Does the body process HFCS differently than other sugars?

Some studies claim that the body processes high fructose corn syrup differently than other sugars due to the fructose content. Conclusions from these studies cannot be extrapolated to high fructose corn syrup. That is because the studies looked at the effects of fructose independently.

High fructose corn syrup contains approximately equal ratios of fructose and glucose. Table sugar also contains equal ratios of fructose and glucose. Fructose is a natural, simple sugar commonly found in fruits and honey. As noted by the U.S. Food and Drug Administration in 1996, “the saccharide composition (glucose to fructose ratio) of high fructose corn syrup is approximately the same as that of honey, invert sugar and the disaccharide sucrose” (or table sugar).(10)

The absence of glucose makes pure fructose fundamentally different from high fructose corn syrup. This is because glucose has been shown to have a tempering effect on specific metabolic effects of fructose. Once the combination of glucose and fructose found in high fructose corn syrup and sucrose are absorbed into the blood stream, the two types of sweetener appear to be metabolized similarly using well-characterized metabolic pathways.

In the abstract of her article "High Fructose Corn Syrups, Part 1: Composition, Consumption, and Metabolism," author Dr. Marilyn D. Schorin states, "High fructose corn syrup, as used in foods, is similar in composition and sweetness to sucrose. Absorption and metabolism of high fructose corn syrup is also similar to that of sucrose." (18)

In part two of Dr. Schorin's series on high fructose corn syrup "High Fructose Corn Syrups, Part 2: Health Effects," she concludes, “Given what we know about the metabolism of orally ingested sugars, it is difficult to identify a plausible physiological explanation for how approximately equal amounts of fructose and glucose should have differential effects when chemically bonded (such as in sucrose) or not (such as in HFCS). Thus, the current evidence does not support claims of a specific unique effect of HFCS on health.” (23)

Calorie Control

It has been suggested in recent years that the glucose and fructose in high fructose corn syrup somehow affect calorie control mechanisms in the body differently than other sugars in the diet, resulting in over-consumption of calories. This suggestion is based primarily on experiments of questionable relevance in which pure fructose was fed to test subjects at extremely high levels never encountered in the human diet.

Pure fructose is as different from high fructose corn syrup as it is from sucrose or table sugar. In fact, no credible research has demonstrated that high fructose corn syrup affects calorie control differently than sucrose. A recent study by Pablo Monsivais, et al. at the University of Washington found that beverages sweetened with sugar, high fructose corn syrup, as well as 1% milk, all have similar effects on feelings of fullness. (30)

Further, research by Almiron-Roig and coworkers 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. (16)

Leptin & Ghrelin

Kathleen J Melanson, et al at the University of Rhode Island recently reviewed the effects of high fructose corn syrup and sucrose on circulating levels of glucose, leptin, insulin and ghrelin in a study group of lean women. The study found “no differences in the metabolic effects” of high fructose corn syrup and sucrose. (27)

Triglycerides

Linda M Zukley, et al at the Rippe Lifestyle Institute reviewed the effects of high fructose corn syrup and sucrose on triglycerides in a study group of lean women. This short-term study found “no differences in the metabolic effects in lean women [of high fructose corn syrup] compared to sucrose,” and called for further similar studies of obese individuals or individuals at risk for the metabolic syndrome. Their paper was presented at the June 2007 meeting of The Endocrine Society. (“The Effect of High Fructose Corn Syrup on Post-Prandial Lipemia in Normal Weight Females” Program Abstract #P2-46)

Uric Acid

Joshua Lowndes, et al at the Rippe Lifestyle Institute reviewed the effects of high fructose corn syrup and sucrose on circulating levels of uric acid in a study group of lean women. Uric acid is believed to play a role in the development of the metabolic syndrome. This short-term study found “no differences in the metabolic effects in lean women [of high fructose corn syrup] compared to sucrose,” and called for further similar studies of obese individuals and males. Their paper was presented at the June 2007 meeting of The Endocrine Society. (“The Effect of High-Fructose Corn Syrup on Uric Acid Levels in Normal Weight Women” Program Abstract #P2-45)

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