Food additives and contaminants. An update.

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Abstract
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Food additives continue to be a source of benefits to the consuming public but there are also perceived risks. Concern for the latter in the last decade has produced a society afflicted with cancer phobia. The intentional additives including sugars, salt, corn syrup, and dextrose make up 90% of the direct additives. These, along with a limited number of familiar items make up a large proportion of the remainder of the additives. Such common ingredients as nitrates and nitrites, solanine, cyanogenetic compounds, arsenic, etc., are unavoidably consumed in the diet and with little if any evidence for public health consequences. Major concern on the part of the public in recent years has been focused on man-made chemicals which are intentionally added to foods to enhance flavors and acceptability, nutrient value, shelf life and increased availability. These include food colors, nonnutritive and low-nutrient sweeteners, (saccharin, cyclamate, aspartame); antioxidants; and nitrites. Contaminants, sometimes incorrectly included in lists of food additives, present the greatest potential threat to public health. Such contaminants as mycotoxins, nitrosamines, polychlorinated biphenyls (PCBs), pesticides, among others, provide a continuing challenge to our regulatory agencies and to public health authorities. Evidence to date indicate that these responsible for food safety are doing an admirable job, and as a society, our food supply has never been better, or safer, and, as a population, we have never been healthier. Aside from contaminants, major concerns relate to an excess of good food and to obesity. These comments should not be taken to infer that we should relax our concern and surveillance; instead more concern and surveillance should be exerted toward those uncontrolled substances such as natural plant products and alleged natural nutrients, roots, herbs, etc., which are given much credit for positive health effects, without meeting the high standards of our legitimate food industry.

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Nonnutritive Sweeteners: Current Use and Health Perspectives
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A 2009 American Heart Association scientific statement titled “Dietary Sugars Intake and Cardiovascular Health”1 concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 US Dietary Guidelines.2 For this reason, the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake. The present statement from the American Heart Association and the American Diabetes Association addresses the potential role of nonnutritive sweeteners (NNS) in helping Americans to adhere to this recommendation in the context of current usage and health perspectives. By definition, NNS, otherwise referred to as very low-calorie sweeteners, artificial sweeteners, noncaloric sweeteners, and intense sweeteners, have a higher intensity of sweetness per gram than caloric sweeteners such as sucrose, corn syrups, and fruit juice concentrates. As a caloric sweetener replacement, they are added in smaller quantities; hence, they provide no or few calories. In our current food supply, NNS are widely used in thousands of beverages and other food products such as diet soft drinks, yogurts, desserts, and gum. Food manufacturers often use a blend of NNS or use a blend of sugar and NNS to improve the flavor acceptability of NNS. In developing this scientific statement, the writing group reviewed issues pertaining to NNS in the context of data on consumer attitudes, consumption patterns, appetite, hunger and energy intake, body weight, and components of cardiometabolic syndrome. The objective was to review the literature to determine whether there were adequate data to provide guidance for the use of NNS. The focus of the statement is on the 6 NNS that are described in Table 1. Aspartame, acesulfame-K, neotame, saccharin, and sucralose are regulated as food additives by the US Food and Drug Administration and therefore had to be approved as safe before being marketed. Regarding stevia, …

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Nonnutritive sweeteners: current use and health perspectives: a scientific statement from the American Heart Association and the American Diabetes Association.
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A 2009 American Heart Association scientific statement titled “Dietary Sugars Intake and Cardiovascular Health” (1) concluded that current intake of added sugars among Americans greatly exceeds discretionary calorie allowances based on the 2005 U.S. Dietary Guidelines (2). For this reason, the American Heart Association Nutrition Committee recommended population-wide reductions in added sugars intake. The present statement from the American Heart Association and the American Diabetes Association addresses the potential role of nonnutritive sweeteners (NNS) in helping Americans to adhere to this recommendation in the context of current usage and health perspectives. By definition, NNS, otherwise referred to as very low-calorie sweeteners, artificial sweeteners, noncaloric sweeteners, and intense sweeteners, have a higher intensity of sweetness per gram than caloric sweeteners such as sucrose, corn syrups, and fruit juice concentrates. As a caloric sweetener replacement, they are added in smaller quantities; hence, they provide no or few calories. In our current food supply, NNS are widely used in thousands of beverages and other food products such as diet soft drinks, yogurts, desserts, and gum. Food manufacturers often use a blend of NNS or use a blend of sugar and NNS to improve the flavor acceptability of NNS. In developing this scientific statement, the writing group reviewed issues pertaining to NNS in the context of data on consumer attitudes, consumption patterns, appetite, hunger and energy intake, body weight, and components of cardiometabolic syndrome. The objective was to review the literature to determine whether there were adequate data to provide guidance for the use of NNS. The focus of the statement is on the 6 NNS that are described in Table 1. Aspartame, acesulfame-K, neotame, saccharin, and sucralose are regulated as food additives by the U.S. Food and Drug Administration and therefore had to be approved as safe before being marketed. Regarding stevia, …

