| Questions & Answers About HFCS |
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A PDF of this brochure is also available. Since its introduction in the 1970s, high fructose corn syrup has become a widely accepted American sweetener made from corn. This brochure offers answers to some frequently asked questions about this highly versatile sweetener. What is High Fructose Corn Syrup? HFCS is used in foods and beverages because of the many benefits it offers. In addition to providing sweetness at a level equivalent to sugar,1 HFCS enhances fruit and spice flavors in foods such as yogurt and spaghetti sauces, gives chewy breakfast bars their soft texture and also protects freshness. HFCS keeps products fresh by maintaining consistent moisture.2 What is the difference between HFCS and sugar? Sugar and HFCS contain nearly the same one-to-one ratio of two sugars—fructose and glucose:
Once the combination of glucose and fructose found in HFCS and sugar are absorbed into the blood stream, the two sweeteners appear to be metabolized similarly in the body.3,4,5,6,7,8 In terms of chemical structure, table sugar and HFCS differ by the bonding of their sugars. Table sugar is a disaccharide, in which fructose and glucose are linked by a chemical bond.9 Fructose and glucose are not bonded in HFCS, and so are sometimes referred to as “free” sugars. Is HFCS a “natural” sweetener? Is HFCS sweeter than sugar? HFCS-55 has sweetness equivalent to sugar and is used in many carbonated soft drinks in the United States. HFCS-42 is somewhat less sweet and is used in many fruit-flavored noncarbonated beverages, baked goods and other products in which its special characteristics such as fermentability, lower freezing point, surface browning and flavor enhancement add value to the product.2 Is there a correlation between the introduction of HFCS and the rise of obesity in the past 30 years? Further, the prevalence of obesity is increasing around the world, according to the International Obesity Task Force—even though use of HFCS outside of the United States is limited or nonexistent.12 In fact, sugar accounts for about 92 percent of caloric sweeteners consumed worldwide.13 Scientific studies continue to find that HFCS does not contribute to obesity any differently than sugar. An expert panel, led by Richard Forshee, Ph.D. of the University of Maryland Center for Food, Nutrition and Agriculture Policy, concluded that “the currently available evidence is insufficient to implicate HFCS per se as a causal factor in the overweight and obesity problem in the United States.” The panel’s report was published in the August 2007 issue of Critical Reviews in Food Science and Nutrition.14 The report found that there are many other “plausible explanations for rising overweight and obesity rates” in the United States, listing such factors as “a decrease in smoking; an increase in sedentary occupations; an increase in two-income households and single-parent households; transportation and infrastructure changes that discourage physical activity; a decrease in PE classes and extracurricular sports programs in schools; an increase in sedentary forms of entertainment (i.e. TV/movie viewing, video games, etc.); demographic changes (i.e. aging population, immigration, etc.); a decrease in food costs with increase in food availability; and changes in food consumption patterns.” Another peer-reviewed study summized that those who frequently consume sweetened soft drinks do not have a higher obesity rate than those who rarely drink them. The study found higher obesity rates correlated with several other factors, such as the amount of time in front of the computer or TV, or the consumption of high amounts of dietary fat.15 Further, the November/December 2005 issue of Nutrition Today includes a report from the Center for Food, Nutrition and Agriculture Policy and its Ceres Workshop, which was compiled by scientists who reviewed a number of critical commentaries about HFCS. Their analysis found that HFCS is not a unique contributor to obesity, concluding “there is currently no convincing evidence to support a link between HFCS consumption and overweight/obesity.”16 Is HFCS known to cause diabetes? U.S. Department of Agriculture (USDA) data show that per capita consumption of HFCS has been declining in recent years, yet the incidence of obesity and diabetes in the United States remains on the rise.17 Has the use of HFCS in the food supply increased the amount of fructose in the diet? As HFCS use increased in the United States, it replaced sugar in various foods and beverages on a nearly one-for-one basis, as the chart (lower right) illustrates. Yet because sugar and HFCS share a common