By Maribeth Evezich, MS, RD
If you’re not monitoring your intake, sugar could be sabotaging your health and weight. Because when it comes to sugar, ignorance is not bliss. Here’s why. Not long ago, added sugars were only a concern due to being “empty calories” promoting obesity and dental cavities. While considered an “unhealthy indulgence,” sugar’s only known risks were to our teeth and waistline and perhaps inadequate nutrition. But then the research started piling up. Today we know better. Over-consumption of added sugar is recognized as an independent risk factor for cardiovascular disease as well as many other chronic diseases, including diabetes mellitus, liver cirrhosis, and dementia—and is linked to dyslipidemia, hypertension, and insulin resistance.1 So the concern related to added sugar over-consumption has broadened to our whole body with potential health issues from head to toe, literally. In fact, according to UCSF School of Medicine professor Dr. Laura A. Schmidt’s invited commentary in JAMA Internal Medicine, “Too much sugar does not just make us fat; it can also make us sick.”1 Further, excess sugars are associated with premature aging as their by-products build up in connective tissue, promoting stiffness and loss of elasticity.2,3 Think wrinkles. How much is too much? Not surprisingly, major health institutions, such as the Institute of Medicine, World Health Organization (WHO), and the United States Department of Agriculture (USDA) Dietary Guidelines recommend limiting added sugars. Further, the American Heart Association (AHA) has set specific daily limits (see graphic).4 However, while the WHO echoes these guidelines, it encourages further limitation to 5% of daily calories for additional health benefits. That’s 6 teaspoons, 100 calories, 25 grams for a 2,000 calories diet.5 How are we doing? Not well! According to the USDA Dietary Guidelines, on average we’re eating almost 270 calories, or more than 13 percent of calories per day, in added sugars. That’s about 17 teaspoons (approximately 1/3 cup) of added sugars per day, about double the AHA guideline.6 Concerned about your weight? Do the math. That’s 11 teaspoons over the WHO’s more conservative recommendation. So, by simply reducing your added sugars to the lower WHO recommendation, you could be 9 kg lighter a year from now. Where is all this added sugar coming from? Most added sugar comes from processed and prepared foods. Beverages (soft drinks, fruit drinks, sweetened coffee and tea, energy drinks, alcoholic beverages, and flavored waters) are the biggest culprit. For example, with as many as 11 teaspoons (46.2 grams) of added sugar in one 350 ml. soda, a single serving is close to double the recommended limit for women and children. The other major “sugar bombs” are snacks and sweets (grain-based desserts, dairy desserts, puddings, candies, sugars, jams, syrups, and sweet toppings).7 Further, sugar is pervasive in our food supply. You’ll find it lurking in some not-so-obvious places, including savory foods, such as bread and pasta sauce, fruit juices, and bottle sauces, dressings, and condiments, such as ketchup. In fact, you’ll find added sugar in 74% of packaged foods sold in supermarkets, including those marketed as “healthy,” “natural,” “low-fat,” or “gluten-free.”7 They’re everywhere. The only way to keep them at a minimum is to eat whole, minimally processed foods. In the next post in this series, we’ll look at why sugar cravings are so tough to conquer and help you identify hidden sugars in your diet. REFERENCES
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"I'm addicted to sugar"
We’ve all heard or thought this before. Considering the American palate for highly processed, overly sweetened foods and the ubiquitous nature of sugar in advertising, we see evidence of a concerning shift. Sugar’s role in the American diet has moved beyond a character actor and into a starring role. Further, as discussed in the previous post, Sugar. How Much Is Too Much?, we consume far more sugar than is recommended for our health. But the question remains—are we addicted? More please: How sugar affects the brain While an ICD-10 code for “sugar addiction,” has yet to be established, an increasing body of research tells us that sugar has addictive effects on the brain.1,2 Like sex and drugs, consuming sugar stimulates the release of dopamine, a neurotransmitter that gives us a sense of euphoria and controls the reward and pleasure centers in the brain. But what may have evolved as a survival mechanism has gone rogue. The caveman sweet tooth From an anthropological perspective, we are hard-wired for sweetness. The pleasing taste of sweet foods was a conditioned reward, one which could increase early man’s survival odds. In times of food scarcity, a preference for more nutritionally dense foods might have provided the energy required to continue the hunt, outrun a predator, or simply avoid starvation. Flash forward a few hundred thousand years, and sugar is exponentially more abundant. Consistent intake of concentrated sugar can lead to changes in the brain’s dopamine receptors. Similar to increased drug or alcohol tolerance, over time, more sugar is needed for the same “high.” Cookies and cocaine So, the more you eat, the more you want. But, as for being “addictive” animal studies have shown sugar consumption to have drug-like effects. These include sugar-related bingeing, craving, tolerance, and withdrawal. In fact, according to a Connecticut College study, Oreo cookies cause more neural activation in the brains of rats than cocaine.3 Taking control For many individuals, the only way to stop over-consuming sugar is to stop the cravings. But the only way to end the cravings is to stop feeding them with sugar. So, in addition to cutting out the obvious forms of sugar—candy, baked goods, etc.—it is important to be aware of the less obvious forms of sugar in your diet. Over the course of a day, small quantities can add up, keep your cravings alive, and thwart your efforts to take control of sugar. So become a sugar sleuth. Here are five tips to get you started. 5 Tips for Identifying Added Sugars
The journey to a healthy relationship with sugar starts with awareness. Watch for the next post in this series, which will feature strategies for taking control of sugar. References
By Maribeth Evezich, MS, RD Sugar. Here’s what we know for sure. As a country we eat too much. It’s everywhere. And it’s possibly addictive. But how do you know if sugar is a problem for you? If in doubt, simply ask yourself who is in control—sugar or you? If you’re not sure if you or sugar is in charge, ask yourself if these situations sound familiar:
If one or more of these statements apply to you, your relationship with sugar may be unhealthy. Most people find that avoiding sugar completely, ideally for several weeks, helps them reclaim control over sugar. Follow these 10 steps to help make it happen.