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Hyperactivity in Children Linked to Food Coloring
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  • Psychiatric News
  • Jun Yan

Back to table of contents Previous article Next article Clinical & Research NewsFull AccessHyperactivity in Children Linked to Food ColoringJun YanJun YanPublished Online:2 Nov 2007https://doi.org/10.1176/pn.42.21.0019© Randy Faris/CorbisBritish researchers have found evidence that suggests artificial food colors and additives may exacerbate hyperactivity in children, according to a study published online in The Lancet on September 6.Donna McCann, Ph.D., and others from the University of Southampton in England, tested the effects of commonly used food coloring agents and the preservative sodium benzoate on hyperactivity levels in two groups of children: one group consisted of 153 3-year-olds and the other of 144 8- and 9-year-olds. During the six-week study with a within-subject cross-over design, the children consumed a set amount of drink mix every day. The drink mixes used in the study were three mixed fruit juices (two active mixes and one placebo) that looked and tasted the same; the only difference was that the two active drinks contained a mixture of artificial food colors and sodium benzoate (see box for ingredients in the active mixes).Each week, one of the three drink mixes (active mix A, active mix B, or placebo) was delivered to the children's homes for their consumption during that week. On weeks 2, 4, and 6, mix A, mix B, and placebo were delivered in a random sequence. The actual drink delivered to each home at any given week was blinded to the child, the parents, the teachers, and the researchers. Weeks 1, 3, and 5 were washout periods when the children received the placebo drink.Researchers tested the effects of commonly used food-coloring agents and the preservative sodium benzoate on hyperactivity levels in two groups of children. The drink mixes used in the study were three mixed fruit juices-two active mixes, designated A and B, and one placebo. Mix A was linked to significantly increased hyperactivity compared with placebo in both 3-year-old children and 8/9-year-olds. Mix B was linked to significantly increased hyperactivity in 8/9-year-olds, but not in 3-year-olds.The children's behavior was measured throughout the study period using a global hyperactivity aggregate (GHA) score. The scores were compiled based on observation and ratings by parents and teachers. The children, parents, teachers, and researchers were unaware of the actual drink (active or placebo) given to the children at any given time. The study was commissioned by the U.K. Food Standards Agency (FSA), which regulates food safety.The children had statistically significant increases in GHA scores associated with the active drink mixes in most but not all analyses. Among the 73 3-year-olds who did drink more than 85 percent of the assigned mixes in all six weeks and had all the GHA scores, and after controlling for several potentially confounding factors, mix A had a significant effect on GHA scores compared with placebo. Mix B, however, did not have a significant effect compared with placebo. Among the 91 8- and 9-year-olds who drank more than 85 percent of the assigned drinks, both mix A and mix B had a significant effect on their GHA scores compared with placebo."This is a very important study, rigorously designed by outstanding investigators, and represents an important cautionary note on the need for more studies of the impact of various food additives on children's behavior," psychiatrist Peter Jensen, M.D., the director of the REACH (Resource for Advancing Children's Health) Institute, commented to Psychiatric News. "While it could not be determined from this study alone that such additives have a causative role in ADHD, the findings do suggest that additional, similarly carefully designed studies are needed in children generally and in children at risk for ADHD specifically."Previous studies had implicated artificial food colors and additives in increased hyperactivity in children with ADHD. In contrast, this study recruited a representative sample of children in the community with and without ADHD and showed increased hyperactivity within the overall study population.Because of the composition of the active drink mixes, the authors acknowledged that it was not possible to parse out an individual additive's effect on hyperactivity. They pointed out that sodium benzoate has an important preservative function, and the implication of these findings could be substantial for the food industry.If these findings are replicated by other investigators and in other populations, said Jensen, regulatory agencies should scrutinize the risks of the widespread use on such additives in foods. Based on this study, the FSA recently updated its advice to consumers, BBC News reported."If [children show] signs of ADHD, then eliminating the colors used in the Southamptom study from their diet might have some beneficial effects," said Andrew Wadge, director of food safety policy and chief scientist at the FSA.Both Wadge and Jim Stevenson, Ph.D., senior author of the study and a professor at Southampton University, both acknowledged that many other factors contribute to ADHD and simply eliminating artificial food colors and sodium benzoate will not necessarily prevent hyperactivitiy disorders.An abstract of "Food Additives and Hyperactive Behaviour in 3-Year-Old and 8/9-Year-Old Children in the Community: A Randomised, Double-Blinded, Placebo-Controlled Trial" is posted at<www.thelancet.com/journals/lancet/article/PIIS0140673607613063/abstract>.▪ ISSUES NewArchived

