Diets High in Fat or Fructose Differentially Modulate Bone Health and Lipid Metabolism

Posted by & filed under Fructose, Health Professionals, Research Summaries.

A new study was recently published in Calcified Tissue International which compared the effects of high-fat and high-fructose diets on various outcomes including visceral and subcutaneous fat deposition, de novo lipogenesis, plasma glucose, plasma leptin, plasma insulin, and bone architecture and stiffness.

The experiment conducted by Jatkar et al. utilized 30 male mice divided into three group of ten. The control group (SC) received a standard chow diet. The high-fructose group (CH) received a standard chow diet with 10% weight per volume powered fructose diluted into their drinking water. The high-fat group (HF) received a diet which provided 45% of calories from fat. The mice were provided their respective diets for 15 weeks. Two weeks prior to their sacrifice, mice were also given an isotope tracer of deuterium in their water to assess lipid synthesis.

Researchers found that mice on the HF diet consumed less food and fewer calories overall than both the CH and SC mice. The difference in intake was not statistically significant between CH and SC mice. Interestingly, by the end of the 15 week treatment, the body mass index (BMI) of mice in the HF diet group was approximately 10% greater compared to the SC but was not significantly greater than the BMI of CH mice. Similarly, the epididymal fat pads of mice fed the HF diet were significantly greater than those in the SC group. Conversely, epididymal fat pads for the CH mice were 57% smaller compared to those on the SC diet. Furthermore, thermogenic brown fat pads were 156% larger for the CH mice compared to the SC group and 65% greater compared to the HF mice.

Fasting glucose and plasma insulin levels were not significantly different between groups. Plasma leptin levels of the HF fed mice were approximately four-fold greater than the SC fed mice and two-fold greater than the CH fed mice. Fatty acid synthesis was assessed in the liver, kidney, white adipose tissue, and brown adipose tissue. Lipid synthesis in all tissues was significantly lower in the HF group compared to the SC group. Similarly, fatty acid synthesis in all tissues was significantly lower in the HF group compared to the CH group.

Next, researchers examined the effects of the diet interventions on bone morphology. It was discovered that when compared to SC and CH diets, a HF diet resulted in significantly reduced cortical bone volume fraction, cortical thickness, and tissue mineral density but did not alter total cortical area. The HF diet treatment also resulted in altered trabecular bone morphology; the HF group had reduced trabecular bone volume fraction and greater structural model index compared to both the SC and CH groups. Lastly, researchers noted that bone elastic modulus was 22% smaller in the CH fed mice compared to the HF fed mice.

Researchers concluded, “In the absence of the protective effect of increased load bearing, chronic high-fat consumption was detrimental to bone mass and its architecture as well as tissue density. The high-fat diet also increase deposition of subcutaneous and visceral fat stores and reduced fractional new synthesis of lipids. In contrast, chronic consumption of fructose at moderate levels did not impact bone and fat mass, new lipid synthesis or other indicators of metabolic health but elevated interscapular brown adipose tissue mass. It also compromised bone’s internal stiffness when compared to the high-fat group.”

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Early Life Fructose Exposure and Its Implications for Long-Term Cardiometabolic Health in Offspring

Posted by & filed under Fructose, Health Professionals, Research Summaries.

review was recently published in Nutrients which examined the relationship between early life exposure to fructose and cardiometabolic outcomes in offspring. Reviewers cited a number studies which associated fructose intake with various health outcomes such as insulin resistance, elevated low density lipoprotein cholesterol, elevated triglycerides, obesity, type 2 diabetes, cardiovascular disease, non-fatal myocardial infarction, and fatal coronary heart disease.

Reviewers then noted that there is limited human data on the effects of excessive fructose consumption during the early stages of life to include gestation, lactation, and infancy. Zheng et al. cited two cohort studies; the first found that intake of fructose from natural sources reduced the risk of pre-eclampsia whereas the second study found that sugar sweetened beverage intake was associated with increased risk of pre-term delivery.

Reviewers also examined the relevant literature on fructose consumption in rodent models. While results varied between experiments, reviewers noted several points. First, the offspring of dams consuming high fructose diets experienced elevated circulating plasma fructose, elevated plasma leptin, elevated plasma insulin, obesity, hypertension, insulin resistance, increased rates of fatty liver, increased free fatty acids, greater visceral adipose tissue stores, changes in stress-response axis, changes in nocturnal blood pressure, and hypertriglyceridemia. Additionally, the dams consuming high fructose diets experienced increased food intake, decreased water intake, sex-specific effects on placental growth and fetal and neonatal metabolic profiles, alterations in the secondary sex ratio and reduced fertility.

