Consumo de edulcorantes no calóricos en la población adulta de Argentina / Non-caloric sweeteners consumption in the adult population of Argentina

Resumen Introducción: Los edulcorantes no calóricos (ENC) se utilizan para sustituir azúcares en alimentos y bebidas. Para que este reemplazo sea beneficioso para la salud, la ingesta de cada ENC no de bería superar su ingesta diaria admisible (IDA). El objetivo principal de este estudio es determinar el consumo de aspartamo, acesulfame-K, sucralosa y sacarina en la población argentina de 15 a 65 años y evaluar este consumo en relación con la IDA. Otros objetivos son estratificar el consumo en función de distintas variables sociodemográficas y determinar las principales fuentes de ENC consumidas por la población argentina. Métodos: La muestra fue de 1266 individuos (población urbana 15-65 años), estratificada por región, edad, sexo y nivel socioeconómico. Los datos de ingesta fueron recolectados con dos recordatorios de 24 horas. Resultados: En Argentina, el consumo promedio de sacarina, aspartamo, acesulfame-K y sucralosa está muy por debajo de su respectiva IDA: 8.4%, 3.2%, 2% y 0.3% de la IDA respectivamente. Los consumos máximos reportados tampoco superan la IDA. Hay una mayor proporción de mujeres consumidoras de ENC. La proporción de consumidores de ENC aumenta con la edad. Las regiones noreste y sur presentan el menor porcentaje de consumidores de ENC. Las bebidas constituyen la principal fuente de ENC, seguidas por los edulcorantes de mesa. La contri bución de los alimentos al consumo de ENC es despreciable. Discusión: En Argentina existe un buen margen de seguridad para la reformulación de productos azucarados tendiente a disminuir el exceso de calorías y el consumo de azúcares añadidos.

Abstract Introduction: Non-caloric sweeteners (NCS) are used to replace added sugars in foods and bev erages. For this replacement to be a health benefit, the intake of each NCS should not exceed its Acceptable Daily Intake (ADI). The main objective of this study is to determine the consumption of aspartame, acesulfame-K, sucralose, and saccharin in the argentine population aged 15 to 65 years and to evaluate this consumption in relation to the ADI. Other objectives are to stratify the consumption based on different sociodemographic vari ables and to determine the main sources of NCS consumed by the argentine population. Methods: The sample consisted of 1266 individuals (urban population aged 15-65), stratified by region, age, sex, and socioeconomic level. Intake data was collected with two 24-hour recalls. Results: In Argentina, the average consumption of saccharin, aspartame, acesulfame-K and sucralose is well below their respective ADI: 8.4%, 3.2%, 2% and 0.3% of the ADI, respectively. The maximum reported consumptions do not exceed the ADI either. There is a higher proportion of women who consume NCS. The proportion of NCS consumers increases with age. The Northeast and South regions have the lowest percentage of NCS consumers. Beverages constitute the main source of NCS, followed by tabletop sweeteners. The contribution of food to NCS consumption is negligible. Discussion: In Argentina there is a good safety margin for the reformulation of sugary products aimed at reduc ing the excess calories and added sugars consumed by the population.

Perspectives on Low Calorie Intense Sweeteners with a Focus on Aspartame and Stevia.

The safety of some food additives/E-numbers, including low calorie (intense) sweeteners (LCS), is constantly the subject of dispute and controversy. However, since LCS have been assigned an acceptable daily intake (ADI) and an E-number following extensive assessment of available safety and toxicological data, consumer safety is assured. These substances have been carefully evaluated, for example by the European Food Safety Authority (EFSA), leading to the conclusion that they are essentially safe when consumption is below ADI levels. Although, intake data indicate that general consumption of LCS is relatively low, many people appear to remain concerned about their safety, particularly aspartame (E951). More recently, stevia (steviol glycosides, E960) has been marketed as a “natural” alternative to aspartame. However, it is unclear whether stevia can live up to its promises. With regards to public health, the real risk within our diet is not the safety of food additives, but rather more likely to be the potential impacts of consuming too much energy and/or an unhealthy dietary pattern.

The Efficacy and Safety of Non-Nutritive Sweeteners / 임상당뇨병

High intake of added sugars increases the risk for obesity, type 2 diabetes, and cardiovascular disease. Non-nutritive sweeteners (NNS) are widely used in many beverages and food products to reduce calories and sugar content. NNS have higher intensity of sweetness per gram than caloric sweeteners such as sucrose, corn syrup, and fruit juice concentrates. NNS approved for use have been tested and determined to be safe at levels that are within acceptable daily intake by the Joint Food Agriculture Organization/World Health Organization Expert Committee on Food Additives. The eight items of sweeteners are regulated as food additives in Korea. Dietary intake of the sweeteners was suggested as safety level by the ministry of Food and Drug Safety in 2012. If substituted for caloric sweeteners without intake of additional calories from other food sources, NNS may help consumers limit carbohydrate and energy intake as a strategy to manage blood glucose and weight. Dietitians can provide guidance on the use of NNS that give the desired results in food preparation and use at the table.