References:
You eat when you’re hungry. When you’re full, you put down your fork.
It sounds simple, right? Not always. Some of us succumb to cravings even when we’re satiated. In fact, chances are that most of us have experienced cravings at one time or another. A recent study indicated 97% of women and 68% of men report feeling cravings at one time or another.1 But what are cravings? Why do we crave certain foods more than others? And, from a physiological standpoint, how does satiety work? This post will go over the details. What is satiety? Satiety is what we experience after eating a meal or snack. Normal satiety involves not only feeling full after sufficient intake, but also experiencing the need to limit consumption until the next time we get hungry.2 The brain is closely linked to satiety. The central nervous system—and more specifically, the hypothalamus—is responsible for letting us know when we’re ready to stop eating.2 Here are some of the factors that can affect the way we regulate our food intake:2
There are other factors that might occur as well.2 For instance, our physical activity levels and the pleasure we experience from eating can also affect satiety.3 And while most people stop eating when they’re satiated, others may continue to indulge long after the body signals it’s full.2 This is where food cravings come in. What causes cravings? Just as the brain affects satiety, it also plays an important role in food cravings.3,4 Cravings are the products of signals from the brain regions responsible for pleasure, memory, and rewards. These regions include the hippocampus, insula, and caudate. In many cases, the brain regions responsible for memory—those that associate specific foods with pleasure—are especially active when we crave fatty, sugary, or salty foods.4,5 There are a number of other factors that have also been linked to cravings:
Before we move on, it’s worth noting that cravings can be either selective or nonselective in nature. Selective cravings are for specific foods, like a greasy burger or a slice of rich chocolate cake.4 These types of cravings could also be specific for sugar, salt, or fat.4 If you find yourself lingering in the candy aisle, reaching for that pint of ice cream you keep in the freezer, and pouring yourself cup after cup of your favorite sweetened coffee drink, you likely have a selective craving for sugar. Non-selective cravings, conversely, don’t target specific foods. Instead, they represent a desire to eat or drink anything—and they could be the result of real hunger or thirst. If you notice these types of cravings, drink plenty of water and make sure you’re getting enough to eat. By doing so, you may be able to address these non-selective cravings relatively quickly.4,5 What are some strategies for overcoming cravings?While there’s no harm in succumbing to the occasional craving, we should all strive to adopt a nutritious diet. We’ll be healthier and happier, and the brain and body will thank us for eating nutrient-dense foods.1,3-5 With that, here are some tips for overcoming unhealthy food cravings:
So socialize with a friend. Take a hike in nature. Sit down with a good book. Do what you can to relax and find joy in your life and not on your plate.
We can replace our cravings with healthier alternatives.4 For example, instead of reaching for a sugar-laden, fruit-flavored carton of yogurt, opt for the plain alternative and sweeten it yourself—in moderation—with fresh fruit, all-natural honey, or pure maple syrup.
So try not to let yourself get too hungry—and focus on nutritious foods. Eating more protein, healthful fats, colorful produce, and whole grains throughout the day will keep your hunger in check without triggering a potential craving.3-5 While these strategies can help us manage our cravings, they aren’t our only options. Again, it’s essential to drink enough water throughout the day.4 And we can always step away from the fridge the next time a craving hits, and engage in a non-food-related, pleasure-inducing activity instead. We might stretch our muscles, spend time with family, or listen to music. Contacting your healthcare practitioner to discuss cravings and changes to diet may also be a good idea. For more information on nutrition and general wellness topics, please visit the Metagenics blog. References:
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