Metabolic and clinical aspects of sugar, fructose, soft drinks Dr. Shira Zelber-Sagi School of Public Health, Faculty of Social Welfare and Health
|
|
- Agatha Copeland
- 6 years ago
- Views:
Transcription
1 Metabolic and clinical aspects of sugar, fructose, soft drinks Dr. Shira Zelber-Sagi School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa Department of Gastroenterology & Hepatology Tel Aviv Sourasky Medical Center
2 Added sugar Sugar added to a food including: sucrose, HFCS, honey, molasses, and other syrups Representing 318 kcal of dietary intake for the average American, or 16% of all caloric intake (national survey ) Contributes 80% of the dietary fructose consumed MucciL,et al. Intern EmergMed 2011 Welsh JA, et al. Circulation 2011
3 Sugar-sweetened beverages SSBs Include the full range of soft drinks, fruit drinks, energy drinks, and vitamin water drinks Are the primary source of added sugars Fructose Added sugar SSBs MucciL, et al. Intern EmergMed 2011 Welsh JA, et al. Circulation 2011
4 Soft drinks consumption in Israel 2006 Youth in Israel Findings from the 5th International HBSC survey (Health Behaviors of School-aged Children y) % Jewish Arab n= 3,936 n= 2,437 Harel FischY, et al. HBSC survey, Bar IlanUniversity
5 Drinking soft drinks daily Israel Girls: 41% Boys: 45% Adolescents' food habits: results of the Health Behavior in School-aged Children survey US Girls: 30% Boys: 37% World average Girls: 25% Boys: 32% Harel FischY, et al. HBSC survey, Bar IlanUniversity
6 Pure, white, and deadly??? The dark side of sugar suspected many years ago -association between sugar consumption and CHD (Yudkin J. 1963) Fructose proposed as a natural substitute of sucrose for diabetic patients Metabolism not dependent on insulin Causes only a limited rise in glycemia 50% Fructose Serious adverse metabolic effects for increased dietary intake of fructose TappyL, et al. Nutrition 2010
7 Cardiovascular risk and dietary sugar/fructose intake: is the link so sweet? MucciL, et al. Intern EmergMed 2011
8 How did the fruit sugar became the bad sugar?? TappyL, et al. Nutrition 2010
9 Fructose promotes steatosis & inflammation Fructose Uric acid Insulin resistance Oxidative stress Steatohepatitis NAFLD Afzali A, et al. Hepatolog 2010 Stanhope KL, et al. J Clin Invest 2009
10 Putative mechanisms linking excess fructose consumption to the metabolic syndrome TappyL, et al. Nutrition 2010
11 Lipotoxicity The adverse effect of an excess of fatty acids on the function of non-adipocytes liver, pancreas, muscle
12 7-day fructose overconsumption causes hepatic lipid deposition in healthy men Crossover trial H-MRS Subjects with and without a family P< 0.05 history of type 2 diabetes P< d isocaloric diet or a hypercaloric highfructose diet n=8 n=16 LêKA, et al. Am J Clin Nutr 2009
13 Sucrose-sweetened beverages increase fat storage in the liver 47 overweight subjects Randomized to 4 different test drinks 1 L/d for 6 mo P = 0.01 Regular Cola Milk Carbohydrate (g/100 ml) Fat (g/100 ml) % Milk Water Energy (kj/d) Cola Diet cola Maersk M, et al. Am J Clin Nutr 2012
14 NAFLD patients consume twice the amount of soft drinks Carbohydrates from soft drinks Fructose calories from soft drinks P<0.05 P<0.05 Regardless of BMI & total calories Zelber-SagiS, et al. J of Hepatology2007 Controls matched for and BMI OuyangX, et al. J of Hepatology2008
15 Why is fructose bad for Satiety?
16 Fructose vs. glucose in Satiety Fructose Glucose No Glut-5 in pancreatic beta cells Stimulation insulin secretion Suppression of ghrelin Stimulation leptin secretion Satiety signals Fructose Melanson KJ, et al. Am J Clin Nutr 2008
17 Why sweetened beverages are the worst? 1. Large amounts of rapidly absorbed sugars 2. Sweetened liquids only modestly reduce food intake 3. Contain a lot of: Fructose HFCS Sucrose 4. Caramel coloring which is rich in AGEs Over caloric consumption Fructose produces more AGEs as compared to glucose Advanced Glycation End-Products Increase insulin resistance and inflammation White JS, et al. Am J ClinNutr2008 VlassaraH, et al. PNAS 2002
18 Sugar sweetened beverages and weight gain Clinical trials
19 Liquid versus solid carbohydrate: effects on food intake Cross-over design 7 males and 8 females Dietary carbohydrate loads of 450 kcal/d during 4 week liquid (soda) solid (jelly beans) Diet records Mean reported energy intake prior to and at the end of both intervention periods ~450 kcal DiMeglio DP, et al. International Journal of Obesity 2000
20 Effect of drinking soda sweetened with aspartame or high-fructose corn syrup on body weight Changes in body weight during 3-wk Cross-over design 30 normal-weight subjects 3-wk periods of 1,150 g/d soda sweetened: aspartame (APM) high-fructose corn syrup (HFCS) TordoffMG, et al. Am J clinnutr1990 *p < 0.05 relative to in no-soda period