composition, the ratio of fructose-to-glucose in the diet has remained relatively unchanged over time. This confirms that the approximate overall sugars mixture in the foods and beverages we consume - principally glucose and fructose - is nearly the same today as it was 30 years ago, before HFCS was introduced. Is HFCS considered a safe food ingredient? According to the American Dietetic Association, “Consumers can safely enjoy a range of nutritive and nonnutritive sweeteners when consumed in a diet that is guided by current federal nutrition recommendations ... as well as individual health goals.”11 Does consumption of HFCS, as compared to sugar, reduce the ability of the body to produce insulin? It is extremely rare for pure fructose to be consumed alone in the diet. Fructose is usually consumed together with glucose, as it is in HFCS, table sugar and honey. It is important to remember that no matter the source of the ingredients—whether from sugar or HFCS—the human body produces insulin in response to the whole meal consumed. Kathleen J. Melanson, et al., at the University of Rhode Island reviewed the effects of HFCS and sugar on circulating levels of glucose, leptin, insulin and ghrelin in a study group of lean women. All four tested substances have been hypothesized to play a role in metabolism and obesity. The study found “no differences in the metabolic effects” of HFCS and sugar in this short-term study, and called for additional studies of obese individuals and males.5 Does the body process HFCS differently than other sugars? Once the combination of glucose and fructose found in HFCS and sugar are absorbed into the blood stream, the two sweeteners appear to be metabolized similarly in the body.3,4,5,6,7,8 Leptin and Ghrelin Triglycerides The metabolic syndrome is a collection of metabolic risk factors including abdominal obesity, atherogenic dyslipidemia, raised blood pressure, insulin resistance, prothrombotic state and proinflammatory state, which increase the chance of developing vascular disease.23 Uric Acid Does HFCS affect feelings of fullness? Stijn Soenen and Margriet S. Westerterp-Plantenga, researchers at the Department of Human Biology at Maastricht University in The Netherlands, studied the effects of milk and beverages sweetened with sugar and HFCS on feelings of fullness. The researchers found “no differences in satiety, compensation or overconsumption” between the three beverages.25 Tina Akhavan and G. Harvey Anderson at the Department of Nutritional Sciences, Faculty of Medicine, University of Toronto studied the effect of solutions containing sugar, HFCS and various ratios of glucose to fructose on food intake, average appetite, blood glucose, plasma insulin, ghrelin and uric acid in men. The researchers found that sugar, HFCS, and 1:1 glucose/fructose solutions do not differ significantly in their short-term effects on subjective and physiologic measures of satiety, uric acid and food intake at a subsequent meal.8 Further, research by Almiron-Roig and co-workers in 2003 showed that a regular soft drink, orange juice and low-fat milk were not significantly different in their effects on hunger or satiety ratings, or in calories consumed at a subsequent meal.26 Does HFCS have a high Glycemic Index? Carbohydrate foods that break down quickly during digestion have the highest GI. The benchmark in many indexes is glucose, with a GI of 100. Compared with glucose, the GI of fructose is very low with a value of 20. Sugar and honey, both with similar compositions to HFCS, have moderate GI values that range from 55 to 60.27 Although it has not yet been specifically measured, HFCS would be expected to have a moderate GI because of its similarity in composition to honey and sugar. It must be kept in mind that the body does not respond to the GI of individual ingredients, but rather to the GI of the entire meal. Since added sugars (principally sugar and HFCS) typically contribute less than 20 percent of calories,28 it is clear that HFCS is a minor contributor to the overall GI in a normal diet. Is HFCS allergenic? How is HFCS made? Endnotes 1. Hanover LM, White JS. 1993. Manufacturing, composition, and applications of fructose. Am J Clin Nutr 58(suppl 5):724S-732S. 2. White JS. 1992. Fructose syrup: production, properties and applications, in FW Schenck & RE Hebeda, eds, Starch Hydrolysis Products – Worldwide Technology, Production, and Applications. VCH Publishers, Inc. pp. 177-200. 3. Coulston AM, Johnson RK. 2002. Sugar and sugars: Myths and realities. J Am Diet Assoc 102(3):351-353. 4. Sigman-Grant M, Jorita J. 2003. Defining and interpreting intakes of sugars. Am J Clin Nutr 78(4):815S-826S. 5. Melanson KJ, Zukley L, Lowndes J, Nguyen V, Angelopoulos TJ, Rippe JM. 2007. Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight women. Nutrition 23(2):103-112. 6. Zukley M, et al. June 2007. The Effect of High Fructose Corn Syrup on Post-Prandial Lipemia in Normal Weight Females. Presented at the June 2007 meeting of The Endocrine Society. Program Abstract #P2-46. 7. Lowndes J, et al. June 2007. The Effect of High-Fructose Corn Syrup on Uric Acid Levels in Normal Weight Women. Presented at the June 2007 meeting of The Endocrine Society. Program Abstract #P2-45. 8. Akhavan T. and Anderson GH. 2007. Effects of glucose-to-fructose ratios in solutions on subjective satiety, food intake, and satiety hormones in young men. Am J Clin Nut. Vol. 86(5) 1354-1363. 9. Stryer, L. 1975. Biochemistry. WH Freeman & Co., San Francisco. 10. 21 Code of Federal Regulations (CFR) § 101.22. 11. American Dietetic Association. 2004. Use of nutritive and nonnutritive sweeteners. J Am Diet Assoc 104:255-275. 12. International Obesity Task Force. March 2008. Prevalence of Adult Obesity. See also World Health Organization. September 2006. Obesity and overweight: Fact sheet No 311. 13. LMC International, Inc. 2008. Table 2: World Sugar & HFCS Consumption. Sweetener Analysis January 2008. 14. Forshee RA, Storey ML, Allison DB, Glinsmann WH, Hein GL, Lineback DR, Miller SA, Nicklas TA, Weaver GA, White JS. 2007. A Critical Examination of the Evidence Relating High Fructose Corn Syrup and Weight Gain. Critical Reviews in Food Science and Nutrition. 47(6):561-582. 15. Sun SZ, Empie MW. 2007. Lack of findings for the association between obesity risk and usual sugar-sweetened beverage consumption in adults - A primary analysis of databases of CSFII-1989-1991, CSFII-1994-1998, NHANES III, and combined NHANES 1999-2002. Food Chem Toxicol 45(8):1523-1536. 16. Hein GL, Storey ML, White JS, Lineback DR. 2005. Highs and Lows of High Fructose Corn Syrup: A Report from the Center for Food and Nutrition Policy and Its Ceres Workshop. Nutrition Today 40(6):253-256. 17. Centers for Disease Control and Prevention. 2007. National diabetes fact sheet, 2005. 18. U.S. Department of Agriculture, Economic Research Service. April 2008. Table 51 -- Refined cane and beet sugar: estimated number of per capita calories consumed daily, by calendar year. Sugar and Sweeteners Yearbook 2007. 19. U.S. Department of Agriculture, Economic Research Service. April 2008. Table 52 -- High fructose corn syrup: estimated number of per capita calories consumed daily, by calendar year. Sugar and Sweeteners Yearbook 2007. 20. 61 Fed. Reg. 43447 (August 23, 1996), 21 C.F.R. 184.1866. Direct food substances affirmed as Generally Recognized as Safe; High Fructose Corn Syrup -Final Rule. 21. Akgun S, Ertel NH. 1985. The effects of sucrose, fructose and high-fructose corn syrup meals on plasma glucose and insulin in non-insulin-dependent diabetic subjects. Diabetes Care 8(3):279-83. 22. U.S. Department of Agriculture, Economic Research Service. April 2008. Table 53 -- Other sweeteners: estimated number of per capita calories consumed daily, by calendar year. Sugar and Sweeteners Yearbook 2007. 23. American Heart Association. Metabolic Syndrome Fact Sheet. Accessed March 18, 2008. http://www.americanheart.org/presenter.jhtml?identifier=4756 24. Monsivais P, Perrigue MM, Drewnowski A. 2007. Sugars and satiety: does the type of sweetener make a difference? Am J Clin Nutr. 86(1):116-123. 25. Soenen S and Westerterp-Plantenga MS. 2007. No differences in satiety or energy intake after high-fructose corn syrup, sucrose, or milk preloads. Am J Clin Nutr 86:1586-1594. 26. Almiron-Roig E, Drewnowski A. 2003. Hunger, thirst, and energy intakes following consumption of caloric beverages. Physiol Behav 79:767-774. 27. Foster-Powell K, et al. 2002. International table of glycemic index and glycemic load values: 2002. Am J Clin Nutr 76:5-56. 28. U.S. Department of Agriculture, Economic Research Service. 2007. Average daily per capita calories from the U.S. food supply, adjusted for spoilage and other waste: 1970-2005. Loss-Adjusted Food Availability Data. 29. Food Allergen and Consumer Protection Act of 2004. Public Law 108-282. 30. Loveless MH. 1950. Allergy for corn and its derivatives; experiments with a masked ingestion test for its diagnosis. J Allergy 21:500. 31. White JS. April 2007. HFCS: What it is and what it ain't. American Society for Nutrition Panel Discussion, "High Fructose Corn Syrup: Everything You Wanted to Know But Were Afraid to Ask,” presented at Experimental Biology 2007. 32. Widdowson EM and McCance RA. 1935. The available carbohydrate of fruits: Determination of glucose, fructose, sucrose and starch. Biochem. J. 29(1):151-156. |