harder to digest them. Most processed foods do not contain added fiber to compensate for the high amount of fructose that is added.
10:46 AM on 07/11/2011
In case you hadn’t heard in the past year, the Princeton study was immediately called into question upon its release. Nutritionist Marion Nestle wrote: “I don’t think the study produces convincing evidence of a difference between the effects of HFCS and sucrose on the body weight of rats. I’m afraid I have to agree with the Corn Refiners on this one. So does HFCS make rats fat? Sure if you feed them too many calories altogether. Sucrose will do that too.”
08:20 PM on 07/10/2011
The recent study that Dr. Chopra cites doesn't let sugar off the hook because it simply examines the effects of too much HFCS on rats. The effect is simple: obesity. Fine, but that tells us nothing about the effects of sugar. Yes, it makes sense to study HFCS since we consume so much of it, but we still need to be suspicious of sugar. Replacing all of the HFCS in our diets with sugar is unlikely to help much. You see food companies starting to switch from HFCS to sugar in their products, and implying the switch creates a healthier product. They don't make the claim out-right because then they would have to prove it. Perhaps HFCS has properties that make it relatively more fattening than sugar, but as the doctor says, opinions differ on the topic. No doubt sugar is fattening; it is merely a question of the degree relative to HFCS. Why take chances or engage in half measures? Do what I did, stop eating sugar and HFCS both. Chomp a strawberry if you need something sweet.
04:20 PM on 07/11/2011
"Do what I did, stop eating sugar and HFCS both. Chomp a strawberry if you need something sweet. "

FYI a single strawberry has about .6g of sugar in it. sugar in moderation does not make you fat, over consumption of calories in general makes you fat, not one single micro or macro nutrient
11:18 AM on 07/10/2011
The passionate response and the wide diversity of comments generated by this article reflects a combination of fluidity of scientific "facts" and that we are all hard-wired in our own ways of lifestyle including dieting, our thinking as well as how we interpret the literature. Contradictory responses not withstanding, Dr. Chopra deserves credit for this well done article and provoking people on all sides to express their thoughts.
It is no secret that spike in obesity is associated with increased consumption of refined sugars. While having breakfast at a local eatery I saw many people using several teaspoonfuls of sugar per cup of coffee. And they were not restricting themselves to just one cup of coffee either.
Above not withstanding, how much of the disease that can be attributed specifically to fructose sweetener use is debatable. At the same time, I doubt many of us going to rush into paleo diet anytime soon. The rational approach might be to excercise moderation. http://t.co/p4dCgS6
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forestnfama
I was born at a very early age....
06:54 PM on 07/10/2011
Anil.....you should look closer at the issues and history concerning fructose. There is a enormous amount of evidence and data showing its ill affect on society...
11:00 PM on 07/06/2011
Deepak Chopra is so right! Sugar and fructose are more destructive to the human body than almost any other thing you can consume food-wise. A great deal of research has proved that obesity and diabetes have spiked off the charts in the last 30+ years -- the same amount of time that has passed since high fructose corn syrup began first being added to processed foods because it was cheaper for food manufacturers.

I just published a book on this very topic called The Eating Enigma, which I co-wrote along with Simon Frost, a former dentist in the UK and a diabetic. Managing his disease with proper nutrition and dietary changes led him to uncover a lot of these truths in his research, thus feeling compelled to share them with others in The Eating Enigma.

The book is written in an easy-to-read conversational style and can be downloaded as an ebook from Smashwords, Amazon, Google Books and Barnes and Noble, priced at only $2.99.
11:22 PM on 07/06/2011
"Sugar and fructose are more destructiv­e to the human body than almost any other thing you can consume food-wise"

yup fruit is terrible for your body, so are veggies. enough with this nonsense, in moderation fructose and sugar are fine
12:07 AM on 07/07/2011
I agree, moderation is the key -- which is exactly what we talk about in the book, and moderation in the form of getting your sugar mainly from fruits is not only okay, but healthy because fruits and veggies are natural.

It's high fructose corn syrup, and the added sugars in processed foods (which so many people reach for in the grocery store instead of buying fresh/raw ingredients and cooking it themselves).

And I certainly eat my share of ice cream and other sweets, but in moderation.

Nonetheless, it has definitely been proved that excessive consumption of sugar damages the pancreas.
01:24 PM on 07/06/2011
A study done by Princeton researchers and not paid for by the Corn Refiners Association:

http://www.princeton.edu/main/news/archive/S26/91/22K07/

A sweet problem: Princeton researchers find that high-fructose corn syrup prompts considerably more weight gain.
A Princeton University research team has demonstrated that all sweeteners are not equal when it comes to weight gain: Rats with access to high-fructose corn syrup gained significantly more weight than those with access to table sugar, even when their overall caloric intake was the same.

In addition to causing significant weight gain in lab animals, long-term consumption of high-fructose corn syrup also led to abnormal increases in body fat, especially in the abdomen, and a rise in circulating blood fats called triglycerides. The researchers say the work sheds light on the factors contributing to obesity trends in the United States.