21 Sucrose compared with artificial sweeteners: different effects on ad libitum food intake and body weight RCT Overweight subjects 10 wk daily supplements containing sucrose (n = 21) artificial sweeteners (n = 20) Sucrose supplements provided 152 g sucrose/d mostly from soft drinks body weight P < fat mass Blood pressure increased in the sucrose group but decreased in the sweetener group Systolic BP (mm Hg) +6.9 Siastolic BP (mm Hg) +5.3 P < fat free mass RabenA,et al. Am J Clin Nutr 2002
22 Effects of decreasing sugar-sweetened beverage consumption on body weight in adolescents BMI trends over 25 weeks as a function of baseline BMI Intervention RCT 103 adolescents who regularly consumed sugar-sweetened beverages Control 25 weeks home deliveries of non-caloric beverages to displace sugar-sweetened beverages Ebbeling CB, et al. Pediatrics 2006
23 SSB consumption and body weight: meta-analysis of randomized trials Adding mandatory SSB consumption to persons diets RCT s, Lasting at least 3 weeks (up to 1 year) Population: adults Daily energy loads ranged from ~150 kcal to 530 kcal Sample sizes Healthy lifestyle education program to reduce SSB consumption RCT s, Lasting at least 4 weeks (up to 39 weeks) Population: children/ adolecents/ adults Sample sizes Estimated weight gain effect of SSB Dose-Response Mattes RD, et al. obesity reviews 2011
24 SSB consumption and body weight: a meta-analysis of randomized trials
25 Sugar sweetened beverages and weight gain Epidemiological studies
26 Changes in diet and lifestyle and longterm weight gain in women and men Three separate prospective cohorts including 120,877 U.S. women and men ~0.5 Kg Mozaffarian D, et al. NEJM 2011
27 Weight according to trends in SSB consumption Prospective cohort conducted from 1991 to 1999 Women in the Nurses Health Study II 51,603 women Mean Change in Energy Consumption Mean Weight kcal/d +9 kg Schulze MB, et al. JAMA 2004
28 Sugar sweetened beverages and metabolic disorders
29 Relative risk of type 2 diabetes according to frequencies of SSBs consumption in women from the NHS ll RR (95% CI) <1/m o 1-4/mo 2-6/wk 1/d P for trend All sugarsweetened soft drinks ( ) 1.49 ( ) 1.83 ( ) <0.001 Sugarsweetened cola ( ) 1.56 ( ) 1.87 ( ) <0.001 Fruit punch ( ) 1.15 ( ) 2.0 ( ) Relative risks are adjusted for age, lifestyle habits and dietary confounders, family history of diabetes & relevant medications The RR for extreme categories further controlling for BMI was 1.39 ( CI) Schulze MB, et al. JAMA 2004
30 SSB and Risk of metabolic syndrome and type 2 diabetes A meta-analysis of prospective cohort studies in adults Metabolic syndrome 19,431 participants All studies adjusted for potential confounding by diet and lifestyle factors, suggesting an independent effect of SSBs Type 2 diabetes 310,819 participants MalikVS, et al. Diabetes Care 2010
31 HDL levels by intake of added sugars among US Adolescents Cross-sectional study of 2,157 US adolescents in the NHANES 1999 to hour recall of food intake Adjusted for body weight ethnicity sex mean HDL P for linear trend Welsh JA, et al. Circulation 2011 % Total energy from added sugars
32 HOMA-insulin resistance by intake of added sugars among US Adolescents Overweight/ obese P for trend mean HOM MA-IR Normal weight P for trend 0.41 Welsh JA, et al. Circulation 2011
33 Consuming fructose-sweetened vs. glucoses sweetened beverages Double-blind clinical trial 32 overweight subjects Glucose-or fructose-sweetened beverages providing 25% of energy requirements for 10 weeks Despite comparable weight gain (+1.5~), there were differential effects of glucose and fructose on body fat distribution Fructose n = 17 Stanhope KL, et al. J Clin Invest 2009
34 Consuming fructose-sweetened vs. glucoses sweetened beverages 24-hour circulating TG concentrations before and after the intervention Glucose n = 14 Fructose n = 17 Stanhope KL, et al. J Clin Invest 2009
35 Consuming fructose-sweetened vs. glucoses sweetened beverages Glucose concentrations during an OGTT before and after 9 weeks Insulin concentrations during an OGTT before and after 9 weeks P = Hepatic fractional DNL Stanhope KL, et al. J. Clin. Invest 2009
36 Reducing consumption of sugar-sweetened beverages is associated with reduced blood pressure 810 hypertensive adults 18-month behavioral intervention trial Adjusted for known risk factors for BP including changes in lifestyle and in body weight Chen L, et al. Circulation 2010
37 Suggested mechanism for the pressor effect of sugars Enhanced sympathetic nervous system activity-a short-term increase in catecholamine secretion has been shown after ingestion of sugar Reduction in sodium excretion Fructose consumption raise serum uric acid, which can decrease endothelial nitric oxide and/or activate the renin-angiotensinsystem Chen L, et al. Circulation 2010
38 Sugar-sweetened vs. diet soft drinks and serum uric acid levels Hyperuricemiais considered the precursor of gout Soft drinks contain large amounts of fructose, which is the only carbohydrate known to increase uric acid levels 14,761 adults from the Third NHANES ChoiJW, et al. Arthritis & Rheumatism 2008
