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2020, Number 2

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Med Int Mex 2020; 36 (2)

Knowledge, use and recommendation of non-caloric sweeteners in a population of health professionals in Mexico

Aldrete-Velasco JA, Aranceta-Bartrina J, Rodríguez-García JA, Durán- Coyote S, Pedraza-Chávez J, Reyes-Zavala C
Full text How to cite this article

Language: Spanish
References: 9
Page: 173-184
PDF size: 216.29 Kb.


Key words:

Sweeteners, Acesulfame potassium, Aspartame, Saccharin, Sucralose, Phenylalanine, Phenylketonuria.

ABSTRACT

Background: Non-caloric sweeteners are of great interest to the food industry, healthcare professionals, and consumers.
Objective: To investigate and evaluate the degree of knowledge of health professionals about the biological and physicochemical characteristics of non-caloric sweeteners.
Material and Method: A survey study applied to those attending the sessions of the XXXIX National Congress of Internal Medicine, held in Querétaro, Mexico, from November 16 to 19, 2016. It was a semi-structured printed survey (not validated).
Results: Of the health professionals and medical students surveyed (n = 1259), only 97% (n = 1122) stated their degree of knowledge or ignorance of the properties of non-caloric sweeteners. Only 69% of the respondents knew the definition of noncaloric sweeteners in the currently available bibliography, that is, 31% of the surveyed health professionals did not know exactly the physicochemical characteristics and the elemental metabolic effects of non-caloric sweeteners, despite being these products widely consumed today.
Conclusions: The results obtained in this survey point to the unavoidable need for continuing medical education already stated: only 69% of the participants can cite a correct definition of non-caloric sweeteners and 51% still mistakenly conceive that non-caloric sweeteners could alter the glucose and insulin homeostasis.


REFERENCES

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  2. Jenner MR, Smithson A. Physicochemical properties of the sweetener sucralose. J Food Science 1989;54:1646-9. https://doi.org/10.1111/j.1365-2621.1989.tb05179.x.

  3. Yang Q. Gain weight by “going diet?”. Artificial sweeteners and the neurobiology of sugar cravings: Neuroscience 2010. Yale J Biol Med 2010;83(2):101-8.

  4. US Food and Drug Administration (FDA). Additional information about high intensity sweeteners permitted for use in food in the United States. Disponible: www.fda.gov/ Food/IngredientsPackagingLabeling/FoodAdditivesIngredients/ ucm397725.htm; consultado: agosto 23, 2016.

  5. Aldrete-Velasco J, López-García R, Zúñiga-Guajardo S, et al. Análisis de la evidencia disponible para el consumo de edulcorantes no calóricos: documento de expertos. Med Int Méx 2017;33(1):61-83.

  6. Fitch C, Keim KS; Academy of Nutrition and Dietetics. Position of the Academy of Nutrition and Dietetics: use of nutritive and nonnutritive sweeteners. J Acad Nutr Diet 2012;112(5):739-58. doi: 10.1016/j.jand.2012.03.009.

  7. Gardner C, Wylie-Rosett J, Gidding SS, et al. Nonnutritive sweeteners: current use and health perspectives; a scientific statement from the American Heart Association and the American Diabetes Association. Circulation 2012 Jul 24;126(4):509-19. DOI: 10.1161/CIR.0b013e31825c42ee.

  8. Laviada-Molina H, Almeda-Valdés P, Arellano-Montaño S, et al. Posición de la Sociedad Mexicana de Nutrición y Endocrinología sobre los edulcorantes no calóricos. Rev Mex Endocrinol Metab Nutr 2017; 4: 24-41.

  9. Moreno-García JH, Ayala-Téllez G, Vega-García ME, Sandoval-Morales Y (revs.). Postura de la Federación Mexicana de Diabetes, A.C. (FMD) sobre edulcorantes no calóricos. Disponible: https://www.researchgate. net/publication/310808283_POSTURA_DE_LA_FEDERACION_ MEXICANA_DE_DIABETES_AC_FMD_SOBRE_ EDULCORANTES_NO_CALORICOS; consultado: mayo 07, 2017.




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Med Int Mex. 2020;36