Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure

被引:13
|
作者
Pham, Hung [1 ]
Phillips, Liza K. [1 ,2 ]
Jones, Karen L. [1 ,2 ]
机构
[1] Univ Adelaide, Adelaide Med Sch, NHMRC Ctr Res Excellence Translating Nutr Sci Goo, Adelaide, SA 5000, Australia
[2] Royal Adelaide Hosp, Endocrine & Metab Unit, Adelaide, SA 5000, Australia
关键词
postprandial hypotension; nutritive sweeteners; non-nutritive sweeteners; glucose; fructose; sucrose; d-xylose; xylitol; erythritol; maltose; maltodextrin; tagatose; GLUCAGON-LIKE PEPTIDE-1; DUODENAL GLUCOSE-LOAD; GASTRIC-INHIBITORY POLYPEPTIDE; NERVE SYMPATHETIC ACTIVITY; SMALL-INTESTINAL GLUCOSE; HEART-RATE RESPONSES; INTRADUODENAL GLUCOSE; ORAL GLUCOSE; HEALTHY-YOUNG; CARDIOVASCULAR-RESPONSES;
D O I
10.3390/nu11081717
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Postprandial hypotension (PPH) is under-recognised, but common, particularly in the elderly, and is of clear clinical importance due to both the independent association between PPH and an increase in mortality and lack of effective management for this condition. Following health concerns surrounding excessive consumption of sugar, there has been a trend in the use of low- or non-nutritive sweeteners as an alternative. Due to the lack of literature in this area, we conducted a systematic search to identify studies relevant to the effects of different types of sweeteners on postprandial blood pressure (BP). The BP response to ingestion of sweeteners is generally unaffected in healthy young subjects, however in elderly subjects, glucose induces the greatest decrease in postprandial BP, while the response to sucrose is less pronounced. The limited studies investigating other nutritive and non-nutritive sweeteners have demonstrated minimal or no effect on postprandial BP. Dietary modification by replacing high nutritive sweeteners (glucose, fructose, and sucrose) with low nutritive (d-xylose, xylitol, erythritol, maltose, maltodextrin, and tagatose) and non-nutritive sweeteners may be a simple and effective management strategy for PPH.
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页数:29
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