39 Serum uric acid levels according to categories of sugar-sweetened vs. diet soft drink consumption Adjusted for: age, sex, smoking, body mass index, relevant medications, hypertension, alcohol, meats, seafood, dairy foods, coffee, tea, total energy ChoiJW, et al. Arthritis & Rheumatism 2008
40 Nutrition Microbiota 1. Determines susceptibility to diet 2. Influenced by diet mediating factor Metabolism VOS MB, et al. Hepatology 2009 Le Roy T, et al. Gut 2012
41 Fructose/ Fat-induced NAFLD is mediated by intestinal microflora + Alterations in gut flora Increased intestinal permeability Increased translocation of bacterial endotoxin OR Steatosis Hepatic TNF VOS MB, et al. Hepatology 2009 Spruss A, et al. Hepatology 2009
42 Antibiotics protect against fructose-induced hepatic steatosis & intestinal translocation Hepatic lipid accumulation Endotoxin in portal vein Bergheim I, et al. Journal of Hepatology 2008
43 AHA recommendations for upper limit intake of added sugars 5 teaspoons/day for woman 9 teaspoons/day for man One can (330 cc) of cola or fruit juice contains 8 teaspoons of added sugar and/or fructose Johnson RK, et al. Circulation. 2009
44 Summary and conclusions There is considerable evidence that SSBs produce weight gain & metabolic alterations The deleterious health effects of SSBs seem to be independent of body of weight and lifestyle factors Fructose seem to be responsible for most of the metabolic damage caused by SSBs consumption Johnson RK, et al. Circulation 2009 TappyL, et al. Nutrition 2010
45 Thank you and drink water
Fructose in Insulin Resistance- Focused on Diabetes 순천향대학교부천병원 내분비내과 정찬희
Fructose in Insulin Resistance- Focused on Diabetes 순천향대학교부천병원 내분비내과 정찬희 Introduction Unique characteristics of Fructose Metabolism Mechanism for Fructose-Induced Insulin Resistance Epidemiological Studies
More informationFructose in diabetes: Friend or Foe. Kim Chong Hwa MD,PhD Sejong general hospital, Division of Endocrinology & Metabolism
Fructose in diabetes: Friend or Foe Kim Chong Hwa MD,PhD Sejong general hospital, Division of Endocrinology & Metabolism Contents What is Fructose? Why is Fructose of Concern? Effects of Fructose on glycemic
More informationFructose, Uric Acid and Hypertension in Children and Adolescents
Fructose, Uric Acid and Hypertension in Children and Adolescents Daniel I. Feig, MD, PhD, MS Director, Division of Nephrology Department of Pediatrics University of Alabama, Birmingham Topics for Discussion
More informationSugar-Loaded Beverages and the Impact on Cardiovascular Health. Christina M. Shay, PhD, MA
Sugar-Loaded Beverages and the Impact on Cardiovascular Health Christina M. Shay, PhD, MA 1 Presenter Disclosure Information Christina M. Shay, PhD, MA Sugar-Loaded Beverages and the Impact on Cardiovascular
More informationIntake of sugar-sweetened beverages and weight gain: a systematic review REVIEW ARTICLE
Intake of sugar-sweetened beverages and weight gain: a systematic review REVIEW ARTICLE 1 American Journal of Clinical Nutrition Vol. 84, No. 2, 274-288, August 2006 Vasanti S Malik, Matthias B Schulze
More informationIntake of sugar-sweetened beverages and weight gain: a systematic review 1 3
Review Article Intake of sugar-sweetened beverages and weight gain: a systematic review 1 3 Vasanti S Malik, Matthias B Schulze, and Frank B Hu ABSTRACT Consumption of sugar-sweetened beverages (SSBs),
More informationReducing added sugars:
Reducing added sugars: Will it reverse the trend toward overweight & obesity? John S. White, Ph.D. White Technical Research Argenta, IL USA Chicago, 23 October 2018 1 Disclosure statement 24-year industry
More informationThe Current and Emerging Knowledge and Research on Non-Nutritive Sweeteners. November 16, 2018 (1-2 PM EST)
The Current and Emerging Knowledge and Research on Non-Nutritive Sweeteners November 16, 2018 (1-2 PM EST) Agenda 1:00 PM Welcome and Introduction Andrew Zajac, U.S. Food and Drug Administration 1:05 PM
More informationSugar-Sweetened Beverages and Health
Sugar-Sweetened Beverages and Health CIA-Harvard Menus of Change National Leadership Summit June 10, 2014 Cambridge, MA General Session IV Walter C. Willett, MD, DrPH Department of Nutrition Harvard School
More informationFast-food, Fatty liver, & Insulin Resistance. Giulio Marchesini Clinical Dietetics Alma Mater Studiorum University of Bologna
Fast-food, Fatty liver, & Insulin Resistance Giulio Marchesini Clinical Dietetics Alma Mater Studiorum University of Bologna Supersize Me Unhealthy Effects of Fast Food After consuming three meals a day
More informationSugar-Sweetened Beverages Consumption: Evidence for the effects on obesity. David S. Ludwig, MD, PhD
Sugar-Sweetened Beverages Consumption: Evidence for the effects on obesity David S. Ludwig, MD, PhD 1 Presenter Disclosure Information David S. Ludwig, MD, PhD Sugar-Sweetened Beverages Consumption: Evidence
More informationSugar and sweetener science. Heidi Wengreen, RD, PhD Professor of Nutrition Utah State University
