Do non-nutritive sweeteners influence acute glucose homeostasis in humans? A systematic review.

Abstract:

:The human body associates sensory cues with metabolic consequences. Exposure to sweet-tasting sugars - even in the absence of ingestion - triggers physiological responses that are associated with carbohydrate digestion, absorption and metabolism. These responses include the release of insulin and incretin hormones, which work to reduce blood glucose. For this reason, non-nutritive sweeteners (NNS) have been posited to trigger similar physiological responses and reduce postprandial blood glucose concentrations. The first part of this review presents a brief overview of sweet taste receptor activation in the oral cavity and gastrointestinal tract and the ensuing physiological responses related to glucose homeostasis. The second part of this review contains a systematic literature review that tested the hypothesis that NNS use improves glucose regulation postprandially. Studies were grouped based on sweet taste receptor stimulation paradigms, including pre-ingestive stimulation, ingestion of NNS alone, co-ingestion of NNS with foods, and using NNS as preloads to influence subsequent blood glucose excursions. In summary, the review found that NNS triggered physiological responses, albeit inconsistently, yet failed to significantly lower blood glucose levels in almost all studies.

journal_name

Physiol Behav

journal_title

Physiology & behavior

authors

Tucker RM,Tan SY

doi

10.1016/j.physbeh.2017.09.016

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

17-26

eissn

0031-9384

issn

1873-507X

pii

S0031-9384(17)30302-5

journal_volume

182

pub_type

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