"Some people have claimed that high-fructose corn syrup is no different than other sweeteners when it comes to weight gain and obesity, but our results make it clear that this just isn't true, at least under the conditions of our tests," said psychology professor Bart Hoebel, who specializes in the neuroscience of appetite, weight and sugar addiction. "When rats are drinking high-fructose corn syrup at levels well below those in soda pop, they're becoming obese -- every single one, across the board. Even when rats are fed a high-fat diet, you don't see this; they don't all gain extra weight."
02:55 PM on 07/06/2011
so rats and humans are the same now?

if you do think so, please read these. besides that, there has been numerous criticisms of the Princeton study and not by people in the corn industry or on their payroll

Brocklehurst et al. Differences in regulatory properties between human and rat glucokinase regulatory protein.

Letexier et al. Comparison of the expression and activity of the lipogenic pathway in human and rat adipose tissue
03:05 PM on 07/06/2011
You obviously have ties to the industry. I care about the health of all Americans, young and old, and I don't want to burden our health care system with a population of obese diabetics. The cost to society to care for the growing number of diabetics is alarming.

Stop consuming HFCS and you'll live a longer, healthier life. End of discussion.
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bracken
10:46 AM on 07/10/2011
That's funny. Most people accept as gospel truth that cholesterol in your diet leads to fat-clogged arteries, and the only study showing this was when RABBITS (natural vegetarians, not meat eaters) were force-fed a high-cholesterol animal-product diet and then developed odd fat deposits on their bodies. And we've accepted the use of rats as proving things in humans for decades. Probably some things you accept as true were "proved" by rat studies and you don't even know it.
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DrP
10:58 PM on 07/05/2011
Really cool to see Gary Taubes's book cited as a reference.
This is really good information. However, if you read Gary's book, you must also ackowledge that for many us, sugar from what you are calling "natural sources" is also damaging to our health. It is best to eliminate foods that metabolize as sugar, which is basically all carbohydrates. Even fructose from excessive (more than 25 grams a day) of fruit can cause fatty liver and weight gain. It is best to restrict all carbohydrate consumption to under 50 grams a day (even lower for those of us with damaged metabolisms/insulin-resistance and carbohydrate intolerance).
12:10 AM on 07/06/2011
"Really cool to see Gary Taubes's book cited as a reference."

it is because it automatically calls into question the rest of the article. to quote Alan aragon

"good calories bad calories is what happens when you mix cherry-picked science with fantasy & fiction."

"It is best to restrict all carbohydra­te consumptio­n to under 50 grams a day (even lower for those of us with damaged metabolism­s/insulin-­resistance and carbohydra­te intoleranc­e)."

ridiculous statement that under 50g per day in cho is the best, veggies and fruits are packed full of micronutrients that are very beneficial
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DrP
08:11 AM on 07/06/2011
One can eat a large quantity of veggies and stay under 50 grams of carbs a day and get all of the beneficial micronutrients without all of the fructose in fruit.
Gary Taubes "cherry-picked?" Have you seen the bibliography in "Good Calories, Bad Calories?" It is almost longer than the text. Pretty hard to cherry-pick that many references.
10:48 PM on 07/05/2011
We agree with most dietitians that all sugars should be consumed in moderation, and high fructose corn syrup (HFCS) is an added sugar. However, it is also important to note that it is metabolized like other added sugars.

Some of the authors from the 2004 commentary have pointed out that “sugar is sugar” as noted in the following quotes:

“Sugar is sugar,” George Bray, M.D., NY Times health blog “Well,” September 14, 2010 http://nyti.ms/a8YWIl

“We were wrong in our speculations on high fructose corn syrup about their link to weight.”Barry Popkin, Ph.D., Food Navigator, September 16, 2009 http://bit.ly/alrRRD. Professor Popkin reaffirmed this statement in 2011, when he said: "All sugar you eat is the same... That's what we know now that we didn't know in 2004." TBD.com, May 5, 2011 http://tbd.ly/nVtZch.

The Princeton study was challenged by many experts, such as Marion Nestle, Ph.D, Paulette Goddard Professor of Nutrition at New York University http://bit.ly/ccycUc, Karen Kaplan, Science Staff Writer at the LA Times http://bit.ly/bjkNaU, along with many others http://bit.ly/bkD52b and http://bit.ly/9ACeK1. You can also see our response at http://www.sweetsurprise.com/news-and-press/press-releases/princeton-hfcs-study-errors.

You can read many peer-review studies that show that HFCS and sugar are metabolized the same at http://www.sweetsurprise.com/science-and-research/journals.

Shannon McNamara
Corn Refiners Association
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DrP
11:05 PM on 07/05/2011
Which means that we should avoid both.
08:10 AM on 07/06/2011
Borrow the film "King Corn" from the library or netflix. You will learn everything about the corn industry. Corn is now an ingrdient in more foods than you realize. The only foods that are corn-free are ocean-caught fish, fruits and veggies.

Stay away from corn. It's killing us. Don't believe anything the "Corn Refiners Assn." says. They are like the fossil fuel industry, trying to convince us that their product is safe. Then why are lots of food producers now proudly printing "NO HFCS" on their packaging? Because consumers have learned about the health hazards of HFCS. Look at the unhealthy fat children with diabetes around the country. Disgusting! What kind of country allows their next generation to become diabetics as kids?