Sugar and sweetener science Heidi Wengreen, RD, PhD Professor of Nutrition Utah State University Learning objectives List current recommendations for added sugar consumption. List health impacts of added
More informationShow Me the Evidence! Busting the Top Three Myths about Aspartame
Show Me the Evidence! Busting the Top Three Myths about Aspartame Supported by: Ajinomoto North America Inc. 1 MYTH # 1 MYTH: Low calorie sweeteners, such as aspartame, cause weight gain. FACT: Trial after
More informationConflict of interest regarding this presentation:
2 Conflict of interest regarding this presentation: I wish to declare a potential conflict of interest, and that I have received either direct or indirect industry support in relation to all or part of
More informationCarbohydrates, sugars and chronic disease: a global health focus
Carbohydrates, sugars and chronic disease: a global health focus Prof Dr Fred Brouns Faculty of Health Medicine and Life Sciences School of Nutrition and Translational Research in Metabolism Maastricht
More informationTHE STORY ON SUGAR A N A R A L L I D I N A, M P H, R D. ALI 261: The Story on Sugar
THE STORY ON SUGAR A N A R A L L I D I N A, M P H, R D 1 ALI 261: The Story on Sugar OBJECTIVES Explain the need for sugar in our bodies The difference between fructose and glucose Explain the health effects
More informationWhat should I drink? Monica Esquivel ECHO Diabetes Learning Group December 6, 2017
What should I drink? Monica Esquivel ECHO Diabetes Learning Group December 6, 2017 Learning Objectives Describe relationship between added sugar and sugar sweetened beverages intake and health Differentiate
More informationRachel K. Johnson, PhD, MPH, RD Professor of Nutrition and Associate Provost The University of Vermont Member AHA Nutrition Committee
Rachel K. Johnson, PhD, MPH, RD Professor of Nutrition and Associate Provost The University of Vermont Member AHA Nutrition Committee 10 committee members 10 liaison members Expertise in nutrition, pediatrics,
More informationTaxing Sugary Drinks in Canada: Evidence and Challenges. Dr. Tom Warshawski Chair, Childhood Obesity Foundation
Taxing Sugary Drinks in Canada: Evidence and Challenges Dr. Tom Warshawski Chair, Childhood Obesity Foundation Disclosure I have no industry sponsorship I did drink a can of Coke on the plane Thursday
More informationSugar sweetened beverages association with hyperinsulinemia
Sugar sweetened beverages association with hyperinsulinemia among aboriginal youth population Aurélie Mailhac 1, Éric Dewailly 1,2, Elhadji Anassour Laouan Sidi 1, Marie Ludivine Chateau Degat 1,3, Grace
More informationA Quick Lesson in Sugars! Monosaccharides. Simple Sugars. Within the body, ALL are converted to glucose! Carbohydrate Digestion SITE ENZYMES END PROD
Sugars & Grains Presented by Fred Hardinge, DrPH, RD Associate Health Directo General Conference of SDA Monosaccharides Simple Sugars Glucose (Dextrose) Fructose Galactose Within the body, ALL are converted
More informationUS Endocrinology. The Role of Fructose, Sucrose, and High-fructose Corn Syrup in Diabetes.
US Endocrinology The Role of Fructose, Sucrose, and High-fructose Corn Syrup in Diabetes www.touchendocrinology.com Adrian I Cozma, HBSc and John L Sievenpiper, MD, PhD CozmaSievenpiperREPRINT.indd 1 16/08/2013
More informationAdded Sugars: Coming Soon to a Food Label Near You
Added Sugars: Coming Soon to a Food Label Near You Nick Rose, MS, CN Nutrition Educator - PCC Markets www.nickdigsfood.com Learning Objectives: 1. Explain the updates coming to the Nutrition Facts Panel,
More informationWeight Loss NOTES. [Diploma in Weight Loss]
Weight Loss NOTES [Diploma in Weight Loss] The Sugar Devil Sugar Facts Two out of three adults and one out of three children in the United States are overweight or obese The nation spends an estimated
More informationEvi Seferidi PhD student Imperial College London
Associations of sweetened beverage intake with energy, sugar and cardiometabolic markers in UK children: a cross-sectional analysis of the National Diet and Nutrition Survey Rolling Programme Evi Seferidi
More informationTRUTH: On average, Canadians consume 11% of energy from added sugars, and consumption has been declining
Uncover the truth about sugar: consumption Myth: Canadians are eating more and more sugar TRUTH: On average, Canadians consume 11% of energy from added sugars, and consumption has been declining Three
More informationApplied Physiology, Nutrition, and Metabolism. Aspartame intake is associated with greater glucose intolerance in individuals with obesity
Aspartame intake is associated with greater glucose intolerance in individuals with obesity Journal: Manuscript ID apnm-2015-0675.r2 Manuscript Type: Brief communication Date Submitted by the Author: 31-Mar-2016
More informationU.S. Dietary Guidelines: Sweet or Sour
U.S. Dietary Guidelines: Sweet or Sour Roger Clemens, DrPH, CFS, CNS, FACN, FIFT, FIAFST Adj Professor, Pharmacology and Pharmaceutical Sciences, USC School of Pharmacy, Los Angeles clemens@usc.edu Degree
More informationLow carbohydrate diets- do they have a place?
