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Is There Any Room for Sweeteners in a Healthy Diet?

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sweeteners, healthy diets
There are many sweeteners available, but not all are created equal.

Humans are hard-wired to like sweet foods. Sweet tastes are strongly tied to the reward centers in our brain, and can actually relieve pain and reduce symptoms of depression, PMS, and stress. (1)

Unfortunately, these properties strongly dispose us to over-consume sweeteners, and it’s pretty clear that the huge quantities of concentrated sweeteners consumed today are harmful to our health.

People are always searching for ways to enjoy sweet foods without the health repercussions, and this is the first post in a series that I hope will help you do just that! But before we jump into the nitty-gritty of different types of sweeteners and how they can fit into a healthy diet, I want to set the stage with some history and evolutionary background.

Did #Paleo man eat as much sugar as we do? You may be surprised!

Sweeteners in Evolution

Most of us primarily think of taste – especially sweetness – in terms of enjoyment, but sweetness is not just another source of pleasure. As omnivores, hunter-gatherers had a wide array of potential foods to choose from, and the sweet taste sensation is one of the ways humans could identify safe, non-poisonous foods with a high nutrient-to-toxin ratio.

Honey was the only concentrated sweetener available for much of human history, and common belief is that honey was quite rare, and only consumed in small quantities. While this is undoubtedly true for many hunter-gatherer groups, it doesn’t appear to be true for all of them.

We can get an idea about the role of honey in Paleolithic diets by studying modern hunter-gatherer societies like the Hadza; during the wet season, honey comprises up to 20% of their diet by weight. (2) Given honey’s caloric density, this likely represents a much larger portion of their total calories.

When asked to rank their dietary staples in order of preference, honey was ranked highest, above meat, berries, tubers, and baobab (a large tree fruit). The Mbuti pygmies of the Congo can obtain up to 80% of their calories from honey, although only during the 2-month honey season. (3)

One interesting paper hypothesized that honey was actually far more abundant throughout early history than we typically acknowledge, and that the consumption of honey at certain times in history may rival our current consumption of sweeteners. (4) Some researchers have even posited that honey, along with meat and starchy tubers, helped make us human by providing concentrated glucose to support brain growth. (5) Although it’s impossible to know exactly how much honey early humans had access to, we do know that people went to great lengths to obtain honey, even when other foods were more readily available. (6, 7)

The Evolution of Sweeteners

Once hunter-gatherers began settling down, humans gradually discovered new sources of concentrated sugars. Maple syrup was introduced by Native Americans, and became popular in North America. (8) Jaggery, produced from sugar cane, became popular in India and its use is still widespread. (9) Some sweeteners common in early China include “tree honey” and “thorn honey,” both extracted from different plants. (10) And in the 17th or 18th century, table sugar surpassed all of these traditional foods and became the world’s leading sweetener. (11)

Fast forward to 1970, when the average American’s consumption of added sugar was 23.7 teaspoons per person per day according to loss-adjusted availability data. (12) By 2012, that amount had increased to 24.7 teaspoons, and the percentage of total calories obtained from sweeteners had risen from 13% in 1977 to 16%. (13) Significantly, 80% of this increase was from sugar-sweetened beverages, rather than solid food.

Changing Attitude Towards Sweeteners

Amidst all this background, I think it’s particularly interesting to note the shift in attitude towards sweeteners.

For modern hunter-gatherers like the Hadza, a sweetener (honey, in their case) is just another food, albeit a highly prized one. We can probably assume that traditional hunter-gatherers didn’t have a conception of “healthy” and “unhealthy” like we do today, and if they did, they probably would have classified concentrated sweeteners as one of their “healthiest” foods, because they provide ample nutrients without causing illness.

Now our beliefs are quite different – opposite, in fact. Most of us have become conditioned to think of “sweet” as “unhealthy,” and instead of using sweet taste as a guide to the most calorie-dense foods, people are trying to figure out how to avoid caloric density, while still enjoying sweet tastes. This can be seen in the widespread use of non-caloric sweeteners, as well as the current research into sweet-tasting proteins that could sweeten foods without triggering an insulin response. (15)

And along with the desire to limit caloric density in general, there’s now a growing fear of sugar itself, and refined sweeteners such as table sugar and HFCS are often labeled ‘toxins.’ This is a dramatic shift from our evolutionary background, where sweetness signaled safety and a lack of toxins.

This brief history of sweeteners leaves us with many questions. If the Hadza obtain a large portion of calories from sweeteners, why can’t we? What makes traditional sweeteners like honey so different from table sugar, and for that matter, which sweeteners are healthiest? Why has sugar become such a bane to our health? Is it really addictive? And ultimately, how can sweeteners fit into a healthy diet? These are all questions I’ll attempt to answer in subsequent posts.