Edulcorantes no nutritivos e ingesta diaria admisible en adultos y niños de peso normal y obesos de tres niveles socioeconómicos, y un grupo de diabéticos de la Región Metropolitana / Non-caloric sweeteners and daily acceptable intake in adults and children with normal weight and obesity from three different socioeconomic levels, and a diabetic group from Metropolitan Region

Introduction: There is wide availability of products containing sweeteners but there is no regulation on its consumption. Objective: To establish if adults and children with normal weight or obesity from three socioeconomic levels, and a group of adults and children with diabetes; do not exceed ADI levels for some sweeteners. Methods: Group 1 (477 adults, Group 2 (516 children) from socioeconomic levels: ABC1, C2 and C3, normal nutritional status and obesity, and group 3 (218) adults and children with diabetes. The daily intake of sweeteners was recorded, including: aspartame (ASP), acesulfame K (AK), cyclamate (CICL), saccharin (SAC), sucralose (SUC) and stevia (STV). Results: 85% adults and 75%% of children consumed products with sweeteners, and of these 50% were instant powdered beverages, soft drinks or diet yogurts. When comparing the consumption between groups 1 and 2, group 1 consumed a larger amount of sweeteners (p<0.05). Group 1 ABC1 ate more AK, ASP and SUC than C2 and C3 (p<0.05). Group 3 did not surpass the acceptable daily intake of AK, ASP, SUC and STE, but 5.8% of adults and 25% of diabetic children exceeded the ADI for SAC. Conclusions: The 97.5% and the 98.8% had a safe consumption of artificial sweeteners. It should be emphasized that 5.8% of adults and 25% of diabetic children exceeded the maximum ADI for SAC, finding that suggests to be continued long-term studies to elucidate whether this has implications for health.

Introducción: Existe gran disponibilidad de productos con edulcorantes pero no existe regulación sobre su consumo. Objetivo: determinar si individuos adultos y niños con estado nutricional normal u obesidad de tres niveles socioeconómicos y un grupo de adultos y niños con diabetes, no excedían la ingesta diaria admisible de los edulcorantes permitidos. Metodología: Grupo 1 (477 adultos) y grupo 2 (516 niños) de niveles socioeconómicos (NSE): ABC1, C2 y C3, estado nutricional normal y obesos, y grupo 3 (218) adultos y niños diabéticos. Se registró la ingesta diaria de edulcorantes incluyéndose: aspartame (ASP), acesulfamo K (AK), ciclamato (CICL), sacarina (SAC), sucralosa (SUC) y estevia (STV). Resultados: El 85 % adultos y 75 % de niños consumían productos con edulcorantes y de estos el 50% eran bebidas instantáneas en polvo, bebidas gaseosas o yogurts dietéticos. Al comparar la ingesta de edulcorantes entre los grupos 1 y 2, el grupo 1 tuvo una mayor ingesta (p<0.05) que el grupo 2. El grupo 1 del NSE ABC1, consumió mas AK, ASP y SUC que NSE C2 y C3 (p<0.05). En el grupo 3, el 5.8% de adultos y el 25% de niños diabéticos sobrepasaron el IDA sólo para SAC. Conclusiones: El 97.5% adultos y el 98.8% niños tuvieron ingesta dentro del nivel seguro en cada edulcorante. Se debe enfatizar que el 5,8% de adultos y 25% de niños diabéticos excedieron el IDA máximo para SAC, hallazgo que sugiere continuar con estudios a largo plazo que permitan dilucidar si esto tiene repercusión para la salud.

Presence of oOrganophosphate Insecticides in fish of the Amazon River

Trace levels of three organophosphate insecticides (OPI) were detected in eight fish species from the region of Santarém, State of Pará, Brazil. Individual concentrations of OPI in fish ranged from less than the detection limit to 2,1 ppb. Mean concentrations of chlorpyrifos, malathion, and methyl-parathion were 0,3 ± 0,3, 0,1 ± 0,1, and 0,3 ± 0,3 ppb, respectively. Pellona flavipinnis, the largest and fattest piscivorous species analyzed, was the most contaminated. Since an inhabitant of this Amazonian region consumes 220 g of fish per day on average, ingested doses of chlorpyrifos, malathion, and methyl-parathion may reach up to 308, 220, and 462 ng·d-1, respectively. Compared to acceptable daily intakes (ADI), quantities of OPI absorbed via fish consumption on a daily basis are far below deleterious levels. We estimated that even considering the highest OPI contents detected, the average daily fish consumption of anadult of 60 kg would have to increase by ca. 1 950, 5 450, and 2 600 times to reach ADI of chlorpyrifos, malathion, and methyl-parathion, respectively. Neither fish diet nor fish lipid content enabled us to completely explain the interspecific differences observed.

As concentrações de três inseticidas organofosforados (IOF) foram determinadas em oito espécies de peixes da região de Santarém, Estado do Pará, Brasil. As concentrações individuais de IOF dos peixes situam-se entre abaixo da limite de detecção e 2,1 ppb. As concentrações médias de clorpirifós, malathion e metil parathion foram respectivamente de 0,3 ± 0,3, 0,1 ± 0,1 e 0,3 ± 0,3 ppb. Pellom Flavipinnis, a espécie piscívora de maior tamanho e mais gordurosa, apresentou as concentrações mais elevadas. Considerando que um morador dessa região da Amazônia brasileira consome em média 220 g de peixe por dia, as doses de clorpirifós, malathion e metil parathion podem atingir respectivamente 308, 220 e 462 ng·d-1. Tendo em conta as "doses diárias aceitáveis" (acceptable daily intakes - ADI), as quantidades diárias de IOF absorvidas via consumo de peixe estão muito abaixo dos níveis perigosos para a saúde humana. Nós estimamos que mesmo com o teor mais elevado de IOF detectado, o consumo diário médio de peixe de um adulto de 60 kg teria que aumentar cerca de 1 950, 5 450 e 2 600 vezes para atingir as respectivas ADI de clorpirifós, malathion e metil parathion. Nem o hábito alimentar dos peixes e nem o seu teor de gorduras podem explicar completamente as diferenças interespecíficas observadas.