Low carbohydrate diets- do they have a place? Grant Schofield Professor of Public Health AUT University, Auckland NZ @grantsnz www.facebook.com/profgrant www.profgrant.com Atherogenic dyslipidemia is [primarily]
More informationIdeas to consider when designing your own rules:
Ideas to consider when designing your own rules: Things to consider when creating rules about what you will eat: 1. What are you going to or willing to eat? 1. Ingredients in the foods what ingredients
More informationMRC/ARUK Centre for Musculoskeletal Ageing GOOD CARBS, BAD CARBS
MRC/ARUK Centre for Musculoskeletal Ageing GOOD CARBS, BAD CARBS Ian Macdonald University of Nottingham AFFILIATION/FINANCIAL INTERESTS (prior 12 months) Disclosures CORPORATE ORGANIZATION Grants/Research
More informationMilk and weight management
Milk and weight management Angelo Tremblay Division of Kinesiology Human obesity: is insufficient calcium/dairy intake part of the problem? Risk factors for overweight and obesity in adulthood: Results
More informationSugar consumption and health: an update of the evidence
Sugar consumption and health: an update of the evidence Dr Charlotte Evans c.e.l.evans@leeds.ac.uk Lecturer in nutritional epidemiology School of Food Science and Nutrition, University of Leeds FDIN 8
More informationTYPE 2 DIABETES MELLITUS AFfects
ORIGINAL CONTRIBUTION Sugar-Sweetened Beverages, Weight Gain, and Incidence of Type 2 Diabetes in Young and Middle-Aged Women Matthias B. Schulze, DrPH JoAnn E. Manson, MD David S. Ludwig, MD Graham A.
More informationWhere are we now? Expected New Cancer Diagnosis in 2016 American Cancer Society. Cancer Facts & Figures Atlanta: American Cancer Society; 2016.
Dr. Pat Buchar, DC Where are we now? Expected New Cancer Diagnosis in 2016 American Cancer Society. Cancer Facts & Figures 2016. Atlanta: American Cancer Society; 2016. Why haven t we made progress? 1.
More informationS U G A R ; A B I T E S I Z E G U I D E
S U G A R ; A B I T E S I Z E G U I D E The World Health Organization recommends we have a maximum of six teaspoons per day for women and nine teaspoons per day for men. The average Australian has 28 teaspoons
More informationDietary Options for Inflammatory Bowel Disease
Dietary Options for Inflammatory Bowel Disease Michael J. Rosen, MD, MSCI Schubert-Martin Inflammatory Bowel Disease Center Learning objectives Worldwide rise in the incidence of IBD The relationship between
More informationHypertension with Comorbidities Treatment of Metabolic Risk Factors in Children and Adolescents
Hypertension with Comorbidities Treatment of Metabolic Risk Factors in Children and Adolescents Stella Stabouli Ass. Professor Pediatrics 1 st Department of Pediatrics Hippocratio Hospital Evaluation of
More informationWe are being killed by fructose by Robert Harrison Black
We are being killed by fructose by Robert Harrison Black bob@life401.com Executive summary: We are having an epidemic of metabolic syndrome which includes, obesity, fatty liver disease, type two diabodies
More informationBEVERAGES. Risks and opportunities: the science. Sigrid Gibson. Director, Sig- Nurture Ltd. Nutrition Consultants
BEVERAGES Risks and opportunities: the science Sigrid Gibson Director, Sig- Nurture Ltd. Nutrition Consultants OTHER ingredients BEVERAGES HEALTHY OR UNHEALTHY? SUGAR(S) & OBESITY JUICES AND 5- A- DAY
More informationNutrition Wars: Choosing Better Carbohydrates
Nutrition Wars: Choosing Better Carbohydrates What are carbohydrates? There are 2 main types of carbohydrates: Simple carbohydrates include sugars found naturally in fruit, some vegetables, milk and milk
More informationUsing the Nutrition Facts Table to Make Heart Healthy Food Choices
Using the Table to Make Heart Healthy Food Choices Most packaged food products that you purchase contain a Table on the label. The Table lists information on nutrients that are found in the food product.
More informationMichele Helfgott, MD, FACOG
Not for profit, all about you. Protecting Your Waistline: The Skinny on Vitamin D and the Insulin Connection Angela LaSalle, MD Medical Director Integrative Medicine and Parkview Women s Health Center
More informationResearch Article A Study to Assess Relationship Between Nutrition Knowledge and Food Choices Among Young Females
Cronicon OPEN ACCESS EC NUTRITION Research Article A Study to Assess Relationship Between Nutrition Knowledge and Food Choices Among Young Females Maidah Nawaz 1 *, Samia Khalid 1 and Sania Ahmed 2 1 Department
More informationLearning Zone Express Learning Zone Express
1 What Do You Drink? Soda Diet soda Iced tea Sports drinks Energy drinks Juice Milk Coffee drinks Smoothies Water 2 Obesity Rates Increase Obese 1 in 3 Americans Overweight 50% of Americans Child/Teen
More informationBalancing the Sugar-Fat Seesaw:
Balancing the Sugar-Fat Seesaw: Understanding the relatives roles played in obesity Dr Carlos Celis-Morales Institute of Cardiovascular and Medical Sciences University of Glasgow Sugar versus Fat: Who
More informationBachelorarbeit Fructose and weight gain
Bachelorarbeit Fructose and weight gain Bogner-Strauß, Juliane Gertrude, Assoc.Prof. Mag.rer.nat. Dr.rer.nat. Von Johanna Maria Ticar Mat: 0730208 Graz, 27.07.2011 Abstract The prevalence of obesity is
More informationAuthor Manuscript Faculty of Biology and Medicine Publication
Serveur Académique Lausannois SERVAL serval.unil.ch Author Manuscript Faculty of Biology and Medicine Publication This paper has been peer-reviewed but dos not include the final publisher proof-corrections
More informationARE ALL SUGARS CREATED EQUAL?