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202 Comments

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  1. I’d like to read your take on the effect of sugar, and foods that convert readily to sugar, on cardiac health, vs the traditional AMA lecture on eggs, dairy, and other “high cholesterol” foods.

  2. I would bet that sedentarism is driving insulin sensitivity, which is making people fat. At least I believe is one of the most leading factors in the obesity equation.

  3. I know someone who eats a bag of candy a day along with 6 sodas (not diet) as well as eating a high carb diet full of grains. He is 63, thin, and health wise he is okay. Wish some one would study genetics of people like him to see why he isn’t either 400 pounds or suffering from a myriad of diseases. He also smokes, and has for 40 years, and rarely exercises. His diet has been like this for at least 25 years. Genetics is an important piece of this puzzle.

    • 6 sodas a day? Are you sure? Yea, the fact is sugar really isn’t bad for everyone.

    • 63 isn’t old – check him out again in 10 years – if he’s still alive

  4. Great article. I choose to use stevia and once in a while I’ll use xylitol or raw honey. I’m in the process of doing a Candida Cleanse (you can see the guidelines at http://www.radiantlyrawlifestyles.com) and stevia is safe for getting rid of yeast and overgrowth of candida.

    I’m curious about your thoughts on Xylitol Chris? Is it safe? I feel confused about it and want to do what’s best for my body. Your thoughts would be appreciated.

  5. Great article Chris, as per usual. I would love to know your opinion on many of the so-called healthy sugar substitutes on the market today including stevia and xylitol.

  6. I usually have questions related to pregnancy and postpartum periods.

    I see the Jaminets have sweetener recommendations on their Perfect Health Diet supplement page and I would love to understand better why those may be better than others, and what the drawbacks are to the different type of sweeteners.

    I’m really looking forward to this series!

  7. I’m curious about the Ayurvedic recommendation that honey is good for you cold (raw?) but not cooked – any thoughts about where that might come from?

    • they believed that when honey was heated it becomes harder to digest and becomes more “sticky,” increasing “ama.” I’m a fan of Ayurveda but I don’t believe it’s a big deal.

  8. Nice introductory article to broach this taboo subject. I’m very glad to read you are doing this. If one examines the ethnobotanical literature, you can see that many indigenous people consumed sweet foods (not counting the berries, drupes, pomes and other kinds of fruits). For example, here in North America, many indigenous groups (e.g., Abenaki, Cherokee, Iroquois, Ojibwa, Penobscot, Potawatomi) used the sap of maples (genus Acer) to create sugar (syrup was consumed more immediately, sugar was stored for later use). But it is not confined to maples. For example, the Cree reduced the sap of paper birch (Betula papyrifera) to make syrup. The Dakota, Pawnee, and Ponca used the sap of shagbark hickory (Carya ovate) to make sugar. Other kinds of plants were used as well, such as common reed (Phragmites), where a sugary substance was extracted by the Kawaiisu and Paiute. There is abundant evidence from around the world that sweeteners were consumed by healthy people. Therefore, the real issue is not to say avoid sweeteners, but to ask the appropriate questions, such as:

    1. What kinds of sweeteners were used?
    2. What were the other elements of the diet that sweeteners were combined with?
    3. What were the other elements of their lifestyle (especially movement and activity) that may have mitigated the effects of (or even required) sweeteners?

    The statement “sweeteners should be avoided” is yet another overly simplified statement that is contradicted by real world observations. Thank you for writing on this topic. Best wishes.

    • Great topic. I, too, would love to know more about the impact of Stevia. I’d also love to learn more about fructose. I give my 2.5 year old vitamins from ChildLife and this company has a great reputation, but such a drag they use fructose.

      Also, do you know anything about honey before bed (away from protein) for better sleep. Thanks for the good info.

  9. Chris,
    Great series. I am a clinical nutritionist and I understand and respect the role that calorie density plays both in our nutritional history and our current diets. We are hardwired for sweet, as you say. But for me the most important aspect of your post is that our use of sweet foods, like honey and fruit, were periodic. They were seasonal, therefore signally to the body that certain environmental events may be happening, such as winter “famine”. Just as bears need to fatten up for winter, we needed to put on extra calories in the fall in readiness for winter. The body’s ability to do this is what drives our diabetes problem today. I counsel my clients to eat fruit in season, stay away from “junky” forms of sugar, eat plenty of vegetable forms of carbohydrates. I also encourage resistant starch, which also was a staple in paleolithic times.

      • Elizabeth – resistant starch, from a Mark Sisson post:
        “Officially, resistant starch is “the sum of starch and products of starch degradation not absorbed in the small intestine of healthy individuals.” Instead of being cleaved in twain by our enzymes and absorbed as glucose, resistant starch (RS) travels unscathed through the small intestine into the colon, where colonic gut flora metabolize it into short chain fatty acids. Thus, it’s resistant to digestion by the host.”