Lastly, reviewers outlined proposed mechanisms for the observed effects in both mothers and offspring. Reviewers first described the ability of fructose to be rapidly metabolized in the liver which can promote de novo lipogenesis which in turn, promotes dyslipidemia. The second suggested mechanism comes from a rodent study in which maternal consumption of fructose during lactation resulted in “decreased hypothalamic sensitivity to exogenous leptin, enhanced food intake, and decreased several anorexigenic signals…in the off spring.” The last proposed mechanism suggests that offspring consuming high-fructose diets demonstrate enhanced expression of glucose transporter 5. Reviewers noted “it is still unclear whether the impacts on the offspring are direct effects of fructose transfer through the placenta or the mother’s milk, or due to adaptive responses and altered maternal metabolism.”

Reviewers concluded, “One important point that should be taken into consideration is that early life fructose exposure may determine the susceptibility of long-term metabolic diseases in offspring. However, limited data suggest that the offspring would be protected from these well-known adverse effects during early life.”

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Deep Dish Apple Pie

Posted by & filed under Desserts, Monk Fruit, Recipes.

Makes 8 Servings

Ingredients

5 pounds apples, preferably Golden Delicious and Johnagold, peeled, cored, and cut into 1/4-inch slices, 8–9 cups
3 tablespoons Monk Fruit In The Raw® Bakers Bag
2 tablespoons Sugar In The Raw®
1 teaspoon ground cinnamon
1/4 teaspoon ground clove
1/4 teaspoon salt
1 tablespoon lemon juice
2 tablespoons unsalted butter, plus 1/2 teaspoon
1 crust for 9-inch pie, homemade or store-bought
1 tablespoon cream, optional

Directions

Preheat the oven to 450° F.

In a small bowl, combine the Monk Fruit In The Raw® Bakers Bag, Sugar In The Raw, cinnamon, clove, and salt, and set aside. In a large bowl, toss the apples with the lemon juice. In a large skillet over medium-high heat, melt the butter. Add the apples and cook until they look moist, 3 minutes, stirring frequently. Mix in the sweetening and spice mixture, and cook until the apple slices soften slightly, 3 minutes, stirring occasionally. Spread the hot apples on a baking sheet and cool to room temperature.

Using the remaining1/2 teaspoon butter, coat a 9-inch deep-dish pie plate or other baking dish. Spread the apples in the prepared baking dish. Arrange the pie crust over the fruit, tucking it under around the edges. Using a fork or your fingers, crimp the edges of the crust decoratively. If desired, brush the crust with the cream or milk. With a sharp knife, cut vents in the crust, placing them decoratively.

Reduce the oven to 400° F. Bake the pie in the center of the oven for 30 minutes. Cover the edges of the crust with strips of foil to prevent burning. Bake the pie for 30 minutes longer, or until the crust is golden brown. Cool the pie on a wire rack. Serve lukewarm or at room temperature.

Nutritional Information

Calories 181
Fat 8g
Protein 1g
Fiber 2g
Sugars 16g
Sodium 176mg
Carbohydrates 27g
Cholesterol 8mg

 

Recipe courtesy of InTheRaw.com.

Cranberry Apple Pie

Posted by & filed under Desserts, Recipes, Sucralose.

Makes 8 Servings

Ingredients

1 package refrigerated pie crusts
2 cup SPLENDA® No Calorie Sweetener,1 Gram of Fiber, Granulated
1 tablespoon all-purpose flour
1/2 teaspoon ground cinnamon
4 each large Granny Smith apples, peeled, cored, and sliced
1 cup chopped cranberries

Directions

Preheat oven to 400°F.

Fit one pie crust into a 9-inch pie plate according to package directions.

Combine all filling ingredients in a large bowl. Toss well and spoon mixture into pie crust.

Unfold remaining pie crust and roll to 1/8-inch thickness. Place crust over filling; fold edges under and crimp. Cut slits in top to allow steam to escape.

Bake 40 to 50 minutes or until crust is golden. Cover edges with aluminum foil to prevent over-browning, if necessary. Cool on a wire rack one hour before serving.