Fundamentals Module 21 ARE ALL SUGARS CREATED EQUAL? 2 SUGAR Sugars are carbohydrates, composed of carbon, hydrogen, and oxygen. Sugars come in a variety of forms, but can be distinguished easily (at least
More informationHealthy Fats & Fatty Acids Current Dietary Recommendations and Popular Opinions
Healthy Fats & Fatty Acids Current Dietary Recommendations and Popular Opinions Presentation 1 of 2 Penny M. Kris-Etherton PhD RD FAHA FNLA FASN CLS Department of Nutritional Sciences Penn State University
More informationLecture 4 Nutrition Part 2 Nutrition 1. Healthy Diet 2. Sugar 3. Consumer Concerns
Lecture 4 Nutrition Part 2 1 Nutrition 1. Healthy Diet 2. Sugar 3. Consumer Concerns 2 1 Healthy Diet! 3 Four basic behaviors that constitute a "healthy lifestyle" 1. A good diet, 2. Moderate Exercise,
More informationSugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis 1 3
Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis 1 3 Vasanti S Malik, An Pan, Walter C Willett, and Frank B Hu ABSTRACT Background: The relation between
More informationGlobal Burden of Disease Attributable to Sugar Sweetened Beverages
Global Burden of Disease Attributable to Sugar Sweetened Beverages Dariush Mozaffarian, MD DrPH Dean, Friedman School of Nutrition Science & Policy Press Conference Mexico City, Mexico November 11, 2014
More informationTHE SAME EFFECT WAS NOT FOUND WITH SPIRITS 3-5 DRINKS OF SPIRITS PER DAY WAS ASSOCIATED WITH INCREASED MORTALITY
ALCOHOL NEGATIVE CORRELATION BETWEEN 1-2 DRINKS PER DAY AND THE INCIDENCE OF CARDIOVASCULAR DISEASE SOME HAVE SHOWN THAT EVEN 3-4 DRINKS PER DAY CAN BE BENEFICIAL - WHILE OTHERS HAVE FOUND IT TO BE HARMFUL
More informationGN , CCNE: How Sweet is Your Drink?
GN-000-28, CCNE: How Sweet is Your Drink? Client-centered nutrition education uses methods like group discussions and hands-on activities to engage participants in learning. This outline starts with a
More informationNutritional Recommendations for the Diabetes Managements
In the name of God Nutritional for the Diabetes Managements Zohreh Mazloom. PhD Shiraz University of Medical Sciences School of Nutrition and Food Sciences Department of Clinical Nutrition OVERVIEW Healthful
More informationHealth and Wellness of Stevia as a Sweetener
Health and Wellness of Stevia as a Sweetener Keith T. Ayoob, EdD, RDN, FADN Associate Professor Emeritus, Albert Einstein College of Medicine, New York October 17, 2017 Conflict of Interest Disclosure
More informationBasic Nutritional Science
WTCS Repository 10-806-172 Basic Nutritional Science Course Outcome Summary Course Information Description Total Credits 3.00 This course provides an introduction into the science of nutrition. Basics
More informationSugars, Obesity, and Cardiometabolic risk
Sugars, Obesity, and Cardiometabolic risk John L Sievenpiper, MD, PhD, FRCPC 1,2,3,4 1 Consultant Physician, Division of Endocrinology, St. Michael s Hospital, University of Toronto 2 Scientist, Li Ka
More informationWhich could be made worse by the over-consumption of sugar or calories?
Which could be made worse by the over-consumption of sugar or calories? Added Sugars are sugars that are not found naturally in a product. Sugars are found naturally in fruits (fructose) and fluid milk
More informationMei Chung, Jiantao Ma, Kamal Patel, Samantha Berger, Joseph Lau, and Alice H Lichtenstein
Fructose, high-fructose corn syrup, sucrose, and nonalcoholic fatty liver disease or indexes of liver health: a systematic review and meta-analysis 1 4 Mei Chung, Jiantao Ma, Kamal Patel, Samantha Berger,
More informationNUTRITION 101 & CLEAN EATING
NUTRITION 101 & CLEAN EATING Macro-Nutrients vs Micro-Nutrients NUTRIENTS Carbohydrates 4 Calories/gram Fiber Fats 9 Calories/gram Proteins 4 Calories/gram Alcohol: 7 calories/gram NUTRITION LABEL Required
More informationIndustrialized Food Components and Obesity Risk. Kylie Kavanagh, VMS MS MPH Department of Pathology
Industrialized Food Components and Obesity Risk Kylie Kavanagh, VMS MS MPH Department of Pathology Overview Role of science in policy development Components versus calories Past lessons (trans fat) Present
More informationCarbs: The Staff of Life, or The Stuff of Death? Ed Cox, M.D.