        Read more: http://www.marksdailyapple.com/the-definitive-guide-to-resistant-starch/#ixzz2zvcoi7Sc

        I take 4 Tbsp of unmodified potato starch daily, a great prebiotic!

  10. I’ve read a lot about the Hadza too! There are even honeyguide birds in Africa that have relationships with humans…they help humans find honey. Overall, I have a healthier relationship with sweets now that I eat a higher-carb paleo diet (PHD). When I was very-low carb I would binge on sweets/carbs more. I consume healthy sweeteners almost daily, but very sparingly (usually only about one tablespoon worth, sometimes two, max). I include dried fruits in that count too. But not fresh fruit, which I also eat 1-3 servings a day. This amount doesnt seem to bother me, probably since I eat incredibly healthy otherwise.

  11. Hi, Chris…

    I would love to get more information about Stevia and Sucralose….from your point of view.

    Thanks,

    Léo.

  12. I would love to see a conversation about prediabetes and how it relates to sweeteners/carbohydrates. Storing fat as body weight has been a good thing until recently because of the availability of food but this impact produces health conditions.
    It used to be assumed that overweight people developed pre-diabetes and moved on to diabetes, but this is no longer the case…slim people develop it too. Was it the high carb/low fat craze and the added sugars to food?

  13. As someone with insulin resistance I would like to know if I am shooting myself in the foot by continuing to eat sweet tasting foods as I figure that my large sweet tooth is what got me into this fix. I have been using small amounts of various sweeteners like Truvia and Xylitol and very small amounts of sugar in the form of 85% chocolate.

    I would also like to see dates on your articles and podcasts please.

  14. Great article and I am looking to the follow-up articles.

    There are many paleo recipes out there that basically replace table sugar with honey or maple syrup. Is this really more healthy or still something we should aim to avoid?

    What about glucose/fructose ratio? If you suffer with SIBO or fructose malabsorption then it seems to me that the paleo alternatives may potentially be worse for you than table sugar, since they are higher in fructose. What are your thoughts on this? Would molasses be a better choice?

  15. I’m looking forward to this series! One of the issues that I have with sugar is its addictive qualities. I don’t find it inherently evil, and I enjoy a square or 2 of dark chocolate most days.

    One thing that I’ve noticed with myself is that the more sugar I eat, the more sugar I WANT. And this actually goes for carbohydrates in general. I would love to hear about how to deal with the ‘SUGAR MONSTER’ as my fiance and I refer to the addictive side of sugar, and how to keep ‘him’ away or fight him off.

    • sugar/carbs are the primary preferred fuel source for every cell in your body. perhaps supply those cravings for a while and see if it becomes a normal craving and still feels like addiction. Fruit and sugar carbs are the easiest carbs to introduce.

  16. This comes at a perfect time, I am about to start a sugar detox. I recently read that more nutrient dense plants are sweeter so it makes sense that we are designed to seek out sweetness. I’m looking forward to your research Chris. Thank you!

  17. Great post…Wisdom comes from seeing the big picture: how *many* different things come together to create a result ..I think the Hundza probably didn’t have much trouble with honey because they didn’t also have: 1. isolated, fast paced city lives (stress) 2. Artificial light messing with their sleep, 3. Addictive foods made from *flour* available on every corner, and an $8.5 min wage…or whatever it is in the US (more stress). I’m guessing their was also not a high incidence of childhood sexial abuse, an epidemic today…which sets up many people for a lifetime of anxious and depressive tendencies, along with the digestive issues that attend that. (Not to be negative but thems the facts!) An organism that is constantly stressed and malnourished might have a very different response to sweeteners than one that is rested, nourished and loved. When stressed out and exhausted, something sweet might suddenly become compulsively attractive…so that we no longer know when to stop. I know your new book Chris addresses this bigger picture of lifestyle quite nicely. Also I love how you included a chapter on play. .

    • I agree 100%. We live in a very different world than the Hadza or any other HG tribe. EMFs, GMO’s, processed food, plastics, etc. etc.

      I would like to know more on the differing opinions on sugars and gut health. You have those touting no sugar at all (at least initially), even no fruit, sweet vegetables, or resistant starch. You have others who say resistant starch IS necessary to heal the gut. So what is it, no sugar to heal, for example candida, or do we need some sugar (especially glucose) to heal candida?

  18. Good stuff Dr. Kresser. I’d like to see what the research indicates about the subtleties in how different sweeteners are metabolized. Perhaps it’s the nutrients in honey that make it so different from table sugar. Perhaps not. I occasionally use artificial sweeteners too, so I’d like to know the full extent of their impact. Maybe a post on different types of real sugars (both natural and artificial), followed by a post on sweeteners that do not contain sugar (both natural – stevia, and artificial – sucralose/aspartame).

    Thanks!