  • Book Chapter
  • Cite Count Icon 4
  • 10.1007/978-1-4899-8077-9_5
Non-nutritive Sweeteners
  • Jan 1, 2014
  • John D Fernstrom

Five non-nutritive sweeteners (NNS) are currently approved for use in the United States as food additives by the Food and Drug Administration (FDA): acesulfame-K, aspartame, neotame, saccharin, and sucralose; stevia glycosides (principally rebaudioside A) are also permitted for use based on a GRAS (generally recognized as safe) petition submitted to the FDA. The daily intake of each NNS by children and adults in the United States is well below the acceptable daily intake (ADI) set by the FDA. The ADI is the amount that can be consumed daily for life without health or safety concern. The FDA approval process for new food additives (including GRAS) includes the generation and submission of extensive safety databases in animals and humans. Nutritive and NNS initiate sweet taste in the mouth by binding to the same sweet-taste receptor, located on the cell membrane of taste bud cells. The oral sweet-taste receptor consists of two membrane-associated proteins coupled to an intracellular G-protein. The variety of molecules that taste sweet (nutritive and non-nutritive) bind to different parts of these membrane proteins. The same sweet-taste receptor is also found on enteroendocrine cells of the small intestine. Both nutritive and NNS bind to these receptors and can cause the release of hormones involved in glucose homeostasis. The sweet-taste receptor is also found on pancreatic, insulin-secreting beta cells, and while not mediating glucose-induced insulin secretion, can promote insulin secretion in vitro in the presence of high (non-physiologic) concentrations of NNS. Unlike nutritive sweeteners (NS), the ingestion of NNS by fasting humans does not elevate plasma concentrations of the hormones secreted by enteroendocrine or pancreatic beta cells. NNS ingestion may enhance some of these responses to NS when both are ingested together, but the effects thus far reported are not consistent among studies. The body of epidemiologic evidence exploring for associations between NNS use and body weight gain is not convincing; moreover, epidemiologic studies cannot prove causality. Active intervention studies in which NNS are covertly substituted for NS in the diet for extended periods of time (e.g., up to 18 months in children) show that NNS do not cause weight gain or obesity.

  • News Article
  • Cite Count Icon 14
  • 10.1289/ehp.121-a126
Secret ingredients: who knows what's in your food?
  • Apr 1, 2013
  • Environmental Health Perspectives
  • Wendee Nicole

British chef and food activist Jamie Oliver ignited a firestorm in January 2011 when he mentioned on the Late Show with David Letterman that castoreum, a substance used to augment some strawberry and vanilla flavorings, comes from what he described as “rendered beaver anal gland.”1 The next year, vegans were outraged to learn that Starbucks used cochineal extract, a color additive derived from insect shells, to dye their strawberry Frappuccino® drinks2 (eventually, the company decided to transition to lycopene, a pigment found in tomatoes3). Although substances like castoreum and cochineal extract may be long on the “yuck factor,”4 research has shown them to be perfectly safe for most people; strident opposition arose not from safety issues but from the ingredients’ origins. But these examples demonstrate that the public often lacks significant knowledge about the ingredients in foods and where they come from. This is not a new development; the public relationship to food additives has a long history of trust lost, regained, and in some cases lost again. The Federal Food, Drug, and Cosmetic (FD&C) Act of 19385 was passed shortly after the deaths of 100 people who took an untested new form of a popular drug, which contained what turned out to be a deadly additive.6 The new law was consumer oriented and intended to ensure that people knew what was in the products they bought, and that those products were safe. The law has been amended over the years in attempts to streamline and bring order to the sprawling task of assessing and categorizing the thousands of substances used in foods, drugs, and cosmetics. One result of this streamlining is that under current U.S. law, companies can add certain types of ingredients to foods without premarket approval from the thin-stretched Food and Drug Administration (FDA). In other words, there are substances in the food supply that are unknown to the FDA. In 2010 the Government Accountability Office (GAO) concluded that a “growing number of substances … may effectively be excluded from federal oversight.”7 Is this a problem? The answer depends on whom you ask.

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