Read labels. Avoid HFCS at all costs. Never feed it to your children.
08:48 AM on 07/06/2011
take a gander here

White JS. Straight talk about high-fructose corn syrup: what it is and what it ain’t. Am J Clin Nutr. 2008 Dec;88(6):1716S-1721S
01:53 PM on 07/07/2011
Actually the reason more and more producers are putting "NO HFCS" on their product is because Americans like feeling safe, and psuedo-healthy.... It's marketing. If it's marketed without HFCS people who haven't actually done research, (but believe scare tactics) will buy it.

Children are unhealthy and fat because parents aren't following the the nutrional facts in the first place, foods are meant in moderation and thats why the facts are there. Another reason is they stay inside all day, and don't get the necessary exercise their body needs.

It's amazing to think that Native Americans had corn for a lot longer, but you don't hear a lot about obese Native Americans during colonial days. The reason modern day America is obese in my opinion, is neglect and laziness.
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DavidMG
OWS Senior Citizen
05:34 PM on 07/05/2011
The cookbook "American Wholefoods Cuisine" does not use any refind sugar in its 1300 recipes including baking.It used honey, maple syrup and molasses individually and in combination. The techique works very well.
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DrP
10:59 PM on 07/05/2011
Honey, maple syrup, and molasses are still sugar. I will still suffer insulin spikes if I consume them.
11:32 PM on 07/06/2011
i believe i read you follow close to a paleo type diet, how is it that you avoid insulin spikes from eating beef, fish etc? you seem overly worried about things that spike your insulin
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DavidMG
OWS Senior Citizen
11:52 AM on 07/09/2011
All of us have "biologic individuality" and must alter diets accordingly. THis technique is good for people with "normal" metabolism and want to avoid processed ingredients and actually add some nutrients such as minerals.
04:04 PM on 07/05/2011
It's terrible for you, the worst stuff ever.

But in this kind of world, it's not going to get a whole lot better than cheese, or some really nice dessert.

I don't even care anymore.
03:23 PM on 07/05/2011
This is the most helpful and informative article out there on this subject. It has been difficult to get my hands on information that is actually based on scientific facts. If you try to get info it is almost like the HFCS manufacturers and their associations have paid Google and Bing to hide such data from those of us are searching for information on how to best feed our children. I always try to make everything I can at home and using wholesome ingredients. I make my family's bread, granola bars and all pastries in the name of avoiding this poison. Thanks so much for the info!
07:43 PM on 07/05/2011
I found a lot of good information on Mercola.com. Dr Mercola explains scientific aspects in a way that is understandable for the lay person. I dumped the cholesterol meds, cut out all sodas and sugars and eat as little of the processed crap they sell in supermarkets and I have never felt better.
02:57 PM on 07/05/2011
He says the high fructose corn syrup has been around since the 70s, but I thought the Caro syrup I remember from the 50s was high fructose corn syrup.
garystartswithg
el sueno de la razon produce republicans
04:16 PM on 07/05/2011
i think there is a difference between corn syrup and hfcs.
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bracken
10:51 AM on 07/10/2011
They didn't put Karo syrup in everything from wheat bread to yogurt to "healthy juice-based" drinks.
01:55 PM on 07/05/2011
Again, questions of the safety of genetically modified food isn't even mentioned. We already know over 85% of the US corn crop is genetically modified (GM). Did you know most US sugar comes from GM sugar beets? BUY USDA ORGANIC. Together we can tell these Agro-Bio-Tech companies we won't feed this to our families!
01:19 PM on 07/05/2011
Thank you for this article! This is a subject which deserves more attention. Over 300,000 people die in the United States each year from obesity related illnessess. It is an epidemic. Since HFCS was introduced into the American diet in 1975, obesity has tripled. Where American processed foods with HFCS are sold in other countries like Japan and Mexico, their obesity rate goes up as well. If biology and physiology don't have a definitive answer about the exact mechanisms of HFCS contributing to fat (and I think they do), then statistics can certainly show a correlation. Our problem is political. If companies were required to show that their processed foods were indeed safe,like other products are required to do, it would put them out of business, and one of our few remaining exports, food, would collapse. Government monitoring food safety is like the fox guarding the chicken house.
01:47 PM on 07/05/2011
"Since HFCS was introduced into the American diet in 1975, obesity has tripled."

correlation =/= causation
02:52 PM on 07/05/2011
"correlatio­n =/= causation"

Agreed. HFCS is not the only thing that has changed since 1975.
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spitfiredd
My micro-bio has got it going on.
03:22 PM on 07/05/2011
I agree as well; people are always looking for something other than themselves to blame.
11:31 AM on 07/05/2011
I'm not sure why there is even a debate about sugar. Is there a debate about cigarettes and the health consequences? How many cigarettes is it ok to smoke per day? Refined sugar screws up the metabolism of most people; it's addicting and does nothing useful. Glucose is necessary, but a person should only get that from vegetables or fruits (berries mostly).