Carbs: The Staff of Life, or The Stuff of Death? Ed Cox, M.D. Pyramid, or Paleo? Carbs defined Carbohydrates (abbrev. CHO) = saccharides Saccharide from Greek for sugar Compounds of carbon, oxygen and
More informationObjectives. Objectives. Alejandro J. de la Torre, MD Cook Children s Hospital May 30, 2015
Alejandro J. de la Torre, MD Cook Children s Hospital May 30, 2015 Presentation downloaded from http://ce.unthsc.edu Objectives Understand that the obesity epidemic is also affecting children and adolescents
More informationThe Scientific Advisory Committee on Nutrition s recommendations on sugars
The Scientific Advisory Committee on Nutrition s recommendations on sugars SACN recommends that the average intake, across the UK population, of free sugars should not exceed 5% of total dietary energy
More informationWHAT S INSIDE. Nutrient Institute LLC. All Rights Reserved
WHAT S INSIDE Nutrient Institute LLC. All Rights Reserved Table of Contents Macronutrients PAGE 3-4 Micronutrients PAGE 5 Other Ingredients PAGE 5-6 Micronutrients PAGE 5 Bad Stuff PAGE 6-8 By Nutrients
More informationSNAP-Ed Webinar Series Dietary Guidelines
SNAP-Ed Webinar Series 2015-2020 Dietary Guidelines Joan Doyle Paddock, MPH, RD Senior Extension Associate Division of Nutritional Sciences Cornell University jed36@cornell.edu Pre-recorded webinar Send
More informationLecture 4 Nutrition, Part 2 Nutrition 1. What is a Healthy Diet? 2. Food Labels 3. Sugar 4. Consumer Concerns
Lecture 4 Nutrition, Part 2 1 Nutrition 1. What is a Healthy Diet? 2. Food Labels 3. Sugar 4. Consumer Concerns 2 1 Healthy Diet? 3 Four basic behaviors that constitute a "healthy lifestyle" 1. A good
More informationSugar Food Facts Answer Sheet
Sugar Food Facts Answer Sheet 1. B 1. On average, how many teaspoons of sugar do Americans eat each day? a) 12 teaspoons (about 1/4 cup) b) 22 teaspoons (about 1/2 cup) c) 32 teaspoons (about 3/4 cup)
More informationThe sugar reduction environment. Professor Julian G. Mercer Rowett Institute
The sugar reduction environment Professor Julian G. Mercer Rowett Institute June 2014 Eating too much sugar is bad for us..the steps PHE will take to help families and individuals to reduce their sugar
More informationPart 1: Obesity. Dietary recommendations in Obesity, Hypertension, Hyperlipidemia, and Diabetes 10/15/2018. Objectives.
Dietary recommendations in Obesity, Hypertension, Hyperlipidemia, and Diabetes Stephen D. Sisson MD Objectives To review dietary recommendations in the following conditions: Obesity Hypertension Diabetes
More informationInterpretation of the mandate and methodology applied
Interpretation of the mandate and methodology applied Marco Vinceti Chair, EFSA WG on free sugars Technical meeting, 13 February 2018 TERMS OF REFERENCE (TOR) ORIGINAL REQUEST Mandate requestor National
More informationResults/ conclusion. Reference Duration Number subjects. Study description. Limitations of the data. Randomized controlled trial (RCT)
(original) Appel, 1997 8 weeks 459 459 ; all received a control SAD for 3 weeks then randomized to (i) control (ii) a diet rich in fruits and veg (FV) or (iii) a combination diet (combo) rich in fruits,
More informationChapter 2 Carbohydrates
216 Answer, K/A, page(s) Chapter 2 Carbohydrates K = knowledge question; A = application question True/False T K 34 1. Whenever carbohydrate is available to the body, the human brain depends exclusively
More informationThe Nutritional Information Panel is a pretty technical looking piece of artwork and the main question people ask about it WHAT DOES IT ALL MEAN?
The Nutritional Information Panel is a pretty technical looking piece of artwork and the main question people ask about it is WHAT DOES IT ALL MEAN? Well, we want you to understand it as well as we do.
More informationSugar, Sweeteners and Public Health: choices, recommendations, taxes
Sugar, Sweeteners and Public Health: choices, recommendations, taxes Professor Mike Lean Human Nutrition, University of Glasgow 17-19 th November 2016 2nd Nutrition Conference, Dubai This Lecture is about
More informationEffect of fructose overfeeding. hepatic de novo lipogenesis and insulin sensitivity in healthy males
Effect of fructose overfeeding and fish oil administration on hepatic de novo lipogenesis and insulin sensitivity in healthy males David Faeh 1,2, Kaori Minehira 1, Jean-Marc Schwarz 3,4, Raj Periasami
More informationImproving Access to Quality Medical Care Webinar Series
Improving Access to Quality Medical Care Webinar Series Presented by The Arizona Telemedicine Program and the Southwest Telehealth Resource Center 2015 UA Board of Regents Welcome AZ, UT, CO, NM & NV FLEX
More informationReserve the computer lab. You will need one computer for each student. Earphones are recommended.
Section 4 Purpose Section 4 explains macronutrients and how they are broken down through the process of digestion. Students will have a chance to practice reading labels and figuring out calories from
More informationWhat are the risk/benefits from high intake of carbohydrates?