Nutritional Information

Calories 310
Total Fat 14g
Cholesterol 10mg
Sodium 200mg
Carbohydrates 46g
Dietary Fiber 7g
Sugars 14g
Protein 2g

Recipe originally appeared on Splenda.com.

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Talking to Your Doctor about Your Weight

Posted by & filed under Healthy Diet, Healthy Lifestyle, Lifestyle Articles, Weight Management.

Making the most out of your appointment with your healthcare professional can be very helpful in making sure you know what you should be doing once you walk out of the office door. This is especially true for chronic problems like being overweight or obese and the other health conditions that are associated with excess weight such as heart disease, osteoarthritis, depression and sleep apnea. Conversations with your doctor are critical because he or she should be monitoring your health, counseling you on healthy diet and exercise habits,  providing necessary medication and suggesting additional resources which could be helpful.

It is easy to be overwhelmed with everything you have to manage.   However, there are a few things you can do to help make sure you get the information you need.  If you have not discussed your weight before,  consider discussing the following things with your doctor:

How ready are you to make changes in your life?
Are you at the stage where you are still exploring what you might need to do, but you aren’t ready to do anything yet or are you already changing your behavior and need to check in with your physician?
What are your current habits?
It might be helpful to bring a record of what you eat and what activities you do. You should be prepared to talk about what aspects of your life are a little more flexible and what needs to stay the same.
What are your goals?

All of this information can help you set reasonable goals and establish the right support team. For example, if you want to focus on your eating habits but really struggle with food choices, a dietitian can help you develop a food plan, discuss food options, and provide you with cooking techniques and skills to enjoy the food you eat. If you are concerned with increasing your physical activity, a physical therapist or trainer can help make sure you are active in a safe and enjoyable way.

It is important to remember that even a modest improvement in body weight can help significantly improve your health. Keri Peterson, MD and scientific advisor for the Calorie Control Council stressed, “You don’t need to lose a lot of weight to see the health benefits.  Studies have shown that losing just five percent of your body weight can reduce the likelihood that you develop diabetes and cardiovascular disease.  This is a realistic, achievable goal for most people.” Unlike a cold, your doctor is probably not going to suggest rest and provide a medication that will alleviate your symptoms in a few days. But, better conversations with your healthcare team will help guide you on this journey.

 

Try our healthy weight calculator to help determine a healthy weight for you.

 

About Keri Peterson, MD

Keri Peterson MDDr. Peterson is a medical contributor and columnist for Women’s Health and a frequent guest on NBC’s Today, ABC’s Good Morning America, Fox News and CNN. Based in New York City, Dr. Peterson has been in private practice since 1999 and holds appointments at Lenox Hill Hospital and Mount Sinai Medical Center.   With a BA from Cornell University and a Medical Degree from Mount Sinai School of Medicine, she completed post-graduate training in Internal Medicine at New York’s Mount Sinai Medical Center and is board certified in Internal Medicine. Dr. Peterson is a member of the American College of Physicians and the American Medical Association, and serves as medical advisor for the Calorie Control Council.

 


A Sugar by Any Other Name would Taste as Sweet

Posted by & filed under Fructose, Health Professionals.

By Rosanne Rust MS, RDN, LDN  — 
For a healthy diet to be sustainable, it must be one that can be enjoyed. Calories consumed should match metabolic needs and activity, and also provide essential nutrients, but it’s not going to provide nutrition if it’s not eaten. Therefore, it’s important to work with patients and find nutritious foods that they will realistically choose on a regular basis. Sweeteners are not essential, but they do increase palatability which can help deliver essential nutrients. For instance, a patient may eat more vegetables if you “allow” maple syrup to be added to steamed carrots, top sweet potatoes with mini marshmallows, or add sugar or honey to oatmeal. A sweetener can cut the tartness of yogurt and adding honey or sugar to herbal tea may make it more palatable to soothe a sore throat.  Adding a sweetener to a high fiber bran or barbecue sauce to pinto beans helps deliver the fiber and important vitamins and minerals in these foods. All of these foods (carrots, oats, yogurt, sweet potatoes, bran, beans) will enhance diet quality, only if they are eaten.

