March 28, 2024

Researchers Warn: Popular Sugar-Free Sweetener Linked to Higher Rates of Heart Attack and Stroke

A recent research study carried out by Cleveland Clinic discovered that erythritol, a commonly utilized sweetening agent, is linked to greater threats of heart attack and stroke. The research studys outcomes were released in the journal Nature Medicine.
Cleveland Clinic research study showcases the need for further safety studies.
New Cleveland Clinic research showed that erythritol, a popular synthetic sweetener, is related to an increased danger of cardiovascular disease and stroke. Findings were published yesterday (February 27, 2023) in the journal Nature Medicine.
Scientists studied over 4,000 people in the U.S. and Europe and discovered those with higher blood erythritol levels were at raised threat of experiencing a significant negative cardiac event such as heart attack, death, or stroke. They also analyzed the results of adding erythritol to either entire blood or isolated platelets, which are cell fragments that clump together to stop bleeding and contribute to blood embolisms. Outcomes revealed that erythritol made platelets simpler to activate and form an embolism. Pre-clinical studies verified ingestion of erythritol heightened clot formation.

Synthetic sweeteners, such as erythritol, are typical replacements for table sugar in low-calorie, low-carbohydrate, and “keto” products.

Erythritol is a type of sugar alcohol that is frequently used as a low-calorie sweetener in various food and drink products. Erythritol is also often used in sugar-free and diabetic-friendly products, as it does not considerably raise blood sugar or insulin levels.

” Sweeteners like erythritol, have quickly increased in appeal in current years however there requires to be more extensive research into their long-lasting impacts,” said senior author Stanley Hazen, M.D., Ph.D., chairman for the Department of Cardiovascular & & Metabolic Sciences in Lerner Research Institute and co-section head of Preventive Cardiology at Cleveland Clinic. “Cardiovascular illness constructs in time, and heart problem is the leading cause of death internationally. We require to make certain the foods we eat arent concealed contributors.”
Sweetening agents, such as erythritol, prevail replacements for table sugar in low-calorie, low-carbohydrate, and “keto” products. Sugar-free items consisting of erythritol are frequently advised for people who have weight problems, diabetes or metabolic syndrome and are searching for choices to help manage their sugar or calorie intake. People with these conditions likewise are at higher danger for adverse cardiovascular occasions like cardiovascular disease and stroke.
New Cleveland Clinic research study, led by Dr. Stanley Hazen, revealed that erythritol, a popular sweetening agent, is connected with an increased risk of cardiovascular disease and stroke. Credit: Cleveland Clinic
Erythritol is about 70% as sweet as sugar and is produced through fermenting corn. The human body develops low amounts of erythritol naturally, so any extra intake can accumulate.
Measuring sweetening agents is challenging and labeling requirements are minimal and often do not list private compounds. Erythritol is “Generally Recognized As Safe (GRAS)” by the FDA, which means there is no requirement for long-term safety studies.
The authors keep in mind the significance of follow-up research studies to verify their findings in the general population. The study had a number of limitations, including that medical observation studies demonstrate association and not causation.
” Our study reveals that when individuals consumed an artificially sweetened drink with a quantity of erythritol discovered in numerous processed foods, significantly elevated levels in the blood are observed for days– levels well above those observed to improve clotting dangers,” said Dr. Hazen. “It is very important that more safety research studies are performed to examine the long-term impacts of sweetening agents in general, and erythritol specifically, on threats for heart attack and stroke, particularly in people at greater risk for heart disease.”
Authors recommend speaking to your doctor or a qualified dietician to get more information about healthy food options and for individualized recommendations.
Referral: “The sweetening agent erythritol and cardiovascular event risk” by Marco Witkowski, Ina Nemet, Hassan Alamri, Jennifer Wilcox, Nilaksh Gupta, Nisreen Nimer, Arash Haghikia, Xinmin S. Li, Yuping Wu, Prasenjit Prasad Saha, Ilja Demuth, Maximilian König, Elisabeth Steinhagen-Thiessen, Tomas Cajka, Oliver Fiehn, Ulf Landmesser, W. H. Wilson Tang and Stanley L. Hazen, 27 February 2023, Nature Medicine.DOI: 10.1038/ s41591-023-02223-9.
Disclosures: Dr. Hazen is named as co-inventor on pending and issued patents held by Cleveland Clinic connecting to cardiovascular diagnostics and therapeutics.

Researchers studied over 4,000 people in the U.S. and Europe and found those with greater blood erythritol levels were at raised danger of experiencing a major unfavorable cardiac occasion such as heart attack, stroke, or death. Pre-clinical research studies confirmed consumption of erythritol heightened clot development.

Erythritol is a type of sugar alcohol that is often used as a low-calorie sweetener in various food and beverage items. It has about 70% of the sweetness of regular sugar, but consists of just a fraction of the calories. Erythritol is likewise frequently used in sugar-free and diabetic-friendly items, as it does not considerably raise blood sugar or insulin levels.