What are the risk/benefits from high intake of carbohydrates? Alan Barclay, PhD 2013 Australia other countries. All rights reserved Prologue: the diabesity epidemic The diabetes epidemic 1 1.15 million
More informationFoods that Increase Body Fat
Foods that Increase Body Fat To better learn what foods you should eat, it is best to learn first what you should not eat! Knowing the various food types you should not eat better prepares you to more
More informationLiquid calories, sugar, and body weight 1 3
Review Articles Liquid calories, sugar, and body weight 1 3 Adam Drewnowski and France Bellisle ABSTRACT The consumption of sugar-sweetened beverages has been linked to rising rates of obesity in the United
More informationNOTES. Developed by Fabio Comana, MA., MS., All rights Reserved Page 1
Session 455: Core Essentials in Science Fabio Comana, MA, MS, NASM CPT, CES & PES; ACE CPT & LWMC; ACSM HFS, NSCA CSCS; CISSN National Academy of Sports Medicine fabio.comana@nasm.org NOTES Developed by
More informationSugary Drink Webinar
Sugary Drink Webinar Roberta R. Friedman, ScM Director of Public Policy UCONN Rudd Center for Food Policy and Obesity Childhood Obesity Foundation June 23, 2015 Rudd Center www.uconnruddcenter.org Agenda
More informationContent. Chronic verses Acute Secret Killer The rise in inflammatory conditions Our Role in Making Changes
Inflammation Content Chronic verses Acute Secret Killer The rise in inflammatory conditions Our Role in Making Changes Is Inflammation Bad? Chronic verses Acute Causes of Acute Inflammation Any Injury
More informationAmerican Diabetes Association: Standards of Medical Care in Diabetes 2015
American Diabetes Association: Standards of Medical Care in Diabetes 2015 Synopsis of ADA standards relevant to the 11 th Scope of Work under Task B.2 ASSESSMENT OF GLYCEMIC CONTROL Recommendations: Perform
More informationHealth Education Lesson Plan Teacher: Grade Level: 4
Health Education Lesson Plan Teacher: Grade Level: 4 Core Idea: Wellness Safety Nutrition X Sexual Health Social Emotional Health Substance Use & Abuse Topic Beverages Unit Title Lesson Title Making Better
More informationDetermining the Effects of Fructose on Glycemic Control and Insulin Sensitivity in Individuals With and Without Diabetes using Meta- Analytical Tools
Determining the Effects of Fructose on Glycemic Control and Insulin Sensitivity in Individuals With and Without Diabetes using Meta- Analytical Tools By Adrian I. Cozma A thesis submitted in conformity
More informationClasses of Nutrients A Diet
Ch. 7 Notes Section 1: What is Nutrition? is the science or study of food and the ways the body uses food. are substances in food that provide energy or help form body tissues and are necessary for life
More informationNOT-FED Study New Obesity Treatment- Fasting, Exercise, Diet
NOT-FED Study New Obesity Treatment- Fasting, Exercise, Diet FASTING 16 hours a day EXCERCISE 150 min a week DIET Low carb NOSM Northern Research Conference, Kenora, 2018 R Minty, T O Driscoll, L Kelly,
More informationFoodGate: The break-in, cover-up, and aftermath. Robert H. Lustig, M.D., M.S.L. Cristin Kearns, D.D.S., M.B.A. Laura Schmidt, Ph.D., M.P.H., L.C.S.W.
FoodGate: The break-in, cover-up, and aftermath Robert H. Lustig, M.D., M.S.L. Cristin Kearns, D.D.S., M.B.A. Laura Schmidt, Ph.D., M.P.H., L.C.S.W. Osher Mini Med School for the Public, Mar 6, 2018 Decrease
More informationDietary recommendations in Obesity, Hypertension, Hyperlipidemia, and Diabetes. Stephen D. Sisson MD
Dietary recommendations in Obesity, Hypertension, Hyperlipidemia, and Diabetes Stephen D. Sisson MD Objectives To review dietary recommendations in the following conditions: Obesity Hypertension Diabetes
More informationNEW CLINICAL GUIDELINES FOR THE MANAGEMENT OF OBESITY AND METABOLIC SYNDROME
NEW CLINICAL GUIDELINES FOR THE MANAGEMENT OF OBESITY AND METABOLIC SYNDROME Alexander Frame, Richard Mathias School of Population and Public Health Obesity Pandemic (WHO) Developed Nations Developing
More informationFollowing Dietary Guidelines
LESSON 26 Following Dietary Guidelines Before You Read List some things you know and would like to know about recommended diet choices. What You ll Learn the different food groups in MyPyramid the Dietary
More informationCalcium, Dairy Products and Weight Management
Calcium, Dairy Products and Weight Management Arne Astrup Head, professor, MD, DMSc Slide 1 Is there How evidence does eating of benefit dairy from products dairy foods? impact health in the long run?
More information3 Day Diet Analysis for Nutrition 219
Name 3 Day Diet Analysis for Nutrition 219 Keep a record of everything you eat and drink for 3 days. Be specific. Was it white or wheat bread, 1% or 2% milk, 1 cup or 1½ cups, did you fry it in oil or
More informationDietary supplementation in treating non-alcoholic fatty liver disease Dr. Ahmad Saedi Associate Professor School of Nutritional Sciences and
Dietary supplementation in treating non-alcoholic fatty liver disease Dr. Ahmad Saedi Associate Professor School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Honorary Academic
More informationSupplementary Online Content
Supplementary Online Content Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB. Added sugar intake and cardiovascular diseases mortality among US adults. JAMA Intern Med. Published online February
More information