Sweetness is Known by Several Names

Glucose and fructose are simple sugars called monosaccharides that are found naturally in many foods. Long chains of glucose make up starches. Glucose and fructose are both chemically made of 6 atoms of carbon, 12 of hydrogen, and 6 of oxygen (C6H12O6). But, their structures are different and they are metabolized differently when consumed alone, but HFCS-55 (high fructose corn syrup) is the most widely used type, and is 55 percent fructose, 45 percent glucose. This composition allows HFCS to be compared to sucrose and honey (which are both 50/50 fructose and glucose).  While media headlines about sweeteners can sometimes confuse consumers, it’s important to know that HFCS is a safe and useful caloric sweetener. The science community has widely accepted that HFCS is metabolized in the same way as other caloric sweeteners (such as sugar) and there is no causal link between HFCS and obesity or other metabolic disease.

How Function Plays into Sweetness

While many sweeteners can contribute sweetness and calories, the type of sweetener used in a recipe may be based on attributes and benefits beyond sweetness. Liquid sweeteners such as HFCS and corn syrup blend well with other ingredients, making them preferable for manufacturing of some packaged foods and beverages. Some recipes also call for a liquid sweetener to improve the smooth texture and reduce the risk of crystallization. HFCS allows product textures that aren’t possible with granular sweeteners. Other recipes call for crystalline sugar or sweeteners to provide different textures, improve the moist texture, or to ensure appropriate volume of a baked produced. A different benefit is that HFCS acts as a preservative, eliminating the need for other additives. The science of sugars allows manufacturers and home cooks to choose different sweeteners to create a variety of product attributes, even within a single product. For instance, they may create a product that has one moist layer, with another crisp layer, by using different sweeteners.

A Calorie is a Calorie

When discussing the use of products made with HFCS with your patients, it’s important to understand that HFCS contributes the same calories (as carbohydrate – 4 calories per gram) as table sugar. The Dietary Guidelines for Americans advise that added sugars should be limited in the diet to 10 percent of total calories. Calorie needs vary from person to person, depending on age, gender, activity and health.

Advising patients to be mindful of their overall sugar intake, not the type, will result in the best outcomes. It’s also important to consider the patient’s overall eating pattern, not just sugar intake. Encourage patients to read the Nutrition Facts panel on food and beverage packages, noting the serving size, calories, and both total sugar and added sugar.

Cutting Sugar Intake through Portion Size

Portions are also important. As the portion increases, the calories, sugar, and other nutrients do as well. See the chart below for some common examples of foods and beverages with sugar, and how small or larger portions vary.

Food/BeverageSmall PortionLarge Portion
Orange Juice18 g sugar in 8 ounces36 g sugar in 16 ounces
Regular Soda24 g sugar in 8 ounces48 g sugar in 16 ounces
Sweetened Whole Grain Wheat Cereal11 g sugar in one cup17 g sugar in 1 1/2 cups
Light French Salad Dressing7 g sugar in 2 TB14 g sugar in 1/4 cup
Caesar Salad Dressing1 g sugar in 2TB2 g sugar in 1/4 cup
Chocolate sandwich cookie14 g sugar in 3 cookies28 g sugar in 6 cookies

As you can see viewing the chart, the larger the portion, the more sugar added to the diet. Rather than advising patients to completely avoid cookies, or soda, or certain types of sugar in general, it may be more effective to find out what they are eating and drinking and then helping them understand which foods and beverages contribute added sugars to the diet, and how they can monitor their portions of these foods.  Helping patients create meal plans that they can enjoy, allows them some control over their choices, but can result in a more sustainable and complete nutrient profile.

As Mary Poppins was known to say, “A spoonful of sugar helps the medicine go down.” And food is medicine. Shift your focus from singling out certain sweeteners and instead focus on finding ways for your patients to enjoy a diet that includes a wider variety of fruits and vegetables, grains, beans, and other plant-based foods.

 

Rosanne Rust MS, RDN, LDN is a registered, licensed dietitian-nutritionist with over 25 years experience. As a Nutrition Communications Consultant  she delivers clear messages helping you understand the science of nutrition so you can enjoy eating for better health. Rosanne is the co-author of several books, including DASH Diet For Dummies® and the The Glycemic Index Cookbook For Dummies®. A wife, and mother of 3 boys, she practices what she preaches, enjoying regular exercise, good food and festive entertaining. Follow her on Twitter @RustNutrition.

The post A Sugar by Any Other Name would Taste as Sweet appeared first on FructoseFacts.


faq2Do you have questions about low-calorie sweeteners? Want to learn more about maintaining a healthy lifestyle? You asked and we listened. Our resident Registered Dietitians answered the most popular questions about low-calorie sweeteners.

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